Congrats ZaraB_AL!! Keep going — you're doing incredible. 🎉 👏

ricardo_MIA's experience with Heart failure resonates deeply with mine. I went through almost the identical process — starting dose, titration timeline, side effects, everything.

The main difference: I had more GI issues initially. But the overall trajectory has been remarkably similar. Down 57 lbs in 12 months.

One thing I would add that ricardo_MIA did not mention: insurance coverage was a major hurdle.

Bookmarked 📌 The Heart failure info in this thread is essential. Coming back to this for sure.

Clinical perspective on Heart failure hospitalization reduction:

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.

Yep. My endo said the same thing about Heart failure.