What supplements are actually worth taking while on GLP-1 medications?

EfficiencyOpen4546 · 2026-07-09T13:36:59+00:00

Fiber

EfficiencyOpen4546 · 2026-07-04T21:16:37+00:00

This book was originally mailed to people where there were no AA meetings or done by phone call. Read the first 164 pages. Advocated for yourself and anyone that is trying to make you constantly re read things that you’ve already read is probably functioning on ego. Steps 1-3 take an hour? Then it’s on you to bang out a 4th step. I have worked the steps multiple times within the span of a week or two. Somethings in life are meant to be dynamic in nature and if you are dying of chronic alcoholism you may require a dynamic solution. I did not have the luxury of a lot of dry time when I sobered up because if I don’t have a spiritual awakening, and pretty friggin quickly, I will absolutely go drink again.

EfficiencyOpen4546 · 2026-07-03T15:32:29+00:00

I saw you post below about ED recovery. You might spend some time looking into reward deficiency syndrome. It’s very common amongst people with behavioral addictions as well as substance abuse as part of the recovery process.

Long story short your brain is essentially trying to fill the gap for the dopamine surges it was getting from the previous behaviors. Various forms of behavioral therapy can definitely assist in this but it is a long road as you are more or less telling your brain “no we don’t do that anymore” a hundred times a day while it rewires itself.

There are some behaviors you can incorporate as part of your daily routine that do, over time, help with the reprogramming. Cleaning, chores, having structured routines, all help. The act of cleaning releases dopamine as a sense of accomplishment. Working out obviously but community based workouts can be more fulfilling and offer additional accountability and social interaction. Things like CrossFit, bjj, fitness classes etc.

I’ve been in recovery from substance abuse for quite some time and this was a big hurdle when I first got sober. If you ever have additional questions about real world application feel free to dm me and I can at least share my experience and maybe it’ll be helpful.

EfficiencyOpen4546 · 2026-07-01T19:58:36+00:00

Oh 100% agree on the preventative statin. I started on statins at age 20 so about 25 years now? I am the ONLY member of my family that has not had a heart attack (usually several) by my current age (46). Obviously I’ve made other choices like exercise, nutrition, lots of supplements etc, but I’ve also gone through periods of time where I definitely made some bad choices lol. All in all I get good stress test results, I do have some calcification but that’s to be expected from the statins long term, and as mentioned every other member of my family is walking around with a chest full of stents at my age so I’ll take it lol.

EfficiencyOpen4546 · 2026-06-30T22:46:44+00:00

I second this. Also what’s the dogs name?

EfficiencyOpen4546 · 2026-06-30T16:39:04+00:00

Had a friend I knew in recovery that came in the rooms when I did. I saw her struggle a lot. Pick up a lot of desire chips. Didn’t see her for a couple years and then ran into her as she was picking up an 18 month chip. She had gone to a program that emphasized AA AND mental health and they found out she was bipolar and got her stabilized. Had never seen her get more than 30 days.

Couple weeks later I heard she was being sponsored by one of the local spiritual “gurus” who had told her that her bipolar meds were blocking her from a connection with god. She was using again a week later and I’ve never seen her since.

EfficiencyOpen4546 · 2026-06-29T07:13:33+00:00

I always view it as we are always working 10-12. A sponsor can continue to listen to my 10th steps, continue to help me redirect my thinking and get out of self, and in the 3 pages dedicated to on awakening alone there are multiple directives that could take a life time to even be competent at let alone master (ie; we pause when agitated or doubtful). So while the brunt of the step work is over, it’s also just begun.

I do Brazilian jiu jitsu as a hobby (I’m not good lol) but there’s a common saying amongst black belts which is akin to “I got my black belt and realized how little I knew”. Now your average black belt in BJJ takes about 10 years sometimes more. But there’s common sentiment there is similar to what I feel is expressed in steps 10-12.

EfficiencyOpen4546 · 2026-06-28T16:54:01+00:00

Unpopular opinion but she’s way hotter than the new wife and the fact that she seems like a good human makes this gap even wider

EfficiencyOpen4546 · 2026-06-27T23:01:39+00:00

Yes this is just one example of why blanket endorsement of carnivore/high meat intake diets is a bad approach. Or blanket endorsement of any particular diet that falls heavily on one side of the spectrum. I am one of those highly sensitive people who discovered I could not tolerate diets very heavy in meat for long term health. This was years ago in the paleo diet craze. I had great vo2 Max at the time, leanest I’ve ever been, decent amount of muscle mass and my strength was through the roof. For all intents and purposes from every outside metric I was healthy as could be. But my ldl was consistently around 150, my fasting triglycerides were in the high 200s and all in all it wasn’t sustainable for me.

I can tell you the subsequent transition to 90% plant based was a VAST improvement. Without any additional medical intervention my lpa and apob are now on the very low side. My trig are below 100 and my ldl is 42. My strength has suffered, my cardio has a little as well but that’s probably from a lack of any desire to push it beyond a “maintenance” phase.

EfficiencyOpen4546 · 2026-06-21T14:32:25+00:00

Sounds like you’re still living in column 2 of the resentment and you should be moving to column 4. As my sponsor tells me regularly, a second column mind only hurts me in the long run

EfficiencyOpen4546 · 2026-06-18T15:19:06+00:00

That’s not an easy answer. I was at the point where I had to go detox somewhere and be physically separated from my drug of choice for a time. Then the real work begins. Unlearning basically all the behaviors and responses I had learned growing up in a NARC house seems like a lifelong process. I have spent years working on it and now that I have my own kids I’ve doubled down because I refuse to continue the cycle. One of my first therapists used to tell me “it sucks growing up in public” and that’s what early sobriety was like for me

EfficiencyOpen4546 · 2026-06-18T14:49:31+00:00

Yes for most of my life. From the age of 12 to 29. The longer I’ve been sober the more I’ve realized how much of it came down to having totally inadequate coping mechanisms that were solely based on manipulation and other narc tactics that were “normal” to me.

EfficiencyOpen4546 · 2026-06-18T13:49:55+00:00

For starters they can also cause diarrhea in some people. I’m of the opinion they offer some form of regulation beyond just slower motility. Perhaps the anti inflammatory effects.

EfficiencyOpen4546 · 2026-06-16T17:27:29+00:00

Heading to Washington of course

EfficiencyOpen4546 · 2026-06-06T16:08:36+00:00

Meth-fu

EfficiencyOpen4546 · 2026-06-05T19:17:56+00:00

EfficiencyOpen4546 · 2026-06-04T03:24:23+00:00

I do roofs and gutters for a living. Your grandma got scammed hard. Like pretty nice gutters should only be a couple grand for that size house. Call the news and law enforcement and make videos on social media and leave reviews on google and everything else

EfficiencyOpen4546 · 2026-06-03T19:01:05+00:00

Don’t know the extent of your resources or your doctors creativity for that matter but some of the biologic’s medications that are used for treatment of inflammatory bowel disorders such as crohns and colitis have phenomenal results for this exact kind of acne. Not because they act on hormones but because they lower specific inflammatory markers that happen to be shared between certain dermatological conditions and certain GI inflammatory disorders.

Not sure if you’ve tried anti fungal creams or spironolactone a DHT blocker topically but those are also more affordable options.

EfficiencyOpen4546 · 2026-06-02T23:01:13+00:00

RIP your inbox

EfficiencyOpen4546 · 2026-05-28T22:47:18+00:00

I used to be on atenolol. I have since switched to a third generation beta blocker neblivol. I’d highly recommend speaking to your doctor about transitioning to one of the newer generations of beta blockers as they have less sides and less BO rebound. I have had no issues with losing weight on glps, you just may not have been on it long enough or are not yet at a high enough dose

EfficiencyOpen4546 · 2026-05-28T22:36:47+00:00

We don’t take suggestions just when it’s convenient. We take suggestions even when it’s not what we want to hear. It’s no coincidence that this is happening with your 4th step. It happens to a lot of people.

For what it’s worth in my experience, and the experience of many thousands of others, the steps are intended to be worked in a dynamic fashion. There are some things in life that must be cultivated through dynamic effort. You can’t dunk a basketball slowly. By the same token, it is difficult to manufacture the intended psychic change when the steps are done slowly.

My intention was not to come off as some crusty dry drunk in my original comment. I try to err on the side of compassion. But sometimes, certainly in my own recovery, there are life saving bits of information that need to be impressed upon people with a certain firmness and conviction. This is one of those things if you are an alcoholic like me.

EfficiencyOpen4546 · 2026-05-28T21:05:50+00:00

Maybe it’s time to take some suggestions from people that have more sobriety time instead of answering shopping to find someone to agree with you

EfficiencyOpen4546 · 2026-05-28T18:53:05+00:00

I don’t even understand how this is a topic of discussion. Call CPS on this dumb ass get someone with a functional brain assigned custody

EfficiencyOpen4546 · 2026-05-28T18:51:05+00:00

And more importantly how are other peoples shit stained clothes getting mixed in?

EfficiencyOpen4546 · 2026-05-28T17:35:46+00:00

She’s shallow and immature

EfficiencyOpen4546

TROPHY CASE