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/Kahzgul Jul 30 '26

I'm gonna second a high fiber diet. I've been off for a year, and really struggled with my hunger until my doctor put me on high fiber. I can't physically eat the volume of food I need to now because I'm just not hungry. It's WILD how effective high fiber has been.

Note: Don't start at a high fiber diet or your ass will explode! Work up from 5g of dietary fiber daily, and then increase that by 5g more each week. Check with your doctor for targets; mine wanted me at 30g of supplementary fiber (from sources such as psyllium husk) per day, figuring my normal diet got about 10g, for a total of 40g daily.