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01100011 | 19 days ago

Funny, after semaglutide I developed moderate arthritis in my MTP(foot) joint.

I wonder if it was gout because it seemed to come on fast. They say semaglutide shouldn't cause gout but I'm not convinced. It has some very weird effects on my hydration. I drink a fair amount of water, but specifically at night I now have to urinate a dozen times throughout the night and wake up with my mouth almost dried shut.

I've lost 10% of my bodyweight(probably >1/3 muscle, sadly) which is great and it's taking the load off my joints, but man this foot thing is a bummer. I need to find a sports Dr because most foot docs seem to take the "just stop running/hiking and switch to biking/swimming" approach which doesn't work for me.

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pertymcpert|19 days ago

That kind of damage takes many years. Do you have scans from prior years? I also discovered I have arthritis in the ankle recently and there were no pain symptoms, only joint instability and issues higher up on the leg. This was probably caused by either genetics or ankle trauma from childhood that eventually reared its head in my 30s.

01100011|19 days ago

My last x-ray in 11/2022 was perfect. Good joint spacing and no degenerative changes. That's over 3 years ago now though.

One thing I think changed for me was that I switched to WFH full-time and wearing crocs all day. My arches subsequently collapsed. I have joint stiffness now as well, but the x-ray didn't show anything so I think it's perhaps sinus tarsi pain from the compression due to over-pronation.