My doctor cut my blood pressure medication in half!

This community saved my first month on medication. I came here when I was ready to quit at week 3 and people here convinced me to push through. It's now month 5 and I'm down 38 lbs. Thank you all.

Posting my insurance appeal letter since a few people asked. This is what finally worked after three denials: I had my doctor submit a Letter of Medical Necessity that specifically cited: (1) my BMI over 30 with comorbidities, (2) documented failure of two prior weight-loss interventions over 12 months, (3) relevant metabolic markers including elevated triglycerides and pre-diabetic A1C. The key addition that got it approved was asking the doctor to cite the specific plan coverage language and argue that denying the medication violated the plan's own obesity-management coverage terms. We also requested a peer-to-peer review call. Don't give up after one denial. Three denials is unfortunately normal. Each appeal should be more specific than the last.

Electrolytes every morning has been a game changer. Found my sweet spot dose and I'm not in a hurry to go higher. Everyone's different of course.

Coming back to this thread, I plan my meals around shot-day appetite changes now. You're not alone in this, so many of us have been there.

Are you pairing it with any walking or strength work. Ugh I felt exactly the same way at that stage.

For the nausea: small meals, no greasy food, ginger tea, and Zofran if your doctor will prescribe it. The first 4-6 weeks are the hardest. Everything gets better after that point in almost every case I've seen in this forum.

Coming back to this thread, Incredible progress. I plan my meals around shot-day appetite changes now. What's your current titration schedule looking like.

Just wanted to say, You're not alone in this, so many of us have been there. Has your sleep changed at all since starting. Rooting for you. (Not medical advice, just my own experience.)

Adding my two cents: I stayed on the starter dose an extra month and it was the right call. This community is the best. Definitely run it by your own prescriber though.

Same here, I plan my meals around shot-day appetite changes now.

Adding my two cents: I plateaued until the dose increase kicked things back in gear. What helped you push through the plateau. Don't weigh daily, the trend line is what matters. This community is the best. Definitely run it by your own prescriber though.

Adding my two cents: Just hit my first 20 lbs and I can't believe it. Meal-prepping kept me from grazing on bad days. Everyone's different of course.

Totally agree. Scale didn't move but my rings fit again. I keep a food and weight log to spot the trends, not the daily noise. So glad I'm not alone in this.

Reading this and I plateaued until the dose increase kicked things back in gear. You've got this. Everyone's different of course.

Talk to your prescriber before changing anything, but slow worked for me. Hang in there. (Not medical advice, just my own experience.)

Just wanted to say, Incredible progress. Look how far you've come. (Not medical advice, just my own experience.)

Following along, What helped you push through the plateau. Meal-prepping kept me from grazing on bad days. Onward! (Not medical advice, just my own experience.)

Has your sleep changed at all since starting. Bumped up to the next dose this week and feeling good. You've got this. Definitely run it by your own prescriber though.

Just wanted to say, I plan my meals around shot-day appetite changes now.

Coming back to this thread, The mental side is harder than people admit. Been there, it does get easier I promise. Rooting for you.