OP here — wow, did not expect this much response! Thank you all for the thoughtful replies on Triathlon training while.

To answer lisa_labSD: 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. 🙏

Saving this for reference. Top-tier content.

Slightly tangential to Triathlon training while but Dr.LeslieOBGYN reminded me — what is the latest on the oral formulations?

I know it is not exactly on-topic but it seems related enough to ask here rather than starting a new thread. Apologies if this has been covered — I did search first.

Relevant to Triathlon training while on — here is my latest bloodwork comparison:

Key improvements: A1C 7.2% → 5.3%, triglycerides 203 → 103 mg/dL, hsCRP 6.0 → 0.9 mg/L. All on tirzepatide for 7 months.

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

Want to share my personal experience related to Triathlon training while on since I think it might help others in a similar situation.

I started my GLP-1 journey in October 2024 at 259 lbs with prediabetes and hypertension. My endocrinologist prescribed semaglutide 0.25mg to start.

Now, 18 months later: I am down 64 lbs, my labs have normalized, and I am off 2 of my 3 medications. The Triathlon training aspect specifically was something that made a big difference in my journey.

This community helped me every step of the way.