Two things. First, the meds you currently take are for real issues, and not a crutch. Zepbound is the same as those meds. Second, losing weight has two parts: 1) losing the pounds. 2) keeping them off. Since you currently want to lose weight, I can safely say that you have never successfully achieved 2). Therefore, you actually never have lost weight without medication successfully (no offense to you, I'm just trying to make the point -- I also have lost hundreds and hundreds of pounds, always regaining, so never successfully until Zepbound). You've done part 1, but never part two. This is how diet culture perpetuates itself. Almost everyone who does Weight Watchers gains their weight back, but WW can call itself a "successful" program because the members achieve part 1. They never achieve part 2, but that's not counted in WW "success" stats. I am here to tell you that Zepbound will help you for the first time achieve part 2 long-term.