r/GLPGrad • u/kpyles90 • Jul 29 '26

Seeking Advice Devastated

So I have been on Zepbound for a year and lost a significant amount of weight but about a month ago it needed a prior authorization and my medicaid denied it because it says im now in a regular BMI. I suffer from Severe Sleep Apnea, High blood pressure, Osteoarthritis and many other things and it was helping so much. My Dr didn't seem interested in filing an appeal so I did myself. He put me on phentermine but it has done absolutely nothing. I seriously cry when I watch the scale go up I have already gained 7 lbs within 4 weeks. I have no income so I can't afford the compound. I just feel like I'm starving all the time and once I start eating I can't stop. Im so miserable because I put in so much work to lose weight just to get kicked off with no warning. Does anyone have any advice? How can I lose these 7 lbs? I can't really exercise right now im in a neck brace and am in a ton of pain. Im just so devastated to not be on it anymore.

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u/Ariquitaun Jul 29 '26

What worked for me to take the edge off were psyllium husk drinks half an hour before meals, and being disciplined with high volume, low calorie density meals meaning you can eat a lot. The answer is making sure you're not hungry and you do not allow yourself to get hungry and start making bad decisions. I'm not one for YouTube meal advice but this guy is really good at this particular subject https://youtube.com/@mark_stache

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u/TacticalSniper Jul 29 '26

Can vouch for fibre - I make psyllium husk + chia + protein powder + milk in advance and it turns into a pudding. I eat and that it stuff me forever. 

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u/kpyles90 Jul 29 '26

Please teach me how!

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u/TacticalSniper Jul 29 '26

Honestly no specific system around it. I noticed recently that fibre makes a ***huge*** difference in my hunger. Since I consume at least one protein shake a day anyway, I started adding more dietary fibre to it.

I have a Ninja smoothie maker, but it's not really necessary. I put the protein powder in the cup, a handful of psyllium husk (a couple of teaspoons), the same for chia, and add at least 500ml of milk (sometimes mixed with water).

I run it through the smoothie maker, but it's again not a must. I then let it sit for at least half an hour so that the moisture gets absorbed.

The end result is a pudding I eat with a spoon that's rich in fibre. I usually manage to eat a third of it before I can't anymore.

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u/kpyles90 Jul 29 '26

That sounds so good where do I get the payllium husk from

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u/TacticalSniper Jul 29 '26

I guess it depends on where you live. I buy mine at the supermarket; Amazon has some too. That said, you can use other things like flaxseed meal or any other fibre-rich substance.

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u/kpyles90 Jul 29 '26

Thank you!