OP here — wow, did not expect this much response! Thank you all for the thoughtful replies on 2026 payer coverage.

To answer InsuranceTom: I started tracking everything in a spreadsheet from day 1.

Quick update: I will post a proper update thread soon. Thanks again for the evidence-based discussion — this is exactly why I posted in a science-based community. 🙏

tommy_boulder — that is really helpful context on 2026 payer coverage. Follow-up question: what labs did your doctor order to monitor this?

I am in a similar situation (just started) and trying to set realistic expectations.

Reading this thread on 2026 payer coverage 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 2026 payer coverage — take the leap. It was the best health decision I have ever made. ❤️

Congrats InsuranceTom!! Keep going — you're doing incredible. 🎉 👏

Exactly this. My pharmacist said the same thing about 2026 payer coverage.