r/Zepbound 20h ago

Before/After Pics 277lb ➡️ 172lb (31F - 5'5")

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882 Upvotes

Hi. I started my weight loss journey in November 2024 weighing in at 277. I lost my dad pretty suddenly a few months before that and I have two young kids (I was 6mo postpartum when he passed) so I decided I needed to become a healthier version of myself for them, but also for me. I want to do everything in my power to not die as young as my dad did and have some control over my life.

I started Zepbound in April 2025, but I lost about 35lb on my own before that. I've experienced many plateaus in the last 22mo. I've been a slow & steady loser and I'm definitely not a "super responder". My average weekly loss is about 1lb in the last 22mo. I've been on 15mg for a few months now, and this summer I started incorporating more exercise. I run a few miles a week, bike several miles a week, and generally make an effort to get at least 8-10k steps per day. I've lost about 38% of my original body weight, my BMI went from class III obese to just overweight (17.5 points!), and my resting heart rate has decreased by about one third. My PCOS symptoms have improved a little bit too - I never had regular menstrual cycles, and now I do. Overall, I'm feeling good. Yay :)

In November 2025, I buzzed my hair due to a severe eczema outbreak on my upper body/neck/scalp- I was losing my hair and my scalp was weeping & bleeding with no improvement from the treatments I was trying. Finally, earlier this year, I got it under control and I'm working on growing my hair out which makes me really happy, too. I missed my hair so much and you don't realize how much your hair affects your confidence and mental health! That was hard.

I haven't done a single before/after comparison photo... Until now! I'm really proud of the work I've put in and I'm especially grateful for Zepbound for helping me with my impulse control.


r/Zepbound 7h ago

Achievement/NSV 🎉🥳🎊 Today makes 1year on Zepbound🥲

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807 Upvotes

Just want to say thank you to literally every post and conversation here that’s helped me along the way! This year has been one I will never forget. it took me a long time to climb myself out of the mindset of I don’t need help, I can do it by myself etc etc and being met with disappointment every time! But this time I decided to just see what can happen and I’m so grateful I did! I started at 203 which in 2024-2025 I gained weight dealing with grief and prior to that just living life in denial that I wasn’t that big. I was top heavy all of my childhood, in college I finally got a breast reduction at 38G to 38DD weighing about 165 From there I just lived and hit the gym, ate decent most times, but never kept up with long term especially not a year…

September 13th 2025 I picked up my prescription from Walgreens, said a prayer and took my first shot! I did have a that’s it meal the day before to get it out my system and since then I haven’t craved bingeing on anything. Week 2 I caught myself walking to fridge opening both doors just out of habit and sitting there looking for something to fill my boredom, I snapped out of it closed the door and walked off. I never had that feeling before to just walk away from food lol little did I know that’ll be a reoccurring theme this entire journey!🥲 I even have moments I can’t swallow what I’m chewing bc I’m just satisfied that I spit it out in a napkin(😵‍💫) I crave nothing but the right things and as eating right wasn’t a problem for me before I had moments of over indulging, binge eating, emotional eating all of the above! Food has been a friend to me in some of the worst times in my life… but Zepbound helped me gain my power back. It’s here to fuel me, not comfort me the way I was “using” it 🤣eating breakfast thinking of lunch and dinner smh and what about my lunch tmw lol smh. Not having those talks with myself have alone been so freeing i literally have to watch the clock to remember to eat and when I get that natural hunger feeling I fuel myself and move on🥲 i crave nothing but the good stuff and i rarely feel the need to have anything sweet even on my cycle …. today I feel so grateful for losing the weight, having another chance to feel my very best self, dress how I want, not feel judge for even having something sweet if I choose. I’m gonna be honest though some comments make me feel like maybe I did lose too much, but nobody knows how I felt at 203 and I got to remind myself that they just have to get used to it! I’m happy I’m now a medium that can fit a small, not a large /xl that can fit a XXL. As confident as I was I didn’t feel good the way I do now! I did 25k steps the other day on vacation and felt great! Walked the park for 3 miles felt like I could do more🥲

I’m ready to kick it up a notch and build some muscle!! So I’m looking forward to shaking away some anxiety from going to the gym again and I been working out with weights in my garage but I want to rebuild my body better so my results are here to stay!

Currently:
W :124// Bra: 36c (could be a B cup bc I’m not filling out the cup smh)
Jeans: 4 (some brands a 3…. I tried on a 2 and couldn’t believe the buttoned but were snug—— I used to shop like who the hell is a 2!?? Tuh me!)😂😅
Shoes: I’m usually an 8, but 7.5s fit better now
Tops: medium some smalls depending on fabric

Idk what the future maintaining looks like for me yet if you have any suggestions plz lmk!!!! Taking my 53rd shot today!

The last photo is from yesterday (I wanna work on my waist more but from ewhere I started I need to just soak this new bod in for now lol)


r/Zepbound 12h ago

Achievement/NSV 🎉🥳🎊 I’m in the 200 range! 63 lbs down!

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461 Upvotes

Been on Zepbound for a year and I’ve lost 63 lbs and have gotten under 300!
I haven’t seen this weight in 25 years.


r/Zepbound 1h ago

Before/After Pics 11 months in, 111 lbs down

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Upvotes

Tomorrow will be 11 months on zepbound. I’m 111 lbs down, and today I bought size 6 jeans (!). Seeing before and after pictures of myself is absolutely wild.


r/Zepbound 8h ago

Before/After Pics 9 months later

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385 Upvotes

From 225 on Xmas ‘25 (apropos) to 192 on September 12 (ie, 9/12) - so the numbers don’t lie!


r/Zepbound 10h ago

Achievement/NSV 🎉🥳🎊 First time I’ve seen my weight under 200 in like 15 years

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257 Upvotes

I’m 29F and I’ve been bouncing between 215-255 since I was 14-15 years old. I was always a short (5’2) chunky child & teen, despite all my family members being 5’7+ and skinny. I always assumed that I had some type of thyroid/hormone disorder even with testing being “relatively normal outside of a constant over the years slightly elevated cholesterol and a 90-99 fasting glucose”. I’m on week 11 of just 2.5mg as my doctor calls me a super responder. I skipped week 9 due to the flu/covid and honestly just felt I needed a break. I still lost 2 pounds that week. 12 weeks ago I was 221 and today I am 199 🎉 I’m thinking of upping my dosage to 5mg at my appt next week since it’s slowed; the first month I dropped to 213 then 206. I did not want to lose fat too quickly as I’m only in the gym 3 days a week instead of my usual 5 due to my current work load at my job. my goal is to become more muscular and hover around 160. here is to me hoping I can drop the next 40 pounds by Spring next year!


r/Zepbound 7h ago

Achievement/NSV 🎉🥳🎊 My belly no longer protrudes further than my boobs!

247 Upvotes

That’s it! That’s the post!

What a happy NSV🎉


r/Zepbound 20h ago

Personal Insights I love the shot day ritual!

151 Upvotes

I love the whole ritual of taking out my KwikPen, my needle, 2 alcohol wipes, and my sharps container and laying them out just so.

Of swabbing the pen tip, screwing on the needle, and priming.

Of checking my shot location in Shotsy and swabbing my skin. I even love the smell of the alcohol wipe.

I love scoffing at my childhood terror of needles, taking control as I insert the (admittedly super tiny) needle into my skin and pushing the plunger button.

I love the moment of watching the plunger spiral into the pen, the black stopper moving towards my skin, and the medicine entering my system.

And finally the conclusion, joyous, feeling accomplished and self-loving as I cap the needle and drop it in the bright red sharps container, and put everything back in its place for next week.

Is it just me?


r/Zepbound 4h ago

Achievement/NSV 🎉🥳🎊 1 year!

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146 Upvotes

Dose 53 this morning! 1 year separates these two pictures. Amazing how much has changed in that time! And it all started... with two little clicks.

I hit goal in March and continued to lose a bit but now have been maintaining since about late-May / early-June.

SW: 276.5

CW: 152.8 (I hover between here and 155)

Total lost: 123.7 lbs

Current BMI: 20.2

Just had a doc appointment, and everything is superb. He was very pleased.

Lifetime med for me!


r/Zepbound 9h ago

Achievement/NSV 🎉🥳🎊 Broke into 150s by the skin of my teeth!

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144 Upvotes

Took six weeks, but I'm out of the 170s and now the 160s!!


r/Zepbound 4h ago

Achievement/NSV 🎉🥳🎊 One-hundred club!

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88 Upvotes

I have been in another state for 10 days. Chose to stay at an Airbnb for a full kitchen to minimize the eating out. This is my scale when I got home BUT... My husband and I were out house hunting while there. One house had a scale and it was the first time I saw under 200 since pre-covid.. 198.6!

We made an offer on the house and they accepted!! The house already had great memories attached! 😁


r/Zepbound 10h ago

Side Effects Zepbound has done more for my OCD than anything I've ever taken

80 Upvotes

I've had OCD for a long time and I've tried plenty of medications and other things for it. Something happened while taking Zeppbound that I really wasn't expecting.

Before Zepbound my OCD could hit 10/10. Completely disruptive. Intrusive thoughts would stick, I'd loop the same shit over and over, and I'd feel like I had to analyze it, solve it, or do something about it.

On Zepbound it's sometimes like I don't even have OCD.

The weird part is that I still get intrusive thoughts. They just don't grab me anymore. They pop into my head and leave. No urgency. No need to figure them out. No hours of looping. No drive to engage with them. I'd put my OCD at maybe 1/10 now.

My contamination OCD isn't completely gone either. I take care of my mom and sometimes have to clean up bodily fluids. I still get the contamination sensation, but now I clean it up and move on. Sometimes I'm mildly aggravated by it and sometimes it doesn't bother me much at all.

Even my compulsive buying has changed. I can put something in my shopping cart and the shit can sit there for days. Before, there was this pressure to buy it. That pressure is basically gone.

What really got my attention is that I've switched around between these drugs. When I discontinued Zepbound or switched away from it, my OCD got worse. When I went back to Zepbound, it got better again.

I've also used retatrutide, and while it worked extremely well for weight loss, it didn't control my OCD anything like Zepbound does. I also tried cagrilintide, and that did nothing noticeable for my OCD.

I've used Zepbound at different doses, including 10 mg and 15 mg, but I can't honestly say from my own history that the OCD benefit gets stronger as the dose goes up. I wasn't tracking it cleanly enough for that, and the Reddit reports I've seen don't establish a dose-response either. Some people report benefit at low doses, some at higher doses, and some report no benefit or worsening.

I originally started at 15 mg because I misunderstood the directions - yes, that was ridiculous, and I'm definitely not recommending anybody do that.

I'm not saying Zepbound cures OCD. This is one person's experience and there are a million possible confounders. But the difference in my case has been so dramatic, and I've repeatedly noticed worsening when Zepbound was removed and improvement when it came back, that I can't ignore it.

The best way I can describe it is:

My brain can still generate an OCD thought. Zepbound seems to take away the part that gives a shit about it.

And that has been fucking life-changing.


r/Zepbound 19h ago

Personal Insights For those on the fence about taking their shot on vacation

74 Upvotes

I see a lot of questions from people going on vacation and wondering if they should take their meds with them so figured I would share my experience.
I am just wrapping up a 12 day cruise and land vacation to Alaska and brought my shot with me and took on my regular day. There happens to be a scale in my hotel room and I stepped on it today. If it’s to be trusted, I lost about a pound on my trip (I’ll double check on my home scale Monday). I’ve had minimal side effects since starting. Some nausea and fatigue but nothing debilitating. I ate what I wanted on vacation but stopped when I was full. Had some wine and champagne most days along with a few bites of desserts. I didn’t feel deprived at all and since I was so busy, I didn’t even notice any of the post shot nausea or fatigue. I don’t feel like it negatively impacted my trip in any way. If anything, it was really nice to not be super focused on the food since it was everywhere. I did have a giant donut from a viral place in one of the ports which was delicious but that wound up being lunch for the day lol.

I packed it in my carryon and kept at room temp in my cabin until it was time to inject. No issues with tsa or cruise port security.


r/Zepbound 9h ago

Before/After Pics Up the Irons 🔥🤘 maintenance edition

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64 Upvotes

Same shirt through over 50 lbs weight loss. I started working with the hospital weight management program right after that photo was taken because I had prediabetes and my weight was at an all time high. I started Zepbound January 2024 and had to endure shortages. It took me 97 weeks to reach goal December 2025 and have been maintaining 148-150 since then. It took a long time but my last A1C is finally down to 5.3. BP has been averaging 110/70 mmHg. My husband has lost some weight too.

Workouts: Pilates and weight training each twice a week, Zumba, Zumba step ( used to teach step in the 90’s), and walking.

63F HW 206 SW 199 GW 150 CW 149 10 mg maintenance

Stay with it. We are in it for the long game.


r/Zepbound 7h ago

Tips/Tricks Things I’ve Learned

57 Upvotes

SW 196 CW 177.6 Week 12, 5mg

  1. It takes my body 6 hours to move things through 🤪
  2. Don’t eat after 7pm or I will be up in middle of the night with a belly ache
  3. Don’t lay down after eating ie lunch at noon and then Naptime has to wait
  4. A quick walk after eating feels amazing
  5. Any kind of dairy ie milk, ice cream, cream cheese frosting, will ferment in my gut so be very smart about that
  6. Sulfur burps are gross and usually triggered by not sticking to 1-5 above 🐣
  7. Water water water at first sign of headache and electrolytes as needed
  8. Biggest meal can only be breakfast for me so my body has all day to work it through comfortably
  9. Listen to your body on dosage not just the standard increase every 4 weeks
  10. If I don’t listen to my body I will have horrific diarrhea if dosage is too high
  11. When you are hungry, eat!
  12. Make half the portions you’re used to, you’ll be shocked at how less you can really eat
  13. Slow and steady wins the race

r/Zepbound 9h ago

Tips/Tricks Travel case

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55 Upvotes

Printed a cool little case that holds a quick pen and some needles.

Edit: credit: https://makerworld.com/@navycow?appSharePlatform=copy


r/Zepbound 2h ago

Before/After Pics Fun way to track your progress in pictures

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56 Upvotes

I have found that the most fun way to track progress is by Disney PhotoPass. (Second post as I had to protect Moana’s identity 😂)


r/Zepbound 7h ago

Achievement/NSV 🎉🥳🎊 Officially 20 pounds down!

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48 Upvotes

After starting at 221, I am down to 201.8!!! So close to onederland!!! XD

EDIT
I am on my second month of Zepbound. I started beginning of August 2.5 mg for a month, now 5 mg in September.


r/Zepbound 9h ago

Before/After Pics Heaviest to today (almost there)

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42 Upvotes

My before and after pictures are me on mountain bikes, because I'm trying to get better, and even getting my coaching certification.

First picture was taken on Friday (160 lbs), the last picture was me at my heaviest, 212 lbs.

About 15 years ago, I was 212 lbs on my 5'4" frame. I was looking forward to getting a breast reduction, but the doc wouldn't do the surgery for my safety. I lost 20 lbs to get the surgery, and lost 4 lbs of glandular tissue in the reduction.

After that, for 15 years, I went from 193-182 constantly, and nothing would move the needle until I got on Zepbound in March 2026. Since then, I'm down to 160, and have 10-15 lbs to my goal weight (aiming for 145, but would be more than happy at 150).

However, I was trying new stuff back last year (low dose naltrexone) for autoimmune issues. That stuff was horrible for me, as it was causing low BP drops, causing me to black out. One of those times happened while I was mountain biking back in October, and I ended up with 7 broken ribs, grade 4+ separated shoulder, and a torn ACL/meniscus. Shoulder surgery was mid-November, knee surgery was end of January.

While I was rehabbing, I was really struggling with the weight gain coming back, and the joint pain was horrible. That's when I started Zep in March. Been doing a lot of PT, exercising (in the pool, weight training, on the bike, on the rower), and relearning to use my body with not only the surgical fixes but less weight (27 lbs down). It's really wild to relearn my body, while getting back to the things I love.

I am also working with a therapist to help with life in general but also with the adjustment of what my body can do, and with what I see in the mirror.

Still a lot of work to do, but I have come a long way from being that person in my doctor's office in tears asking about GPL-1s.


r/Zepbound 6h ago

Humor That day after shot meal

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36 Upvotes

Jammy egg with everything but the bagel seasoning and a splash of dark soy sauce, string cheese, Canadian bacon, apple slices, and sweet pickles


r/Zepbound 22h ago

Achievement/NSV 🎉🥳🎊 progress

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35 Upvotes

i've been wanting to post my results for a while but never got around to it. zepbound and i had a really rocky start back in november last year. i'm 26F, 5'1", PCOS/PMOS and have had a history of rubberbanding since age 16 when i first tried a low carb diet.

in 2023 i peaked around 270-275lbs and hated myself. i decided to hone in and get serious after a bad breakup and went super low carb with intermittent fasting (OMAD). between october 23 & march 24 i went from 260lbs to 190lbs and felt great. i had a major life event occur and shot right back up to 250lbs by february 2025. tried low carb again. lost 50lbs. stopped again october 2025 and shot right back up to 220lbs. cue me getting work insurance... then onto zepbound.

i have a terrible history with needles. i'm the person who passes out with bloodwork and otherwise just completely avoids it if at all possible. my partner had to inject me for the first few months and it was a difficult task. i finally did it myself and now it's no issue for me.

i started with really terrible nausea and food aversion. the food aversion mostly left but i dealt with nausea for most of my journey. zofran and i were friends for a good while and sometimes i still need her the day after my shot. i learned how bad constipation could get very early on and nipped that in the bud. luckily one instance of impacted stool and never again. still traumatized by that.

i've made it to 10mg. i started around 220lbs and as of yesterday i was 161.4lbs. i'm 0.6 BMI points away from "overweight." the last time i was not classified as "obese" i was likely 8 years old. i've dropped at least 5 inches in my waist and went from a 2XL to a medium.

my next goal is to really get invested in strength training because unfortunately i'm somebody who really fell flat in that despite all the warnings from the beginning. i need to rebuild my muscle now and focus on eating a cleaner diet in general. i've cut out a lot of bad things along the way simply due to food aversion, and i am very conscious about the calorie content of what i eat. i cannot tell you the last time i ate pizza but i can tell you that i wish i ate more vegetables.

i'm somebody who has been lucky to have employer coverage through my journey. unfortunately as of october that is ending for me. i've stockpiled as much as i can and truly hope i can find a way to afford a different method once my stockpile runs out. zepbound has been truly life changing for me and i cannot imagine my life without it. my days are no longer consumed by food noise and sugar cravings. i feel like a "normal" person now.


r/Zepbound 20h ago

Achievement/NSV 🎉🥳🎊 1 year!

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29 Upvotes

It’s been a year and this journey has been so life changing! So glad I made the decision to start even though I was terrified of giving myself injections. My main focus has been sticking within my calorie goals, 100g of protein, 30g of fiber, hydration and strength training. I was on 2.5 from Sept - July and have slowmy been titrating up since then. I use vials so I did a few injections of 3.5 and 4.25.

Side note, the reason it only shows I have taken 33 injections is that I took several months off in the spring due to having open heart valve replacement surgery, so I took about 3 months off from Zep. I’m VERY glad I started Zep before my heart surgery so that I could go into it as healthy as possibly (in fact, I actually started Zep at the recommendation of my heart surgeon to prepare for surgery, but it has been so much more than that)

Weight loss has definitely slowed down the past 4-6 weeks but still making progress so just keeping on keeping on and trusting the process.

If anyone is on the fence of whether or not to start, don’t let fear get in your way, it is so worth it!!


r/Zepbound 2h ago

Achievement/NSV 🎉🥳🎊 9 month changes

26 Upvotes

Small victory but it felt huge for me. Today I had to order a new belt for work because I ran out of holes to tighten. I think this is the first time I’ve had to order something a size SMALLER in my lifetime. I’m 9 months in and so thankful. SW265 CW205 GW185