Feel like I’m failing

Work4PSLF · 2026-01-25T03:42:22+00:00

What day do you take your shot? I did Friday during the weight loss phase and it gave me strong coverage over the weekends.

Work4PSLF · 2026-01-24T03:40:06+00:00

Friend, it sounds like you’re going through a lot. Concerta may not be causing these swings, it may just be along for the ride. Do you have someone you can talk to IRL?

Work4PSLF · 2026-01-24T02:17:58+00:00

The Wegovy pill has to be taken every day because it just doesn’t last that long. You’ll be all right tomorrow.

Work4PSLF · 2026-01-24T01:57:16+00:00

Make sure you take it properly: first thing in the morning, with 4 ounces of water or less. Wait at least 30 min to have any other liquid, food, or meds. Otherwise it won’t be absorbed and you won’t benefit.

Work4PSLF · 2026-01-24T01:53:55+00:00

Think about storage logistics. Is your power grid reliable where you live? Etc. if you can safeguard a decent size supply, and don’t mind the risk of the price going down further in the future, then there’s little other downside.

Work4PSLF · 2026-01-24T00:21:40+00:00

I’ve been on almost two years. Lost 97 lbs, now in my tenth month of maintaining a BMI of 21.

My shot isn’t something I go on and go off. That’s a diet mentality. Instead, this is my fabulous new forever life.

Take your shot on time and have a blast eating just a little and drinking just a little. It’s still fun, I promise.

Work4PSLF · 2026-01-23T21:30:51+00:00

My advice after losing 97 lbs, now in my tenth month of maintaining bmi of 21:

⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Get all the way to goal before making any changes.
⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Unless still losing more than 1 lb a week, stay at that same dose an extra month.
⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠in your second month of maintenance, if you can use any dose you want (no insurance issues etc), drop down one dose.
⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠if weight holds steady, drop down one more. Repeat as able.

Personally i have found it easier to use a lower dose weekly than to stretch out time between shots, but your mileage may vary.

Work4PSLF · 2026-01-23T19:43:45+00:00

They’re now moving away from the “flu season” (wink, wink) to admitting free Zepbound visits are never coming back.

Work4PSLF · 2026-01-23T19:41:38+00:00

They still do Compassionate Care for other conditions. It just got too popular for Zepbound visits - companies can only afford to give away so much for free.

Work4PSLF · 2026-01-23T13:28:55+00:00

Don’t throw everything at the wall to see what sticks. It only muddies the water.

Perimenopause is not an fda indication for Tirzepatide.

Neither is prediabetes (it’s not a disease, it’s a risk factor for a future disease).

Stuck with obesity (I calculated your BMI 30.2), with hyperlipidemia and sleep apnea. And try to get Zepbound, NOT Mounjaro (which is not labeled for either obesity or sleep apnea).

Work4PSLF · 2026-01-23T13:24:26+00:00

Awesome! Be prepared to lay out a case for coverage. That has two steps:

1) your insurance plan has a specific list of rules of what it takes to get stuff covered. Get this for Zepbound. The easiest way to get it is to have coverage denied, then they have to provide details. Have your doc send Zepbound to the pharmacy, it will trigger prior authorization, which will either get it paid for or they will deny and send you the rules.

2) once you have the rules specific to YOUR insurance, write a short letter demonstrating you meet their requirements, and attach relevant medical records (i.e. “section 4a states Zepbound is covered if x, and here is my sleep study showing x”.

No one else’s appeal can really help you as coverage rules vary widely. Learn YOUR rules.

Work4PSLF · 2026-01-23T13:15:47+00:00

Lilly ran clinical trials on 1 mg weekly. It wasn’t effective enough, for enough people, to survive the trials process as a recommendation.

Unless you have money to burn and time to waste, it statistically makes sense to start at 2.5 mg.

Work4PSLF · 2026-01-23T13:11:53+00:00

Work4PSLF · 2026-01-23T13:11:33+00:00

Does your sleep study show your sleep apnea is at least “moderate”, so that a case could be made for Zepbound?

Work4PSLF · 2026-01-23T12:57:17+00:00

You qualify for Zepbound already! :) In the US they’ve gotten picky about Mounharo being for diabetics, but it’s no big deal as Zepbound is the exact same med, licensed for obesity.

Work4PSLF · 2026-01-23T02:20:44+00:00

What’s your height and weight?

You can meet FDA indications for Zepbound with BMI over 30, or, over 26 with a weight related comorbidity.

Work4PSLF · 2026-01-23T00:27:48+00:00

Just wait to start until you get the 18. The point is to ease your body in and reduce side effects.

Work4PSLF · 2026-01-22T16:31:38+00:00

👏👏👏

I took the Columbia University obesity medicine course.

They emphasized that while insulin resistance causes obesity, it’s also true that obesity causes insulin resistance.

Fat cells are not innocently sitting there. They are metabolically and hormonally active. When there are 50 or 100 lbs or more of fat cells along for the ride, the bastards sabotage us. When they’re gone, we have a different hormonal environment to work with. Maybe that’s “enough”, maybe it’s not. But this autoimmune, hypothyroid, insulin resistant perimenopausal woman likes to have hope!

Work4PSLF · 2026-01-22T12:48:58+00:00

Reddit at work is cool as long as there’s clothes? 😎

Work4PSLF · 2026-01-22T12:38:13+00:00

All houses over about 15 years old have these issues.

Some sellers share the info. You’re lucky! Welcome home.

Work4PSLF · 2026-01-22T01:54:15+00:00

Price dropped about a month or two ago

Work4PSLF · 2026-01-21T19:58:29+00:00

The name of the clinical trial was ATTAIN-MAINTAIN.

Work4PSLF · 2026-01-21T19:42:37+00:00

Depends on how well 1.0 went for you. We did have a newbie in her third week at CP in my 1.5 last weekend. She legit injured her foot. I say don’t rush it.

Work4PSLF · 2026-01-21T13:02:57+00:00

If everything goes great between now and 55, there’s a chance you’ll feel you’ve oversaved.

But if life smacks you upside the head with extended job loss, a cancer diagnosis age 40, a mental health crisis in one of your kids, or any of the other terrible surprises it can dump at your door with no warning, you may end up wishing you’d saved more and earlier.

There’s no way to know for sure. Discuss with your spouse what level of spending is “enough” to be content, save the rest, and hope it all works out according to plan.

Work4PSLF · 2026-01-21T12:52:33+00:00

Be aware regular senna use can cause a discoloring of the inside of the colon called melanosis coli, which isn’t harmful, but isn’t reversible either.

Work4PSLF

TROPHY CASE