🎉 MILESTONE: SELECT trial 4-year data released anyone!

I can not believe I am typing this. A year ago I was in a very different place.

Numbers: A1C was 7.5, now 5.0.

Thank you to this community for keeping me sane through the hard parts. You know who you are. 🙏

NurseKim_ATL's experience with SELECT trial 4-year data 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 44 lbs in 9 months.

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

Thanks for sharing this, NurseKim_ATL. A few questions about your SELECT trial 4-year 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 SELECT trial?

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

OP here — wow, did not expect this much response! Thank you all for the thoughtful replies on SELECT trial 4-year data.

To answer SarahChen_PharmD: 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. 🙏

Relevant to SELECT trial 4-year data — here is my latest bloodwork comparison:

Key improvements: A1C 7.6% → 5.5%, triglycerides 197 → 97 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.