December 2025: 70, type 2 diabetic, A1C over 7, bouncing 190-198 lbs, with IBS, asthma, high blood pressure, two prior heart attacks. Doctor flatly refused any GLP-1. A new doctor got me going on Mounjaro by early February 2026, 2.5mg for seven months. Changed my diet, nothing beyond stretching for exercise, dropped to 140. Felt great, only real issue was how irregular things got on the elimination side. Moved to 5.0 in September, now at 71 I'm 130 lbs, blood pressure excellent, one BP med dropped entirely, asthma eased a lot. Downside, ten to fourteen days between bowel movements, low energy, bloating, plenty of loose skin hiding under clothes that look great. If considering a GLP-1, do it, just drink water, stay active, and grab a bowel supplement made for this.