What to add?

Bloodwork two weeks ago came back great. A1c at 5.3, never diabetic but it had hit 6.0 before. Stopped thyroid meds last June and levels are fine now. Maybe skip Reta for now and try Glow/Klow for the loose skin. Does it really sting that much? That part concerns me. Blood pressure is still high at around 140/90 even on 10 mg Lercanidipin.

Great results!

Congratulations. Sometimes both surgery and a GLP-1 are needed to get there.

Lipids also looked good? Do they test vitamin D where you are? They rarely do here unless asked. Deficiency often links to stiffer arteries and higher pressure, and regular panels miss it. I'd get serious about that number. Tried the DASH diet? There are several medical eating plans for pressure, including starch-based ones. Intermittent fasting has also appealed to me because it's less limiting overall. I still eat out a few times a week.

Lipids were fine. HDL good, LDL slightly up from occasional keto but not worried. Had a CAC scan after the stroke and arteries were clear so I'm not taking statins. Vitamin D came back a little low so I'm supplementing now. I'll track blood pressure more often. It was 135/80 an hour ago, which feels acceptable.

Your view still sounds pretty old-school unless the doctor thinks the same way. Some supplements can move blood pressure numbers more than expected.

Can you say more about that?

Have you tried splitting the Reta dose across two days? That sometimes reduces side effects. The main issue with Cagri for me is the wait to dial it in and then reports that it stops working as well after a while. At best a temporary stall breaker. Still some FOMO though. Raising the GLP with split dosing feels simpler and safer than adding Cagri. I've been cutting coffee creamer, doing more intermittent fasting, and using fewer fats to manage higher-dose side effects.

Split dosing didn't help much and actually made sleep worse. Took the 8 mg yesterday and it's hard not to head downstairs and eat, yet I still need the protein. Daytime fasting means missing the protein target. Might need hypnosis. I'll probably just order more salads and push through the cravings.

What made you choose that instead of just increasing the Tirz dose?

Probably just the appeal of something new. I've got years of Tirz on hand at the current dose but know I'll need to raise it soon anyway. Reta looks like the next big thing so adding a bit might capture some of its different effects.

I've been on Lipitor for almost twenty-five years, now the generic. It was my first prescription and I felt odd about it at first, but seeing the long-term benefits and that doctors take it themselves made me glad. At my age it's probably been one of the best things, and I've taken CoQ10 with it the whole time.

Just joined Peppy's. It's a lot to take in at once. Do we know the exact differences from this group? Seems more research-focused and private. Still figuring it out.

Fair enough, thanks for explaining.