My endo and I disagree about social media comparison trap need advice and I want a reality check.

They are saying that I do not need to worry about it but everything I have read here suggests otherwise.

I trust this community's collective knowledge but I also do not want to go against medical advice without good reason. What would you do?

AussieAnna said:

Social media comparison trap need advice

Gonna push back on this one. Social media comparison trap need is not that straightforward in my experience. I have been on this for 18 months and the reality is messier than the trials suggest.

Don't get me wrong — the medication works. But adherence is harder than people admit. We should be honest about that.

AussieAnna said:

Social media comparison trap need advice

This is exactly right. AussieAnna articulated what I have been trying to explain to my friends for months. The Social media comparison aspect is what made the difference for me.

Clinical perspective on Social media comparison trap need:

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.

jason_sac26 said:

AussieAnna articulated what I have been trying to explain to my friends for months

I respect jason_sac26 perspective but I think this oversimplifies things a bit. Re: Social media comparison trap — the subgroup analyses show meaningful heterogeneity.

I am not saying jason_sac26 wrong entirely — just that the picture is more nuanced than a blanket statement. The SURMOUNT data specifically shows baseline BMI-dependent responses.