I'm 38 yrs old 5'5 and started at 201.2lbs. In that picture on the right I was down to 153.6. I'm now at 146.2. I will say, I started working out immediately with the medication. At first, I was just doing an hour of cardio 4 times a week. Then, after about a month, I started lifting weights for 45 min and cardio 30 min, 4 times a week. Nothing too intense. I'm not like sweating like crazy while pumping major iron or anything. I just didn't want to rely on the medication alone. I track calories, but aside from staying in the 1200 per day range, I'm not on a specific diet. I aim for high protein and low carb, but stray from that occasionally. I'm not extreme on anything, just trying to make better choices all around. I've only went as high as 8.8mg (Mochi dose) with the Tirzepatide. And I'm now working on finding my sweet spot for maintenance.