SerLava

Yeah it's pretty cheap in other countries. They made a sleep apnea version as a pretty transparent workaround to force insurance to cover it for people without diabetes. The manufacturer coupons also really help. Insurance can be very fucking annoying about it but so far they have paid for it. At one point they fucked me and delayed it several days and I had to pay full price and get reimbursed via check a few weeks later.

It really really is. It's the best thing about all of it.

After I gained weight my hunger started to really bother me more- I think it's hunger hormones from all the extra fat cells- my stomach would hurt bad, headaches would happen easily, I would get nausea from hunger, and so on. Now I feel so resilient.

If you end up with worse side effects than me, I would definitely recommend treating them aggressively. Fiber supplements, nausea pills, diet changes to reduce gas, etc. Most of the bad side effects people get are actually like... Pretty normal basic OTC stomach upset kind of stuff.

I also had a weird side effect for like 3 days after one of the dose increases, where my skin was sort of sensitive in an annoying way, kinda like having a sunburn. Never came back though.

400lbs is pretty dangerous- you should see if you can get those drugs covered. There are manufacturer coupons.

I have really bad sleep apnea and allergies that can make it hard to treat with a cpap. My doctor recommended a GLP1 for that, and it really helped the sleep apnea. It also is managing some weight gain that I experienced from steroids for bronchitis. The sleep apnea improvement has actually been separate from weight loss..that got better before my weight went down.

The side effects are really minor for a lot of people including me. I get weird occasional nausea for like 10 minutes a few times a week. Really not bad. It also makes you constipated but that's easy to treat.

Some people apparently feel like total shit, but not most people.

It works by just making you less hungry. You eat a normal amount of food and then you're full. It's really that simple. I thought it would make me not enjoy food- couldn't have been more wrong. Maybe if your main enjoyment of food is like eating 3 costco cheese pizzas- sure you can't do that, but tasty food is just as good as before.

The biggest thing for me is that I dont have to FUCKING think about food so much. I have ADHD and a little bit of hunger is extremely distracting and derailing which has caused a lot of weight gain. Now I don't care if I'm a little hungry. Now I can notice I'm a bit hungry, and just ignore it and go to bed, and I won't feel like shit from not eating.

The one other side effect is that your body, being designed to eat food, will try to find other ways to get you to eat... Now instead of hunger pangs when I haven't eaten, I get really sleepy. Like super sleepy. Black coffee doesn't really wake me up, sugar does. By the way, drinking calories is the one way to still gain weight on these drugs, so use sugar water as an emergency wakeup supplement when you gotta drive or whatever, and otherwise don't drink it.

Ignore the stigma, it's stupid and insane. Rich actors are using it to lose 15 pounds, but you are almost 400 pounds. That's unsafe and probably such a fucking shitty painful way to live. These drugs aren't magic but no drug is. Don't beat yourself up, take the best medicine for what ails you. Hoping to lose weight doesnt work, trying really hard doesn't work. Dieting makes you gain weight more often than it makes you lose it. These crazy new drugs actually do shit. I would never risk taking them to lose 15lbs but they are definitely less risky than being 380 or whatever. That much is clear by now.

Protip: if you are willing to get a little fat, you can counteract much of the nicotine cravings by eating candy. Low blood sugar is a major factor in the cravings

There's a rich American tradition of fragging dating back to the Vietnam war. Over a thousand confirmed attacks on officers, killing at least 450 of them, with another 1,400 suspicious deaths, representing a several thousand more attempts.

In the year before exiting Vietnam, the US military largely ended the use of grenades in combat operations

The average sentence for killing superior officers was 9 years in prison

we need to start right wing podcasts where we say the R-slur and support sexual harassment and elder abuse to get women back to the left

bout halfway through season 2, some really great TV. gonna have to wait until im done to watch this and 100 other Andor videos like I did after the first season

definitely both