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Cost Plus covers generics well but GLP-1s aren't generic yet - compounded sema and tirz through a 503B pharmacy is the low-cost path.

The prescription calculation includes comorbidities and metabolic markers beyond BMI - overweight isn't the automatic floor for prescribing. That conversation belongs with the prescriber.

Celebrating loose skin as evidence of the loss that caused it is the reframe that actually works. The lifting and firming cream combination is the most evidence-supported approach for improving skin quality over 12-18 months. For meaningful total losses some degree of change is likely permanent...

It really is amazing how different everyone's body reacts. A friend of mine had to move up every month; otherwise, it stopped working. And here are you two doing great things on the starter doses! I'm glad for you both.

That's a really important point. Weight loss is just one part of the puzzle. Maintaining muscle mass and developing healthy eating habits are key for lasting results, even after stopping the medications.

I was on 0.25mg (10 units) for 8 solid months. Any higher and I felt terrible. I lost 35lbs and stopped around Christmas. I haven't put any weight back on, but it's harder to ignore cravings now. I'm a 36F, 5'7", and went from 225lbs to 163-166lbs. Keto helped me lose the initial 30lbs before...

Amazing work!

I managed to drop around 44lbs on 0.5mg, which brought my BMI down from 28 to 22.

Definitely ask for Zofran. It really helped me get through the first few weeks until my nausea subsided.

You might ask your doctor if you can inject in your thigh next time. That helped cut down on side effects for me!

I also started at 0.25 and then upped it to 0.5 after a month. Your body needs some time to adjust to it.

That's so great to hear! It's wild how much these meds can affect your mood. I always thought it was just about appetite and blood sugar. Live and learn!

It's just volume loss in your face from the weight loss. Some people love it, some don't. It's pretty common with significant weight loss, though.

I think there might be something to it. I've been there. I'm doing better these days. I was on a compounded Semaglutide for a month and a half. I went up a dose in January and fell apart. I thought about seeking help and starting meds. But things got better. I also quit vaping then. I was...

I take my shot Thursday nights, and I feel kinda blah on Friday. Saturday and Sunday I'm pretty full and the food noise is gone, then Monday it starts coming back stronger until Thursday. I thought about upping my dose, but I don't want to be at the max, so I'm focusing on diet and exercise...

I already had gray hair, so I can't really say, lol.

I take a tablespoon of olive oil daily as well. I've been using Ozempic since it first came out. I still struggle with serious constipation. And drink plenty of water! Good luck ❤️

Oh my gosh, yes! It's terrible, I feel like I can't find anything I can eat, let alone enjoy. I've been on tirz since late January and dropped about 40 lbs, but I've been stuck for a while now because I don't eat enough. I pretty much live on protein shakes, which is why I'm thinking of...

What is this 'Gremlin' you speak of?

My ENT and neurosurgeon made me stop Reta two weeks before surgery and told me not to restart it for at least two weeks after. It wasn't needed, though, because I was on a very restricted hospital diet and lost about 8lbs in a week in the ICU. Very restrictive fluid intake!