Dose Five

0.5 mg/0.5 mL.
Last Weight: 251.6 pounds
Down 17.4 pounds (6.5%)

The idea that I didn’t gain weight on vacation is kind of astounding to me.  But it’s more.  I didn’t maintain either.  I lost like three pounds.  And I did it all while delaying my shot by about two days longer than I usually do.  This medicine has already helped me significantly in rewiring my brain.  I always think about portions now.  When I disregard it, my body reminds me with indigestion and a little stomach discomfort.   It is a nice physiological reminder to stay the course.  It always helps stop mediocre days into bad days and bad days into terrible days.

Now, back from vacation and a good night of rest behind me, I have injected my first .5mg dose.  As with my first dose, I am grateful that I have a day without work or kids.  I also have no work until Monday, which gives me a full four days to adjust to the new feeling.  I thought I would be nervous, but I am more excited than anything.  The .25mg dosage did its thing, but there is a lot more to go.  I am excited to get to this next phase.  

I am now a month into this adventure.  I am down 17.4 pounds, or 6.5% of my body weight. One of my first medium-term goals is starting to feel very real.  227 pounds.  That weight marks two things for me.  First, it is a return to the weight that I was able to hold for the age of 22 to 29, before kids.  Secondly, it is the barrier between obesity and being overweight.  It will still take some time to get there, but it no longer feels like a distant pipe dream.  In the meantime, I will focus on a nice short term goal—sub 250.  If I stay on track, I expect to see that before my next shot.  That will be a huge morale boost.

Dose Four

0.25 mg/0.5 mL.
Last Weight: 254.6 pounds
Down 14.4 pounds (5.4%)

It’s hard to believe that I have already lost 5% of my body weight.  But with my goal at 30%, I’m ready for the long haul.  The Loss It app has consistently told me to expect to reach that goal in February of 2025.  That feels crazy fast if accurate—I am expecting it to take closer to a year.  

In the meantime, I take it day by day.  Some days the medicine works so well, I stop short of the calorie goal.  Some days, I do go over.  But there is a big difference between now and the other times I counted calories.  When I go over now, I go over by 100 or 200 calories.  Before, I would loss control.  Have a full extra meal and dessert, going over by hundreds and falling off the wagon entirely.  THat doesn’t happen.  Instead, I give myself grace.  

That’s part of why I weigh myself every day.  On “bad” days, I step on a scale and find that I maintained or gained half a pound—something that will be lost when I take my next great shit.  Weighing in daily isn’t for most people, but it keeps me focused.  I can see the trajectory and seeing what that means every day is extremely helpful.

My biggest issue seem to be on shot day.  For a few hours I get a stomach ache and need to rest more.  The rest of the week is fine.  I will have to watch that as I go up in dosage.  When I get back from vacation next week, I take my first .5mg dosage—a full doubling.  Luckily I will take that on a day when Sofia works and the kids will be in daycare.  Much like by first dose, three weeks ago, I will take advantage of being on my own and listening to my body.

I will make this work.  This is starting to truly feel like the opportunity of a lifetime.

Dose Three

0.25 mg/0.5 mL.
Last Weight: 257.8 pounds
Down 11.2 pounds (4.2%)

Not including day one, my pace of weight loss has been 3.5 pounds a week.  That is half a pound a day on average.  More Importantly, I am still feeling the impact on my appetite.  We went out for sushi today.  Sofia and I split our normal three rolls.  By the end, we were very slow and nearly didn’t finish it.  More and more I have been leaving plates with food on them where I never would have before.  Some days the getting to the calorie goal is difficult.  Other days, I know I’ll go over—but it’s hard to go over by much and not feel physically ill.

The thing that is really surprising to me, is that I am at the lowest dose.  I am supposed to step every month until month five, where I will be kept indefinitely.  If I am feeling the impacts at this level, I am excited to know that it will only become stronger.  I want this kind of ally on my side long term.  It has only been two weeks and it feels life changing. 

Dose Two

0.25 mg/0.5 mL.
Last Weight: 260.8 pounds
Down 8.2 pounds (3.0%)

Well, it’s working.  8.2 pounds in a week is, frankly, too fast.  But I recognize that I needed a starting weight last week and stepped on a scale before taking the first shot.  Now I have been stepping on the scale every morning before I eat.  So that is part of it.  But there is no denying that this is working, and working very well.  The numbers don’t lie and show daily progress.

But the biggest difference is in how I feel and think.  I had never heard the concept of “food noise” before I heard of Wegovy.  Now, a week in, it’s amazing that I had never heard of such a thing.  I guess having food noise in my brain my whole life makes it normal.  Now, without it, there’s this emptiness that I can name.  Food noise.  The thing that makes me open the fridge door when I’m bored.  The thing that makes me absentmindedly eat the rest of dinner that my toddler didn’t want.  Without that noise, I can make conscious decisions.  And it is a hell of a lot easier to make decisions for my health when all of this food isn’t reaching out for me to take it.

I met with my doctor last week.  He said he wants to up my dose one month at a time.  So I only have two more of the 0.25 mg/.5mL.  That will get me through the vacation to Colorado.  Then I will up to the 0.5 mg/.5mL for a month.  If that goes well, he will push me to the 1 mg/.5mL. It’s exciting to have a doctor who is so ready to help me do this.  I want to show him that I am getting big results so that he will keep me on it.  If I am perfectly honest, I will stay on this for the rest of my life if there are no significant side effects.  This will easily help me move from obese to overweight.  But, with time, I think it could help me move from overweight to healthy.

Dose One

0.25 mg/0.5 mL.
Last Weight: 269 pounds

I took my first dose three ago. I was so excited when I got word that my insurance covered it.  I immediately called my pharmacy to ask what was next.  I was expecting them to have not heard from the insurance to tell me they have a shortage.  Instead, they said it was ready.  I ran over to the pharmacy and waited in a decent line.  But 30 minutes later, I had my first four doses in hand.  It was very unexpected after thinking my insurance wouldn’t cover anything.  

I’ve made the initial push to lose weight since having kids.  But it feels like something always distracts me.  I did a good job of losing and maintaining weight before kids.  But with my busy life now, the things that worked before aren’t working.  This is what drove me to start looking for that little extra help.  I was extremely demoralized when I looked into it, thought my insurance would cover Monjouro, and then had the claim rejected.  Seems like no one took the extra step to say, “but we can approve Wegovy.”  After hearing that my insurance has to cover at least one for weight loss, I tried.  And, holy shit, it worked.

Now I’m sitting here three days past my first injection.  I’m at my spouse’s cafe, trying to eat my standard waffle.  I used to be able to eat this whole thing no problem.  Now I am slowing down after the first quarter and struggling to eat half of it.  This is the kind of support I need.  Something that doesn’t tell me what to eat, but how much to eat.  It has only been three days at the lowest dosage and it feels like it has been weeks.  I feel my goals that I thought were too far are now within reach.  My fears of dying before retirement are starting to fade as well.  I have a real chance of making this work.  I feel like this is the best shot I am going to get.  I have to give it my all.