My doctor just told me to stack Tirz and Sema

[Vacation4us]

Just saw my endocrinologist yesterday. I am currently on Zepbound 15 mg ( actually taking amopure T60 while I stockpile). BMI is 25 and he wants me under. Since switching from Wegovy to Zepbound it’s slow going. So he offered me a sample pen of Oz to add .25 mg and titrate up as needed to achieve some more weight loss.

I'm told him I had leftover 2.4 mg Wegovy pens and we discussed me cracking open those pens and using them.

Just thought those stacking or thinking of stacking might be interested.

 

[flannel]

Considering that sema has such a higher affinity for GLP-1, it's not crazy, but it's also not a great first suggestion on his behalf. Metformin increases intrinsic GLP-1 activity while lowering your sugar/insulin and appetite... Bupropion would increase your metabolism and decrease your appetite while increasing energy levels. There's a ton of augmentation you can do before going off the reservation.

 

[Vacation4us]

I’m 15 months in, was on Metformin in the beginning. It gave me excruciating knee pain ( thought it was the statin) Md said nope, it’s the Metformin and discontinued no more knee pain.

I was also on Wegovy and Contrave ( which has Bupropion for those that don’t know) for months, didn’t help and I still have 6 months worth unused. Switched to Zepbound in July.

The closer I get to a normal BMI the slower it goes. MD expectation at this point is a pound a month.

I’m a nurse and this Endocrinologist is literally the best, most knowledgeable, most thorough MD I have ever had the privilege to know. He is 100% NOT a mow, blow, and go provider. I trust him completely. He also trusts that I have the skill and knowledge to crack open those pens and dose myself safely.

 

[Kjm1960]

I’m 15 months in, was on Metformin in the beginning. It gave me excruciating knee pain ( thought it was the statin) Md said nope, it’s the Metformin and discontinued no more knee pain.

I was also on Wegovy and Contrave ( which has Bupropion for those that don’t know) for months, didn’t help and I still have 6 months worth unused. Switched to Zepbound in July.

The closer I get to a normal BMI the slower it goes. MD expectation at this point is a pound a month.

I’m a nurse and this Endocrinologist is literally the best, most knowledgeable, most thorough MD I have ever had the privilege to know. He is 100% NOT a mow, blow, and go provider. I trust him completely. He also trusts that I have the skill and knowledge to crack open those pens and dose myself safely.

Mow, blow and go . You must of been in the business

 

[Vacation4us]

Mow, blow and go . You must of been in the business

Just wish my gardener would spend more time pulling the weeds!

Most doctors think a full physical assessment is listening to the lungs and heart for a hot second and then done. My Endocrinologist actually did a Full assessment, palpated my thyroid, looked at my skin including my elbows, he even took a dang tuning fork to my feet. Ordered a CT scan of my lungs, ultrasound of my thyroid and breast did so much lab work. He is literally my every thing doctor now since I can’t seem to find a decent PCP. The last quack just wanted to sell me vitamins.

As a nurse I feel like I am a good judge of what a good doctor should be. Mow, blow, and go is an apt description for most.