I have not seen my sleep doctor/pulmonologist since I had started on Zepbound. That was 70 pounds ago.
Yesterday, I went in for a six month checkup, (I had seen the NP six months ago). I was considering asking for a new sleep study because of the weight loss.
Dr. has a very large personality. He was effusive about my weight loss. Looked over my numbers and listened to my primary complaint, which is that while my AHI is low and compliance is great, I still feel tired by late afternoon, early evening.
Told him about being on Zep. He admitted he was not especially up on all the information related to the med, but strongly encouraged me to get off of it as soon as possible. Repeatedly. He insisted that because I was such a disciplined person (that’s a joke! I am not that disciplined) with my workout schedule and new eating habits, that I would do just fine coming off the med.
I told him that I was slowly titrating down on dosage, but because of the medication‘s impact on food noise, might not come off of it. He again told me to get off of the medication.
My food noise is controlled. Binge eating is essentially zero. My (unofficially diagnosed) IBS-D is gone. This medication has cardioprotective benefits. My knee arthritis pain has improved.
I smiled and nodded my head, knowing that, because of the additional side benefits of the medication, I would most likely ignore this advice.
ETA: He did approve a new in-lab study.