We made it to tiktok

Just my 2 cents, but In my opinion, people who rant and rave into their cellphone cameras to be "famous" have other way more serious issues...

Her posts read like the exhibits from a psychology study on narcissistic personality disorder or one of the fellow-traveler Cluster B disorders (histrionic personality disorder, perhaps).

Note that I don't play a psychologist on TV.
You beat me to it! In my field, the Dx could be F60.3 or F60.4, possible co- occurring or clustered, but I would conclude those2 codes for severe attention seeking behavior. The old Axis 2 diagnostics personality D/O.
 
I think the number of people with the initiative to jab themselves with Chinese Grey market peptides is way lower than you'd expect...
To add to your point, the people using compounding pharmacies now would be far more likely to go the Lilly mail order route (starting at $349 per month for Zepbound at 2.5 mg / week):


OTOH, there are so many people on these meds or plan to be, that even a fraction of a percent is a sizeable number of people.

What's crazy to me is that public health officials are not getting the word out that Medicare will pay for Zepbound if they have sleep apnea.
 
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I think the number of people with the initiative to jab themselves with Chinese Grey market peptides is way lower than you'd expect...
Type in "grey market peptides" on tiktok and open the comments on the videos. It’s all people begging for sources, having no clue how to even reconstitute, where to get needles, etc.

According to creator search insights, 170k people are searched the term "gray market peptides" today. 116k searched "research peptide suppliers". Just in one day…
 
What's crazy to me is that public health officials are not getting the word out that Medicare will pay for Zepbound if they have sleep apnea.
It's not that simple. You're saying Medicare will "pay," there's a big difference between them covering something and paying for something. Medicare "covered" my Mounjaro last year which is in tier 3 with high copays (avg $160/mo). There's a donut hole to deal with where deductable is higher ($771 for 84 day supply). That's for Diabetes.

With Sleep Apnea step therapy may be a requirement. If a CPAP works they're not going to cover Zepbound. Weightloss helps in some cases but only about 30% to 40%. My recent sleep study after significant weightloss (15lbs underweight) disappointingly showed no impact on my severe sleep apnea.

I just checked my (awesome) insurance (Humana) and Zepbound is not covered for any indication. It's not on their formulary in any of their Medicare plans either.
 
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I think the number of people with the initiative to jab themselves with Chinese Grey market peptides is way lower than you'd expect...
In my experience, many people are willing to jab themselves. They're just not willing to go through the hassle of figuring it out. Dozens of people in real life have asked to buy from me after hearing word of mouth that I have sema and know how to administer it.
 
Imy Mounjaro last year which is in tier 3 with high copays (avg $160/mo). There's a donut hole to deal with where deductable is higher ($771 for 84 day supply). That's for Diabetes.
I would have thought some Part D plans would have been better than that. But I am not personally familiar with them. Of course there is Extra Help from Medicare for some folks.
 
In my experience, many people are willing to jab themselves. They're just not willing to go through the hassle of figuring it out. Dozens of people in real life have asked to buy from me after hearing word of mouth that I have sema and know how to administer it.
The media has really gotten better too at basically endorsing GLP1s. Before, it was "this lady almost died" and "this guy is a goner." And if you didn't die, you wish you did with the side effects.

Celebrities losing weight did a lot though to counter the unknown. (Rich people were also the first to making driving cars seem as normal as using horsepower.) And I would have started earlier if I had known that GLP1s have been used in research for a long time.

I am surprised though that the TV media I see, mostly CBS News, has not mentioned the grey market at all. Of course, if they did, it would be "these people are too desperate/cheap/stupid/crazy/poor to know better." Certainly, we are not at the point that grey is popular enough for doctors to proactively warn patients away from it.
 
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I think the number of people with the initiative to jab themselves with Chinese Grey market peptides is way lower than you'd expect...
I understand that thought process but people now rely on these meds and many can't afford pharma and are about to have the rug pulled out from them when the mid year prescription drug insurance kicks glp1s off of the formulary.

If you would have told me three years ago that I would be using peps straight from china I would have said you were crazy and be saying how unsafe it was etc. I have never done illegal drugs in my life not even marijuana. Never been drunk either. Never injected myself with a needle for any reason before Peptides. And yet here I am 80lbs lighter after two years and for the first time since like I was five that I am in a normal bmi range.

I feel like there are a lot of people like me who if they get fed up with the system, will do whatever it takes to be in control of their health. Big pharma and insurance companies could care less about my quality of life or whether I live or die.
 
If you would have told me three years ago that I would be using peps straight from china I would have said you were crazy and be saying how unsafe it was etc. I have never done illegal drugs in my life not even marijuana. Never been drunk either. Never injected myself with a needle for any reason before Peptides.
At this rate, some of us will be shooting up in public bathrooms at the Olive Garden and Applebee's 😂
 
Yeah, I had a coworker with diabetes on insulin who would keep syringes in her desk drawer. And that was obviously understandable. So it's all a matter of degree after that.
 
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At this rate, some of us will be shooting up in public bathrooms at the Olive Garden and Applebee's 😂
Yeah you know I've been all paranoid about sterility and every now and than I just think well junkies are pulling this off somehow and theyre going iv.
 
@nonyabizznez

The Medicare Part D copays for Zepbound seem much worse than I thought, though there is a $2k year cap.



But in addition to Extra Help for Part D (which only some qualify for), there is also a payment plan for anyone on Part D:

 
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@nonyabizznez

The Medicare Part D copays for Zepbound seem much worse than I thought, though there is a $2k year cap.
Yes!
TLDR- it's bullshit! I'm very lucky!

Last year it was more than double that. In the fall during open enrollment I was notified that my Mounjaro script was under review (by my insurer). Medicare provided all the alternate insurers for my state and none covered Zepbound for any indication. Mounjaro or Ozempic for Diabetes only with Prior Authorization. Fortunately the diagnosis alone was enough for my insurer (along with a 45 minute phone call from my PCP with insurance). Compared with other insurers step therapy was involved like Metformin, obstacles that could be overcome but not without a great deal of effort (they count on) most people don't have patience for.

I read somewhere that the majority of script denials these days are coming from AI. In my case initial script was rejected 4 times instantly!

DS Code 11.69 DM with Obesity (rejected 4x)
DS Code 11.69 DM accepted!

The word "Obesity" is an automatic denial. I think after 18 months my script is now considered "Continuation of Care" and now we have labs and results for an appeal situation. It could go away tomorrow and I'm prepared! (Gray)

When I checked the formulary last night interestingly Wegovy is on it (restricted, prior authorization req). I suspect it's for heart patients.
 
The word "Obesity" is an automatic denial.
Don't get me started on that damn obesity code. I was at a standard follow-up with my doctor and at the end of the appointment we briefly discussed my weight and Tirzepatide. He suggested compounding because I told him I *knew* it wouldn't be covered because my insurance sucks... and my insurance proved me right by not covering my standard follow-up appointment because an obesity code was added to my list of diagnoses. I fought with them for months over it because they tried to say it was and "obesity care visit which is not covered." I eventually had to have my doctors office just remove the code all together and rebill. So freaking stupid.
 
Don't get me started on that damn obesity code. I was at a standard follow-up with my doctor and at the end of the appointment we briefly discussed my weight and Tirzepatide. He suggested compounding because I told him I *knew* it wouldn't be covered because my insurance sucks... and my insurance proved me right by not covering my standard follow-up appointment because an obesity code was added to my list of diagnoses. I fought with them for months over it because they tried to say it was and "obesity care visit which is not covered." I eventually had to have my doctors office just remove the code all together and rebill. So freaking stupid.
Yup 🤬
 
Hmmmm maybe we pitch in, buy the guide then post it for free? Because that's essentially what is being done to us. We took the time to do our research and share it with each other... and now someone wants to profit? I don't think so.
From my understanding she just compiled all the info from the STG telegram into a pdf and is selling that.
 
Hmmmm maybe we pitch in, buy the guide then post it for free? Because that's essentially what is being done to us. We took the time to do our research and share it with each other... and now someone wants to profit? I don't think so.
No I took mine down for a reason.
I couldn’t find it either
She took the one linking to here down then posted a story about it and banned anyone who looked at it that wasn't following her
 
I have had blowouts with insurer(s) over "Continuity of Care"
wait for it: sarcopenic obesity with non-insulin t2dm aka MetS
...
i responded well adding in 5-Amino-1MQ on top of keto
impossible to get RLT-72484 so rotation soon with
6-Methoxynicotinamide (JBSNF-000088). [this is "clearance week"]

honestly, had better control (insulin sensitivity) on Actos
but after adding high-dose beta blocker...yeah hello fatso

have a great doctor with a brain. lab orders included insulin: up in the ozone. that got me approved for Mounjaro. seems review board had no comeback for out of range on that one
and EL had a "solution" consider this strategy

added to "standard of care" of 🙄
2g Metformin
DDP-4 (Nesina works better imho than Januvia) added bonus: GLP-1 recycling
SGLT2

best part of the community is "self care" as we rage against the machine as the wheels of time show rust never sleeps.

thanks for tiktok "corrective action"
 
I can't see it sadly. Would love to join the report brigade.

EDIT: incognito window. She claims she'll mostly stop doing pep stuff after Monday because she's a warm fluffy faith person. Then she supposedly will stop her grift.
As long as she stops the public videos I'm happy tbh. Says she'll be posting them subscribers only. I can live with that. Not thrilled with it, but my pitchfork is down. I just don't want detailed instructions to be thrown in the lap of a 14 year old with an eating disorder.
 
As long as she stops the public videos I'm happy tbh. Says she'll be posting them subscribers only. I can live with that. Not thrilled with it, but my pitchfork is down. I just don't want detailed instructions to be thrown in the lap of a 14 year old with an eating disorder.
I find it repulsive and remarkable for someone that claims to be a person of faith and doing good for the community, and in the same breath, sells stolen/plagiarized/freely available information, accurate and not, for money if they feel they can get away with it.
 

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