pam_columbus's experience with Shoutout to vendor for resonates deeply with mine. I went through almost the identical process — starting dose, titration timeline, side effects, everything.
The main difference: I had more GI issues initially. But the overall trajectory has been remarkably similar. Down 69 lbs in 14 months.
One thing I would add that pam_columbus did not mention: insurance coverage was a major hurdle.
Bookmarked 📌 The Shoutout to vendor info in this thread is essential. Coming back to this for sure.
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I have managed roughly 300 patients on GLP-1 therapy and this topic comes up frequently. What the data shows — and what I see in practice — is that the medication works best as part of a comprehensive approach.
For this specific question, I would recommend: getting comprehensive baseline labs first.
Following this thread closely. Shoutout to vendor for is something I'm actively working through.