r/Zepbound

Never thought I'd have pictures like this!
▲ 274 r/Zepbound

Never thought I'd have pictures like this!

It's been awhile since I've been on this group, but I remember being a new Zeppie not sure where my journey would go. I was only losing 1-1.5lbs per week and wondering WHY I wasn't getting crazy 5, 10, 15lb a week losses. So anyone feeling like that, this post is for you.

I started Zep, after PA issues, finally got meds in my hand March 2025. It was a slow, steady journey, and after 14 months, I went from 234lbs to my 2nd Goal Weight of 160lbs! I wasn't even sure what my goal weight should be, my doctor left it up to me, as long as I was eating, and feeling ok, that I could keep going or stop whenever I felt the need to. I went all the way up to 15mg, but when I hit 160lbs, I was ready to start maintenance. The meds make me sleepy, and I was ready to start feeling a little more normal again. I finished out my 15mg I had, and at 157lbs I went down to 12.5. I don't think I EVER lost more than 3lbs in a single week, NEVER. But, I hit an amazing goal.

Even after lowering my dose, I continued to lose just a little, and I have stayed at 154lbs for the past 3 months. I have a total loss of 80lbs!! That number is insane to me. I never expected that. I never expected to GET to have a photo like this. The first photo was in Jan 2025, this was my wake up call. The middle photo in August 2025 was from my first week going to the gym! I had lost 30lbs with home workouts, before ever stepping foot in the gym. After joining the gym, I lost an additional 50lbs.

This long winded post is a little bit of "Yay Me!" and a whole lot of, don't get discouraged. There were weeks I didn't lose. There were weeks I gained, of course. And overall, my loss was far slower than a lot of people I was reading about. But consistency trumped flash every time. I was consistent, I just kept swimming, and here I am today, 80lbs down, and have kept it off for 3 months, and counting. Don't expect perfection, you're not going to be perfect, and that's ok! Use this tool to help you achieve your goals, in reality, while living life. If I can do it, you can too!

u/ninjamom312 — 6 hours ago

Confused

I went from 260 to 150 and I’m struggling to accept the new me. All I’ve ever wanted was to be thin, but now I’m feeling self-conscious. I can’t find pants that fit right and make me feel confident. I’m not sure if it’s because I don’t understand my sizing yet or what, but they are loose in all the wrong places and my butt is flat as a pancake now. I was never self-conscious about my butt and now I feel like everyone is looking at my saggy back side. I don’t usually wear dresses or skirts, so I’m having trouble dressing for work. Idk I’m just kinda sad and honestly feeling depressed over it.

Another thing, which may sound crazy to some people, is that I don’t like the extra attention I get. I am pretty introverted and like to blend in most of the time. Recently I’ve found that people, especially men, go out of their way to talk to me. It’s hard for me to get used to. I have a boyfriend and don’t want to be rude to these people, but also don’t know how to respond without it seeming like I’m giving attention back.

Ahh, I didn’t realize how much this was going to affect me socially and mentally. I feel embarrassed posting all this, but it has been on my mind a lot and I wanted to get it out.

reddit.com
u/Illustrious_Self3550 — 7 hours ago
▲ 152 r/Zepbound

Weight Loss Success AFTER 45yo?

Please know that I am in no way diminishing the amazing results of younger Zepbound users, but I see far fewer success stories for older folks. Before I was 40, maintaining and losing weight was, frankly, quite easy. Since then, I've only watched the scale increase, along with my midsection.

I'm turning 46 in October, and about to begin my Zepbpund journey. I'd love to hear this process works for those of us in middle-age and beyond.

reddit.com
u/hungrypotato0853 — 15 hours ago

Pizza

Today for dinner my fiancé wanted pizza. I haven’t had pizza or anything “unhealthy” since my journey began, 7/10.

I had a side Caesar salad, and ONE slice of pepperoni pizza. We’re in NY, so you know that slice is big, and not your “average” slice.

After my salad and one slice I was full and satisfied. Before zep I would eat 3 slices easily.

I’ll take this as a win for me.

Today was also shot day! 7 shots in so far and down 15 lbs.

reddit.com
u/peekthroughmyblinds — 9 hours ago
▲ 396 r/Zepbound+1 crossposts

Major achievements!!!!

So this might be kinda long....if you don't have time that's totally fine...just FYI in advance. Lol. So I have been pretty sick for 6 years since covid pneumonia in 2021 and was on a vent... I have been on oxygen since then full time because I was told my lungs would never heal and I would have respiratory failure for the rest of my life. I started Zep Sept 2025 at 381. I had gained about 100 pounds over several years between not being able to be mobile and not able to go out to being depressed and just giving up on life basically if im being honest. Well as of July I have lost 100 pounds and I had family who wanted me to try and get out and come for a visit in DC which meant first time on an airplane, in airports, around people after lots of isolation, just lots of firsts and lots of things I havent done since I got sick. Guys....it was wonderful. The plane ride was fantastic, I fit totally fine in my seat, I hadn't eaten in a restaurant in 6 years and we went out to dinner every night all 5 nights I was there, I got to dress up and felt amazing, ate healthy but enjoyed being out finally, even went to a party while I was there that had over 50 people and I didnt have my anxiety like normal. The biggest thing is that after the first day of arrival my oxygen levels were normal and I did not wear my oxygen once after that and I have been home now about 6 days and still havent needed it!!! It truly is like a miracle. I havent felt this alive in years and years. I even lost 6 pounds in less than a week! I know this is alot of writing but I mean I was told I'd never breathe without oxygen again and I was told my mobility would forever be limited. I went sightseeing in DC WITHOUT OXYGEN! I felt amazing and beautiful in my new clothes and just cannot begin to say how thankful I am for the new life I have and for the meds that have changed everything for me. If you havent started but wanna....don't wait. Start today, start right now! I am now off tons of meds also...A1C was over 7 and now 4.6 and just couldn't be more happy! I went from ready to be in a grave to now being so happy with life that I cant stop smiling and I'm not even to my goal weight yet but honestly I feel like I am and cant imagine how I will even be when I get there since I am already this happy. Even got asked out this week for the first time in 8 years!!!! Life is good. 90 more pounds to go but I cannot wait for the rest of this journey! Here are some shots of my trip. Just an amazing trip!!! Also since the oxygen is better I joined a gym and I cannot wait to get started!!!!!

u/Sudden_Muscle4214 — 14 hours ago
▲ 684 r/Zepbound

170+ lbs Down, Surgery Inbound AMA

A few months ago I posted here after losing 165+ lbs and said I’d update when I knew more about skin removal surgery.

Well, I’m now 170+ lbs down and IT’S HAPPENING!!

My surgery is officially scheduled for September 17th! I’ll be having a panniculectomy + Fleur-de-Lis abdominoplasty with mons repair and muscle repair. No lipo. I have an estimated 15 lbs or more that will be removed in skin and residual tissue.

When I made my original post, I had just gotten to the BMI requirement to start having surgical consults and had absolutely no idea what would happen from there. Now I’m less than a month away, which feels completely surreal.

HW: ~390–400 lbs
Starting Zep weight: 320 lbs
Current weight: ~217 lbs

At this point, surgery isn’t really about getting smaller. The loose abdominal skin causes hygiene issues, irritation, rashes and skin breakdown, and I’m SO ready to see what life is like without it.
I’m nervous because major surgery is, well, major surgery and it’s my first ever surgery, so double whammy, but mostly I’m incredibly excited.

A lot of people had questions about loose skin and surgery on my original post, so AMA again! I’m happy to talk about the consult process, insurance, costs, surgery prep (pre-op isn’t until 9/3 but I still have some idea of what’s ahead), GLP-1s, weight maintenance, or whatever else.

I’m not quite brave enough for public belly/loose-skin pictures yet, so clothed progress pics will have to do for now. 😂 But I’m documenting everything and plan to come back after surgery with the actual before/afters and recovery update.

u/pass_the_prozac — 16 hours ago
▲ 194 r/Zepbound

Excess Skin Removal Win!!!!

Hi all! I posted a few months back about my progress and wanted to share some more wins!

Firstly, I’ve officially lost 188lbs, going from 347->159! I never ever thought I’d get to this place!!!

I had and am fully healed from a skin removal in my back and abdomen and sooo happy with the results!

I now have the INCREDIBLE opportunity to get both an arm and thigh lift, covered by insurance! Tentatively arms in early October and thighs in late December (pending a successful recovery from my arms).

I can not believe getting insurance approval would ever happen and feel so lucky!

I never even imagined this would be possible for me and feel like I am dreaming!

u/Hopeful-Preference71 — 13 hours ago
▲ 1 r/Zepbound+1 crossposts

Gained 10 lbs after missing a dose due to needle anxiety—scared about rebound weight & life post-Zepbound

Hey everyone,

I’ve been on GLP-1s for over a year and on Zepbound since late 2025. I started at 300 lbs, hit a low of 213 lbs last week, and my ultimate goal is 160 lbs (nearly 80 lbs lost so far!).

Recently, I’ve hit two major hurdles and could really use some perspective or advice:

  1. Needle Phobia / Anxiety: About 4 months ago, I developed a severe fear of needles out of nowhere. Now, I gag or nearly throw up every single time I have to take my shot.
  2. Rapid Rebound: Because of the shot anxiety, I delayed my dose past the 7-day window this past week. Within just a day or two of missing the mark, my weight jumped right back up to 223 lbs (+10 lbs in a week!).

Seeing how fast the scale bounced back from just a slight delay is terrifying. It makes me worry that once I stop Zepbound entirely, all my progress will reverse instantly. Because the needle anxiety is getting so bad, I might have to end my Zepbound journey sooner than planned.

A couple of questions for the community:

  • Non-injectable options: Have any of you found daily oral alternatives that insurance actually covers? (My insurance denied Rybelsus/oral semaglutide options).
  • Life after Zepbound: For those who have reached their goal or had to stop taking Zepbound/GLP-1s, what strategies or habits have worked best to keep the weight off? How do you manage the hunger rebound?

Thanks in advance for any insights—this mental battle with the needle is getting tough!

reddit.com
u/amyy097 — 13 hours ago

Unfortunate NSV

Sighhhh the older male patients started hitting on me at work again hahah anyone in health care understands 🙃 on the bright side cheers to losing 30#!

reddit.com
u/backsquatbitch — 11 hours ago
▲ 228 r/Zepbound+1 crossposts

Lost a Recliner!

Life is so much easier when you aren't carrying a recliner everywhere.

u/sorcha1977 — 14 hours ago

day 1 and I already don’t recognize my relationship with food

Started my first dose today. So far today all I’ve had is an 80cal bag of popcorn and three bites of yogurt. I’m not thinking about food.

I opened the yogurt because I knew I needed to eat something, took a few bites, then got distracted on my phone and legit almost knocked it off the couch because I forgot it was sitting there. That has never happened to me. Normally if I stop eating something mid-way it’s because I didn’t like it. I used to read about food noise and think it was just chatter or thoughts about food, but for me, food noise was food being my main “event” or source of entertainment, and now it’s not.

I can tell I could eat a few bites of Chipotle right now if I wanted, but the idea of finishing a whole bowl doesn’t even register the way it used to.

I’m kinda emotional right now to be honest. Now I actually have to plan to eat food instead of just letting my cravings guide my entire day.

Picture for attention.

u/faultolerantcolony — 11 hours ago

How do you answer when people ask what you’re doing to lose weight without sounding like you’re promoting Zepbound as an easy answer?

Someone recently saw me, told me I look great and then asked what I had done to lose weight. I’m all for being transparent, so I told them first and foremost that I’m taking Zepbound. However, I emphasized that it was prescribed to help treat my obstructive sleep apnea, which is genuinely why I started it.

(and I don’t want to lie and leave out the Zepbound part)

I don’t want to hide that I’m taking medication or pretend the weight loss came entirely from lifestyle changes. It is absolutely wrong to do that and spread misinformation.

At the same time, I don’t want to present Zepbound as an easy answer for everyone or encourage people to seek it simply because they saw my results.

To be clear, I’m also not judging or shaming anyone who takes it primarily for weight loss, whether that’s for their health, confidence, comfort or simply to feel better in their body. Those are completely valid reasons and everyone deserves to make their own healthcare decisions. I’m only trying to explain my own situation responsibly without sounding as though I’m personally recommending a prescription medication.

I didn’t even get a chance to explain anything else (like nutrition and exercise) because the person immediately started talking about asking their doctor for it.

How do you answer these questions honestly while making it clear that your experience is individual and you aren’t necessarily recommending it to someone else?

reddit.com
u/BiscottiOk9245 — 16 hours ago
▲ 7 r/Zepbound+1 crossposts

Metformin and Zepbound 15 mg together?

Hello, I am currently on Zepbound 15 mg, and I was offered to take metformin as well. I had started it before, but I had to get off of it because my gas issues were crazy. The diarrhea was the biggest thing. I had a lot of loose watery stools. However, I did see a lot of benefits while taking metformin and Zepbound together, so I wanna try again. Is there any way to manage my side effects.

reddit.com
u/Recent_Tie_4275 — 9 hours ago
▲ 365 r/Zepbound

I FINALLY MADE IT TO ONEDERLAND

Started at 255, now 199! I’ve been hanging out between 201 and 205. Finally! 😭

u/silkthechakra — 17 hours ago

Calorie density is wild

Prefacing this with “No food is bad food”.
.
But since I started this journey and weighing my portions. I have realized some foods cannot be eyeballed. Holy macaroni my use of “healthy granola” in the past was a huge calorie hog. I used to make yogurt bowls in the mornings and was all “Yeah me eating all super healthy!”. I measured out what I used to put on my yogurt and it was over 600+ calories. What?!
.
I still have granola, I just weigh the serving now. Today’s breakfast : 100g frozen (thawed) peaches, 50g frozen (thawed) blueberries, 170g Icelandic plain low fat yogurt, 20g local honey, equals 232 calories, just the 30g of granola I put on top 170 calories ALONE in 30 tiny grams. Breakfast is great at a little over 400 calories and 21g protein. But BZ (before Zep) I easily put a whole cup of granola on my yogurt and called that a “diet” breakfast. 🤣🤣🤣😳

reddit.com
u/_Blupee — 17 hours ago

Perspective

Today I carried a couple of gallon containers of water up a flight of stairs, and it was a bit of an effort. A gallon of water weighs a little over 8 pounds.

Then I realized that before I lost my weight (130 pounds), I was carrying the equivalent of 15 gallons of water 24/7!

Another analogy: last winter I struggled to lift a 40 pound bag of bird seed into the back of my SUV. I used to be “wearing” three of them!

No wonder I used to dread physical activity. What a joy basic mobility has turned out to be.

reddit.com
u/Poutiest_Penguin — 16 hours ago
▲ 193 r/Zepbound

I’m overweight!

For the first time in over 10 years, I’m finally out of the Obese category! I feel so much better than I have in years, it’s hard to believe I still have so much more to lose to hit my goal (180).

u/seabear87 — 16 hours ago

My insurance finally approved!!!

5'4, 32F, 310 pounds

I have been obese my entire life, I have never experienced being at a healthy weight before, but after losing my dad, I realized I wanted to live a long life. I want to be healthy and I do need the extra help. It took me a long time to reach out for the help that I needed especially because my family disapproved on relying on any medications, but at this point, I need to do what is right for me. I want to live. I want to be happy. I'm on Medicaid and absolutely adore my doctor who went back and forth constantly against them because originally they were trying to refuse.

I am a little scared. I am scared of the side effects, but I am terrified also on how much my weight has affected my life. I am excited to start this journey and hope that this could be a safe and supportive place ❤️

I'll keep you guys updated!

reddit.com
u/LoveLettertoPablo — 9 hours ago
▲ 104 r/Zepbound+1 crossposts

I’m out of the 200s!

Im (barely) out of the 200s! I haven’t been under 200 since freshman year of high school (I’m 31). Started at 297 three years ago, and it’s been a slow process with lots of hiccups but I’m so proud. More work to do but today I’m celebrating this win with a mani pedi 💅

Ps- please ignore the body fat %, that is part of the work to be done 😂

u/No_Fix8468 — 16 hours ago

Update!

So here's an update for me. On July 28th my doctor prescribed zepbound for me. On the 30th the PA request was put in. August 4th it was denied and my doctor decided to walk away and not even try any appeals. Fast forward to August 15 using cvs minute clinic

The doctor there was fantastic. She is a specialist in weight loss management and had also prescribed me zepbound. (This was on a Saturday, so obviously the insurance was not in for the weekend).

YESTERDAY 8-18-26 I GOT THE CALL THAT I WAS APPROVED. The biggest feeling of relief flowed through me. Finally the insurance battle (at least this time) is over.

I pick up my Zep today after 3pm and im so anxiously waiting. This is way beyond over due for me. The weight will not come off now matter how hard I have tried in 25 years.

Im so excited to share my journey with you all, and I will be posting a before and after once im 6 months in.

We can do this! ❤️

reddit.com
u/Creepy-Dish-5982 — 15 hours ago