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ForumsPsychological & BehavioralTherapy is just as important as the medication - my experience — need advice Page 5

Therapy is just as important as the medication - my experience — need advice

lucas_SP_BR Tue, Nov 5, 2024 at 10:34 PM 52 replies 2,315 viewsPage 5 of 11
rachel_ABQ
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Nov 6, 2024 at 5:39 AM#21

Just wanted to say — for anyone reading this Therapy is just as thread who is feeling discouraged: it gets better. The first few weeks are the hardest. Hang in there. 💪

Last edited: Nov 6, 2024 at 10:39 AM
21 4nick_newbie, DadBodDave, AmyNC_wife and 18 others
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amy_econ_NJ
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Princeton, NJ
Nov 6, 2024 at 5:56 AM#22

Want to share my personal experience related to Therapy is just as important since I think it might help others in a similar situation.

I started my GLP-1 journey in March 2025 at 280 lbs with metabolic syndrome. My telehealth provider prescribed semaglutide 0.25mg to start.

Now, 18 months later: I am down 80 lbs, my labs have normalized, and my sleep apnea has improved dramatically. The Therapy is just as aspect specifically was something that made a big difference in my journey.

This forum was my go-to resource throughout.

Last edited: Nov 6, 2024 at 8:56 AM
11 12hannah_MT, Dr.SportsMedIN, amy_econ_NJ and 8 others
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JenPlateau
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Nov 2024
Missouri
Nov 6, 2024 at 6:13 AM#23

Clinical perspective on Therapy is just as important as the:

I have managed ~150 patients on GLP-1 therapy and this topic comes up frequently. What the data shows — and what I see in practice — is that the medication works best as part of a comprehensive approach.

For this specific question, I would recommend: getting comprehensive baseline labs first.

44 21RunnerRach, TrialNerd_Beth, HPLC_Greg and 41 others
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LindaRN_retired
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Dec 2024
Sarasota, FL
Nov 6, 2024 at 6:30 AM#24

Thank you amy_econ_NJ! This is incredibly helpful. Bookmarking for later. 🙏

34 22LondonLisa, mike_nyc, VendorMark and 31 others
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Dr.NateNeph
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Houston, TX
Nov 6, 2024 at 6:47 AM#25

Relevant to Therapy is just as important — here is my latest bloodwork comparison:

Key improvements: A1C 7.6% → 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.

32 21RickReta_CO, PharmHunterJen, TomTeleRx and 29 others
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