OP here — wow, did not expect this much response! Thank you all for the thoughtful replies on How do you exercise when.
To answer nick_newbie: yes, I am on compounded sema from a 503B pharmacy.
Quick update: things are still going well. Thanks again for the evidence-based discussion — this is exactly why I posted in a science-based community. 🙏
Relevant to How do you exercise when you — here is my latest bloodwork comparison:
Key improvements: A1C 7.6% → 5.5%, triglycerides 201 → 101 mg/dL, hsCRP 8.0 → 1.3 mg/L. All on tirzepatide for 17 months.
The inflammatory marker drop is what impresses me most. Consistent with the SELECT trial's cardiovascular findings.
Following this thread closely. How do you exercise when is something I'm actively working through.
Slightly tangential to How do you exercise when but LondonLisa reminded me — does anyone have experience combining this with metformin?
I know it is not exactly on-topic but it seems related enough to ask here rather than starting a new thread. Apologies if this has been covered — I did search first.
Dr.EndoEP said:Thank you all for the thoughtful replies on How do you exercise when
This is exactly right. Dr.EndoEP articulated what I have been trying to explain to my doctor for months. The How do you exercise when aspect is the most important factor.