Same here.

Half of what people describe as tolerance is a change in the underlying condition, and the two need different answers.

You have two changes at once here. You cannot attribute anything until one of them moves.

Reference ranges differ between labs, so comparing two reports is close to meaningless.

A plausible mechanism is not an outcome, and this class is the textbook example.

A plausible mechanism is not an outcome, and this class is the textbook example. How long have you been on semaglutide?