Anonymous wrote:

Anonymous wrote:There are enough crooked med spas and telecoms who don’t weigh you that sure— you can’t a prescription— but maybe only for a compound.

But your BMI is 25-26. Zepbound and Wegovy are approved for 27.5 with a co-morbidity or 30 without. So, no doctor should perceive it for you. And as someone who has lost 90 pounds on these meds in 14 months— you don’t want it. The weight won’t stay off more than any other fad diet unless you take it forever. And the side effects are not trivial. Worth it to me, with a starting BMI of 45– yes. I’m saving myself from diabetes, a knee replacement and probably a bunch of other health issues. For vanity weight? Not your drug.

Do you plan on taking it forever?

PP and forever is a long time. And drugs in this field are developing rapidly. So, who knows where I’ll be and what my options will be in 5 or 10 years. But yes, the plans is to hit my target weight, then take a lower dose less often to maintain, as well as continue with the extensive dietary changes I’ve made (probably added some rice and bread here and there), the weight lifting, cardio, yoga, etc. I’m over 50 and a woman. It’s not realistic to think I will be able to maintain a 100+ pound weight loss long term without medication. Just like it’s not realistic to think I can control my migraines without the preventative meds or my cholesterol without a statin (it’s still a bit high after 14 months of a pristine diet). Some chronic medical conditions require long term medication. And I’d rather maintain a healthy weight on Zepbound than be taking Ozempic because I regained and developed diabetes.

Obesity is a chronic health condition. I’ll be treating it somehow forever. I do have high hopes the treatments will continue to improve though and be more effective with fewer side effects.

The difference between me and Op is that the extra 100 pounds I was carrying was starting to significantly damage my health, and would have continued to do so, and eventually killed me at a relatively young age. Even at my maintenance weight, I’m not going to be looking thin and trim and have a bikini ready body. But I will be relatively healthy. OP is a healthy weight and nothing in her post suggests she has a health related reason for needing to lose weight. Obsessing about being BMI 25 and wanting to be BMI 22-23 isn’t about health. It’s about vanity. Unless OP is leaving out a crucial piece of information.

Anonymous wrote:There are enough crooked med spas and telecoms who don’t weigh you that sure— you can’t a prescription— but maybe only for a compound.

But your BMI is 25-26. Zepbound and Wegovy are approved for 27.5 with a co-morbidity or 30 without. So, no doctor should perceive it for you. And as someone who has lost 90 pounds on these meds in 14 months— you don’t want it. The weight won’t stay off more than any other fad diet unless you take it forever. And the side effects are not trivial. Worth it to me, with a starting BMI of 45– yes. I’m saving myself from diabetes, a knee replacement and probably a bunch of other health issues. For vanity weight? Not your drug.

Do you plan on taking it forever?

Have you tried intermittent fasting? This works for me when I am 25/BMi, so healthy weight but want to lose 15-20 lbs. Try starting your calories at 11am and nothing after 7pm. Or 12 noon until 8, whatever works best. Try not to eat too many carbs. If you fast and you also remain low carb, you will drop weight. Make sure you’re eating fats in there too though so that you are not starving yourself and you feel satiated. I have just been doing this in the last two weeks and I’ve lost 6 pounds. This also worked for me years ago to lose 20. It doesn’t feel like dieting.

There are enough crooked med spas and telecoms who don’t weigh you that sure— you can’t a prescription— but maybe only for a compound.

But your BMI is 25-26. Zepbound and Wegovy are approved for 27.5 with a co-morbidity or 30 without. So, no doctor should perceive it for you. And as someone who has lost 90 pounds on these meds in 14 months— you don’t want it. The weight won’t stay off more than any other fad diet unless you take it forever. And the side effects are not trivial. Worth it to me, with a starting BMI of 45– yes. I’m saving myself from diabetes, a knee replacement and probably a bunch of other health issues. For vanity weight? Not your drug.

Will a doc prescribe Zepbound if you only have 20-30 pounds to lose? I’ve done everything I can but can’t get beyond this threshold (5’1 and hover between 135-140. Ideally I should be 110-115.) I don’t care about paying out of pocket, but hoping a doc can prescribe it…