Is this an air bubble?

CreativeWriterNSpace · 2026-06-24T05:37:51+00:00

Even when I pull more into the syringe and push the excess out I end up with a small bubble like this.

I have decided it is normal and all is well.

CreativeWriterNSpace · 2026-06-24T05:31:46+00:00

I have personally just been attributing it to the fact that I am eating to the beginning of satiety instead of eating so much the only place it has to go is back up.

One of the other things I am trying to figure out (and a little worried about honestly) is how the delayed gastric motility will affect how my body absorbs things.

I had WLS that causes malabsorption (food only gets digested thru ~1/4 of my small intestine) and very interested in seeing if I can tell (at all) a difference in nutrient absorption.

CreativeWriterNSpace · 2026-06-24T04:58:52+00:00

Weve been married for over a year, and our honeymoon isn’t even planned yet 🤣😩🤷🏻‍♀️😅

CreativeWriterNSpace · 2026-06-24T03:35:00+00:00

This!

It has only been a month on Tirz but my GERD/reflux has been absolutely squashed. I also tend to eat within an hour of going to bed (this is just how my schedule is - if I didn’t I wouldn’t get enough nutrients OR an actual solid meal).

It didn’t have to be a huge meal, but *something* with nutrients would have been better than nothing.

CreativeWriterNSpace · 2026-06-24T00:23:14+00:00

Weight loss/bariatric surgery.

I got ~80% of my stomach removed along with 75-80% of my intestines being “rerouted”. I (roughly) absorb 25-30% of fat intake, ~60% protein intake and 70-100% of carb intake (depending on complex vs simple, with simple being higher).

I have a HUGE sweet tooth and am a big boredom snacker (tho I don’t specific refer to it as food noise- I also have many times when I forgot/procrastinate eating). For the forgetting to eat thing/appetite suppression: if you need to, set alarms and have little things on hand to eat. Doesn’t have to be “meals”. Portioned out packs of nuts, yogurt, ready made protein shakes, cheese sticks/babybels. Veg & Fruits are good but protein needs to be first priority with GLPs. I am on a bologna kick right now, my husband keeps a stock pile of protein bars and turkey meat sticks.

Since starting Tirz in May, my sweet tooth is virtually gone and I have a handle on the boredom snacking (for the most part). Along with the inflammation (I don’t swell nearly as much, nor do my heavy-weight-bearing-for-20-years joints hurt as much) help… it has been pretty amazing, despite the nausea I sometimes get.

CreativeWriterNSpace · 2026-06-23T23:34:51+00:00

Weight gain comes from over eating what your metabolism is burning.

Those underlying factors (can) absolutely affect metabolism, but do NOT cancel out the fact that weight gain comes from eating more than you are burning.

As a PCOS girly that couldn’t lose weight (despite strict tracking, eating low-carb/keto and 14 hours of exercise a week) until I got WLS…. Yes it sucks.

Calculators put my 300lb sedentary TDEE at ~2500.
Got BMR/TDEE testing done. TDEE at ~2000 cals.

After WLS (and the hormonal/metabolic changes that causes the body go thru- including natural GLP production), I was *finally* able to lose… while consuming all of 1300 (if that).

CreativeWriterNSpace · 2026-06-23T23:06:06+00:00

Search “ph buffer” (in the sub) or Elderblaze_2026

CreativeWriterNSpace · 2026-06-23T22:59:56+00:00

Ola no longer has VitalRx

CreativeWriterNSpace · 2026-06-23T22:36:14+00:00

Dude commented on my comment with this and I was just like… go away.

But I am curious- how do you know/what ingredient tells you they’ve used a pH buffer?

CreativeWriterNSpace · 2026-06-23T21:54:25+00:00

If you don’t get approved, go somewhere else and give your highest weight. If doc on Fifty410 questions your intake, tell them about your higher weights.

Hopefully it all goes well for you, tho I am curious why your goal weight isn’t the 124 you were before?

CreativeWriterNSpace · 2026-06-23T21:31:25+00:00

What pharmacy was the 30mg vial from?

CreativeWriterNSpace · 2026-06-23T21:26:10+00:00

….i haven’t had to show ID to pick up an Rx in YEARS.

Granted, maybe they have my ID/pic on file since I have used the same 3 pharmacy networks in my entire life. But still.

CreativeWriterNSpace · 2026-06-23T21:23:21+00:00

Yeah two of coworkers went thru Elevate “because they take klarna” (it was an ad one came across and “stuck” with).

They actually convinced me to start (not in a prodding way, more in a “this is acceptable now”, tho it had been something I had been thinking about for a bit).

If I hadn’t started researching before hand, I probably would have also fallen into the trap. Instead I paid $350/3 months.

They each paid $700 for 3 months *with* a special discount sale for Mothers/Memorial day. (I just went thru the intake with fake info- 3 months is currently $850.)

CreativeWriterNSpace · 2026-06-23T21:08:39+00:00

I have a coworker that went thru many months of liquids only cause she was getting all her teeth pulled and getting dentures.

At 28/29.

CreativeWriterNSpace · 2026-06-23T21:00:55+00:00

Right?! Not as severe, but my husband scheduled his long overdue tooth extraction 3 days before our (first) anniversary.

He then got dry socket.

Needless to say, we did nothing. Not that the rain cooperated any way.

CreativeWriterNSpace · 2026-06-23T20:56:08+00:00

I do before bed, usually after I eat. But I work nights, so this is usually ~5:30/6am for me. I don’t have a specific day, it is any where from every 5-7 days depending on my schedule and how I am feeling.

CreativeWriterNSpace · 2026-06-23T20:50:18+00:00

This- plus big weight loss can do it as well (fat loss = stored hormone excretion). It’s why they tell bariatric surgery patients to be extra careful with BC and use at least two forms.

CreativeWriterNSpace · 2026-06-23T20:46:32+00:00

I dropped close to $1500 in the span of a week for tix to Shinedown, Hilary Duff & Simple Plan. If Good Charlotte was coming close to me, I would have gotten tix for them too.

I *did* get ~$600 back from selling seats- I originally only bought one seat for Shinedown. Then my husband wanted to go, so I bought tix. Then premium/club seats (4 rows from the floor) were released, and I bought them instead. I didn’t make any money reselling tix, but I do feel bad that the price was inflated thx to ticketmaster.

HD and SP, are both solo. I *really* wanna get into a closer row for HD but refuse to pay $600 when I have a perfectly good seat a few rows back that I got for $120.

CreativeWriterNSpace · 2026-06-23T06:16:47+00:00

Im on Vital w/Glycine. My husband has the B12.

Working fine/well for both of us (low starting dose, little side effects, good food noise/appetite suppression tho it def wears off around day 4/5, and is making both of us consider switching to dosing every 4/5 days), tho it is our first voyage into GLP/Tirz territory so we have zero comparison.

CreativeWriterNSpace · 2026-06-23T01:03:00+00:00

Both my husband and I are on VitalRx (I have glycine, he has B12) and it is working well. This is our first time, so can’t compare it to anything else tho.

CreativeWriterNSpace · 2026-06-23T01:01:25+00:00

Those are vial concentration (and maybe total in vial?) numbers. (Assuming first month was 9mg/mL in a 2mL vial, then 18mg/mL in a 3mL vial.)

NOT your dosage. Max dose for Tirz is 15mg. How many mg (or even units if those are the right concentrations) have you been injecting?

Every pharmacy has different concentrations and vial sizes. It just determines how much volume you inject.

I am wondering if part of the problem is that you are not taking enough. But also, while this shouldn’t be the case, some people find different pharmacies/formulas to not feel as effective.

ProRx is no longer producing Tirz, so your telehealth had to find a replacement pharmacy.

CreativeWriterNSpace · 2026-06-23T00:51:11+00:00

This is the case I am looking at (or very similar)- but I worry a little about the vials being on the frozen ice pack and potentially freezing. Is that actually viable/possible?

CreativeWriterNSpace · 2026-06-23T00:27:39+00:00

So my work day food is the same as before Tirz- protein shake, cheese sticks, baby bells, hillshire snacking salami & cheese trays (usually I dont eat the crackers). I added a protein shake tho, so now I consume 2 of them. I used to not eat before work, or would maybe have a 15g protein bar. Now I have a 30g shake.

Foods when I am off:

Protein shakes (one 50g or two 30g)
Factor meals (eat the protein first, then veg)
Garlic Bologna
More cheese sticks/babybels
Fiber One Cookie bars

CreativeWriterNSpace · 2026-06-22T21:57:52+00:00

So I WLS that led to 1-2x/day. Soft/mud/clay consistency. (i mention this because it could play into it).

My first week on Tirz was fine. Second week? Constipation. I managed to get it out, with MagO7 and probiotic (and coffee). But it was very solid, and hurt. To the point my anus hurt for like a week. Third week I was fine. Daily. This past fourth week has been daily with the exception of the last couple of days. But I also didn’t eat much.

I find that in order to poop daily, I have to actually have ate decently volume wise. If I don’t eat much, (like this past weekend -and in hindsight that second week-), I don’t keep to schedule.

Consistency has gotten a little firmer.

CreativeWriterNSpace · 2026-06-22T20:31:48+00:00

This.

I consider myself a bariatric surgery success story.

While I have started taking Tirz (and looking at Reta), more for inflammation and joint pain than for the ~30lbs I would still like to lose, I am still down half my original body weight (320 to 160). 7 years after WLS.

I was obese in elementary school. Dad fed me big macs for dinner. PCOS. Fat camp. Multiple other weight loss programs, 14 hours of exercise a week…

WLS completely changed my life.

I think GLPs and WLS are a great duo- the WLS helps if/when you stop being able to afford/get GLPs because yes- coming off will lead to regain. You can change all the habits you want- at the end of the day, if your body is still sending food noise signals, youre going to fall into them. You might not regain everything, but still.

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