re: Ozempic - Semaglutide/GLP-1

I have been usually stopping at either the 5mg or 7.5mg but I have a handful of folks who want to keep going to the 10mg or 12.5mg. I have zero patients on the 15mg.

The 7.5mg to 12mg is where I see the most GI side effects.

These days I am using more of the Semaglutide instead of Mounjaro since Mounjaro isn't getting covered for weight lose. I have 2 patients who are still paying the $1200-1500 for it monthly. Semaglutide is much cheaper, but less potent since it doesn't have the glucose-dependent insulinotropic polypeptide (GIP) effect like Mounjaro does.

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These days I am using more of the Semaglutide instead of Mounjaro since Mounjaro isn't getting covered for weight lose. I have 2 patients who are still paying the $1200-1500 for it monthly. Semaglutide is much cheaper, but less potent since it doesn't have the glucose-dependent insulinotropic polypeptide (GIP) effect like Mounjaro does.

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are you upping the dose on the semaglutide ( i assume wegovy?) to make up for the less potentcy? and how are you handling the GI issues?

Can we get an anecdotal study on this vs taking bronkaid

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Thankfully my HOA banned these drugs.

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HOA?

Why would anyone ban these?

If I could lose 16 pounds in 2 months I’d be stoked

Not sure if I’d have a 6 pack but worth a try

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HOA?

Why would anyone ban these?

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His HOA is notoriously proactive.

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Can we get an anecdotal study on this vs taking bronkaid

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totally different mechanisms. only 75% of the results from ECA stack come from the appetite suppression effects. 25% from thermo. metabolic rate from 24mg/200mg ec stack is between 7-10.7%.

average weightloss for eca stack is 2.2 lbs/month above placebo slowing at the 4-6 month mark. 8 week average is 7.5% of body weight in the most complete meta analysis that looks at all the studies starting in 89. the appetite suppressing effects are similar to glp1 in that eca tends to slow gastric emptying. ECA stack shines like GLP-1 over 12-16 week period.

for glp-1, average weight loss on wegovy is 35lbs in 68 weeks, roughly 15% of total bodyweight. wegovy and glp-1 do so by controlling blood sugar and appetite suppression. average bodyweight was 232.

for Mounjaro (tirzepatide) the 72 week trial was 5mg caused 15% reduction, 10mg was 19.5%, 15mg was 21%. starting weight was 231 lbs.

glp1/mounjaro are actually really healthy for you overall too. but ECA is certainly a viable alternative if and emphasis on IF you are healthy and tolerate stimulants well. they can also be used in conjuntion and combined with weightlifting and a pretty strict diet....can get stupid results in a short time period.


ultimate OTC fatburning stack


for metabolic health and appetite suppresion:
EC(25/200)- up to 2 caps 3x daily. start with 1 dose in the morning and one at lunch.


for glucose control and crazy pumps
Glucovantage xt- (berberine)- start 1 cap every meal, can go to 2 iwth heavy carb meal

NA-R-ALA- 100-200mg every meal

Gymnema Sylvestre- depends on standardization but normal 1:6 standard would be 800mg every meal

Banaba leaf- @2% Corosolic Acid- 500mg per meal

for cortisol control:
Reduce Xt- 2-4 caps per day


for pure fat oxidation:

TTA-1-2g per day. some people cramp if above 1g
Rasberry Ketones- 1500-2000mg/day
ALCAR-1500mg/day


all of the above can be combined with GLP-1 but i would personally use the glp in place of the glucose control stack if it was me and titrate these things in only if you stall. GLP-1 by itself usually more than enough to induce fatloss.

combine glp-1 with 3 days progressive weight lifting program and some sembalance of eat clean(4-5 days/week) and then you will see amazing results. If you stall you can use any of the above and add in walking 2 days per week.

in the end all of this is cool, the OTC drugs and GLP-1 etc but if you do not set yourself up to maintain the fatloss using a healthy lifestyle to do so and being mindful of labels....then you are just going to go right back to where you were.

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My problem is last time I went to get more bronkaid all they had was primatene that doesn’t work as good smh

Nothing tastes as good as being skinny feels

Would you recommend clen for weight loss

And guys I’m really not that fat I’m just insecure

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no i would recommend lifting weights and stop being a skinny fat bitch

Ima just get tren then

Natures miracle drug

I’m in br

I go around 6