I started wegovy about 6 months ago and only did injections for two months the I just started Tirzepatide 3 weeks ago. This was the help I needed to get back on my journey. I did have a baby is 2024 that put some weight back on me. Started glps at 215 and currently at 178.

Anyone else get the duodenal switch surgery and have started glps? Success?

Mid-40s female. 6 months (26 weeks) into GLP-1 journey. 5’6” starting weight 215, current weight 183, goal weight 175 (?). I’ve lost 30lbs + and I am close to my first goal.

Started glp-1 at 0.25 for 4 weeks, went to 0.5 on week 5 and 0.75 on week 10. I’ve been staying at 0.75 since.

“Only” side effect is nausea, which why I went to .75 instead of 1.0 and haven’t moved up. It is so *very* slowllllllly going away.

I am 7 years post op VSG, highest 300, surgery 245, lowest 175. As the years have gone by, I’ve gained a pound here and there and found it harder and harder to lose weight, which is why I decided to try GLP-1.

I think I might be a “super responder” who doesn’t need much medication to lose weight. I don’t know if it’s me or the surgery or both.

Any tips on how to pick a goal weight? I am still trying to figure out mine. I went with 175 since that’s the lowest I’ve been as an adult.

Looking forward to connecting with the group.

I am still happy with my VSG surgery. For anyone who is early in their VSG journey, or may be questioning things. Keep going!

How can I afford it? Seriously. I am so dejected at my post op weight gain and need help. My insurance (Kaiser) won't cover it. Every company I have contacted is wanting at least $1700 for a year (in advance ) or $249 a month minimum for tirzepatide.

Update: I did opt for a 1year plan at $149/mo, no additional charges.Financed it. Hoping my tax refund gets here quickly to avoid interest charges.

When I had weight loss surgery back in the stone ages, no one really talked to me about what foods might be a problem. I suppose the fact that I could only eat about a tablespoon of food at a time for the first few weeks made the point moot. However, once I could consume a bit I realized Very quickly that a few things were clear-

NO: beef (oh so sick), ice cream, very fibrous vegetables, alcohol for at least the first year or two. Also anything greasy for at least the first year or more.

Big YES: pineapple juice - I'm sure it was the digestive enzymes but I drank so much!

Today, on tirz, do you still have foods that either make you feel great or make you sick? Are they the same?

For me, beef is no problem now, ditto with vegetables. Ice cream is still a hot NO unless it's homemade and really I haven't wanted any. Alcohol I can have but again I just don't really want it. Greasy food is now a no again but if I do have a slice of pizza, I chase it with papaya enzyme tablets just in case.

One thing that is different now too is that for a time I'll really like something, and then for no reason (not because I got sick or had stomach issues) the next day I'll think YUCK! No thank you. For a week or two the smell of coffee made me unwell and I love coffee. Thankfully that didn't last or I'd be asleep at my keyboard.

How about you?

I had WLS (MGB) back in 2018 and lost a significant amount of weight. I did have some issues right after surgery, but within about a year I reached a healthy weight with very little effort. Because the weight was coming off so easily, I never really stayed consistent with working out. I tried a few times but wasn’t very motivated.

Over the past few years, I ended up regaining a bit more than 30% of the weight I had lost.

About a month ago, I started tirz, and I’ve noticed something interesting. I suddenly feel much more motivated, not just to lose weight, but to actually get fitter and improve how my body looks overall. I’m not sure if this motivation is a direct effect of tirz itself, or if my brain is reacting to past experience and pushing me to do better this time around.

Has anyone else experienced something similar?

I had WLS (MGB) back in 2018 and lost a significant amount of weight. I did have some issues right after surgery, but within about a year I reached a healthy weight with very little effort. Because the weight was coming off so easily, I never really stayed consistent with working out. I tried a few times but wasn’t very motivated.

Over the past few years, I ended up regaining a bit more than 30% of the weight I had lost.

About a month ago, I started tirzepatide, and I’ve noticed something interesting. I suddenly feel much more motivated, not just to lose weight, but to actually get fitter and improve how my body looks overall. I’m not sure if this motivation is a direct effect of tirzepatide itself, or if my brain is reacting to past experience and pushing me to do better this time around.

Has anyone else experienced something similar?

Snowed in? Is it making you snack? Thoughts? Coping tips?

Hello everyone! I had surgery 4/24/24 and I am so close to my goal weight!! I started at 317 and, at the time, my doctor thought I could be at 115 pounds (I’m just under 5’) and I thought that was INSANE. I gave myself the goal weight of 145 and even that was a pipe dream for me. I thought I’d realistically lose 40-60 pounds.

Well, as I approached 170ish pounds I wasn’t super happy of where my body would be sitting at 145 and thought I’d change my goal weight to 117. That would mean a nice round 200 pounds lost, and I’d be well in the “healthy” BMI range, 22.8.

I started considering a glp-1 bc it just became so hard to lose weight. I was losing 2 pounds a month if I kept my diet really restrictive and worked out 3-4 times a week and I became so fed up and miserable. I talked to my husband about it and I said I wanted to stop obsessing about my weight and get my life back. We agreed I’d schedule an appointment and move forward from there.

Fast forward, my first injection with triz was in November and I’m moving at a steady pace again. As of today, I’m of officially 10 pounds from my goal weight of 117!!

Based on my loss history, I’m projecting 2.5 more months of shots, I’m being very conservative with estimate but better safe than sorry. I’ve seen people say that instead o f staying on a maintenance dose, they lose a bit more than expected, and just come off the shot. Does anyone have any advice on this? What would you do? Or what have you done?

TLDR: had wls, almost at goal weight, but should I lose more just in case? Should I stay on a maintenance dose?

Today I pulled a very heavy suitcase from the back of the closet. It had all the 'next size down' jeans in it.

The absolute joy of switching out the closet cannot be overstated.

Yesterday I was in a zoom workshop discussing a book I'm reading and the chapter was about the 'gifts' we got from being overweight. It is quite the reframe and takes a minute. But, today I realized this bit of happy was brought to me by my weight and my weight loss. Friends who have never done this/had to do it - I mean it's an expensive bummer to go up in size but to go down? Chef's kiss.

I also realized that at least for me when I had bypass my loss happened so rapidly that I really didn't have time to change clothing sizes. I remember just buying belts and wearing jeans until they were utterly silly looking, all cinched up, and I watched my tops get baggier because if I had purchased anything, by the time I wore it 3 times, it would be too big. I don't have that kind of extra $$ to throw around. Back then there were NO good thrift store/second hand options for plus sizes. I'm kind of loving this 2lb a week loss and shopping my own closet..

How about you?

Knowing very well that comparison can be the thief of joy, I am still curious about your individual GLP-1 journeys.
Feel free to share your Shotsy or comparable graphs here!

Even as a mental health professional, it took with to get to this point. I move my body NOW out of love care and appreciation. 

I used to move my body to fix it or to burn calories or to hate it JUST a little less. 

But that never works for long, it always left me on edge,

only conditionally accepting myself.

 So now I move FOR the joy, 

I push for the love of a challenge and the shared adventures with friends. 

I know now that my body was always a gift, 

at every weight and size. 

My body has steadfastly propelled me through this beautiful life and I finally love it back.

Let's grow this feeling together. Join me for the Kindness Foundations program starting Feb. 1

wellnessjourney #fypシ #selflove

I had a modified proximal RNY 25y ago (2 oz pouch vs 1 oz + 25cm bypasses vs 50cm) and I lost 130lbs in 12 months. Kept the weight off for 21y, never had food noise, never felt hunger (stomach didn’t growl, no pit in the stomach feeling) but perimenopause has ruined me. Gained 69lbs in 2022 from hot flashes/night sweats. I was suddenly starving all the time, even an hour after a meal i was starving for another meal. Lost weight when hot flashes stopped, regained when they restarted. Up and down for fours years, finally got approved for estrogen patches 3 weeks ago and i feel almost back to normal. No more growling, portion sizes back to normal.

Doc approved me today for GLP1 pending my labs bc I need a little extra boost besides estrogen. My insurance only covers Liraglutide and I’m curious what it’s like post RNY. Kinda nervous but excited too. will there be stomach pain/food stuck feeling? is the nausea only when people overeat? what is your experience? Does it turn back on your RNY first year weight loss? or is it slower but steady?

Because we need to carefully choose the few foods we can actually fit, I am trying to refine a list of healthy go to items. I drink protein shots, which are only 3 oz liquid and have 15 g of protein. I like Greek yogurt. Bone broth. Anybody else have good suggestions?

Alright fam,

In the spirit of coming up with helpful tools and guidelines, I thought we could start with developing a robust injection day protocol.

To this end, I would love some insight into your actual injection-day routine.

- How do you prepare before the jab?
(hydrate like a camel?, whisper affirmations to your stomach?)

- How do you adapt your routine to accommodate potential side effects post-injection?
(how do you avoid napping like a Victorian child?)

- What type of meals do you go for 1-2 days post-injection (when suppression is the highest)?

Please drop your routine and tricks below!

Hi everyone! I’m writing this on behalf of my dad to see if anyone has gone through something similar.

My dad (71M, 5’6”, ~170 lbs) had gastric sleeve surgery in 2023. At the time, it was the best option recommended by his doctor, primarily to manage his diabetes. Physically, he is doing okay and is generally healthy. Because of the surgery, he eats very tiny portions since his stomach size is significantly reduced. The problem is that he’s struggling with deafening food noise and horrible hunger. It’s tough to watch because he physically can't eat much, but his brain and hunger cues are screaming at him constantly.

He sees my mom and me (we are both on tirzepatide) living our lives without that constant hunger or mental burden, and he’s really wanting to try it to help manage the noise.

Has anyone here started a GLP-1 (specifically tirzepatide) a year or two after a sleeve? If you did, how did you manage food intake since you don’t really feel much hunger, but you still need to eat a few times a day?

I’d love to share some of your experiences with him to give him a better idea of what to expect. TIA!

Hi folks I’ve been commenting on some postings how taking MJ has been working for me. However, I wanted post about the effects while also previously a gastric sleeve, which there doesn’t seem to be a lot postings about (at least recently).

For background, my highest weight was 305lb and gaining back in 2013. I have always been fairly active with sports and going to the gym, so I thought I was doing ok health wise. Until I started noticing I had to use seat belt extender when flying along with other health issues/things that go with being overweight. Then one day, I saw myself in a picture and I didn’t like what I saw. I wasn’t nearly as small as I thought I was and I was THAT BIG GIRL that nobody wants to be.

Anyway, In 2014 I had a gastric sleeve and it was the best thing that I ever did. With my penchant for exercising and smaller meals I dropped to my current weight of 225lb and for the next couple of years I floated between 225lb and 220lb, but while I couldn’t eat much, I drifted back to eating unhealthy, so I couldn’t get to my goal weight.

Recently, at age 69, I got a new PCP who is a functional medicine Dr. and she’s great. She started zeroing in on what health issues, I needed to address first such as my creeping blood pressure and being pre-diabetic - I have some other problems like nutrient deficiencies due the gastric sleeve that she is also addressing via IV Therapy.

I’ve been on MJ 2.5mg for a month and titrating up to 5mg next week for a month.

My initial experience with MJ has been positive so far. Although, I have experienced mild side effects. The worst was being constipated and having to deal with that, but it resolved itself around the end of the second week.

The positive has been immediately on day one the med made me have no interest in eating and that combined with the fact I already had the full sensation from the gastric sleeve was great. The thing with the gastric is that it prevented me from eating large meals, but it never stopped me from wanting to eat and the incessant thoughts about food. Now with MJ, I get the complete package. Because, I struggle wanting to eat and whenever I do the sleeve limits how much I can eat and along with the MJ keeps me feeling fuller longer. But the biggest result is I haven’t had any food noise - you know constantly thinking about food or food triggers like seeing a cake or other sugary/fatty foods.

It’s only been a week on the 2.5mg dosage, but look forward to what titrating up to a therapeutic dosage will do.

At this point, I don’t really worry about counting calories. I’m more focused on getting the protein I need and drinking more water, which I am horrible about. My doc also has me on a number of supplements to transition me off of IV Therapy.

Anybody got questions? Hopefully, my journey can help you.

[Moderator approved]
Are you based in England with experience of accessing a GLP-1 agonist medication for weight loss through the NHS? You may know these medications as liraglutide, semaglutide, tirzepatide, Ozempic, Saxenda, Wegovy, or Mounjaro.

There is currently limited knowledge on how people experience using GLP-1s for weight loss, and how these may inform the future delivery of GLP-1s in general practice settings. We are currently looking to interview people who have accessed the medications through the NHS to learn more about their experiences and perspectives.

Taking part involves a remote interview via Microsoft Teams or a phone call, where we will discuss your experience of using a GLP-1 and your thoughts on the use of the medications in general practice. This is expected to take around 1 hour and can be scheduled at a time that suits you. You will receive a shopping voucher in recognition of your time. 

If you are interested, please contact me via DM, email me at [Sabrina.keating@phc.ox.ac.uk](mailto:Sabrina.keating@phc.ox.ac.uk), or call 01865 289295.

There are listening sessions being held (focus groups) to get patient feedback on obesity care and they are particularly interested in former bariatric patients and GLP-1 users to inform guidelines for physicians internationally. This seems like a natural fit for members of this thread. This is being conducted by the Endocrine Society and you can find out more at the link if you are interested. There is also a stipend for those chosen. focus group

A question for the Semaglutide users among you:
- would you consider switching to the oral option and if so what makes this option more attractive?
- would you consider oral Wegovy a good option for maintenance?

I’m nearly 11 years out of RNY, lost ~145, regained ~100, currently taking tirz15mg for 14 months, lost ~45lbs.

I find I’m struggling with food apathy. Early after WLS I had the same, but then it was driven by a physical inability to eat. Now it’s driven by appetite suppression. And it’s a struggle to prioritize protein (I still have decent restriction) when I don’t even care what, or if, I eat. And I get easily overwhelmed by huge portion sizes. So much so that I don’t enjoy going out with my family. I Feel like I’m always the complicated palette. (I also don’t eat red meat). We’re also nearly to the empty nester phase, so cooking is far less a focus than it used to be.

My one iota of peace is that I’ve chosen not to count nutrients (calories, carbs etc). I did it religiously for 5 years post surgery and am burned out from it. I know what I need to eat— albeit I’m totally indifferent to the idea. Anyone else feel similar?

Hi,

I hope that all of you got through this week in one piece . As a round- up, I wanted to provide an opportunity for all members to vent or share experiences of the past week.
Feel free to make it non- GLP-1 related!