Back on the wagon...wish me luck!

Hong Kong Yanpep International
The sleeve-plus-GLP-1 combination after regain is one of the more common second-chapter stories in these threads - the surgery addresses the structural capacity but not the metabolic and hormonal set-points that drive regain, which is where the medication layer addresses what surgery cannot. starting back from a clear baseline weight with a full protocol is the right approach after the kind of multi-year trajectory you're describing
 
Lost 20 pounds on sema initially but had to quit due to money trouble, and the food noise roared straight back along with the weight. Took a while, but my husband and I eventually rearranged the budget so I could get back on it. Instead I gave tirzepatide a shot, which flopped completely for me. Burned six more months there before finally returning to sema, roughly a month in currently and feeling fantastic. Once goal weight hits, sticking around on a reduced maintenance dose long term.
 
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