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I don't tip, but I do give my trainer a gift sometimes.

Congratulations! That's a fantastic achievement. Are you experiencing any side effects from the GLP-1?

Mel_2006 That's awesome to hear about the treadmill. Exercise is so important for overall health while losing weight. I'm glad you're incorporating it!

How tall are you? Very inspiring!!

I've been doing the same. It's a bit stressful, though. I feel like I don't have anything to wear anymore, and nothing in the stores appeals to me. I'm getting rid of my favorite items gradually.

I know the feeling. Excellent work. You're carrying that 40lb loss well. How are you feeling overall?

I tip 20% on takeout! I think I feel guilty because my job is easy.

If you're able to hire a personal trainer, you can afford to tip.

Also, consider checking out Wegovy. It's basically the same drug as Ozempic. Might be cheaper.

That's great! Those small things really add up for motivation, don't they?

Here are a couple of news reports about the agreement. https://www.fiercepharma.com/pharma/novos-patent-litigation-settlement-mylan-could-pave-way-cheaper-ozempic-generics https://news.bloomberglaw.com/ip-law/novo-nordisk-and-mylan-settle-ozempic-wegovy-patent-battles

Great job!! 👏👏

Lots of people are looking for cheaper options... but consider if it's worth the risk. Peptides aren't FDA approved, but you can get them from compounding pharmacies, which probably have better quality control. You'll spend a lot more though.

It's good to remember that even though the scale may not reflect it right away, you are still seeing results and making progress! Keep up the great work!

I was under the impression that a biosimilar semaglutide couldn't be legally marketed until late in 2031 or early 2032. Has something happened to change that?

Really well organized post. I just want to reinforce something from a clinical perspective: telogen effluvium after rapid weight loss is extremely common and almost always self-limited once the metabolic stress stabilizes. I routinely see regrowth within 3–9 months after weight plateaus. Also...

Congrats!! When did you begin taking it and what's your height?

Yep, I think they are still a good option, even with everything that happened recently. And yeah, their Reta worked well for me when I was using it. I've still got some 12.5mg vials from their summer promotion, but I'm back on Tirz now (maintenance, so I don't need something as strong). Is it...

I am so sorry for your loss, Eddie1987! This is probably why some doctors avoid prescribing glp1s to post-bariatric patients. Digestion is already slower, and the glp1s can make it even slower, which can be risky. Gastric surgery itself comes with risks. I hope that GLP-1s in the future can...

Excellent work! So glad you emphasized exercise, particularly resistance training, is a key part of a program. I also prioritize protein as it's so easy to not eat enough on these meds and lose muscle mass.