Following this thread closely. International vendor is something I'm actively working through.

RegAffairsDC said:

Night shift nurse — I started at 263 lbs and felt like I would tried everything

I respect RegAffairsDC perspective but I think this oversimplifies things a bit. Re: International vendor directory — the effect size varies considerably by population.

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

Reading this thread on International vendor hits close to home. Dad of 2 checking in — I started at 289 lbs and felt like I would tried everything.

15 months on tirz and I am a different person. Not just the 64 lbs lost — my energy, my mood, my relationship with food. All transformed.

If you are on the fence about International vendor — take the leap. It was the best health decision I have ever made. ❤️

Bookmarked 📌 The International vendor info in this thread is essential. Coming back to this for sure.

Dr.DermMIA — that is really helpful context on International vendor. Follow-up question: did you experience any side effects during this phase?

I am in a similar situation (about to start) and trying to set realistic expectations.