u/usernamehereahh

Hi! Im looking into making the switch from Zepbound through Ro to a Trizepatide Compound through Rift (I'm sure you can guess why).

I'm looking at going through Apothocary/Hyalo Pharma for compounded with no additives.
I've been on 2.5mg of zep since May 28th of this year (so about 12 weeks). I have 4 doses left and would like to move up to 5mg after this, BUT I would probably like to stay at 5 mg for at least another 2 months and maybe would go up for the third month. But all subject to change depending on how I'm feeling.

My understanding is the $499 payment will provide 3 vials (one vial per month?). I have three questions..

1. If I'm ordering "• Dose 2-6 → Requesting treatment beginning at Dose 2 (5mg) or higher" will I have the option to stay at 5mg (or go up if I so choose) over the course of the 3 vials?
2. If I do have the ability to go up, how high of a dose does each vial offer?
3. I read and understand all the disclaimers around the best if used by dates on the vials, all totally fine with me. Just curious what the usual is. For example if I ordered today, is it usually probable that the vials I receive would at least be good through the end of the year (aka for about 4 months)?

Disclaimer : Apologies if these are dumb questions. I've been spoiled with a kwikpen so far and have zero understanding of how the vials work. Thank you!

This entire thing is just a thoughts dump but maybe there’s people out there who can resonate. I am on day 6 after my first dose. Already I wish I had started this sooner. I know from reading other posts that effectiveness can fluctuate and at some points in the future I might notice food noise return / need to titrate up. But this week was the first week since I was like 14 years old of not having food noise, not exhausting myself with fighting off binge urges, and generally just feeling like a normal person.

I’m paying out of pocket for this as my insurance requires a BMI of at least 40 to qualify (my start was 27), and I’m using it primarily to treat my Binge Eating Disorder which is technically off label. But the money, the side effects (mainly nausea for me so far), is all worth it. Anyone who struggles with BED knows what I mean, the voices were NON STOP. Constant conversations in my head and I was always trying to use my higher brain to try to discern what voices were real and what voices were the binge brain trying to trick me. But the binge brain has shut off ENTIRELY. I am genuinely angry at the thought that some people’s brains just exist like this. People can really just eat when their hungry and stop when their full? I swear before every single time I ate I triggered a binge urge and had to put in the fight of my life to not binge 4k+ calories (at LEAST). It was exhausting. I often lost the fight, and still felt miserable & tired of fighting even when I managed not to binge. It made me afraid to eat at all. But there was no hiding from the urges, it was constant.

This week I ate normal meals and stopped at fullness without a second thought. Never crossed my mind to binge. When I would do intentional check ins with myself, the thought of binging genuinely sounded unpleasant (WHAT?). It’s been truly the most eye opening week of my life. It brought tears to my eyes when I was trying to explain how well this first week went to my Mom.

I see a future without fear foods, where I can have peanut butter in my house simply because I like a tablespoon on toast and I don’t eat the entire jar in one sitting. I can go to family events and be present with the them instead of itching for everyone to leave so I can binge on all the leftovers. The list goes on, I see so much life I can have back. I realize I might be getting too ahead of myself and that I shouldn’t expect it to always be perfect, but I am enjoying the perfect while it lasts.

Hopefully one day soon this will become officially FDA approved for BED treatment so insurance coverage becomes easier. For now just remaining grateful to have access to it at all.

Hope everyone has a win to celebrate this week!