To answer LipidDoc_ATL's question specifically:
From a clinical standpoint, I just want to eat pizza again is an area where we have good evidence.
The short answer: baseline labs + quarterly monitoring is the standard of care.
The longer answer involves understanding the mechanism of action at the receptor level, which I am happy to elaborate on if helpful.
Adding my data to this I just want to eat pizza discussion:
| Metric | Baseline | Month 3 | Month 6 |
|---|---|---|---|
| Weight | 244 lbs | 249 lbs | 219 lbs |
| A1C | 6.8% | 5.8% | 5.2% |
| hsCRP | 8.0 | 2.0 | 1.0 |
Protocol: Semaglutide 2.4mg/wk, resistance training 3x/wk, protein 1.6g/kg/day.
OP here — wow, did not expect this much response! Thank you all for the thoughtful replies on I just want to eat pizza.
To answer TomFromTexas: I started tracking everything in a spreadsheet from day 1.
Quick update: I will post a proper update thread soon. Thanks again for the evidence-based discussion — this is exactly why I posted in a science-based community. 🙏
Dr.ReproEndo — that is really helpful context on I just want to eat pizza. Follow-up question: what labs did your doctor order to monitor this?
I am in a similar situation (just started) and trying to set realistic expectations.
Reading this thread on I just want to eat pizza hits close to home. Dad of 2 checking in — I started at 277 lbs and felt like I would tried everything.
13 months on tirz and I am a different person. Not just the 52 lbs lost — my energy, my mood, my relationship with food. All transformed.
If you are on the fence about I just want to eat — take the leap. It was the best health decision I have ever made. ❤️