Subscribing to this thread. Oral sema empty stomach is exactly what I've been researching. 🙏

OP here — wow, did not expect this much response! Thank you all for the thoughtful replies on Oral sema empty stomach.

To answer Dr.NutriCornell: I get my labs done through Quest every 3 months.

Quick update: my latest labs came back even better. Thanks again for the evidence-based discussion — this is exactly why I posted in a science-based community. 🙏

Relevant to Oral sema empty stomach — here is my latest bloodwork comparison:

Key improvements: A1C 7.2% → 5.3%, triglycerides 191 → 91 mg/dL, hsCRP 6.0 → 0.9 mg/L. All on tirzepatide for 7 months.

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

Dr.LeslieOBGYN said:

Thank you all for the thoughtful replies on Oral sema empty stomach

This is exactly right. Dr.LeslieOBGYN articulated what I have been trying to explain to my doctor for months. The Oral sema empty stomach aspect is the most important factor.

Slightly tangential to Oral sema empty stomach but EndoResFellow reminded me — has the insurance landscape changed recently?

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.