
106.7 lbs down in 9 mos!!!
Nine months ago I was 408 lbs walking into my first tirzepatide shot. This morning’s scale: 303. From my actual peak of 426 in December 2024, that’s 111 lbs gone. I’m 57, 5’8”, goal is 200. Roughly halfway home.
On 15mg, shot 40 went in Sunday. My best-performing dose by lifetime average was actually 12.5mg, not 15. I’m giving 15 two more clean cycles before that conversation with my endo. The data will say what the data says.
Sustained pace the last three months is 2.1 lbs a week. Not flashy. Sustained is the word that matters at this stage.
I lean into tracking because it keeps me honest. Zolt for macros and trend weight. Renpho for body composition. Shotsy for injection rotation. Stelo CGM for glucose (29 weeks at 99% time in range). OMRON for BP. WaterMinder. Athlytic for HRV and recovery. ResMed for CPAP. StepsApp (137-day streak). It’s five minutes a day and a Sunday review. Worth it.
Three honest pitfalls
A. Sunday scale lies. End-of-cycle fluid peaks. I used to panic at “gains” that were 90% water. Friday floor and 7-day trend weight are the real numbers
B. Multi-protein plates stack fat fast. Chicken thigh plus burger plus hot dog on the grill lands 50–80g fat even with lean cuts. Two nights in a row drives a 6-lb Sunday fluid bump that looks like fat gain and isn’t.
3. Suppression days are physiological, not motivational. Mon/Tue after a shot, appetite is just gone. I built a morning protein stack (132g in shake form before 1 PM) that handles those days without willpower. That argument is the wrong argument on suppression days.
A few weeks ago the VA pulled a full panel. Total T came back at 0.5 ng/mL (range 2.7–10.7). Free T at 9 pg/mL (range ~46–224). Not borderline. Critically low. Two panels confirmed it.
This week the follow-up workup came back:
• LH: 36.8 (range 1.2–8.6) — about 4x upper limit
• FSH: 32.2 (range 1.4–18.1) — about 2x upper limit
• TSH, PSA, iron, CBC all clean
That LH/FSH pattern is the textbook signature of primary hypogonadism. Pituitary is screaming at the testes. Testes aren’t answering. No MRI needed. Clean clinical picture for why (retractile testicle as a kid, groin trauma in little league, lifelong sparse body hair).
Phone follow-up mid-June. Going in asking for subcutaneous cypionate twice weekly since I already self-inject for tirzepatide.
The thing sitting with me: I’ve been fighting low T this whole time. Most of what gets called “metabolic adaptation” or “older guy slowdown” is downstream of hormones for some of us. Not expecting magic from TRT. Expecting the floor to come up.
11 lbs to my 300-lb milestone, which is when resistance bands enter the picture (knee osteoarthritis means no traditional lifting). 50% of the way to 200 still to go. TRT decision mid-June. Probable knee replacement down the road, lighter and stronger when I get there.
For anyone who started TRT during active weight loss on a GLP-1: what changed first? Not the obvious stuff. The subtler things. Recovery between days. Sleep quality. Resilience to a bad day of eating. How long before you noticed?
And for the 50-plus guys who got the same LH/FSH diagnosis later in life: what do you wish you’d asked at your first phone visit?
Halfway there. Thanks for reading.