FreshFluff

I had my new patient intake for Wegovy on Monday. It was a good appointment. The NP was thorough and I left with a script for Wegovy. I knew I needed a pre auth for my insurance but other colleagues with identical plans and fewer comorbidities had no issue, so I was guardedly optimistic it would be approved.
I receive a message from the weight clinic yesterday afternoon.
I was livid. I check out the app and see the
 
On closer examination of the visit notes, it’s clear my NP had spent an inordinate amount of time documenting this behavioral information that I shared for transparency’s sake but only included a subordinate clause about my lifetime of obesity and the myriad attempts and programs I have tried. Having read that, if that’s what submitted for the pre auth, no wonder it was denied. I could’ve predicted that based off the notes. The notes were not representative of most of the office visit. I was livid, as I said.
I call my insurance. I filed an appeal. I’m not hopeful because the NP’s as is are damning. I can’t believe she would submit that in that form if the hope was to get the pre auth approved.
I spent last night very demotivated, demoralized, and defeated. I initially had a sense of true hopelessness that made me think, “Why bother keeping on?” I got out of that…But it is yet another hurdle. And an unnecessary one. It’s the typical “did you try dieting and exercising?” trope.

I read this thing once about how the people most knowledgeable about nutrition are overweight people because we’ve been trying all our lives to make those rules work for us. But hey – we need to be enlightened so we realize we can restrict our calories and modify our lifestyle and that will solve everything right there. Simple as that! Eat less. Do more. What’s the issue?!
🙄 

3 month update...lost about 30 lbs so far still got 60-80 to go, and my bloodwork is ALL normal to fantastic for the first time in decades. Cholesterol 150, A1c 4.9, etc. Even my liver enzymes are in normal range.

I was never in the closet at work--I was a college professor--but no one I worked with actually asked whether I was gay (I think they may have taken it for granted, because I lived in the center of the city with another man). When I proposed to teach an elective class in gay literature, the department chair didn't ask about my qualifications, but he wondered whether anyone would sign up for it, so I said, "We won't know until we announce it, will we?" So we did. To my surprise, most of the students who signed up for it were straight (or claimed to be) but curious about the subject. A young woman who was a student in a previous class of mine was the only person who asked me--privately--if I were gay, so of course I said yes, and she signed up. To my relief, enough students signed up for the course to run it, and on the first day of class I expected that someone would raise a hand and ask if I were gay, but no one did.  We were a couple of weeks into the class when I was explaining something,  a student raised his hand and asked, "How do you know so much about that?" so I matter-of-factly replied, "Well, I'm gay myself."  A few students exchanged knowing looks with one another, but no one said anything about my answer. By the end of the semester, only one student had dropped out, and the question of my orientation never arose again in class.

Has Crumbl come out as a private equity company?

Has Crumbl come out as a private equity company?

Has Crumbl come out as a private equity company?

Merry Christmas!

@josh282282 I just crossed the 10% threshold. Do I get my Ozempic rx now? 😘
Because I eat out 1-2 times a day, I’m losing about a pound a week. That’s fine with me. The weight loss may slow down further. 
13 pounds to go..

The Novo Nordisk spokesperson also told Best Life that the company "cannot validate the safety or effectiveness of compounded products claiming to contain semaglutide that are not one of our own branded products. Compounded products do not have the same safety, quality and effectiveness assurances as our FDA-approved drugs and may expose patients to health risks. Patients can help protect themselves by only buying medicines from legitimate sources and with a prescription from a healthcare professional."
Pharma gonna pharma  😏
 

I'm good with magic pills as long as the risk-reward tradeoff makes sense. Just as antipsychotics turn off voices in the heads of schizophrenic people, GLP1s the constant feelings of hunger that cause obesity in the first place.  So far, so good  
Of course, the question is what are the medium- to long-term side effects of the drug itself? Big pharma's constant gaslighting ("These side effects are caused by rapid weight loss. Nothing to see here."  does not help. Time will tell.

Depends. Am I passing only you, or am I also passing the first place runner?  Also, am I the only runner passing you?

Depends. Am I passing only you, or am I also passing the first place runner?  Also, am I the only runner passing you?

He was in third you were in second.  Now he is in second and you are in third.  The good news is that you now have two asses to watch instead of one.  

True confession: when I was a 21 year old graduate school student with very little money, I discovered that rentboys hung around in Philadelphia City Hall courtyard. (The Internet, personal computers and smart phones hadn't been invented yet.) I decided to try my luck selling my wares there, too. I dressed in what I thought showed off my best qualities without being outrageously obvious, and went there to hang out. After twenty minutes of lounging on a bench and giving questioning looks to every male who glanced at me, an older man sat down next to me and started a conversation. After a few minutes, he asked how much I charged. It suddenly occurred to me that I had no idea what the going rates were, so I said what sounded like a reasonable rate to me, not too much and not too little: $30. He seemed to think that was OK, so he said he lived in West Philly, and he suggested we go to his place. When we got there, he told me to get undressed. I was surprised, because I thought that rentboys never did anything but get their cocks sucked, but I did as he said. Then he got undressed, too, and there was nothing about him that aroused me sexually. He grabbed me and kissed me, and then offered his ass to me, but I couldn't get hard, so he started to suck it. I closed my eyes, and my cock immediately came to life as I fantasized that I was somewhere else with someone else, and shot in his mouth, which surprised him. He was obviously disappointed, since I didn't lose any time getting dressed again. After a very perfunctory conversation, he shoved a couple of bills in my hand and showed me the door. When I was a little way down the street, I took the bills out of my pocket, and they were two tens. I didn't blame him.
That experience was what taught me that I was not suitable for the profession of sexual provider.

I may have screwed up in the original question and answer.
 
Let me get rid of the pesky pronouns.  
 
A is in second place. B passes him (or her with deference to @FreshFluff)
 
What place is B in?

Beautiful lion. He needs to go easier on the eyeliner though.

I lost 20% of my body weight at a rate of one pound a week. I’m now a few pounds below the goal weight I described above. I opted not to take GLP1s. 

These are Japanese dwarf flying squirrels.

Yes!  And it feels good after a long time up and down mountains.   When I used to go camping and hiking once a month, my routine when I returned always included a soak in a warm bath🛁 followed by a massage with a massuer who worked the buttocks.

I have yet to try it, but from what I have read, insurance pushes back hard on GLP1 coverage. For many people, compounding is the only option. 
 
That said, Wegovy's cash price is dropping because of the competition from compounding pharmacies and from Lilly's Zepbound.

Many telehealth shops will prescribe GLP1s with no questions asked if you’re willing to pay out of pocket. 

I read that the samples expire in about 2 months. Might be a good time to start and see if it helps. 

I lost weight without GLP1s, and my doctor is suspicious that it's the result of a malignancy. That would be a remarkable coincidence: I gained weight for years until  I read a book on how to stop eating at night, and quickly started losing weight. But I see where he's coming from: it was easier than it should have been given my age. We'll see how long my new happy weight lasts. 

Uncomfortable to go down when stuff may come up.