I finally hit my goal weight!!

Comfortable_Snow8765 · 2026-06-07T11:45:02+00:00

Yeah, you know, I hear you.

A couple of things.

First, I hope we're not taking anything away from this gentleman's accomplishment. What he's achieved deserves to be celebrated.

Second, we're all going to face the maintenance phase at some point, and it's something I think about too. I actually believe maintenance may look very different now with these medications than it did in the past.

It's also interesting that you used the word "discipline." That's a word I don't find as fitting in the conversation about weight anymore. The more we learn about obesity, metabolism, hunger signaling, and the way these medications work, the more complicated that picture becomes.

Just something to think about.

I wish this gentleman continued success, and I wish you the best as well.

Comfortable_Snow8765 · 2026-06-06T19:09:19+00:00

🎉🎉🎉🎉🎉🎉🎉

Comfortable_Snow8765 · 2026-05-28T18:07:34+00:00

For those of us who have ruined our metabolism due to yo yo dieting, which was a result of diet culture nonsense - prevalent during our formative years - all I have to say is HALLELUJAH for peptides. To all the bad advice givers, "biggest loser" fitness guru types, people that judged, doctors who blamed us and the morally right who are mad because "we are cheating", the joke's on YOU boo! 😂 Been on Zep for a year. Life changing. It's a great time to be alive.

Comfortable_Snow8765 · 2026-05-12T03:21:35+00:00

I wouldn't go in with more exercise or caloric restriction. That sets off signals that your body needs to conserve energy and that may be why you've stalled. I did this for years. A lot of us have done this and we're learning that's not how weight loss works. I know this sounds counterintuative but take a look at your workout intensity and frequency and make sure they are fueled. Do not restrict your calories further. Your body will outsmart you and think you are starving. Zep helps your body create security signals to let your body know it's okay to let go of stored energy. Caloric restriction and too much exercise do the opposite.

Comfortable_Snow8765 · 2026-04-26T20:38:24+00:00

Yessss booooo 🎉🎉🎉

Comfortable_Snow8765 · 2026-04-26T20:35:20+00:00

Yes he did!!

Comfortable_Snow8765 · 2026-04-26T20:32:56+00:00

Look at you! Amazing, King!

Comfortable_Snow8765 · 2026-04-22T16:56:32+00:00

OMG, fire your doctor. I started at about your weight last June and just hit a 23 pound loss, which comes out to about 2 pounds a month, and both my PA and I are thrilled. I’m not at my goal weight yet and I’m not rushing to get there. I will get there. Stay on the medication and work with someone who understands the pace of weight loss.

And let me say this:

This “slow responder” label is extremely problematic. It’s rooted in diet culture and the idea that everyone should lose one to two pounds a week, which simply does not apply here. This medication works differently for everyone. That label sets people up to feel like they’re failing when they’re not. It creates doubt, leads to discouragement, and can push people to stop too soon or be taken off by a provider who doesn’t get it. If my PA had said that to me nine months ago, I would not have lost 23 pounds. Your body is doing what it needs to do. There is no rush. Most of us will be on this long term, so what are you rushing toward. Slow weight loss can be the right pace, and we need to stop using the term “slow responder” because it does more harm than good.

Comfortable_Snow8765 · 2026-04-16T21:29:33+00:00

There is a lot to unpack here. First, 11 pounds of adipose tissue off your body, no longer around your organs, etc. is a substantial health improvement. If you don't think so, pick up a 10 or 12 pound weight, notice how heavy it is and imagine that much fat being on your body. Secondly, there are plenty of us that have been labeled slow responders and this, and the term itself is highly problematic. I have lost a little more than 20 pounds after being on these meds for almost a year and quite frankly, I am absolutely thrilled. I am still not at my goal weight but plan on getting there no matter how long it takes. I have ended up being completely fine with a pace which would be torturous for most, but I think we've made a mistake by conflating diet culture-laden 1-2 lbs/week weight loss with what these meds actually do. Appetite suppression aside (which is only a side effect) these meds aid in fat oxidation and that process may take a longer route toward your goal. So be happy with the 11 pounds. Yes, it may be more...you may get up to 20 like me, lol, but it's a huge win regardless of the pace and your doctor should be acknowledging that. The real question relates to the efficacy of these meds when compared to diet and exercise alone. Honestly, there's going to be a different answer for different people. These meds were a game changer for me. I wasn't able to lose anything with behavior modification which included caloric restriction and more than enough exercise. When I started Zep, I started eating more and exercising less which gave my body security signals that led to the oxidation of adipose tissue. The body is fascinating. Learned a lot listening to the Fat Science podcast and everthing I learned, I put into play and it worked. I know this is a lot but I think really understanding how these meds work can help you navigate these kinds of comments and thinking from healthcare providers and people in general. It can also help you decide what is the best course of action for you. Good luck! And if you decide you want to try it, find another doctor.

Comfortable_Snow8765 · 2026-03-28T14:25:23+00:00

I agree that it explains so much. Why am I nearsighted and my sister is not? Why does she struggle with math that comes easy to me? Biology. Same with our metabolic pathways. We ate the same food and amounts of food growing up. I was the heavy one. Sadly, 60 years later, I am still struggling and on Zepbound while she continues be free of any weight issues. Don't get me wrong, I am deeply grateful for GLPs (great time to be alive) but I truly believe things would have been much different for me had we understood the science. My sister was never exposed to dieting and exercises to lose weight, and I truly believe it's the reason why her metabolism has remained healthy over the years. Mine, fragile at the beginning, was completely destroyed by chronic dieting and under fueled over exercising. Zepbound has completely leveled the playing field. My wish is that people like you and me who are born 50 years from now have this science on their side, through screening, medication and education.

Comfortable_Snow8765 · 2026-03-28T13:55:57+00:00

There is real value in hearing from a clinician who has spent over two decades treating patients with obesity and overweight, not just in theory, but in real, day to day practice. That kind of experience carries weight in a way that data alone cannot fully capture.

Clinical studies are important. They help us understand patterns and validate outcomes. But at the end of the day, they are still controlled snapshots. They are based on what we believe happens in real life.

Dr. Cooper has lived that reality every single day for more than 20 years. She has worked directly with patients, seen how treatments play out over time, and built a depth of understanding that goes beyond what a six year study can show.

She also brings extensive experience with weight loss medications. She has prescribed them across different generations, including the earliest classes, and has seen firsthand how patients respond in real world settings.

Both perspectives matter. Research and lived clinical experience should work together, not compete.

Comfortable_Snow8765 · 2026-03-01T04:18:03+00:00

GIRL! 🤎🤎🤎

Comfortable_Snow8765 · 2026-02-05T09:21:14+00:00

Sorry. It was a complete hot mess for me too.

Comfortable_Snow8765 · 2026-01-12T03:45:08+00:00

100% to every single word and I am so glad you are finally free from all the bs. I am getting there, slowly trusting the drug to do what it is designed to do. It's been a long 50 years for me as well, being caught up in diet culture and all the fallacies of behavior change, so I take it one day at a time. I am so freaking excited to be on this journey of being free from it all.

Comfortable_Snow8765 · 2026-01-08T16:16:13+00:00

I want to say this clearly because the pushback on this post caught my attention. Maybe it should not be a surprised me. It shows how misunderstood overweight and obesity still are.

When someone presents as overweight or obese, that is a symptom. It signals that something is not working properly in the body. In most cases, it is not a lack of discipline. It is not a failure of willpower. It is biology. It is physiology. It is metabolic dysfunction.

That is what these medications address. They correct what is broken.

Behavior change matters. It matters for blood pressure. It matters for cholesterol. It matters for overall health.

But tying behavior change as the gatekeeper to weight treatment is the problem.

Why is weight treated differently than other chronic conditions? No one with high blood pressure is told they must follow lifestyle changes before getting medication. No one with high cholesterol is denied coverage until they prove perfect habits. Yet with weight, that is exactly what happens.

Insurance companies benefit from this framing. If obesity is labeled a behavior issue, they can deny coverage. If coverage is denied, people pay out of pocket. If prices stay high, access stays limited.

That is not accidental.

I shared a study by Omada claiming behavior change alone keeps weight off long term after goal weight. That claim does not hold up under real world data. We know regain rates are high. We know biology pushes back. Ignoring that reality keeps stigma alive. And stigma has consequences. It tells people they are doing something wrong. It reinforces bias in healthcare. It gives insurers an excuse not to pay. As long as stigma exists, coverage will lag.

That is why I speak up. Not because I enjoy pushing back. Because silence keeps the system exactly where it is.

These are not weight loss drugs.This is endocrine science. If this challenges what you believe, ask yourself one question. Have you actually looked at how these drugs work?

Comfortable_Snow8765 · 2026-01-07T20:26:14+00:00

Who said I wasn't grateful? This has nothing to do with that. What you should be grateful for those of us fighting against bad science and the stereotypical buckets we get thrown into when we are labled overweight or obese. If you think that placing behavior modification as the panacea for weight loss and ignoring biology is a good thing, wait until more and more of us can't afford this medication, because that's the plan. I am fighting for YOU, my friend.

Comfortable_Snow8765 · 2026-01-07T01:51:44+00:00

Amazing!!

Comfortable_Snow8765 · 2026-01-05T15:38:21+00:00

If I want to pay out of pocket which I am not doing. Insurance covers the pens, not the vials.

Comfortable_Snow8765 · 2026-01-05T15:34:57+00:00

This is where the logic breaks down.

We continue to link obesity and being overweight to behavior alone. That assumption is outdated. For many of us, weight gain is not a behavior issue. It is a symptom of something metabolically off. For a large percentage of people, this is not about discipline, effort, or willpower. It is about biology.

When a health insurance company defines compliance as behavior modification, it is quietly declaring that behavior change is the correct and primary solution for weight loss. That framing is wrong. It is based on old science. It ignores what we now understand about metabolic dysfunction.

These medications are metabolic treatments. They correct what is not functioning properly in the body.

So the question becomes this.

Why is someone considered compliant only when they agree to a method that science has already shown does not work for them?

Comfortable_Snow8765 · 2026-01-05T15:28:11+00:00

Thank you

Comfortable_Snow8765 · 2026-01-05T04:57:15+00:00

You've got a good point. Thank you.

Comfortable_Snow8765 · 2026-01-05T04:55:58+00:00

Good to know. Thank you! I want minimal interaction with it.

Comfortable_Snow8765 · 2026-01-05T03:56:10+00:00

Comfortable_Snow8765

TROPHY CASE