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3, 6, or 12 month program
If I'm new to Orderly (and tirzepatide), should I choose the 3, 6, or 12 month option? What are the pros/cons of choosing a longer duration? And how do the 5 month extended vials fit in?
Thank you for all of your amazing research and for putting this site together! Just building this site was no small task, I'm sure!
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New Page - Tips for Stalls
I've just added a page dedicated to weight loss stalls. Such a common part of everyone's journey!
Check out tips for breaking a stall
Cheers ~
Alison
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Type 2 like me? Some things to consider...
3 months into the journey, diagnosed A1c of 7.8 and 70-90 lbs overweight. Told my MD "no, I don't accept this, I'll do what it takes to fix it." Went through a (thankfully) very quick acceptance & rejection of various diets; ultra-low carb, keto, Med, low carb varients of keto/Med, but after a week a close friend told me to watch the videos on nutritionfacts.org The information there was incredibly enlightening and NOT a sales pitch for ANYTHING, just FACTS. And those facts made it incredibly clear that an all-plant (aka vegan) diet was the only way to fix the PROBLEM, not just the symptoms.
I started the vegan diet the 2 weeks after A1c result. I started tirzepatide 6 weeks after A1c result. Titrated rather quickly, on my MD's suggestion, reaching 10mg after 7 week ramp. (Going to 15 2 weeks from today.) Important point here is that (according to…
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Orderly Is Announcing 5 Month Option
Available today - they're sending an email to tell everyone at some point, but here's the scoop! Order now, ships mid-November.
Here's a referral link to get more info / sign up if you decide to get on board before the FDA decision potentially changes in January. Great way to get a jump on New Years resolutions around our health too because tirzepatide may or may not be available. Semaglutide will. Use code GO4ORDERLY for $50 off works in some situations, and I get credit for you using it too. Helps keep the site going since I decided against ads on here. Thanks 🙂
https://orderlymeds.com/2BFN000/homepage
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Selecting medication
I am exploring using tirzepitide or semaglutide. I think tirzepitide is a better choice for my weightloss goals. Given the current status of the FDA case of removing the shortage status of tirzepitide, would choosing semaglutide be a wiser choice? I am worried about starting a tirzepitide and then having to transition to semaglutide if a decision is made relatively soon. Thank you!
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Alison Admin
2 hours ago
Great question. If I were to start right now, with tirzepatide uncertain after the end of the year, I might stock up on tirzepatide with as much as I felt comfortable investing. With you starting out, the dose will be low and a Regenics bulk vial - https://regenics.com/?ref=6231 DROP10 for 10% off - would last you quite a long time (if your provider thought tirzepatide would be a good fit for you). Then if needed, you could potentially transition to compounded semaglutide, which will be available longer.
I do think there will continue to be options for tirzepatide through next year, but that's just a hunch based on my industry info. I don't think people who sign up now for month-to-month will have a problem sourcing it from the reputable providers I talk about for quite a while if they sign up now. I don't know if they'll be able to take on new tirzepatide patients after/if the availability changes, but continue to service the ones they have and offer to transition to sema if necessary.
Emerge to start on tirzepatide M2M
https://go.emergeweight.com/Mys2z2
Orderly for semaglutide M2M https://orderlymeds.com/2BFN000/homepage
Semaglutide has worked for a lot of people. Some people have greater side effects on one or the other but I've read a lot of experiences (a lot) and there doesn't seem to be a pattern. It's highly individualized. I will probably try semaglutide for maintenance. Let me know if that's helpful.
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Things I wish I'd known starting out
I wanted to make a post like this for a while. Things I know now that I wish I'd known from day 1.
Seasoned GLP-1 users, feel free to add your suggestions in the comments too.
Eat enough. Not just enough protein, but eat enough calories. The old diet mentality of low fat and low calories is crippling our metabolisms. This med is a chance to let our metabolism reset and heal. Eat enough to support your body while it gets you to where you've always wanted to be. For me, that didn't mean tracking macros and agonizing over it, although for some people that feels right. Just be mindful to take care of yourself. Undereating causes stalls, then people titrate up when really, they just need to eat.
Get a Renpho scale and the app. I got it halfway through and would have loved to see my numbers when…
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Judge Grants In Favor Of Compounded Tirzepatide Availability!!!!!
Announced 2 hours ago
Written by Dave Knapp (On The Pen)
"Judge Grants FDA’s Request for Remand and Stay: What It Means for Compounded Tirzepatide Access
In a critical development, a federal judge has granted the FDA’s request for a voluntary remand and stay in the ongoing legal case challenging the agency’s decision to remove tirzepatide from the drug shortage list. This decision temporarily halts litigation and provides a path for the FDA to reconsider its ruling on the status of tirzepatide, which has had a major impact on compounding pharmacies and telehealth providers.
What Does the Judge’s Decision Mean?
The judge’s ruling allows the FDA to reevaluate its decision to remove tirzepatide from the shortage list. This is significant because compounding pharmacies have been relying on the drug’s shortage status to legally compound tirzepatide without facing regulatory enforcement. The plaintiffs, who challenged the FDA’s decision, argued that the agency…
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Compounded with... And popular current providers
I am personally considering requesting a compounded version of tirzepatide that will help head off some of the side effects commonly experienced with GLP-1's.
Some considerations are muscle loss, which I have experienced as a woman over 35, but would apply to other demographics as well. Glycine is an option I have heard to add for this purpose. I am told that Red Rock is now offering this as an option.
For energy, B vitamins could be a necessary additive. There are also GI concerns you might discuss with your provider.
I have also read an article that might help somebody about a possible addition to discuss with your provider to help with side effects.
https://www.fshdsociety.org/2024/08/12/muscle-loss-with-ozempic-and-similar-drugs/
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Great question! Usually by "microdosing", we are talking about maintenance phase where we would dose a little, sometimes spaced out, just to maintain. If that's the case here, yes, Orderly offers customized maintenance programs. Some people also just stock up at their full high dose and put it on pause while they titrate down and microdose per the provider's recommendation. But either way, yes, they are a good option for that.
And you're totally welcome! I'm working on a section about overcoming stalls next.