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ForumsPublic SquareAdolescent obesity: AAP guidelines and GLP-1 use in minors — what worked for you?

Adolescent obesity: AAP guidelines and GLP-1 use in minors — what worked for you?

RunnerRach Fri, May 30, 2025 at 5:11 AM 12 replies 1,265 viewsPage 1 of 3
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RunnerRach
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Aug 2024
Boston, MA
May 30, 2025 at 6:36 AM#1

Just had to share this with someone who would understand — adolescent obesity aap guidelines and glp-1.

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.

30 6BenResearch_OR, MikeKY_noInsulin, Dr.RaviCardio and 27 others
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Dr.CardioMD
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Dec 2023
Cleveland, OH
May 30, 2025 at 6:53 AM#2

RunnerRach's experience with Adolescent obesity AAP resonates deeply with mine. I went through almost the identical process — starting dose, titration timeline, side effects, everything.

The main difference: I titrated faster. But the overall trajectory has been remarkably similar. Down 32 lbs in 7 months.

One thing I would add that RunnerRach did not mention: the relationship with food fundamentally changed.

Last edited: May 30, 2025 at 12:53 PM
36 7Dr.NephBHM_UK, kim_atl_prep, sarah_TO and 33 others
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TrialNerd_Beth
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Jan 2024
Bethesda, MD
May 30, 2025 at 7:10 AM#3

Thanks for sharing this, RunnerRach. A few questions about your Adolescent obesity experience:

  1. What dose worked best for you?
  2. How long before you noticed appetite suppression kicking in?
  3. Did your endo have any specific recommendations about Adolescent obes?

I am in a similar boat and trying to learn from others' experiences before my next appointment.

14 12TomTeleRx, DoseLogDan, SleepFixSam and 11 others
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RunnerRach
Member
467
2,123
Aug 2024
Boston, MA
May 30, 2025 at 7:27 AM#4

OP here — wow, did not expect this much response! Thank you all for the thoughtful replies on Adolescent obesity AAP.

To answer TrialNerd_Beth: yes, I am on compounded sema from a 503B pharmacy.

Quick update: things are still going well. Thanks again for the evidence-based discussion — this is exactly why I posted in a science-based community. 🙏

45 7jennifer_SEA, tyler_CSCS, VanRx_Mike and 42 others
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Dr.GutHealth
Senior Member
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Mar 2024
Minnesota
May 30, 2025 at 7:44 AM#5

Relevant to Adolescent obesity AAP — here is my latest bloodwork comparison:

Key improvements: A1C 8.4% → 5.5%, triglycerides 245 → 115 mg/dL, hsCRP 8.0 → 0.9 mg/L. All on tirzepatide for 13 months.

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

38 15MikeKY_noInsulin, Dr.RaviCardio, jennifer_SEA and 35 others
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