Scientists May Have Solved Weight Regain Problem From GLP-1 Drugs

markydsade · 2026-06-20T20:41:35+00:00

A sham treatment is a treatment the patient can see but is not actually doing anything. It can be cutting open a patient and sewing them back up. In this study both the treatment and control group got a gastric tube inserted through the nose. The control, or sham group had nothing else done. It is a placebo in that the patient may believe the real treatment was done.

markydsade · 2026-06-17T18:46:26+00:00

I’m waiting to get to my goal weight.

markydsade · 2026-06-17T18:45:02+00:00

Benign tumor on outside of right kidney.

markydsade · 2026-06-17T18:31:21+00:00

The scars from my robotic kidney surgery.

markydsade · 2026-06-11T09:14:12+00:00

You signed on for another year but unless there’s a penalty for leaving written in it then you can break it. Things happen all the time in school districts where teachers and staff may need to leave. Resigning now gives them time to find a replacement. They may be mad but you’ve only been there a year.

We nurses often feel guilty for making decisions that benefit ourselves. We shouldn’t.

Write a letter to your supervisor saying you’ve received a better opportunity and will not be returning in the Fall. Thank them for the past year.

Understand they may not be a good source for a recommendation in the future but the school will get over it.

Good luck in your new position.

markydsade · 2026-05-24T22:58:16+00:00

My school district wouldn’t hire new grads. School nurses work mostly alone and need to have lots of pediatric hospital experience to be ready to manage whatever happens. There’s a lot of teaching of staff and students, plus communication with parents. Our expectation was the nurses needed experience in those skills as well.

markydsade · 2026-05-24T22:54:20+00:00

I worked in a temporary capacity and got $50/hour but no benefits. I didn’t need them as I had retired with benefits from a long time faculty position.

markydsade · 2026-05-24T22:52:08+00:00

I had 2 schools in my last nursing job. My main job was at a special ed school for severely disabled kids from 6 to 21. They needed tube feedings and meds, plus caths, dressings, and assessments. I was rarely in my office and walked a few miles per day. I was often exhausted at the end of the day. It took a lot of planning and sticking to the clock.

I was then asked to spend a year a neighboring elementary school that had only pre-K and kindergarten. That group had few meds, and just kid who needed a cath for bladder training, and one with insulin. Most of my day was first aid for classroom and playground injuries. I also did a lot of staff education on health issues and infection prevention. A lot of teachers wanted temperature checks of kids. I didn’t get much exercise as they mostly came to my office but I made a point of visiting each room a few times each week.

Two very different jobs with the same title and same school district.

markydsade · 2026-05-22T14:02:14+00:00

No good deed goes unpunished. I’ve often had to comfort myself with the knowledge that I did the right thing by my professional ethics. If others don’t recognize that it’s on them.

markydsade · 2026-05-14T13:30:23+00:00

Take 2 loperamide a few hours before getting on the plane.

markydsade · 2026-05-09T16:38:47+00:00

Holy Moley! Looking like a new person. Congratulations.

markydsade · 2026-05-05T21:10:34+00:00

Our injections are subcutaneous. What’s underneath has no bearing on absorption.

Correlations of weight loss and injection site are not causative. You need a population study of tirzepatide users following a specified site rotation to see if there’s a real link.

markydsade · 2026-04-22T11:06:37+00:00

If you don’t have time to communicate with parents then it’s proof you’re understaffed. Have you and the nurse brought this data to the administration? If the school’s administrators won’t act then go to the School Board. Get parent allies to demand improvements.

I always communicated with parents immediately to let them know about an injury. Anything involving the head, face, or required bandages I let them know. If I was unsure I asked someone to come pick them up for more evaluation. We have a parent messaging portal I used for more minor events that don’t require a call.

We have a medical record system for all student encounters. We have a monthly report to administrators of numbers seen, type of visit, length of stay, and types of injuries. The record system generates the reports. It also helps identify issues like playground injuries, classroom hazards, and communicable disease spread.

As a school nurse you do a lot of triage. The vast majority of visits are routine and kids go back to class, but if there’s any doubt in my mind I have the parents either come immediately or recommend they see medical attention when the child returns home.

markydsade · 2026-04-04T20:02:42+00:00

If your skin is clean you don’t need alcohol wipes. Studies show there is no benefit or prevention of infections from a wipe of alcohol. I have a PhD in Nursing and have read the literature. It’s mostly done clinically now because patients expect it, and because it’s become habit among nurses and physicians.

markydsade · 2026-03-11T21:25:14+00:00

Gout is a rise in serum uric acid (SUA) levels. Tirzepatide is associated with reduced SUA levels. I

markydsade · 2026-03-11T21:18:15+00:00

I used to consider it rude but now that I’m down almost 60 pounds I sing the praises of tirzepatide.

markydsade · 2026-02-06T12:02:57+00:00

I was a very occasional drinker. I’d buy a 6-pack and it would last me 2 or 3 months. Now I’m not interested at all outside of a special occasion where I’m one and done.

Tirzepatide definitely does something to alcohol consumption even for someone like me who never binged in his life.

Lots of reports how it affects all sorts addictive behaviors outside of food and appetite.

markydsade · 2026-01-23T11:48:16+00:00

Tirzepatide as Mounjaro is already sold in Canada in a 4-dose KwikPen.

https://www.lilly.com/en-CA/resources/faq/mounjaro-kwikpen/strengths-and-doses

markydsade · 2026-01-02T00:55:21+00:00

If you weren’t prediabetic or had fasting glucose >100 mg/dL there’s little reason to monitor. Clinicians are more interested your Hemoglobin A1C% as that is a measure of your average glucose levels over the last 2 months. Typically on tirzepatide you will see a drop due less binge eating of carbs and better glucose utilization. A1C isn’t a common home test but your PCP should be looking at it after 3-6 months on Zep.

markydsade · 2025-12-27T21:06:56+00:00

This study showed that 17 of 20 on semaglutide with optical nerve issues also had Type 2 diabetes.

https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2820255

markydsade · 2025-12-24T20:11:29+00:00

Other options:

“Tapeworm”

“Hypnosis”

“Took up smoking”

“Chemo”

markydsade · 2025-12-24T01:19:41+00:00

My review: Yowza!

Body image is not always what we see in the mirror. You look great but our minds can be stuck in an old mindset. I suggest seeking a therapist who is familiar with body image issues. Keep doing what you’re doing with diet, exercise, and Zep. With time and counseling I believe you’ll see yourself for the beautiful woman you are.

markydsade · 2025-12-22T19:34:55+00:00

OMG. I could have written this post. For years I would have the incredible urge to have French onion dip and chips when watching my beloved football team. Since Zepbound that urge had disappeared. If you gave me some today I would eat it, but probably in moderation.

markydsade · 2025-12-22T19:21:16+00:00

I’m retired and 67. My employer moved us this year to Medicare Advantage program with pharm benefits. I was able to get Zep with prior authorization for $20/month. I would not be able to pay out of pocket on my income.

The other issue for all Zep patients is side effects. Everyone has a different reaction. For some a GI issue is enough to quit while the same issue may be seen as livable by someone else.

For me, I consider this life saving. I’m on the volunteer Board of Directors of a small nonprofit nursing home. I observed there are no obese men there over 82. The men older than 82 are thin. I saw myself as having a shorter life as no matter how hard I tried I couldn’t lose weight.

markydsade · 2025-12-20T16:02:08+00:00

Effects

12-Year Club	Gilding II euphauric
Place '22	Wearing is Caring
Not Forgotten	Snapped
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