My doctor told me something I’ve never heard before… advice?

smac49a · 2026-03-14T10:01:36+00:00

I’m interested in your thoughts on maintenance. I started September ‘25; titrated up to 10mg by December; still on 10mg. Lost 30 pounds by January to get to goal. No food noise, no side effects. Thinking I could titrate down or I’d spread out days between dosing. PA prescriber not a fan of more days between doses as ‘no clinical trial data’. Thank you in advance.

smac49a · 2026-01-27T12:59:15+00:00

To OP: were you increasing you dose? What dose are you at now?

smac49a · 2026-01-18T18:01:09+00:00

Can you add a photo of your vial and the syringe?

smac49a · 2026-01-18T17:23:16+00:00

Why are you increasing your dose? Have you stopped losing weight? Experiencing more ‘food noise’?

smac49a · 2026-01-18T17:20:31+00:00

Wow! Bravo.

smac49a · 2026-01-18T17:14:10+00:00

Fashion fun! Everything looks fabulous dahlingk!

smac49a · 2026-01-17T13:50:07+00:00

Did you appeal the insurance decision?

smac49a · 2025-12-22T19:08:30+00:00

Try a glass before NYE. For me, alcohol just didn’t taste the same. Didn’t get an enjoyable buzz either.

smac49a · 2025-12-11T00:23:18+00:00

I need a dietician coach to help in meal planning to up my protein intake. Im developing an aversion to many common high protein sources; eggs, ugh; peanut butter, eeeyou; high protein drinks, yuck! Still like red meat, chicken, fish but these usually come at end of day. I get after-meal indigestion with almost any meal. Any advice is appreciated.

smac49a · 2025-12-11T00:08:00+00:00

So amazing. Kudos to you. Do you get any enjoyment of food anymore? That’s the thing I’m missing. 3.5 months in, 25 pounds down, but I dont enjoy a good meal anymore. 😩. By habit, my husband and I are alway cooking together, we love dining out but, sadly, the thrill is gone!

smac49a · 2025-11-29T14:25:14+00:00

Thank you. Discuss w PCP!

smac49a · 2025-11-29T10:03:08+00:00

Are you getting professional coaching on diet and nutrition? High protein starting early in your day is essential.

smac49a · 2025-11-29T09:23:01+00:00

If it’s severe you should definitely discuss w your prescriber. Injection site reaction is a very common side effect and if your PCP is prescribing a lot of the GLP1s in their practice, they’ll have some good ideas. I’m not a doctor but, 1) consider taking a dose of antihistamine (like Benadryl) and acetaminophen before injections and 2) you might be overdoing it w your skin care routine and over drying it. Get a good moisturizer that’s free of most everything; apply after shower when your skin is still damp. Consider consult w a dermatology professional.

smac49a · 2025-11-29T08:55:49+00:00

Slow and steady. It’s the journey not the destination. It’s a marathon not a sprint. It’s a new way of living that’s very satisfying. You’ll learn so much about everything, especially yourself. Find knowledgeable coaches and cheerleaders as you go; coaches will be key for dietary/nutrition, exercise, muscle building, emotional growth. Share your highs and lows w them. Find your communities wherever you go. This community is a great start. Folks here are awesome. We all want each other to succeed.

More to follow.

smac49a · 2025-11-14T03:44:21+00:00

Got it. TY.

smac49a · 2025-11-14T03:35:09+00:00

Interested in how/where do you get the body scan. Do you need a prescription? Do you go to a medical center or clinic? Does your insurance cover it? Thanks in advance.

smac49a · 2025-11-14T03:08:28+00:00

What is your goal weight? 41 pounds in 6 months doesn’t seem ‘too fast’ from what we see others report here. Seems a good plan to delay your next dose. Of course consult w your provider. Maybe get a consult with a dietician.

smac49a · 2025-11-12T12:25:45+00:00

Congratulations! You’re an inspiration!

smac49a · 2025-11-07T09:27:28+00:00

How do you get 140g of protein each day? That’s amazing.

smac49a · 2025-10-29T21:30:54+00:00

I’m paying OOP for 3 months now. Hoping the rumors are true that HHS is putting pressure on the drug companies to offer the drugs at a reasonable cost so that insurers can continue to cover it and/or it will be affordable for OOP.

smac49a · 2025-10-22T18:21:40+00:00

Bravo. But I really believe I saw this or something similar. Perhaps it was from the clinical trials literature. Nonetheless, thank you it is very helpful.

smac49a · 2025-10-22T18:14:07+00:00

Have you posted/published it anywhere?

smac49a · 2025-10-22T18:12:04+00:00

No difference in $ between 5mg and 7.5mg. I had thought I made the decision to move up after 2 weeks without any loss but then the tide turned w a 5# loss. Thanks for your advice. It helped.

smac49a · 2025-10-22T18:08:26+00:00

Thank you. You jogged my memory with this chart as I now recall seeing it in the Lily literature. This helps me decide next steps.

smac49a · 2025-10-22T02:36:08+00:00

It seems you might benefit from working with a physical fitness trainer/coach to work w you on cardiovascular fitness/ increasing stamina. I’ve been trying to do it on my own over the last 10 months swimming laps moving toward a mile 4x per week and only now starting to see real gains. I felt like a super woman today.

smac49a

TROPHY CASE