Week-by-week log starting at 247 lbs — join me

Just wanted to check in at week 6 because I remember being terrified reading about nausea before I started. It was rough — weeks 2-4 were genuinely difficult. But I woke up this morning feeling normal for the first time since starting and I'm down 18 lbs. If you're in the thick of the nausea phase right now, it does pass. Hydrate, eat small, and give it time.

My doctor kept me at 0.5mg for 10 weeks. Slower titration, fewer side effects — worth it.

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.

Starting the weight-loss log here because I need accountability. Starting weight: 278 lbs. Goal: 195 lbs. Week 1 on 0.25mg semaglutide. No real side effects yet, just a slightly off stomach on injection day. Will update every Monday.