My body is changing!

if you want a prescription for a gh secretagogue, maybe find a doc who'll write for egrifta (tesamorelin). it's designed for hiv patients with belly fat issues so off-label use gets tricky with insurance.

The way the body changes on Tirz combines better fuel partitioning with the training stimulus - more calories going to muscle repair than fat storage as insulin sensitivity improves. The calorie-burning increase through exercise compounds with the GLP-1 metabolic baseline shift in a way that neither does alone, which is why the body composition results at 7k walks a day tend to look better than the scale number suggests.

The doctor noticing changes before goal is the composition shift telling - resistance work alongside the medication shapes the result beyond just the scale number.

The progress is real regardless of where you set the bar next.

Going under 200 post-sleeve is its own milestone - the response after that surgery is hard to predict.

Years past goal weight and still sometimes seeing the old you - that part is real and doesn't get talked about enough. The body image piece takes a lot longer to catch up than the actual physical change. Just keep going and eventually the mirror starts showing you what other people have been seeing for a while.