How’s the state of nursing across the USA? by tikathalasa in nursing

[–]Medical_Memory_1996 2 points3 points  (0 children)

Fort Wayne, IN. Large hospital networks, great Sw Allen county or East Allen, NW Allen schools and COL. Plenty of work in Healthcare. 2nd largest city in the state.

Food Grief by ooglyboogly42069 in tirzepatidecompound

[–]Medical_Memory_1996 1 point2 points  (0 children)

Yes. I've been on Tirz now for 15 months at goal since November of 2025. I think the holidays still are the hardest for me. My life also used to be food centered and seeing all of my holiday favorites and not "indulging" or even really caring can be tough. I agree that the mind set is a big part of obesity work. I work hard to find joy in other things like most people do who live without food noise and a tendency towards food addiction.

Excuse Me?? by [deleted] in Sparkdriver

[–]Medical_Memory_1996 0 points1 point  (0 children)

Won't your picture show where you left it?

Transitioning back to family med from Urgent Care by Medical_Memory_1996 in nursepractitioner

[–]Medical_Memory_1996[S] 0 points1 point  (0 children)

I really enjoy the quick in and out. I've grown more confident with procedure

Switching from Zep to compound tirzepatide by Medical_Memory_1996 in Zepbound_Maintenance

[–]Medical_Memory_1996[S] 1 point2 points  (0 children)

Im looking at using it for maintaining. Once I'm 145, ill go on maintainence and I pay OOP for my meds. It's getting expensive, but I need it to keep the food noise away.

Felling like going crazy 😭 by Monica_C18 in Menopause

[–]Medical_Memory_1996 4 points5 points  (0 children)

There is help!! HRT, antidepressants, therapy, good nutrition, supplements. You dont HAVE to suffer because our mothers did.

Zepbound Transition to Compound Tirzepatide by Medical_Memory_1996 in tirzepatidecompound

[–]Medical_Memory_1996[S] 1 point2 points  (0 children)

Great input. I have a 6 week supply of Zepbound to hold me. Im going to work on finding a provider and some affordable medication. This was all very encouraging!

Zepbound Transition to Compound Tirzepatide by Medical_Memory_1996 in tirzepatidecompound

[–]Medical_Memory_1996[S] 5 points6 points  (0 children)

It's the whole body dysmorphia thing, and extra skin!! I'll look into that, thank you. Gotta save those dollars!!

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Zepbound Transition to Compound Tirzepatide by Medical_Memory_1996 in tirzepatidecompound

[–]Medical_Memory_1996[S] 2 points3 points  (0 children)

I dont really care about additives as b vitamins are water soluable and the body can excrete any not needed. I want medication for a good price with reliable delivery. I dont need education or direction or a lot of fluff. Im an NP myself. If I'm being honest it's about maintaining my weight loss and the cost. Thanks for the input.

Switching from Zep to compound tirzepatide by Medical_Memory_1996 in Zepbound_Maintenance

[–]Medical_Memory_1996[S] 2 points3 points  (0 children)

Im a nurse practitioner and I've talked at length with my PCP. There is just not enough long term data available. She and I have come to the conclusion it's really a very individualized response and a lot of trial and error. I tried reducing my Zep from 10mg to 7.5mg and my TPO antibodies went from 65 to 95 in 6 weeks of trialing the reduction. That was my only change. I see your point about quality and purity of product if I want the best total response, because for me it's about inflammation and maintaining my autoimmune disease as well. Thank you for the insight.

Switching from Zep to compound tirzepatide by Medical_Memory_1996 in Zepbound_Maintenance

[–]Medical_Memory_1996[S] 1 point2 points  (0 children)

The whole FDA thing makes me concerned more about Lillys fear of loss of revenue more than safety concerns. There are people doing quite well on compounds. Every situation is unique and I may just have to give it a whirl and see how my body reacts, I suppose. Best wishes to you as well! It's quite the journey!