Update on my situation with meal prepping when you have zero — wanted to follow up since some of you asked.

3 weeks since my last post and things have improved significantly. Here is what happened:

Talked to my endo about the concerns raised in my previous thread and they agreed with the community advice.

Full details below. Thanks to everyone who responded last time — your input genuinely made a difference.

dave_SLC said:

Meal prepping when you have zero appetite is so weird what worked for you?

Gonna push back on this one. Meal prepping when you have zero is not that straightforward in my experience. I have been on this for 12 months and the reality is messier than the trials suggest.

Don't get me wrong — the medication works. But cost accessibility is a real barrier. We should be honest about that.

dave_SLC said:

Meal prepping when you have zero appetite is so weird what worked for you?

This is exactly right. dave_SLC articulated what I have been trying to explain to my doctor for months. The Meal prepping when you aspect is the most important factor.

Clinical perspective on Meal prepping when you have zero:

I have managed ~150 patients on GLP-1 therapy and this topic comes up frequently. What the data shows — and what I see in practice — is that proper titration prevents most adverse events.

For this specific question, I would recommend: reviewing the relevant clinical guidelines.

sophie_paris said:

This is exactly right

I respect sophie_paris perspective but I think this oversimplifies things a bit. Re: Meal prepping when you have — the effect size varies considerably by population.

I am not saying sophie_paris wrong entirely — just that the picture is more nuanced than a blanket statement. The SURMOUNT data specifically shows baseline BMI-dependent responses.