GLP-1s and Metabolic Health After 50
The drugs that reset what is possible for weight loss after 50, and everything around them: access, cost, microdosing, muscle preservation, and the pipeline of what is coming. I am on tirzepatide and write about it from the inside, with the evidence.
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Who’s Really Writing Your Online Prescription?
You order a prescription online and it arrives in days. Some of it is real care. Some is a sales…
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GLP-1s and Cancer Spread: A Striking ASCO Signal, and Why I’m Not Changing Anything Yet
I take tirzepatide. So when the headline came through this week that GLP-1 drugs might slow the spread of cancer,…
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Body Recomposition After 50: How I Lost 44 Pounds of Fat and Gained 9 of Muscle at the Same Time
I’m 53 years old and 170 pounds lighter than I was a year and a half ago. That’s the number…
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Microdosing GLP-1s: What a Doctor on 1.25mg Tirzepatide Is Actually Betting On
I’m on Zepbound at a normal dose, the kind a doctor prescribes and a pharmacy fills. A reader sent me…
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How Americans Actually Get Zepbound and Mounjaro: The Five Channels
The CVS Caremark deal just moved a trillion-dollar stock. Here is how Americans actually get Zepbound and Mounjaro across the…
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Foundayo vs the Wegovy Pill: The First Oral GLP-1s, Compared
The first two oral GLP-1 pills are here. A head-to-head on the real weight-loss numbers, daily routine, manufacturing, cost, and…
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Brenipatide vs Tirzepatide: What the Comparison Actually Looks Like in 2026
People on tirzepatide ask if brenipatide is the upgrade. People reading about brenipatide ask how it compares to the drug…
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I Lost 170 Pounds. Everyone Asked If I Was Doing Keto. I Wasn’t.
I’m 170 pounds down on tirzepatide. The most-asked question I get now is ‘is it keto?’ It wasn’t. A 50-something…
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Retatrutide: What TRIUMPH-1 Just Showed and the Black Market That Got There First
Lilly’s retatrutide just delivered bariatric-equivalent weight loss in Phase 3. The numbers, why the low dose is the real story,…
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SURMOUNT-MAINTAIN: The Trial I Wanted on Tirzepatide Dose Reduction
I am at goal weight on Zepbound. SURMOUNT-MAINTAIN is the trial I have been waiting for. Here is what holding…
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Foundayo: The New Daily GLP-1 Pill (Medicare $50, No Morning Fast)
If you have Medicare and your doctor has been telling you about a new daily pill for weight loss, this…
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Wegovy, Zepbound and Foundayo on Medicare for $50: How to Qualify for the GLP-1 Bridge Before July 1, 2026
Starting July 1, 2026, Medicare will cover Wegovy, Zepbound and Foundayo for obesity at a $50 monthly copay. The program…
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Zepbound vs Grey Market Tirzepatide: When Branded Is Actually Cheaper
Quick disclosure first. I take Zepbound at 12.5mg, prescribed by my doctor and covered by insurance. If the coverage went…
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Brenipatide: Eli Lilly’s Monthly GLP-1 for Alcohol Use Disorder
I quit drinking after getting headaches, looking at the evidence and deciding it wasn’t worth it. Most people with alcohol…
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DEXA Scan During GLP-1 Weight Loss: Was It Worth It?
My answer: If you are losing a lot of weight on a GLP-1 drug like Zepbound, a DEXA scan can…
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FDA approves Eli Lilly’s GLP-1 pill
This will kick the GLP-1RA revolution in a new gear. it’s already one of the most common drug classes in…
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Fitness Journey Part 2: Fighting Insurance and getting on GLP-1 (Nov 2024)
November 2024 Once my PCP prescribed Zepbound, the challenge began: convincing insurance to pay for it or getting it filled…
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NYT: Why Obesity kills American Men
The New York Times published a good article about “Why Obesity kills American Men”. I certainly fall into that…
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Daily Protein to keep muscles on GLP-1
Daily protein intake is crucial to keep muscles when you are on a GLP-1 enhanced weight loss diet. I work…