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Nine months in is where the trend becomes clearer than any single week. The picture is starting to tell itself.

BMI from 41 to 25 is a complete transformation. The HDL drop while eating less saturated fat is counterintuitive but common during active loss - lipids often look worse in transit as fat mobilizes. Most see HDL recover after weight stabilizes.

The stockpile approach makes sense when the dose is stable and supply is uncertain. Two years of buffer is real peace of mind. The shift people underestimate most before they experience it is the change in how food fits into daily life.

Been on 7.5 for 10 weeks now and it's holding strong. I keep my calories around 1000-1500 and push 150g protein daily. Mood's a bit flatter but I'm managing. Main thing is I'm losing slow on purpose—protecting my gallbladder and pancreas. Plan to stay here a couple months longer.

intense acid reflux here—skip spicy and greasy. drinking? gear up. pepcid AC before bed helps, antacids too. eat out later? pop a pepcid beforehand. been my biggest side effect honestly.

started tuesday and i'm already miserable. ate way too much tuesday cause it kicked in faster than i expected, then nothing but trouble since then. brutal acid reflux, feel stuffed even though i barely cracked 800 calories, locked up tight, and panicking about losing the muscle i built.

definitely worth joining peppy's. spend a couple weeks reading and interacting before you unlock all areas. worth the wait.

I eat around 1200 calories daily and lose about 1.5-2 pounds a week on a 0.5 dose. 1200 is comfortable for me. Some days I splurge to 1500 as a treat, others I barely eat 1000 because I'm not hungry. But 1200 is usually the goal.

I'm so glad you mentioned strength training, Kerry_2001! I've been researching ways to optimize muscle retention while losing weight. I came across an article discussing using tirzepatide along with some other therapies, like TRT, plus a solid exercise and nutrition plan. It's all about finding...

Honestly, most people don't get how metabolism really works. All those claiming they "only ate" 800-1000 calories daily are probably stretching the truth. Studies have shown this. People either can't track properly or their lifestyle isn't conducive to change. They underestimate calories and...

You've revealed such beautiful bone structure! I totally agree, this is one of the most impressive transformations I've ever seen. Congrats!

Incredible work! You look fantastic!

That's a great idea GeneTaco! I should do something fun to celebrate. Maybe a weekend getaway.

Thank you! I appreciate that!

I bought these jeans almost 5 years ago now in size large, thinking I'd *eventually* get into them. I was probably a 2 or 3x too big then. Well, I just put them on and they fit! I'm so happy!

Were the photos taken exactly a year apart?!

You could totally pass for a celeb! Seriously, great job! Hope you show yourself some extra love this year. 💜

Everyone's body composition is different! Don't feel like you HAVE to match your doc's suggestion exactly. Focus on feeling healthy and energetic!

Your skin looks incredible! Amazing job!

I've also been dealing with some weird side effects. I'm still losing my hair, and I'm getting some tingling in my feet. It's frustrating!