r/antidietglp1

I am on this group under my other account which I access via my iPhone app but I am at work on my laptop and I don't want to switch names and forget. All that to say, I know there are specific rules, but I cannot remember if rule #5 includes asking for GLP-1 informed/friendly MDs names in a specific geographical area? I know sharing <insert online Telehealth or pharmacy name> is not allowed.

Anywho, this is especially good to ask here if allowed, but I want to make a list to share locally with more anti-diet MDs who also are informed and supportive of GLP-1s as a tool like my own MD is locally (but she isn't taking new patients).

I was going to create a document to share to others locally so they don't go the back door route with the lash lady who mixes it up in her backroom (this is a real conversation I had last night at dinner with our server!).

If allowed and not taken down, I will create the actual post for the Indianapolis Metro area. If not, I totally understand.

Thanks so much!

I just switched from Wegovy to Zepbound, and I’m worried I’m making a mistake.

I had stalled for 2-3 months on 1mg semaglutide, and also could tell my inflammation and pain was returning, so I titrated up to 1.7mg for a month. Pain reduction is still my main goal. This restarted my weight loss + all the positive effects I had been experiencing, but also gave me even more GI symptoms and allodynia.

My doctor decided to switch me to Zepbound, and it has been ROUGH. I’ve sick since taking my first dose with nausea, stomach cramps/pain, and so much fatigue. I did have a pretty rough first three weeks titrating up to my latest Wegovy dose, but I don’t know if I felt this bad?

I was not told to do any kind of tapering, so I know I have both of the medications in my system right now. This is the first time I’ve felt like my appetite has been absolutely KOed and I’m completely food-averse. And on top of it all, I don’t think I’m going to see the scale move this week. 🫠

Do I just need to give it time? I was hoping my side effects would get better and I was not expecting a sucker punch of side effects all of a sudden.

My best friend started taking GLP1s half a year ago. They've shared their struggles with eating and weight ever since I've known them (11 to 30s now). We often have frank discussions about our health and sometimes I don't know what to say when talking about GLP1s and other aspects of their journey.

How can I best support my friend on their journey?

I have been on Zepbound since December of 2024 and have lost a lot of weight. However, I haven't seen any significant weight loss in almost four months. I just started 15mg two weeks ago and it doesn't seem to be aiding in weight loss anymore.

I am satisfied with the amount I've lost, but was hoping to lose a bit more. Does the medication "give out" at a certain point?

I was wondering if anyone here sees an APRN/ nurse practitioner as their primary care provider vs an MD or DO. I’m moving states soon and will need new medical care. I’ve been on a GLP-1 for just over two months and realize it’s probably a lifelong drug for me. Just curious if there is any care NPs can’t provide, especially for people on this class of drugs, and how your experiences were. Thanks!

I was super excited to day to get my first prescription filled and take my first dose tonight but it was just announced that the new generics are being shipped to pharmacies and should arrive in a week or two. I'm a little disappointed but I think the savings will be worth waiting another week or so.

Anyone else waiting for the generic? Either to start or switching from a brand name.

I wanted to share some recent experiences with my doctor to highlight positive examples of anti-diet patient care with GLP-1 use. I’ve been with my PCP for about 4 years and she’s wonderful on all fronts!

Pre-Zepbound: I was able to discuss my curiosity about the meds without being afraid of judgement and/or a huge shift to focusing on weight loss. I’m currently disabled and have a history of a restrictive eating disorder (which happened in my current, larger body). She kindly expressed concerns about past eating disorder behaviors being activated if I were to take the medication. She also knows I’ve been in a good place for a long time and wanted to provide me autonomy to make the decision about trying Zepbound or not. I brought up all the non-weight-loss reasons I was interested in trying it, as well as some medical procedures that require a BMI lower than my current one. (BMI is garbage and also a very real barrier to care that would improve my quality of life.) We talked about common side effects and insurance coverage. I expressed that I didn’t plan on tracking anything at all (weight, food, exercise) and had zero intention for making any significant changes. We didn’t talk about expectations of weight loss, eating less or exercising more because those weren’t things I asked about.

Fast-forward to a check up after my 6th shot: At every visit the nurse weighs me on a scale that I can stand on backwards. My weight is recorded but not announced. They know to do this without me even asking because it’s listed in my chart :) And yes, I can decline, but due to some wonky medical stuff I usually opt in so someone other than myself can catch any unusual changes.

I expressed some difficulty with a dose increase and described strategies I’ve been using for adequate nutritional intake and GI symptom management. I said I wasn’t sure if I should go back to the lower dose. My doctor was sympathetic about the challenges I was experiencing, offered some insight and left the decision to stay or decrease up to me. She asked if past eating disorder behaviors were feeling triggered (nope!) and if anyone around me was worried about that (also no). She asked me to message her if things didn’t improve within the next two weeks. She didn’t say what my weight was or indicate if anything changed, make any weird comments about side effects being a good thing, encourage restriction, or make me feel bad about saying I was struggling. She just wanted to make sure I was okay and felt supported in my quest to feel better.

If you don’t have a doctor like this one, I guess I just wanted to say that they exist and are worth looking for. You deserve to be treated with kindness and dignity while also having your individual needs recognized and supported.

Please tell me y’all hate when this constantly gets pulled out in the other subs, in response to when a family or friend or coworker makes mostly any comment under the sun that isn’t perceived immediately as positive?

Is it possible someone is jealous? obviously yes, but it is the most insane self-centered response I can think of to resort to the GRAND majority of the time. I literally see it commented multiple times every day! I feel like more often than not, the people close in your life are just used to seeing you a certain way and it can be super weird to see big changes in other people, and i think it’s normal for other people to notice it / maybe be concerned if they have no other context of you personally. It doesn’t mean they are correct, or right, or should be commenting on your body whatsoever, but it also doesn’t mean it’s coming from a place of jealousy, of all things. (but it also doesn’t mean they are wrong, and I think the “they’re just jealous” framing lets people who do develop genuine EDs slip through on ego of other people)

I feel like it is such a toxic narrative, and another version of “he hit me so i have to hit him back” kind of vibes. Like we spend so much time with fat-phobic people and aggressively mean comments, is people’s first response really just to hurl weird hurtful things back? Feels like a cop out to me, idk.

What do y’all think?

My wife and I are both interested in starting GLP-1, but we're at a crossroads.

I am cool with going through an online provider and tela health. Sign me up, get my prescription mailed to me, and then essentially just find a dosage that I don't feel like crap on but I'm losing weight.

My wife on the other hand wants a medical professional's opinion and to have routine test done to monitor her health. The only issue is I cannot find a route that doesn't involve going to a weight loss clinic that has some fancy website that gives off professional vibes instead of "Botox and lipo are the way to go".

How do you find a reputable doctor or something? Or if you do an online provider, how do you manage the health tracking side? Just make it a point to visit your PCP every 3 months and have a blood test done?

I was on the phone with my mom last night and she mentioned that my dad’s Dr might be starting him on a GLP-1 soon because he’s diabetic and his A1C has gone up.

I think this is great news and hope he can get it covered by insurance. I’ve been on self-funded tirzepatide about 6 weeks so far and I feel great. It’s been confirmed with genetic testing that metabolic problems relating to satiety and energy levels are very much in our DNA, and while I’m currently healthy according to medical tests, I’m trying to treat the metabolic issue preemptively, in my 30s, before it starts affecting my health. Weight loss is happening, but it feels more like a visible side effect of a functioning metabolic system than the goal itself.

And when I’ve been talking to my mom about this, I thought she understood that perspective. I’ve explained to her that on the meds, my brain knows when I’ve eaten enough, and something like snacking on a piece of fruit will actually satisfy me. I feel energized after eating instead of sluggish. I can eat the nutritious whole foods I’ve always enjoyed along with daily treats and don’t feel overcome with constant sugar cravings or hunger. I wake up at 7 full of energy. This is all new to me, and has shown very clearly that the way my body functions without tirzepatide is so obviously outside of my control.

But as soon as we talked about my dad taking it (even with the knowledge that a rare metabolic disorder runs on his side of the family) my mom went on and on about how he’s capable of eating huge amounts, listing in detail a recent breakfast out as an example. She brought up things he ate when they first met that shocked her. (Nothing resembling my own eating habits, but that’s beside the point).

What really got me was when she mentioned that my dad couldn’t believe how big he used to be pre diabetes diagnosis, and proceeded to list MY CURRENT ACTUAL WEIGHT RANGE as this unbelievably huge and unhealthy size to gawk at. Like “it was amazing he could walk around at all”? (I’ve jogged 5ks at this weight and I’m 3 inches shorter than him. Wtf.)

Which 1) tells me my mom somehow has no idea how much I weigh and 2) thinks our genetic disorder is pretty much just a tendency toward gluttony?? Or something like that? She talked about it with this combination of amazement and disgust that I found incredibly triggering. I didn’t say anything to her about it, but felt so, so uncomfortable. She’s been talking about my dad’s dietary habits like this since I was a kid, but ffs we know now that it is not breakfast’s fault 🙃

I guess it just reminded me I still have a lot to work on when it comes to shame around my body/diet/lifestyle. For years I’ve been so preoccupied with being a healthy fat person, prioritizing whole foods and regular activity. I learned about HAES a decade ago and thought if I’m destined to be this size, I might as well eat legumes and lift heavy weights and do some cardio while fat. Clearly GLP-1s have changed my situation by treating the underlying dysfunction, but I hate that I’m suddenly feeling embarrassed about my size after working so hard to accept it. If anything, the fact that I’m the same size my dad used to be *even with a deliberately healthful diet and lifestyle* shows how genetically predetermined our body type is.

Does anyone have experience or advice about this weird, messy headspace I find myself in? Allegedly neutral about my body size, AND happy to be on the GLP-1, AND completely freaked out by the way people see me and my current weight?

It’s almost like it was easier to accept my fatness when I thought I was permanent. Now that my body seems to be changing, a lifetime’s worth of baggage is catching up to me.

Without discussing numbers or sizes, I am on maintenance now. And I’m ready to get rid of things that really don’t fit. I even have a beautiful Ralph Lauren summer dress that I bought on clearance that still has the tags on. It was snug when I bought it, and hung in the closet as I went through sizes, and now is way too big. I have another gorgeous dress that was also never worn. And a whole bunch of things that I’m really ready to part with. The last time I did any of this, was years ago, and really the only option was eBay. Not sure if that’s the best option anymore. I’ve been on the hunt for new things, and have purchased from Poshmark and Vinted. So tell me, what’s the best option for me to get some money back on all these pretty dresses in my closet, so I can get some new ones. 😊

Hi all, I’ve posted on here a few times and cannot express how accepted I’ve felt from this community. I wanted to share my experience 1.5 years into this and reflect on the successes as well as the struggles I’m still facing. I appreciate anyone who takes the time to read this.

• I’ve realized the “honeymoon” phase of my GLP1 is long gone. The initial loss of appetite and reduced food noise does gradually come back, at least in my experience. This is NOT to say it is what it was before my GLP1 and I can still easily consume reasonable portions without binge eating. However, not being nauseated by food 24/7 initially freaked me out. I hate to admit that, but it’s true. I still spiral sometimes thinking “the medicine has stopped working!!!” When it’s just my body telling me it needs food…
• I’ve been a slow loser. I’m still very much overweight despite my labs improving. I am nowhere near where I thought the GLP1 would take me, especially given the posts I’ve seen online of people’s bodies significantly changing. I’ve only gone down maybe 1 size in clothes but haven’t had to buy a new wardrobe.
• I’ve come to realize most people I know who are on GLPs are eating less than me and doing so in a sometimes concerning way. I have a friend with a history of disordered eating and I watched her use her GLP1 to essentially never eat. There are many criticisms of these medications and while I don’t agree with most of them, I believe there’s far too many people using them in a harmful way. Existing within the GLP1 community is just straight up triggering and toxic at times.
• dosing. I’m on semaglutide and due to my weight plateauing, I’ve decided to increase to 2.4mg. Making this decision? It led me to tears. I always wanted to stay on 1.7mg as long as I could which sounds a little silly when I type it, but I guess it was a psychological safety net for me. In my mind, the 2.4mg represented a last and final effort if things got worse. Realizing now, my body might be at a maintenance point, while also accepting that it’s not the body I was expecting to have from this GLP1…it’s just been an emotional experience.

All of this to say, I don’t regret any of this at all. This community encouraged me to take the first step and just try it. It’s not been easy. There’s been so many hard days where I’ve wanted to give up. But there’s been just as many good days, knowing my body is finally getting treatment for the metabolic dysfunction it’s been suffering from for years. I’ve come to understand by body more, appreciate food in a different way, and view my health more holistically. And frankly, I see this as a lifelong medication, so being 1.5 years in, I know I need to give myself grace. This isn’t a race, and there’s a long road ahead.

Last week, I woke up as usual, had coffee, walked the dogs and got ready for work. My car had other plans so I ended up having to get a repair done. First they had to do the diagnosis and I planned to wait around for that part. That took about 30 minutes. Then they said it would only take a few hours to fix so I decided to hang out and work on email.

Old me would have been worried about what I was going to snack on and what I was going to have for lunch. Old me would have located a restaurant within walking distance. Old me would have put a granola bar in my purse. Old me would have seen the free snacks and drinks and thought what the heck may as well have a few.

New me worked on email and scrolled the internet. New me had a free cup of coffee. New me was shocked when the car was ready and four hours had passed and lunch had come and gone. Old me would have had her brain screaming at her to stop and pick up something quick for lunch. Old me would have been shaky and starving.

New me went home and ate lunch and went to work.

Am I "normal" now? (answer is no but I do wonder if this is how other people get through life).

Just wanting to celebrate. I have binge eating disorder and am super super fat. I’ve struggled with finding a dietician who kinda threads the needle, one who won’t shame me for seeking IWL while also still wanting to practice intuitive eating, while using a glp1.

I had my first appointment today and while it was so scary I feel so much relief. She was very factual, non judgmental, and talked about evidence informed stuff we could do like food exposures. For the first time in a long time I feel hope I can get better and change my relationship with food.

I have found it rly hard to find someone who “gets” me. I find that normcore dieticians usually shame me for having binge eating disorder and being fat, while body positive dieticians were shaming me for being gluten free and pursuing anything that wasn’t strictly HAES. It was like I could find no one anywhere.

I just need to celebrate with people who understand! Last year, my labs showed that I was prediabetic, and my AST and ALT were also elevated (so much that my PCP sent me for a liver ultrasound to see if there was liver disease). My triglycerides have always run high, and that worries me because it was my father's primary indicator of heart disease (which he died from at age 70).

This year it's almost completely turned around! My AST and ALT are both normal, my doctor's office actually flagged my A1C as a bit low (it's 4.7, they have the "normal" range listed as 4.8-5.6), and my triglycerides are only the tiniest bit elevated - in fact I'm guessing by next year they'll be in the normal range!

I'm so excited. This is so much more important to me than what size I wear, the number I see on the scale, or how people perceive me - not that those things don't affect me, but my primary reason for being on these meds is to live longer and healthier. I still need to work on moving more often and lifting heavy things to build muscle, but I'm just thrilled to see these changes after a year on semaglutide!

I’m pretty seriously considering starting a GLP and I feel a bit lost as to where to start with getting it prescribed etc…I’m going to talk to my GP and see if she’s open to it and I guess see if my insurance will cover it? But also am unsure if it’s a better route to just try one of the online places to get it? (Is that the same as “compounded?”). Also just in general, what else do you wish you’d known or would you want to tell someone who’s thinking about trying it?

I’ve been microdosing semaglutide for the last two months for mast cell stability, inflammation, and early insulin resistance and am starting to see benefits but am REALLY struggling with fatigue. I already have Long Covid as well as several other health issues that cause fatigue and brain fog, but I haven’t been this low on energy for this long since the first few months after the Covid infection well over a year ago.

I’m trying to get by on disability so the semaglutide is a major expense for me. I’m considering trying tirzepatide to see if the fatigue relents, but am pretty concerned about how I’ll be able to afford it. Before I decide, I’m hoping for some input from others who’ve experienced fatigue, and especially would like to hear if it was different on one med vs the other.

Also: I’ve been lurking for a while and am grateful for this community and its nuanced discussions, other GLP-1 subs are ickyyy

Edit: Hey, everyone. Thank you so much for all these great responses! I want to try to reply to everyone individually soon. Just rather swamped with things right now!

Hi all. I'm so glad a sub like this exists. I have a history of a couple different eating disorders, and I am also at a weight that is rather impractical for living my daily life, at least in my case. Most of my weight gain happened years ago, but I'm still slowly gaining weight for reasons I'm not exactly sure of. (I know I have prediabetes and PCOS, but they're both being treated.) It's a pain (sometimes a bit literally) to care for myself, and I'm nervous that I won't fit into my parents' cars pretty soon. And while part of my mobility issues are due to my mildish cerebral palsy, I believe I could move around better if I weighed less.

I thought my anti-diet dietitian would be totally against a GLP-1 when I brought it up to her. But she's not. She said she would have been a few years ago, but she's seen GLP-1s quiet some people's "food noise" and give them more peace. She said she'd help me make sure I'm not eating too little if I go on one. My therapist, whose primary specialty is EDs, is on board if that's what I want. My PCP and psychiatric nurse practitioner are on board. In fact, my not-so-anti-diet PCP would love to put me on a GLP-1. But she didn't put the idea into my head initially. I'm just tired of my current situation, and that's what put the idea into my head.

I know it would be a bit difficult financially with my insurance not offering coverage for non-diabetic GLP-1 prescriptions, but I think (or hope) it could be made doable. I've researched options, and going through a manufacturer's direct program seems most doable. I'd ideally like to be on Zepbound due to my sleep apnea and it being helpful for that, but I may have to settle for Wegovy cost-wise. I'll see.

So, I'm wondering a few things:

1. Has anyone with mobility issues aside from just a certain amount of body weight taken a GLP-1? And were you able to maintain your strength and not lose too much muscle?
2. If you've had to stretch yourself financially to afford a GLP-1, has it been worth it?
3. If you have issues with needles (I'd put my needle aversion as mild when receiving vaccinations or doing labs; never yet had to inject myself), are you able to cope?
4. How have your GI side effects been? Did they get better over time?
5. I'm also open to hearing about experiences with EDs and GLP-1s.

After about a year on zepbound I reached what I considered to be my "goal". I put that term loosely because a specific number wasn't really my goal, my goal was good health (which I've achieved) and feeling confident and comfortable in my body, which I also reached. I reached that milestone about a month and a half ago. I declared myself "in maintenance". I continued with my 7.5mg weekly dose, but decided to stop weighing daily and added in an extra snack or two each day to increase my intake (I never counted calories on this medication and never will).

However since then I've slowly dropped a few more pounds. Not really a big deal at first glance as my BMI is still in the overweight range so there was room to go down. But those few pounds have made such a drastic change in my body. Suddenly, even my smaller clothes that I bought are now too big. I need new jeans in the next size down. I'm staring down the barrel of a full wardrobe replacement! The problem is, I really don't want to lose any more weight. I have never been thin. I am tall with broad shoulders and a big frame and I think I look best with some curves.

I don't know where to go from here. I'm afraid to drop my dose down to 5mg because I don't want the food noise to come back, and my doctors office is very slow with putting in prescriptions so I'm afraid if I need to switch back to 7.5 it will take a long time. I don't think spacing out doses would work well either, as I have my weekly shots timed to have the least appetite suppression on weekends so I can enjoy heavier meals or alcohol with family and friends. I can continue trying to add in more calories but my intake and activity varies so much day to day that I'm not sure how to go about it without counting. Any tips? Does it level out?