🎉 MILESTONE: International vendor directory need advice!

I can not believe I am typing this. When I started this journey I had zero hope.

Numbers: BMI went from 38 to 25.

Thank you to this community for keeping me sane through the hard parts. You know who you are. 🙏

jason_sac26's experience with International vendor resonates deeply with mine. I went through almost the identical process — starting dose, titration timeline, side effects, everything.

The main difference: I titrated faster. But the overall trajectory has been remarkably similar. Down 68 lbs in 13 months.

One thing I would add that jason_sac26 did not mention: the relationship with food fundamentally changed.

Thanks for sharing this, jason_sac26. A few questions about your International vendor experience:

1. What dose are you currently on?
2. How long before you noticed significant changes?
3. Did your doctor have any specific recommendations about International?

I am in a similar boat and trying to learn from others' experiences before my next appointment.

OP here — wow, did not expect this much response! Thank you all for the thoughtful replies on International vendor.

To answer Dr.ObesityMed: yes, I am on compounded sema from a 503B pharmacy.

Quick update: things are still going well. Thanks again for the evidence-based discussion — this is exactly why I posted in a science-based community. 🙏

Relevant to International vendor directory — here is my latest bloodwork comparison:

Key improvements: A1C 7.6% → 5.5%, triglycerides 201 → 101 mg/dL, hsCRP 8.0 → 1.3 mg/L. All on tirzepatide for 17 months.

The inflammatory marker drop is what impresses me most. Consistent with the SELECT trial's cardiovascular findings.