Just had to share this with someone who would understand — i fit into my college jeans.

Got my latest A1C and I am genuinely emotional right now. 12 months in and the progress is real.

Details in the comments but wanted to start this thread because I think others going through the same thing need to see that it works.

JenMemphis said:

I fit into my college jeans and I am not okay (happy tears)

I respect JenMemphis perspective but I think this oversimplifies things a bit. Re: I fit into my college jeans — the subgroup analyses show meaningful heterogeneity.

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

+1 to JenMemphis. Especially the point about "I fit into my college jeans and I am not..." — I have seen the same in my own experience with I fit into my college.

As a pharmacist, I want to add some clinical context to this discussion on I fit into my college jeans and I am not.

Building on what JenMemphis said — the evidence base here is robust. The key publications to reference are from the FLOW program[1].

Key clinical points:

1. Efficacy is dose-dependent and typically requires 4-5 weeks to reach steady state
2. Side effect profile is predictable and usually manageable with standard protocols
3. Monitoring should include baseline labs and follow-up at 3-month intervals
4. Patient education significantly improves outcomes and adherence

Standard disclaimer: this is educational, not individualized medical advice.

quinn_sf said:

Especially the point about "I fit into my college jeans and I am not

Gonna push back on this one. I fit into my college jeans and I is not that straightforward in my experience. I have been on this for 12 months and the reality is messier than the trials suggest.

Don't get me wrong — the medication works. But cost accessibility is a real barrier. We should be honest about that.