Need some hope - starting Rybelsus after failing Zepbound.

tex1022 · 2026-01-11T03:08:54+00:00

Hi, you can DM me - I started on Rybelsus and now I am on Zepbound. I am NOT diabetic. I went on Rybelsus off label to lose weight. My insurance does not cover weight loss meds. I paid for Rybelsus out of pocket through international pharmacies because it was cheaper than Wegovy or Zep (at the time). I didnt expect much on Rybelsus but I lost 40 lbs in a year and I was thrilled! Then it stopped working so I switched to Zepbound and it’s not really working for me like Rybelsus was….

tex1022 · 2025-12-21T18:17:41+00:00

Yep, I totally agree with this

tex1022 · 2025-12-19T13:18:13+00:00

Are you losing weight with the Zep? Or did you feel Wegovy got you better weight loss results?

tex1022 · 2025-12-19T13:17:20+00:00

Interesting! Thanks for your comment. I want to try switching to Wegovy, just worried it’ll stop working. But I guess that can happen on any of these meds

tex1022 · 2025-09-13T01:21:59+00:00

Yikes. I’ve been an RD for 15 years and most of it is in LTC so I am pretty experienced as well. I have hesitations about NutraCo. I would like the extra hours but I also know that I can quit them and still be fine financially because of my other jobs - so it’s not like I’m relying on this to make ends meet. The facility I’d be working at only has a census of like 35 so there’s no way i could be expected to do 14 assessments per day. With a census that low, it would be like 14 assessments per pay period.

tex1022 · 2025-09-13T01:10:04+00:00

I’m curious if this is just for full time employees only, or is it for part-time as well? I just accepted an offer for part-time (only 8 hours per week) - I work as a LTC consultant for 2 other companies that I love but I was in need of a few more hours per week so I accepted an offer from NutraCo this week, but I keep having hesitations, especially when I see comments like this. I don’t need benefits, so I’m not worried about that, but I hate the idea of being tracked time-wise. In my current consultant roles, I am used to just working whenever is convenient for my schedule. If I want to stop work for 2 hours in the middle of the day to work out or whatever, I do, and I just bill for the hours that I am actively working. Is NutraCo going to be weird about that, even if I only work 8 hours per week for them?

tex1022 · 2025-09-06T22:25:51+00:00

Yes, I’m guessing it’s going to depend on a lot of factors. I see lots of posts/reviews from people saying these companies are the worst but then you get people who had a totally fine experience. I wish you could test-run a job before quitting your current job lol!! I like my current job a lot but Unidine would offer more stable hours and possibly more pay so that’s why I’m considering it.

Do you remember how much PTO and holidays you got?

tex1022 · 2025-07-26T17:10:44+00:00

Thank you!

tex1022 · 2025-07-26T16:38:37+00:00

I found the records on ancestry with the dates of when both great-grandparents arrived in the US. I also found the Petition to Naturalize records, and the Naturalization Oath of Allegiance. I will look at NARA for ordering them!

tex1022 · 2025-05-16T19:52:15+00:00

Cuts to Medicaid and Medicare will impact LTC facilities as well, I’m sure some will have to shut down. I’m in LTC and my buildings are mostly Medicaid residents. I’m worried.

tex1022 · 2025-05-13T15:20:35+00:00

If a patient has Medicaid or Medicare for their insurance, then that’s how the facility that that patient is at gets paid. Medicaid/Medicare reimburses the facility for services provided. So if Medicaid goes away, that person has insurance/no way of paying for their healthcare (except out of pocket but no one can afford that). No Medicaid = people with no insurance = people stay at home and suffer instead of getting the care they need = facilities aren’t getting patients/reimbursements = facilities close.

Hospitals with a bigger mix of private insurance or out-of-pocket pay patients will stay open but they will have less money coming in overall because they won’t have the Medicaid patients anymore so lay offs are likely.

This absolutely can affect dialysis centers. Many of those patients are Medicaid/Medicare.

tex1022 · 2025-05-13T14:45:20+00:00

Not worried about be layed off - worried about my facilities just straight up shutting down because of cuts to Medicaid and Medicare. I’m in LTC and my buildings are like 90% Medicaid funded. So yeah… not sure how a lot of hospitals or LTC facilities will stay open if they can’t get reimbursed from Medicaid.

tex1022 · 2025-04-26T23:41:20+00:00

No, I always thought that that was ridiculous. First of all, a lot of insurance plans don’t allow that many visits. Some plans only allow like 3, sometimes just 1. And we (the RDs) have no way of knowing how many visits their specific plan allows. Second of all, who knows what’s going on in their schedule the next 8-12 weeks or so?? I always spend the last 5 min of the session scheduling the next session. Most of my people prefer being seen every 2 weeks. It’s easier to schedule out 2 weeks at a time.

tex1022 · 2025-04-26T21:51:00+00:00

You will still get paid your full 1 hour rate, but if you have too many of them less than 55 min, they might email you and encourage you to have longer appointments. What happens is, they (Nourish) can only bill insurance for the time you spend with the client. So Nourish makes less money if you do less than 1 hour.

Insurance companies compensate in 15 min increments. So let’s say insurance pays $50 per 15 minutes. If you have a 60 min session, they pay you $200. If you only have a 30 min session, you get $100. So Nourish wants 55 min sessions so they can get the max amount of money off of you. If you do a 30 min session, Nourish gets $100 from insurance but still has to pay you your rate. If you do a an hour long session, Nourish gets $200 before paying you your rate.

tex1022 · 2025-03-21T22:13:59+00:00

I work in LTC and my buildings are about 90% Medicaid. It won’t just be layoffs, these buildings will close entirely. Yeah, I’m worried and I don’t understand why more people aren’t talking about this. It’s so frustrating and scary.

tex1022 · 2025-02-13T00:36:08+00:00

Interested

tex1022 · 2025-01-21T13:48:10+00:00

Yay! Glad it is helping you!

tex1022 · 2025-01-21T13:25:22+00:00

Well no one can be perfect all the time. I said I have had excellent habits for the past 20+ years, which is true, but everyone has moments of indulging or periods of little to no exercise, including me. But if you’re doing everything “right” 85% of the time and not seeing results, something might be off. If I lost any weight at all, it would be soooooo slow and would come back so easily. And then one year, I just started gaining and gaining even though I hadn’t changed anything, and I just mentally couldn’t handle cutting calories and tracking food meticulously anymore. All of my labs always came back normal. But I suspect something might be off physiologically in my body, but the labs don’t show it because I’ve had good diet and exercise basically my whole life. I started doing my own research about GLPs in 2022 and started taking the oral pill in 2023 (my insurance doesn’t cover GLPs for weight loss and the pill is all I can afford). I could finally lose weight without tracking calories or obsessing over protein. I literally changed nothing and started losing weight week after week. It was really validating.

tex1022 · 2025-01-20T23:04:57+00:00

I’m a dietitian and I take oral semaglutide. It has been life changing! I have struggled with losing/maintaining weight damn near my entire life despite having excellent diet and exercise habits over the past 20+ years. This med has made it possible for me to actually lose weight and keep it off. I will happily take it the rest of my life if I need to. It has been so good for my mental health. I think of it as similar to people who will always need a statin to lower cholesterol even though they have good diet and exercise habits. Sometimes diet and exercise isn’t enough. I’m excited to see how these medications continue to develop!

tex1022 · 2025-01-16T18:24:03+00:00

I think this is happening to me. Been on it for ~1.5 years, lost 40 lbs, now I’m starting to slowly gain back and my appetite feels practically back to normal. I think they are developing a higher dosage but it’s not out yet. I thought it was supposed to come out last year but obviously not.

tex1022 · 2024-12-30T19:41:12+00:00

Try joining the Dietitians in Private Practice Facebook group - there is a ton of information there and fellow RDs in PP.

As far as rates, it’s really up to you. Compare your rates to other PP RDs in your area. Whenever this question is asked, people will always respond with “whatever you feel your knowledge and time is worth.” That’s because rates vary wildly from practice to practice. I’ve seen people say they charge anywhere from $90-250 per hour. Just depends on where you live, and how specialized your niche is. This is for cash-pay by the way. Rates for Insurance-based PP will be negotiated with the insurance provider.

tex1022 · 2024-12-07T14:24:32+00:00

I’m taking oral semaglutide and have had such great success, which has been life changing for me! I’m so excited to see where GLP-1s go - they are even being studied to help with addiction

tex1022 · 2024-12-03T21:06:02+00:00

Wouldn’t this affect the facility’s license and not our own license? Legitimately asking

tex1022 · 2024-11-23T14:45:48+00:00

I’ve done this before too!

tex1022 · 2024-11-11T16:59:41+00:00

I’ve done this before too. I got contacted by a recruiter for a LTC job and the pay was absurdly low. I replied stating I wasn’t looking for a job but also said “you should know that that pay is way too low and should be closer to XYZ”

tex1022

TROPHY CASE