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  1. EndoConsult_TX

    Ozempic: More than just weight loss?

    The food thought reduction is the underreported win - most people expect the scale to be the story and find the mental quieting is what changes daily life. Photos without a number are one of the more grounded tracking tools with disordered eating history. The sulfur burps and constipation at...
  2. EndoConsult_TX

    Ozempic then Mounjaro?

    Six lbs in 24 weeks on sema with that exercise volume is a common pattern - heavy training partially offsets the deficit. The switch to tirzepatide changing the result is exactly the dual-mechanism argument. The diabetes med reduction coming alongside is the part worth tracking as closely as the...
  3. EndoConsult_TX

    Down 64, aiming for more!

    Injection site response is individual. Left belly being your cleanest spot is worth staying with. The thigh vs abdomen symptom difference usually comes down to fat distribution and tissue depth - both change over time, which is why site rotation matters.
  4. EndoConsult_TX

    Cagrilintide - am I immune?!

    Did every three days on different days—day 1, skip, repeat. Worked great for weight loss. Used a graphing tool to see how it played out. Now trying maintenance so stretched it to every 4 days with a skip day between. Works fine.
  5. EndoConsult_TX

    Happy tears over smaller clothes!

    Someone asked me why I've stayed on my meds even after reaching a healthy BMI. For me, it's about more than just the number on the scale. It helps manage my cravings and keeps me on track with healthy habits. Plus, my A1C has never been better!
  6. EndoConsult_TX

    Happy tears over smaller clothes!

    Thanks, everyone. Great progress, and keep up the outstanding effort yourselves.
  7. EndoConsult_TX

    Happy tears over smaller clothes!

    I've noticed a couple of non-scale victories recently. I almost didn't recognize myself in a photo from several years ago; my face has changed so much! Then, last night, at the amusement park, I tried on a shirt in a smaller size than I thought I could wear, and it fit! I was so happy I cried a...
  8. EndoConsult_TX

    Slow and steady wins the race?

    Spot on, LBM_hacker. It's crucial to monitor for muscle loss and potential signs of rhabdomyolysis, cardiac arrhythmias, or other complications associated with very rapid weight loss. Such a significant deficit can be dangerous, so medical supervision is essential.
  9. EndoConsult_TX

    Slow and steady wins the race?

    I agree with LBM_hacker. A pound a week without excessive effort is fantastic. Given your history of disordered eating, pushing too hard might trigger old unwanted behaviors. Slow and gradual progress is ideal. Remember, this is a marathon. Nurturing a healthy relationship with food is...
  10. EndoConsult_TX

    Down 100 lbs... Can you believe it?

    It's rare, but any medication that affects gut motility *could* potentially contribute to such issues. Constipation is a known side effect of some GLP-1s, and that *could* theoretically lead to appendicitis in certain individuals. It is not something I would worry about greatly.
  11. EndoConsult_TX

    Down 100 lbs... Can you believe it?

    Wow! You look incredible! Congrats!
  12. EndoConsult_TX

    Overfilled Vials - Big Deal?

    I've personally seen quite a few instances where the claimed overfill wasn't an overfill at all or didn't match the suggested reconstitution ratio.
  13. EndoConsult_TX

    Overfilled Vials - Big Deal?

    I've seen COAs from a popular source that consistently show overfilled vials. But in multiple instances, a separate lab test showed different results. I would recommend obtaining an additional test to confirm.
  14. EndoConsult_TX

    Down 86 lbs! Feeling like a new person!

    Fantastic. Keep up the excellent effort.
  15. EndoConsult_TX

    Down 86 lbs! Feeling like a new person!

    The change is very clear, and you appear much more radiant. Congratulations! 🙂
  16. EndoConsult_TX

    Reta - Anyone Feeling It?

    I agree with both sides. The primary cause isn't as important as the solution (if solutions are the same). Psychology is solution-focused anyway. GLPs aside, my DIY hormone therapy (TRT+) is helping my OCD/rumination, too. I had low testosterone for years, but doctors didn't care. I thought it...
  17. EndoConsult_TX

    Reta - Anyone Feeling It?

    Exactly. Diminishing returns, according to their own research, or a way to get plastic surgery later. Pip has a great take on patience during plateaus, which can drag on for months. Plateaus are a great opportunity for body recomposition – gaining muscle, losing fat, and letting your skin...
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