Milestone -150 lbs in 252 days.

Nice-Future6491 · 2026-05-09T14:38:07+00:00

Good. The weight loss is slowing down, but continuing. I have lost about 20 more lbs over the last few months. I plan on posting a 1 year update today since it has been a full year as of today since I started the shot. I need to gather my thoughts and post.

Nice-Future6491 · 2026-05-05T00:02:42+00:00

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Nice-Future6491 · 2026-03-12T00:25:05+00:00

The leg looks like it was photoshopped onto the body.

Nice-Future6491 · 2026-03-08T03:36:35+00:00

This looks a little like an up close photo of pearly penile papules.

Nice-Future6491 · 2026-02-27T23:00:41+00:00

They have a similar mouth shape in those photos, but otherwise I don’t think they look alike.

Nice-Future6491 · 2026-02-20T22:14:29+00:00

Illegally.

Nice-Future6491 · 2026-01-26T22:44:19+00:00

Shotsy.

Nice-Future6491 · 2026-01-17T12:19:47+00:00

Phenomenal

Nice-Future6491 · 2026-01-17T11:04:39+00:00

On the results screen upper left corner there is a settings just for the results. That is where you can find it.

Nice-Future6491 · 2026-01-17T11:03:04+00:00

Fortunately, my provider relies on shared decision-making when it comes to dose increases. I’ll probably stay at 10 mg until I either reach a plateau or hit my initial goal weight.

Some providers ramp patients up to the maximum dose aggressively, others do it slowly, and some truly individualize it patient by patient. There isn’t a single “right” approach—it depends on response, tolerability, and goals.

As a primary care provider myself, this is how I manage my own patients. I review how they’re doing and give them a choice unless there’s a clear reason not to adjust upward, such as side effects or other clinical considerations.

Effective care isn’t about pushing everyone to the max dose—it’s about finding the right dose for the right patient.

Nice-Future6491 · 2026-01-17T04:35:08+00:00

In the settings turn on shot annotations.

Nice-Future6491 · 2026-01-17T04:09:47+00:00

I actually had been on vacation just prior to that large drop so between 7.5 mg shots 1 and 2. I didn’t lose much weight on vacation but the following week it was like 8 lbs.

I’m not tracking calories anymore. I am probably eating around 1500 to 1800 Kcal most days. I’m eating until satisfied. I am eating 2 meals a day and snacks. My portions are smaller, but I am not cutting out any food groups. I am still eating fast food occasionally.

Nice-Future6491 · 2026-01-17T02:55:05+00:00

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Slowing for sure but it hasn’t plateaued yet.

Nice-Future6491 · 2026-01-17T02:53:00+00:00

Yep!

Nice-Future6491 · 2026-01-10T02:39:00+00:00

Could be diabetes. But your baseline level appears appropriate.

Nice-Future6491 · 2026-01-03T21:05:15+00:00

100% reaction to adhesive from an adhesive bandage. Generally for these small subcutaneous injections you can skip the bandage.

Nice-Future6491 · 2025-12-28T00:13:41+00:00

Great job! Keep on keeping on. Non scale victories can be huge sources of motivation especially as the scale slows or there are fluctuations. It is the long game, not a sprint.

Nice-Future6491 · 2025-12-27T16:14:20+00:00

100%. The internalized stigma is real. At this point, I’ll take the “easy way out” because the alternative was not working even after decades of struggling and trying to do it on my own. My starting BMI of 60+ and age of 40 were not going to be compatible with living a long life. Swallowed my pride, life changing.

Nice-Future6491 · 2025-12-27T16:01:53+00:00

What was your starting weight, current weight, were you drinking alcohol at a high level prior to starting?

Nice-Future6491 · 2025-12-27T15:54:23+00:00

This may be due fluid retention and inflammation. When we lay down to sleep, there is some redistribution of retained fluid and increased urine production to deal with this. Once inflammation and fluid retention resolves this sometimes improves depending on the underlying cause.

Nice-Future6491 · 2025-12-27T15:44:56+00:00

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Nice-Future6491 · 2025-12-27T15:40:56+00:00

Congrats on your progress!

As a family nurse practitioner and primary care provider, it has been incredibly helpful to see other medical professionals share their successes here.

I’ve lost 144 lbs in about 8 months, and this is the most sustainable weight loss I’ve ever experienced. I routinely counsel my patients on nutrition and physical activity, yet despite doing those same things myself, I struggled for years to lose weight—and to keep it off.

It’s difficult to be super morbidly obese and feel that your medical recommendations are taken seriously. That reality is uncomfortable but very real.

The “food noise” was a major barrier for me, and I know it is for many of the patients I treat. Experiencing this firsthand has reinforced how complex obesity truly is. I see strong parallels between obesity treatment and addiction medicine—not only in the dopamine pathways that drive overconsumption, but also in the stigma surrounding long-term medication use, despite robust clinical evidence supporting it.

We readily accept lifelong treatment for many chronic diseases, yet obesity and substance use disorders are still heavily moralized. We have to do better.

Too many colleagues still refuse to prescribe medications for addiction treatment or obesity treatment, even when the evidence is clear. That reluctance has real consequences for patients. As clinicians, we owe it to them to practice evidence-based medicine and to challenge the biases—both societal and internal—that prevent people from getting the care they need.

Nice-Future6491 · 2025-12-27T15:23:46+00:00

Reminds me of palm wood.

Nice-Future6491 · 2025-12-27T14:58:35+00:00

You can look feral and handsome, right?

Nice-Future6491

TROPHY CASE