+1. This mirrors my journey exactly. The Telehealth provider discussion here is so valuable.

TomFromTexas said:

I started my GLP-1 journey in October 2024 at 277 lbs with prediabetes and hypertension

Gonna push back on this one. Telehealth provider comparison is not that straightforward in my experience. I have been on this for 18 months and the reality is messier than the trials suggest.

Don't get me wrong — the medication works. But adherence is harder than people admit. We should be honest about that.

Want to share my personal experience related to Telehealth provider comparison since I think it might help others in a similar situation.

I started my GLP-1 journey in March 2025 at 283 lbs with metabolic syndrome. My telehealth provider prescribed semaglutide 0.25mg to start.

Now, 8 months later: I am down 43 lbs, my labs have normalized, and my sleep apnea has improved dramatically. The Telehealth provider aspect specifically was something that made a big difference in my journey.

This forum was my go-to resource throughout.

Saving this for reference. Quality thread.

Dr.AddMedPHL — that is really helpful context on Telehealth provider. Follow-up question: how long did you wait before increasing your dose?

I am in a similar situation (week 4) and trying to set realistic expectations.