Before You Quit Your GLP-1: What Changed the Second Time w/ Teresa Keever

Teresa Keever’s first experience with tirzepatide lasted only eight weeks. The fatigue and digestive side effects consumed her weekends, left her barely able to eat, and made the standard dosing schedule feel impossible to sustain.

Six months later, Teresa tried again, this time working with her provider on a lower, slower, split-dose approach. She shares how that personalized strategy changed her experience, helped make the side effects manageable, and supported a loss of more than 50 pounds.

**IN THIS EPISODE**

- Why Teresa stopped tirzepatide after only eight weeks
- How GLP-1 medication changed her understanding of food noise and willpower
- Her experience with compounded medication and split dosing
- Why slower titration made treatment more manageable for her
- The lifestyle changes that became easier after losing weight
- How she approaches protein, exercise, and nutrition without rigid targets
- Why she plans to continue GLP-1 treatment for long-term maintenance
- The importance of personalized care and ongoing medical oversight

**ABOUT THE GUEST**

Teresa Keever is a nurse by background who now works in healthcare administration. After years of navigating weight loss and weight management, she began using a GLP-1 medication and ultimately found a clinician-guided approach that better fit her individual needs. She joins the podcast to share her personal experience with side effects, compounded tirzepatide, split dosing, and long-term treatment.

**SPONSORS**

CaloCurb is a plant-based supplement designed to support appetite control. It is not a replacement for medical care, but it may be one tool to discuss with your healthcare provider. Learn more at https://calocurb.com and use code ANA10 for 10% off.

Tyde Wellness offers GLP-1 programs with licensed providers, personalized dosing support, nutrition guidance, and access to a care team. Visit https://tydewellness.com/GLP1Hub and use code GLP1Hub50 for $50 off your first month.

**CHAPTERS**

00:00 Teresa’s experience with split dosing
00:28 Why she returned to GLP-1 medication
01:34 Meet Teresa Keever
02:17 A lifelong weight-management journey
03:44 Rethinking willpower and food noise
05:06 Insurance, telehealth, and compounded tirzepatide
06:54 Side effects and stopping after eight weeks
09:05 Returning with a slower, split-dose approach
10:28 Teresa’s results and current side effects
11:02 Movement, exercise, nutrition, and protein
14:09 Family reactions, stigma, and glucose changes
16:05 Long-term treatment and maintenance
19:26 Healthcare attitudes, access, and cost
20:50 Combining telehealth with primary care
23:04 What to discuss when side effects are difficult
26:08 Why personalized GLP-1 care matters
28:53 Visualizing medication levels with GLP-1 Plotter
30:49 Hopes for the future of GLP-1 treatment
31:41 Final takeaway and dosing-safety reminder

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*The content of this show is for informational purposes only and does not constitute medical advice. The goal of this show is to provide various points of view about GLP-1 Medications. The personal and professional opinion of the guests and their content does not necessarily reflect the opinion of Ana Reisdorf or GLP-1 Hub.

Transcript

SPEAKER_01 0:00

Because some people don't even need to go all the way up. They can be successful and maintain a lower dose, and that's good because that'll minimize some of those side effects. Um, I think split dosing is something to talk about if if you're willing to do that. The tricky thing is with the branded medications that are in those preset doses, so it doesn't allow really for that to happen. And I think that's why in my situation, compounding has been a lifesaver.

SPEAKER_00 0:28

Eight weeks in, Teresa quit her GLP 1. The side effects wrecked her weekends. She could barely get off the couch, she could only stomach chicken soup. Six months later, she came back with a different approach. Now she's 18 months in, down over 50 pounds, with almost none of the side effects she had the first time. Welcome to the GLP 1 Hub Podcast. I'm Anna Reisdorf, registered dietitian and GLP1 user. Side effects are the number two reason people quit GLP1s right behind the cost. But Teresa's story is a reminder that a lot of people aren't actually quitting the medication. They're quitting the set protocol. So today I'm joined by Teresa Kleaver, a registered nurse who walked away from the standard dosing schedule and came back doing it differently. We're talking about split dosing, why the standard ramp up is too aggressive for some people, and how she got her glucose out of the pre-diabetic range without losing her weekends. Now let's get on to the episode. Welcome to the GLP1 Hub podcast. I want to welcome today Teresa Kiever, who is going to share her personal GLP1 story and how she approached things a little bit differently than the uh standard protocol. So, Teresa, why don't you introduce yourself and tell us a little bit about who you are?

SPEAKER_01 1:51

Yeah, thanks for having me. It's uh it's a pleasure to be here talking to you about this. So, um, like like she said, my name is Teresa Keever. I'm a nurse by background, but you know, work in administration and healthcare and have been on a GLP1 this time around for about 18 months now and have been well versed in my journey in weight loss and weight management over the years. So nice to be here.

SPEAKER_00 2:17

Yeah. So what when did your weight journey kind of get started? Like when did you go on this path?

SPEAKER_01 2:25

Yeah, so I mean, probably like many people, it's really been all my life since I was a teenager. It it was really on my radar since about that point and have done and been semi-successful on different things, including, you know, Weight Watchers, several, several iterations of Weight Watchers through the years and, you know, calorie tracking and that sort of thing. So anybody who's of my era, we probably did similar, similar things. And it really, you know, was over the past few years as the GLP ones became more known that I started considering that path. So it's been a it's been a long journey.

SPEAKER_00 3:05

So when did you first find out about the GLP ones? I assume as a nurse you were maybe like early, early in the wave.

SPEAKER_01 3:11

Yeah, I mean, when I was first hearing about them, to be honest, I was still in that mindset and um of well, you know, I I should be able to do it on my own. And so uh I really didn't didn't look at it very seriously when they were first kind of gaining traction at that point. But I can talk more about what changed my mind about that that perspective.

SPEAKER_00 3:34

Had had you tried weight loss medications before? I had not, no. No, like fed, I mean, some people have done fedramine, me personally, those types of things, no. Okay, so as you were learning about them, maybe through your medical career or or just in the media, kind of hard to miss sometimes. What was it that was like making you be hesitant? And then what was it that finally changed your mind about them?

SPEAKER_01 3:56

Yes. So I think being hesitant was I felt like, well, you know, I I put all the onus on myself again. Like I thought it was really a willpower thing. I'm just not trying hard enough or I'm not sticking to things well enough. And I honestly just didn't have any understanding of what was happening in my brain, that that other people weren't thinking the same way. People that didn't have weight issues were not thinking, their brains weren't working the same as mine. I had no idea about that until I started the medication and and noted the difference. And you know, I'd seen people have success, and I was like, well, what's the harm in sort of trying that and see what my experience is? I'm not committing to life if if it doesn't work for me or if I don't agree with how that's going. And so I opened myself up to uh, I guess, a just a bit more of willingness to be curious about it because the only thing else that I hadn't tried was surgery, right? Um, and so I was like, well, it's it's more important to be healthier than it is than to hold that stance and let's let's at least get curious about it.

SPEAKER_00 5:06

Sure. So which was the medication that you tried at first? Trusepatide. Okay. And were you able to get it covered by your insurance or prescribed by your doctor? Like how did you go? How did you go about getting it?

SPEAKER_01 5:18

I did talk to my doctor about it and she was willing to write the prescription, but it was not covered by my insurance. So that at that point I looked into telehealth and what my options were to do the compounded when I learned about it.

SPEAKER_00 5:33

Okay. So did you feel confident in the compounded as a nurse, or did you have any like hesitation about not going brand name or I really didn't because I'd I've known about compounding before.

SPEAKER_01 5:43

A lot of people haven't really been familiar with it before hearing about it with GLPs, but it's such a critical part of healthcare. And I know you I actually heard it on your conversation with Sabina Hemi, and she talked about, you know, the customization that's been around that's so important for different examples of people who either can't swallow medicines in their current format or they're allergic to an ingredient. So I've always felt comfortable about that. You have to do your homework, you know, you look for certain things that reputable companies and reputable pharmacies. So knowing knowing that and doing my little homework on that, I felt comfortable with it.

SPEAKER_00 6:22

That's good. So you like probably working in healthcare, it's just like a little easier. Same with me. I felt like with my mother's cancer treatment, she had to do a lot of compounding. And so I like had familiarity with the process. Right. So it's just like, okay, this makes sense to me. And I and I've been on hormones too. So it's like a lot of that is compound far compound medications or compound hormones. So you got your yourself some trazepatite and you were able to get it through a telehealth. And so then what happened? What was the next thing that that happened? Right.

SPEAKER_01 6:55

So I started on standard dosing, right? And standard increase, which was sort of at that time, you know, it was like, okay, you start at the five, you you go up to 0.5 in a month, and was on it for I think a total of eight weeks before I just said, I have I cannot continue like this because of the side effects. Okay. Namely, my weekends were shot because the day after taking the dose, I was just so fatigued, didn't want to do anything, and only felt like I could eat like maybe chicken soup for the first couple of days. And that's on the very low dose. And I was like, there's no way I can do this sustainably. And, you know, it just wasn't wasn't working for me. So I had to stop at that point and take take stock of what's next.

SPEAKER_00 7:47

Did you try troubleshooting any of that? Like sometimes, you know, not like people have nausea, so they take zofran, or you know, there's a lot of things that one could do right to kind of did you did you try any of those things or or you just felt like quitting the medication was a better option?

SPEAKER_01 8:03

No, I did try some of those things, and you know, with magnesium and just you know, trying to get the protein in before you take the dose and some of the things that I'd heard working for other people. And they may have had some impact, but not not enough to make a huge difference.

SPEAKER_00 8:21

Sure. And so after eight weeks you quit. Had you lost weight in those eight weeks? I would assume if you're just in.

SPEAKER_01 8:27

And I I will say, you know, other than the side effects, I was uh, I mean, it totally blew my mind. I mean, I'm sure you've heard this from other people, you know, as soon as the positive effect of it started working, I was like, wow, that's what it's like to not have that chatter all of the time. And this is really amazing. And I was really sad to say, I can't keep doing this because it on the other hand, once the side effects, you know, after a couple of days would settle down, it was great for those other five days of the week. Sure.

SPEAKER_00 9:02

But yeah, I just didn't balance out. So how long between like how long did you stay off of it after you decided that you like didn't want to live this way?

SPEAKER_01 9:12

Yeah. I think it was about six months before I started looking into giving it another try. And I had seen somebody online talking about split dosing. And I was like, huh, I've never heard of heard of that. What what exactly are they doing? Did they say, well, you know, because of the side effects, they started at a much lower dose and they split the dose, taking the same weekly dose, but splitting it into two over the week. So one every three and a half days, essentially. And I was like, maybe that would make a difference. And so that's when I really got started about thinking about restarting. And did you speak to your prescriber or your doctor about doing that before you started doing it? I did. And she was supportive of it and said that makes sense. And um, let's let's try that and let's start a lower dose and take it really slow to increase it as well this time.

SPEAKER_00 10:08

And so now where are you? Like, did you go up from that dose or are you still on that small split dose? Like where how did that progress?

SPEAKER_01 10:16

Yeah, no, I'm about 18 months in now, and um I'm still split dosing, but I have increased. So um I'm at the uh upper end now, but still have more room to increase if I need to. Okay, and how are the side effects? Really minimal. I still have a little bit of feeling tired the next day, not nothing that I can't deal with. You know, I try to take B12 to help with that as well, and but it's it's manageable, don't have the same GI side effects either. Those seem to be pretty rare.

SPEAKER_00 10:48

Okay. And you're still on the the trazepatide? Okay, and how much weight have you lost in the 18 months?

SPEAKER_01 10:54

Yeah, so um a little over 50 pounds at this point. Awesome. And uh still still working on continuing that.

SPEAKER_00 11:02

Good. So, what about some of the like lifestyle things that you changed or maybe were able to do more effectively, or what other things besides like weight loss have you experienced?

SPEAKER_01 11:14

I mean, it's just so much more easy to move and want to move. So movement's been a big change. Exercise used to be sort of a d thing I would dread, you know, partially because it was uncomfortable, I'd lose my breath really easily. Um, I don't now as much, and I've got a regular gym routine. Okay. And doing cardio and the weights to really help with that muscle as well. So that's been really nice. Being able to go on hikes and then really enjoy that instead of it feeling like, oh gosh, am I gonna be able to manage it? So that's been really nice.

SPEAKER_00 11:46

Good, good. And then anything that you've changed with your diet or supplement routine or any, you know, recommendations you have for the people?

SPEAKER_01 11:54

Really, I mean, I've always taken a multivitamin and a vitamin D, and now I've added in B12. I don't do it every day, but when I feel like I might need that extra energy, I've added that in as a supplement. But other than just trying to do the, you know, get your fruits and vegetables. And I I do watch and track my intake, particularly just kind of keeping an eye on the protein. I don't try to hit any certain macros or anything like that. I just want to do it for awareness. It really helps me to stay aware of where I might be, oh, I might be getting less protein than I thought, or you know, so it's just helping me with keeping awareness on that.

SPEAKER_00 12:31

Of the protein. Yeah. So you're not trying to hit a specific goal necessarily every day? No.

SPEAKER_01 12:36

Yeah. Or or a calorie goal. No. I I mean I stay in the same sort of range, but I don't try to hit a certain number. Right.

SPEAKER_00 12:43

Do you have any do you take any uh protein supplements or do you try to get your protein from food?

SPEAKER_01 12:48

Mostly from food, but a lot of times if I want a quick breakfast, that's where I'll get my extra protein with like a fair life or a protein bar. But other other than that, it's usually through food.

SPEAKER_00 12:59

Yeah. I think that's those convenient options are always good to just kind of have on hand because we're busy. Right. That's right. At least get it, get it done. If you're reducing or coming off your GLP1 medication, one of the biggest concerns may be what happens when hunger and cravings return. Callowcurb is a plant-based supplement designed to naturally stimulate your body's own GLP1 response and support appetite control. In clinical research, Callowcurb was shown to reduce cravings by up to 40%, hunger by up to 30%, and calorie intake by up to 18%. Its latest six-month clinical study also reported nine times more weight loss than willpower alone, greater reductions in body fat and visceral fat, and more importantly, no loss of muscle mass. Callowcurb is not a replacement for medical care, but it can be one tool to discuss with your healthcare provider as part of a plan for managing appetite. To learn more, visit calocurb.com and use the code ANA10 for 10% off. That's calocurb-c-a-l-o-c-u-r-b.com and the code Ana ANA 10 for 10% off. What about people in your life? How have they reacted to this and how have they been supportive or not? Have you heard any haters?

SPEAKER_01 14:18

Well, um, I haven't sort of broadcasted out too much, other than family members, but everybody's been very supportive. Um, I think one of my family members had, you know, like, well, do you really need to do that? What about side effects? What about long term? But I think once they saw how I was doing and that it was helping and knowing that it outweighs some of the risks that, you know, having extra weight brings on. And my glucose had started to get into that pre-diabetic range, and now it's back in the normal range. So I think once they they saw that, it was no not a big deal, and everybody's been been great. Have any of them started it because of you? No, just as just out of not needing to.

SPEAKER_00 15:04

Okay. Okay. Sometimes I'll tell people what I do, and then they'll be like, I'm on it too, you know? They maybe wouldn't have offered that information if I didn't say it what it what it was, you know, but it's just interesting how often people say that to me.

SPEAKER_01 15:21

Yeah. Yeah. Hopefully it's becoming, you know, that's a hope of mine that people don't see it as a a cheat or a uh something that they have to be secretive about. I mean, not not not that you have to share, you know, obviously what you're doing for your health with everybody, but hopefully people won't feel like they they can't if they wanted to.

SPEAKER_00 15:41

Right. I think that the um the understanding that us as healthcare practitioners have that obesity is a disease, right? And needs to be treated, like if that could spread a little bit more to the general public, to where you don't shame somebody for taking blood pressure medication or diabetes medication. So why would this be any different? But we're certainly not there yet. Uh-huh. Yeah. Hopefully we're making progress. So, in terms of like your long-term plans or any concerns you have, do you have any like concerns about staying on the medication long term? Do you plan to stay on the medication long term? Like what is what is your goal, let's say, for the next 18 months or maybe longer?

SPEAKER_01 16:18

Yeah. I mean, I have no plans to get off of it. You know, hopefully if I get to a weight where I want to maintain, then I can work on, you know, getting to the lowest needed dose and see where that is. But I like how my brain is on the medication. And so I don't really have any desire to start fighting that again. And I know from having to take a break and also, you know, at one point having to take a pause um with the medication that after a little time, all that noise just comes right back. So I don't have the thought of, oh, I'll hit my weight and I'll stop it. I I think this is something that I'll need to be on to be able to be maintaining and be successful long term.

SPEAKER_00 17:04

Right. Yeah. I think that there's a lot more research now coming out about maintenance. And hopefully we'll understand more like what exactly like a protocol looks like, right? Because we're kind of shooting in the dark a little bit. Like, what do you do? You know, I think that there's an understanding that a lot of people do regain the weight, but does that mean like you have to stay on 15 milligrams of trisepatite forever? You know, like I don't there's no plan for that. Right. So I can't see people just doing random things trying to figure it out. Um, but I would love for there to be like an answer. Exactly.

SPEAKER_01 17:38

And you know, one thing I I'm curious about, and hopefully we'll hear more about this through trials and so forth is the the oral medication. Seems like that could be a good, it could be good to move from the injectable to an oral for maintenance. But I'm not sure. So we'll see. I that's something I'm curious about.

SPEAKER_00 17:56

Yeah, I mean there's there's a lot coming that I know that the Eli Lilly trial, their new oral, did did research it specifically for maintenance. So I'll take a look at that probably the second part of this year to see if that might be an option for me. But the injection doesn't really bother me. Doesn't bother me either. I'm I'm used to it now, it's no big deal. And now that I've switched, I switched from the pen to the needle and I like it better. I was scared. Do you? Yeah. But I it doesn't hurt. It hurts way less than the pen did. I was scared of it.

SPEAKER_01 18:30

Yeah.

SPEAKER_00 18:31

So anyway, yeah, it does it really doesn't bother me very much. So as a nurse, I would assume you weren't ever afraid of the needles, or were you? You know, it's funny.

SPEAKER_01 18:40

I'm not afraid of needles when it comes to other people, but I was at first just doing it to myself. You know, I started doing it mainly in my thighs because I was like, the stomach seems more painful to me, but it really wasn't. It was totally fine when I moved there as well. But no, I think it's just the matter of trying to do it to yourself. That's a little different. But after the first one, I'm like, oh, this is this is fine.

SPEAKER_00 19:06

Yeah, at first I actually had my my kid push the button. Oh, yeah. Because I couldn't like bring myself to push the button, you know, and he didn't like, oh, this is great. Like, yeah, I'll do it, you know. But he it was it was really scary at first, too. But now it's like the needle's so small, it's it's no big deal, you know. What about at work? Have you talked to people at your work or any anybody have any thoughts or feelings about GLP1 where you work?

SPEAKER_01 19:34

I really haven't had conversations. Well, you know, and I had my previous role, one of the areas that I worked with was lifestyle weight management. So they're all uh, you know, of course, up to speed and very supportive of of that for their patients and finding the right treatment plan.

SPEAKER_00 19:53

So they were already like aware and not being judgmental. Because I think that some healthcare practitioners have taken their time to get on board.

SPEAKER_01 20:02

True. And, you know, there's some learning curve as any new thing comes along and learning how what's working for patients and what's not and what they're up against. As I recall, when some of those became more available, they were excited to have something else to offer their patients. And so, of course, it's still a struggle right now with access. I mean, we know with insurance coverage being changing and not widespread at this point. So hopefully over time when prices can maybe hopefully come down and we'll see people get better access to it later on.

SPEAKER_00 20:34

Wouldn't that be nice? Wouldn't that be nice the price came down a little bit? But it seems to be improving. You know, the new oral Wagovi is $149 for the starter dose. That's the lowest I think we've really seen for branded. So I think that we're on the right path, I hope. Absolutely. Have you been with the same telehealth provider this whole time or have you moved around?

SPEAKER_01 20:55

I have been because they have a program where you sort of the longer you're with them, the more you purchase, you get sort of discounted pricing over time. So that's been nice to have that. I've thought about moving and and kind of keep an eye on what some of the other companies are doing, but at this point I'm still getting a a good good price there. So I stay with them and I'm happy with the quality.

SPEAKER_00 21:19

Okay, good. Have you found have you do they provide any additional support like dietitian or like have you gotten those things of additional things?

SPEAKER_01 21:29

They don't I don't believe they do dietitian, but you can you have I think a fair number of visits with the physician if you want to check in with them. So you can do more than, you know, what's required to start. But you know, I I uh check in with them about the medication, but I also still have a relationship with my main primary care physician too. Um because I think that's important, you know, with the labs and just kind of telling them what I'm doing. And so I sort of have two two care providers in my camp, so to

SPEAKER_00 22:00

speak for that. Yeah, I think that's I mean, I think that's important. I wish that everyone would start with their primary. And I know that that's not an option for everybody to stay there, right? Because of Medicaid costs and other issues. But like you really need somebody looking at you who knows you and all like everything in the history and all of that. Because I think that it's if you're just going to a telehealth provider, like when I first did it, it was like somebody that didn't even see me or talk to me. Or I don't know if this person was a man or a woman because I never had a conversation with them, you know?

SPEAKER_01 22:28

Right. Yeah, I totally agree. And I I would advocate for that too is to even if you know you you go to compounding like I do and and you can't do that with your established primary care physician. I think it's still good to keep that dialogue and let both of them know the whole picture and and so that you're taking care of everything and, you know, like tracking my A1C and seeing how that's doing and checking in with the other labs and talking about other options too for the future. I think that's that's critical to have somebody that's looking at your whole picture in addition to just your prescribing position.

SPEAKER_00 23:05

Definitely so what advice would you give to somebody who is just starting and maybe they are really struggling with side effects? Like what what would you tell them steps they might want to take?

SPEAKER_01 23:16

Yeah I mean I think really working closely with their provider to figure out the a dosing schedule that makes sense. I, you know, I I know earlier on I think that there was more of a okay we go up with the months and the next month. And I think there has been this is my just observational that providers are getting okay we don't need to as long as the dose is working we don't necessarily need to go up so quickly. We can take the time and after if that's starting to not work as well then we'll we'll go up to the next dose. Because some people don't even need to go all the way up. They can be successful and maintain at you know a lower dose and that's good because that'll minimize some of those side effects. And you know I think split dosing something to talk about if you're you know um willing to do that. And I think the the tricky thing is with the branded medications they're in those pre preset doses so it doesn't allow really for that to happen. And I think that's why in my situation compounding has been a lifesaver because even if I could and wanted to be on branded it would I wouldn't have been able to do it as successfully because of the limitations there on the on the dosing. So I think that's something worth talking about with your provider is is this make sense for me? Should I try splitting the dose or any other method of minimizing those side effects so that you can be sustainable and successful on it.

SPEAKER_00 24:42

Yeah. You guys remember my conversation with Beth a while back, the one that became one of the most popular episodes? Well Beth is from Tide Wellness and that conversation is the reason I'm comfortable telling you about them today. So many people lose weight on GLP1, feel amazing and then six months later they're back to where they started because the program ended or the provider disappeared or they were never set up for the long haul. But Tide Wellness is built differently licensed providers who actually adjust your dosing as your body changes a real care team you can message when you hit a plateau or have a question or need help. Nutrition guidance designed specifically for how GLP1s change your appetite and if you've got questions you can book a consultation and actually talk to a provider a rare find in this space. If you're looking for more than GLP1s they also do microdose GLP1 programs, hormone therapy, longevity peptides and the kind of support that matters when you're trying to feel your best long term. Tide is built with support by a team that really cares. Go to tidewellness.com backslash GLP1 hub and use the code GLP1Hub50 for $50 off your first month. Again it's tidety wellness dot com backslash GLP, the number one hub and the code is GLP one hub50 I agree. I agree and I think that I agree with you that there is more of an understanding that maybe the even the five or whatever might be too high for some people. That's right. You know and like that was my experience too when I first started as the doctor whoever this person was who's prescribing that I never saw I just kept pushing it up pushing it up even though I was losing five pounds a month which you know was was perfect like the perfect amount to lose and they just kept going up and it got to a point where I couldn't eat anything. Yeah yeah and I was I I'm like I don't want to live this way like I like to eat you know I don't want to be in a point where I can't and like I think there's more of an understanding about that now in terms of personalization.

SPEAKER_01 26:48

Really that's I that's the main key here is yeah and I think that's a piece that's sometimes missing in the compounding conversation because I think we don't you know I get the um wanting to ensure safety and of course I'm all for that and I think we need to be thoughtful consumers but we don't want to throw the baby out with the bathwater, you know? And when you look at some of the stats they say well so many people are discontinuing GLP1s it's either the main reasons are costs, which we know. And number two is side effects. Well it may it may be that that person could be successful and get back on the medication and minimize their side effects if there was another approach available. So it may not be the medication it may be the approach.

SPEAKER_00 27:35

Yeah I I I agree and I I think that the widespread like telehealth I'm not against telehealth at all. I mean I I I'm using a telehealth like I think that there are plenty of good people doing good things but like the widespread use of telehealth and like prescribing and see later I think has done a lot of people a disservice.

SPEAKER_01 27:52

Yes. I agree with that and you know and I I again I was listening to your conversation with Sabina Hemi the other day and she has the uh platform to evaluate different telehealth providers and I think that's a great site because especially if you're new to it, I think it does make sense to seek something with more support so that you can really learn how you're gonna, you know, what your journey is going to be like and what your needs are and if you need you know dietitian support to to walk through that with you.

SPEAKER_00 28:20

So I think that would be really key to look for especially for somebody just starting yeah yeah anything that you can learn if you're like really brand new is going to be useful like said personalization like whatever that might mean it could mean split the dose it could mean timing the dose in a certain way it could mean eating certain things or you know there's just so many things and I and I think that people and maybe as a nurse you see this two people want like a blanket advice for everybody. Right. Like I my husband's always getting annoyed with me because I always am answering my comments you should speak to your doctor. You should speak to a dietitian I can't answer this question on YouTube.

SPEAKER_01 28:54

Right. And you know and I come from a well-being background integrated medicine background and my the big piece of that approach is you know person centered whole person care and and really working with the person's goals. And I think that's what this really shows is when you really you know take that individual approach you can get much more success and adherence and outcome that way by taking that approach. One thing I wanted to mention it's not something I'm affiliated with I just think it's really useful thinking about the dosing is there's a website called glp1plotter.com and it actually visualizes your dose so you could say okay I'm I'm taking you know five milligrams each week and it shows sort of the half life and the it graphs like how much medication's in your system. I think that was really helpful for my brain to look at comparing the weekly dose to the split dose because I didn't peak quite as high right to get that side effects. And I also didn't dip quite as low because I was taking it more frequently. So the medication in my system was much more steady which I also think is part of the reason for that minimal minimal side effects.

SPEAKER_00 30:04

Yeah I'm interested I wonder too with the oral now that you have to take every day you know I'd assume that the steady that it be is more steady in your system also. I think so too yeah. For me I haven't really had a whole lot of side effects but I like that the medication goes down because then I can eat a little more on the days that it's lower to kind of make up for my nutrient needs not to like not to order 40 cheeseburgs just to like get a little more nutrition in, make sure I get my protein in like have a little more wiggle room on my diet. So for me that's like that's work this whole time. But other people might need a little bit more consistent intake. So so that's that's you just got to find what works for you. Yeah for sure. Awesome. So Teresa, what are you excited about for the future for yourself, for GLP1 world? Whatever you want to share.

SPEAKER_01 30:56

Yeah so well for GLP1 world I you know I keep an eye on what the the latest new you know some of the new medications are they're working on what that's gonna look like. So I think that'll be interesting the orals and what those in impact and experience will be and again access and cost I hope that more people will be able to get access because that's such a big big concern and you know it's been such a great change in my life. So I I you know want others to be able to benefit from that as well too.

SPEAKER_00 31:28

Yeah awesome I agree I hope that more and more people can see the benefit and we can get newer medications that maybe are effective for different types of people and I think the the future is bright. Mm-hmm absolutely well thank you so much Teresa for being here I really really appreciate your time and and your willingness to share your personal story. Yeah my pleasure thanks for having me. Thank you for listening to this episode and I do want to provide just a quick disclaimer that any changes in dosing or split dosing or anything like that is something that you really should work with your provider on and not just guesstimate and do it by yourself, because this is a prescription medication that does require medical oversight. So I wanted to present the story because there is flexibility within that as long as you are in communication with your provider and they know what they're doing and they're working with you to find the best solution for your particular situation. And if you want more advice on your GLP1 journey um nutrition advice mindset all the things that you need to know make sure you're subscribed to the Steady State newsletter you can find the link in that in the show notes below and I'll see you in the next episode