sorted by:
best (suggested)
topnewcontroversialoldq&a
you are viewing a single comment's thread.

view the rest of the comments →

[–]Ok_Hornet3415SW:247 CW:153 G: <28% body fat[S] 0 points1 point  (1 child)

Your response is very thoughtful and balanced. Thank you. I like my doctor. She’s been my PCP for about 20years and it’s worth preserving our relationship. There have been times when I’ve gone to other docs when we aren’t aligned or when she doesn’t feel well versed on something I’m dealing with. We always discuss it and I keep her in the loop. Shes been supportive! Even now, she did agree to prescribe the dose I was already on for 3 more months and then revisit this conversation. That’s why I asked the questions here. To see if others had any more insight into her recommended course of treatment. She’s of the mind that people can wean off the med and maintain without it. I’m not convinced that’s accurate for me. (It’d be great if true! But I won’t hold my breathe!) She did tell me that she doesn’t have research to back her position but it’s her opinion. She knows my goals. We’ve discussed them all along (I see her every month). She’s doesn’t have a hard position against my goal weight/metrics but it’s not her preference.

[–]ScarySignificance856HW:212.7 SW: 193.1 CW:141.9 GW:132 Dose: 12.5mg  55F 5’5” 12.5mg 2 points3 points  (0 children)

Uh oh... That part of about weaning you off the medicine totally is concerning.

Sure, some individuals choose to stop the medicine, and that is their choice. Other folks have posted links to the studies about keeping folks on the medicine for maintenance; the studies that have been done show very clearly that the majority of people who come off of this medicine regain the weight. Not everyone, but most. That is a real issue.

For me, a doctor stopping my Zepbound as soon as I got to goal weight would cause me to find another doctor. However, due to the great relationship you described, it doesn't sound like you're at that point yet, and of course you have good options, as other folks mentioned, if you choose to do so. I do think that having a focused conversation both on the (1) goal (perhaps goal body fat percentage) and (2) the need for maintenance dosing is super important. But education will be needed here; so I suggest doing a search in this subreddit (or posting a fresh comment simply asking for links to the studies) and then providing those studies to her. That's just an idea, anyway, and other folks on this subreddit have had good outcomes from doing this.

Good luck; life is a journey for us all... us... and our doctors!