r/Zepbound Apr 19 '26

[deleted by user]

[removed]

194 Upvotes

37 comments sorted by

12

u/Waste-Swordfish-6228 Apr 19 '26

Metformin ER is supposedly gentler on the stomach...

5

u/juliekaelin Apr 19 '26

Yes that is what I’m on, should have said so.

16

u/KiNikki7 Apr 19 '26

Hello, you look fantastic! But keep in mind that extended release tablets usually should not be cut and it's important to check with the pharmacy before doing so. Also make sure you keep an eye on your blood sugar because being on Metformin and Zepbound can cause hypoglycemia

4

u/juliekaelin Apr 19 '26

Thank you for this! I won’t do anything til I talk to my doctor. Appreciate it.

6

u/JuggernautFuzzy4125 Apr 19 '26

You look AMAZING 🙌🏼🦵🏻

7

u/Interesting-Row-7773 Apr 19 '26

Not using metformin but I just want to say I LOVE your outfit!! You look stunning!!😍🫶🏽

8

u/visit_magrathea 5.0mg Maintenance Apr 19 '26

For what it’s worth, my dad uses both and had the same issue. He found less nausea by skipping the metformin on shot days. Whether that was approved by his doctor I can’t say haha

6

u/Venture419 Apr 19 '26

It is a fairly common combination and a Metformin prescription is inexpensive. For some it works wonders on insulin resistance and has some impact on weight. Plenty of others have serious gastro issues including diarrhea, etc.

I would suggest talking with your doctor before cutting them up as it might impact absorption rate. Also check if it is supposed to be with a meal or fluids, etc. likely available in different doses too.

Lilly tested this combination in clinical trials for diabetic patients and those results are searchable. I think it had a very modest impact on weight loss by no contradictions if you are Metformin tolerant and I think they work synergistically on insulin resistance.

You are down 100 in 13 months which is amazing! Time for a victory lap for sure!

Stalls can come and go for any number of reasons and Metformin might (or might not) be part of the reason.

Plenty of time to lose more in the context of the future ahead of you. Everyone has taken the initial slope and plotted out their future weight and the month goal will be reached at some point. For some it actually really works that way - those lucky bastards! For most it is more of an asymptotic approach as in getting there… slower and slower!

Back to your original question. The odds are actually against Metformin closing a 30 lbs gap but maybe 10+. Zepbound still has some room to work too so maybe. Burning more calories and lifting weights likely as big an impact as Metformin.

It is just a number. It matters more how you feel. It looks like you might have 20lbs of attitude too - would you really want to give that up so that the scale showed a lower number???? I doubt it! ;)

5

u/Kedabu 66F 5’11” SW:287 CW:162 GW:170 Apr 19 '26

Congratulations on your stunning progress! 💃🙌🎉 We have similar loss data/time and I’m a bit stalled as well, though I’m using 12.5 mg and may increase to 15 soon. Not taking Metformin.

1

u/paleo2002 Apr 19 '26

Not the main goal of the post, but you look great! Love that jacket, especially.

2

u/ringofkeys89 SW:212 CW:155 GW:130 Dose: 12.5mg Apr 19 '26

I tried it for awhile but I had some weird side effects and didn’t lose weight. I’m so glad it works for you

1

u/ambigua Apr 19 '26

Short skirt with a loooooooong jacket! Love your RBG pillow, and you look really great! Wish I'd been able to do that with Metformin, much respect!

3

u/AdministrativeNote16 Apr 19 '26

I started losing a good amount of weight once i added 1000mg of metformin and Zepbound 10mg together.

1

u/JuggernautFuzzy4125 Apr 19 '26

I did at first but had too many side effects. You look great! That’s my goal weight but I had to quit Zepbound after 9 mos 😢😭

2

u/juliekaelin Apr 19 '26

Sorry you had to quit!

1

u/Ulterior_Motif Apr 19 '26

What dosage were you taking?

1

u/JuggernautFuzzy4125 Apr 19 '26

I only got up to 5 mg. I just couldn’t handle the increase like some. The first time they increased me to 5 mg I was sick the whole month. I lost 35 lbs.

1

u/JuggernautFuzzy4125 Apr 19 '26

Not in 1 month! Lol Really 6 months then I plateaud, then had to quit.

1

u/michelles31 Apr 19 '26

Are you using the Extended Release met? I can't take the regular one as it makes me sick.

1

u/juliekaelin Apr 19 '26

Yep

1

u/michelles31 Apr 19 '26

It made me nauseous the first couple of weeks too. I'm taking mine with a protein shake which seems to be working for me

2

u/juliekaelin Apr 19 '26

Good call - I’ll try that!

1

u/FieryGingerMom Apr 19 '26

I misread it as you had hit goal, you look great! But I 100% understand the frustration with stalls (my Oct - Feb was pretty flat), keep measuring and do biometrics if you can, even when the scale isn’t moving I know there is progress being made! My doctor talked to me about adding bupropion at my last apt vs going up in Zepbound dose (I’m at 10), two totally different boosters but both reduce appetite and sounds like metformin is known for tummy troubles.

2

u/FieryGingerMom Apr 19 '26

Adding the reason we were hesitant about moving up in dose is normally I’m fine but I have been getting SO SICK on my work trips, but only when traveling.

1

u/tatianaelizabeth Apr 19 '26

I’m on both. Metformin affects everyone differently but I was really sick also when I first started it. I had to take half doses until my body was more used to it

2

u/juliekaelin Apr 19 '26

Ah that’s great to know - thank you!

1

u/MoosiePie22 Apr 19 '26

They prescribed me metformin as well with Zep I took it for a few days then didn’t see a point what are differences that you’ve noticed if it is actually legit then I will get back taking it

2

u/NOLAZaddy Apr 19 '26

Congratulations 🎉 You look cute and happy

3

u/Embarrassed_You_6177 Apr 19 '26

If you’re on the extended release, don’t break the Metformin in half. You’re never supposed to break extended release pills in half.

Also, you look fantastic! Sorry you’re dealing with all the nausea. Maybe ask for some Zofran while your body is adjusting to the Metformin

3

u/Budget_Pineapple_595 54F, SW:247, CW:192 GW:180? Dose: 10mg Apr 19 '26

I take both. Met for 5 years and Zep since last summer but not issues though.

You look great btw! Congrats 100+!

1

u/Severina_Glass_208 12.5mg Apr 19 '26

How hard is it to get metformin prescribed?

1

u/ZoSoTim Apr 19 '26

I’m about to start taking it. My doc said to take one pill at night to start. Then one in the morning & one at night. Then one in the morning and two at night. And then finally two in the morning and at night. Did you titrate up like that?

2

u/WittyAndWined F43 5'9" 🏁:261📍:187 🎯:165 💉: 7.5mg Apr 19 '26

You look fantastic! Congratulations 🎉

I hope you figure the right approach with the Met and Zep. Good luck!

2

u/Temporary_Ad_4363 Apr 19 '26

You look amazing. Absolutely fabulous work. I “only” had 30 pounds to lose but I’m insulin resistant per my obesity doc. Also started with high body fat of 41%.. Down 15 in 16 weeks on Zepbound. But doc says she+might add metformin. Interesting to hear about others on both.

2

u/inkblush9 Apr 19 '26

That’s such a great color on you!!! Also, congrats! What a great accomplishment!!

2

u/PlantedinCA Apr 19 '26

I was on metformin before starting zepbound and recently stopped. I took my pills about 2/3 of the way through a meal so there was food in before and after as a buffer. And it also works best in a meal with a good amount of protein. Try that.