tirzepatide

More breaking news on the risk of medulary thyroid cancer and the use of #mounjaro #tirzEpatide #elililly #fda #thyroidcancer #glp1 #fyp #fypシ #fypage #greenscreen

#stitch with @Man On The Mounjaro Stacking #mounjaro #tirzepatide with muscle preserving meds. #GLP1Nerds this one is for you! #mounjarotok #medtok #fyp #fypシ

Searching for insurance-accepting GP or other doctor who will prescribe GLP-1s I am looking for a GP or family medicine doctor in N Austin, Cedar Park, Leander or Round Rock area who will prescribe name-brand GLP-1s. I have been on compound tirzepatide since spring 2023, have lost and maintained loss of 85 lbs, and am looking to switch from the compound to name brand Zepbound now that it is more affordable. My current GP did not support my taking the compound GLP-1s and does not seem to understand how they work. Extra bonus points if this GP is knowledgeable about menopause, too!

$30 Tirzepatide This one is for everyone that struck out with the $29 tirz. TryJuneHealth is running a 30 day free trial just pay $30 shipping. Cancel anytime before your trial period ends and you won't be charged for the subscription. And to save y'all the ache of another cancellation heartbreak, I actually started this intake myself Saturday night. Got approval Monday morning and FedEx has my package as of Tuesday afternoon. Delivery set for tomorrow. I got Greenwich w/ Glycine. No, I did not get to pick. My card was charged for $30. I did however have to input my card information first and then received the health questionnaire afterwards through email. As always, I highly recommend using a virtual/ privacy card. And don't forget to cancel before the 30 days is up ! Website is TryJuneHealth. Goodluck everyone :)

Best and most affordable providers of tirzepatide here in Austin? I have surgery scheduled for November, and my surgeon has recommended that I lose weight beforehand and had suggested tirzepatide. For context, I'm not heavily overweight, but with grief and stress I have gone up about 30 lbs in the last year and a half (and currently sitting at 190lb on my 5'11 frame which has been my absolute heaviest). I would like to take heed of my surgeon's advice and drop a bit of weight prior to november, and in combination with diet and exercise I am now considering tirzepatide - does anyone have any recommendations? I would like to find something safe and reliable, but also slightly more affordable. I don't intend to continue with it beyond my actual surgery date. Thanks in advance!

Need inputs on Mounjaro in texas Hi, I’m new to the health care system here in Texas and I have employer-sponsored insurance through BCBS with prescription coverage through CVS Caremark. I’ve looked at the prices for weight-loss medications without insurance and they’re very high, so I’m hoping you can help me navigate obtaining this medicine (e.g., tirzepatide/Mounjaro) here in Texas with my insurance. I am primarily considering it for weight loss, I do have history of PCOD. Please let me know what next steps I should take and how to proceed. Thank you. Update from my provider - CVS Caremark has contracted with your employer to provide you with a prescription drug benefit plan. Prescription drug benefit plans offer a wide range of covered medications. Under your current benefit plan, Zepbound is not a covered medication. GLP-1 medications are only covered for diabetes with approved prior authorization (PA). No coverage is provided for weight loss, anti-obesity indications, sleep apnea, or pre-diabetes. While some medications are covered and similar drugs are excluded, the exclusions are limited to a small number of medications. The exclusions are driven by factors such as, but not limited to, therapeutic value, side effects, and cost effectiveness. These excluded categories may involve standard medications, but most often are vitamins, fertility products, oral contraceptives, diet medications, wrinkle creams, smoking cessation products, lifestyle medications, and supplements. All these factors are considered during the plan selection process by most employers. UPDATE: Thanks everyone for your support and suggestions. I went with [refills.com](http://refills.com/)

Reta vs Tirz: Why should I choose one over the other? I’m currently on tirzepatide and honestly have zero complaints. I’ve had essentially no side effects, appetite control has been great, and it’s working for me. But I keep seeing more and more about retatrutide, and know personally several people who have switched and I’m curious why someone would choose Reta over tirz, especially if tirz is already working well. I’m 6’0”, 34 years old, currently around 184 lbs. I’d estimate I’m somewhere around 25% body fat, give or take a few percentage points. I’m not that far from what I consider my goal weight, but I still probably have another 10 to 15 percentage points of body fat I’d like to lose. At this point I’m basically approaching this as a body recomposition rather than just trying to make the scale go down. I’m planning to cut for another 6 months to a year, probably closer to a year, because I’ve got a decent amount of fat around my stomach and chest that I want to slowly work off while maintaining as much muscle as possible. I’m currently eating roughly 1,500 to 2,000 calories per day and lifting/working out 3 to 5 days per week depending on recovery and how my injured back is feeling. So for people who have actually researched or used both: \*\*Why would you choose retatrutide over tirzepatide?\*\* Is Reta meaningfully better for someone who is already relatively close to their goal weight and is trying to get leaner while preserving muscle? I know the Reta trials have shown some pretty impressive weight loss, but I’m more interested in the differences beyond just total pounds lost. Things like body composition, fat loss vs lean mass, appetite control, energy, metabolic effects, and whether people actually notice a meaningful difference compared with tirz. I’m not looking to switch just because something is newer. If tirz is already working extremely well, I’m wondering what the actual advantage of Reta would be for someone in my situation. Would love to hear from people who have experience with both, or anyone who has dug deeply into the clinical data. Added a picture of what I look like currently a week ago.

Reta vs Tirz: Why should I choose one over the other? I’m currently on tirzepatide and honestly have zero complaints. I’ve had essentially no side effects, appetite control has been great, and it’s working for me. But I keep seeing more and more about retatrutide, and know personally several people who have switched and I’m curious why someone would choose Reta over tirz, especially if tirz is already working well. I’m 6’0”, 34 years old, currently around 184 lbs. I’d estimate I’m somewhere around 25% body fat, give or take a few percentage points. I’m not that far from what I consider my goal weight, but I still probably have another 10 to 15 percentage points of body fat I’d like to lose. At this point I’m basically approaching this as a body recomposition rather than just trying to make the scale go down. I’m planning to cut for another 6 months to a year, probably closer to a year, because I’ve got a decent amount of fat around my stomach and chest that I want to slowly work off while maintaining as much muscle as possible. I’m currently eating roughly 1,500 to 2,000 calories per day and lifting/working out 3 to 5 days per week depending on recovery and how my injured back is feeling. So for people who have actually researched or used both: **Why would you choose retatrutide over tirzepatide?** Is Reta meaningfully better for someone who is already relatively close to their goal weight and is trying to get leaner while preserving muscle? I know the Reta trials have shown some pretty impressive weight loss, but I’m more interested in the differences beyond just total pounds lost. Things like body composition, fat loss vs lean mass, appetite control, energy, metabolic effects, and whether people actually notice a meaningful difference compared with tirz. I’m not looking to switch just because something is newer. If tirz is already working extremely well, I’m wondering what the actual advantage of Reta would be for someone in my situation. Would love to hear from people who have experience with both, or anyone who has dug deeply into the clinical data. Added a picture of what I look like currently a week ago.

$30 Tirzepatide This one is for everyone that struck out with the $29 tirz. TryJuneHealth is running a 30 day free trial just pay $30 shipping. Cancel anytime before your trial period ends and you won't be charged for the subscription. And to save y'all the ache of another cancellation heartbreak, I actually started this intake myself Saturday night. Got approval Monday morning and FedEx has my package as of Tuesday afternoon. Delivery set for tomorrow. I got Greenwich w/ Glycine. No, I did not get to pick. My card was charged for $30. I did however have to input my card information first and then received the health questionnaire afterwards through email. As always, I highly recommend using a virtual/ privacy card. And don't forget to cancel before the 30 days is up ! Website is TryJuneHealth. Goodluck everyone :)

Basically no appetite So I have lost a lot of weight so far on tirzepatide. I am 5’5” I started in march at 224lbs and I am down to 176 now. I responded very well to the medication but I noticed the whole time it has been very hard for me to want to eat. This was fine in the beginning obviously because I had a lot more to lose. I got maybe 70-90g of protein in each day and did weights three times a week. I didnt gain muscle but I didn’t seem to lose much of it either. I started out with a good amount of muscle so maintaining as much of it as possible was very important to me. Now that im at a lower body fat percentage though, I’ve noticed my muscle more and I want to amp up the muscle gains now. The problem is it’s so hard for me to get my protein in, but I still have around 17lbs to lose. Does anyone who also has a hard time with their appetite have any tips on how to get more protein in? I do two scoops of protein in the morning (around 50g of protein) and I try to eat meat throughout the day but that part is a struggle for me. Its way easier for me to fill up on veggies and carbs I’ve noticed. I would appreciate any advice or even tips on how to utilize my nutrition so that I don’t feel by the end of the day like I can stomach real protein.

PSA: swelling on tirzepatide is usually NOT water retention from the drug — and that's exactly why it matters Seeing a lot of "am I retaining water on tirz" posts, so here's what actually shows up in the labeling and the literature. Tirzepatide has no mechanism that drives sodium/water retention. Peripheral edema isn't listed as an adverse reaction in the SmPC, and it didn't show up as a common AE across SURPASS/SURMOUNT. This is genuinely different from TZDs or insulin, which do cause edema directly. What IS in the label is the opposite problem: postmarketing reports of acute kidney injury — some requiring dialysis — mostly in people who had GI adverse reactions (nausea, vomiting, diarrhea) severe enough to cause dehydration. So the chain that actually matters runs: GI side effects → volume depletion → reduced renal perfusion → prerenal AKI → low urine output → THEN swelling Swelling can be a late-stage symptom of the kidney problem, not an early-stage water problem. Reaching for a diuretic because you "feel puffy" is the exact wrong move if you're volume depleted. Higher-risk setup — the classic "triple whammy" plus dehydration: • ACE inhibitor or ARB • diuretic • NSAID (ibuprofen, naproxen, etc.) Add vomiting/diarrhea on top and you've stacked four hits on renal perfusion at once. Titration weeks are when this bites. Worth asking for if swelling persists: • serum creatinine + eGFR, BUN (BUN:Cr ratio helps flag prerenal) • electrolytes incl. sodium, potassium, bicarbonate • urinalysis with microscopy • UACR (urine albumin-to-creatinine ratio) • albumin, and NT-proBNP if there's shortness of breath Two things people usually don't know: 1. Rare case reports of tirzepatide-associated SIADH exist — that's a hyponatremia mechanism, not a true fluid-overload one. Different problem, different fix. 2. Long term the renal picture actually looks favorable. SURPASS-4 post-hoc showed slower eGFR decline vs insulin glargine and stable albuminuria. The risk is acute and dehydration-driven, not chronic and toxicity-driven. Bottom line: track urine output and weight, not how puffy you feel. Not medical advice — talk to whoever prescribed it.

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