Dr.PainCLE said:

I have been dealing with this for about 6 months now, and what I have found is that individual respo

I respect Dr.PainCLE perspective but I think this oversimplifies things a bit. Re: Thrift store transformation — the subgroup analyses show meaningful heterogeneity.

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

Relevant to Thrift store transformation — here is my latest bloodwork comparison:

Key improvements: A1C 8.4% → 5.5%, triglycerides 213 → 113 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.

Thank you ingrid_STO! This is incredibly helpful. Taking this to my next appointment. 🙏

Slightly tangential to Thrift store but Dr.EM_Chicago reminded me — does anyone have experience combining this with metformin?

I know it is not exactly on-topic but it seems related enough to ask here rather than starting a new thread. Apologies if this has been covered — I did search first.

Moderator note: Great discussion, everyone. Just a reminder to keep things civil and evidence-based.

Thread quality is excellent — keep it up. 👍