The Final Dose of Wegovy

1.0 mg (ish)
Last Weight: 195.8 pounds
Down 73.2 pounds (27.2%)

32 injections.  8 Months to the day 73.2 Pounds.  As of today, there is about 2.0 MG in my system.  With a half-life of one week, I will continue to see effects through most of March.  But, as insurance decrees, no more injections for me.  With less than 7 pound left until my final goal of 189 (the top of the normal weight range for my height) I am still holding the line in the hopes that I can make it,

I do love that I am making this pivot as Spring starts to emerge.  As the two-week cough I have had starts to fade, I am looking forward to this transition.  I have downloaded a couple running apps and am hoping to find one that works for me.  I’m excited to have overcome such a huge life-long goal and want to pivot to the next big goal.  Even running a 5K would be amazing.

This journey has been eye-opening.  Re-tooling my brain has helped me realize that obesity is just like any other chronic condition and should be treated as such.  I take pills for other chronic conditions.  Why not for obesity?  It helped make it easy to see how my brain tended towards eating when it was bored or stressed.  The injections simply lowered that food “noise” in my brain which helped me make more active decisions.  I still ate a cookie.  But I wouldn’t continue eating cookie after cookie after cookie.

In the end, I kept focus on the numbers.  Obesity leads to short life expectancy.  My kids are 4 and 6.  I want to see them become successful adults.  I want to enjoy my own retirement.  These realities feel a lot more realistic now that I feel so much healthier.  That alone was worth the journey.

Now on to the next journey.

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 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.

Thank You to My Readers

I would like to start off today with a great big thank you to all my readers.  Yesterday, I uploaded a very personal piece that I hoped would grab a few eyes.  I had no idea.  Within 15 minutes of posting the writing, it had 200 views.  I don’t know if my writing has gotten better or if I’m just becoming more honest in my writing (or both).  But it doesn’t matter.  Thank you for all your support.

Today I am starting what I hope will be a new routine.  The coffee shop I write at is 2.5 miles from my house.  It is the perfect distance to walk.  Today I made the trek and feel great.  It is the perfect way to get my mind going so I am prepared to write when I arrive.  It is also perfect practice for the Peace Corps–which is less than 150 days away now.  I hope this new routine will improve my writing, help me add some muscle, and shave off the final 30 pounds I need to lose.  Only time will tell.

With Love,
Richard

P.S.–For any of you who missed my piece yesterday, here it is: Struggle & Love