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From 652 lb — Wegovy shortage to Zepbound

Jamie Selzler · @thedownsized

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From 652 lb — Wegovy shortage to Zepbound

“I want you at my funeral — not me at yours.”

Jamie’s interview starts from an extreme place on the scale and walks through a shortage-driven switch from Wegovy to Zepbound. He also describes a slow start until higher doses — useful if highlight reels make you feel behind.

Not medical advice. Lived experience for learning and encouragement. Decisions about medication belong with a licensed clinician. Creator paths are not protocols or endorsements.

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Phase

Considering

He avoided telling the story at first. The line that cut through — wanting him at a funeral, not the other way around — is how he describes getting serious about change.

Phase

Slow start on Wegovy

In his experience, higher doses came before the scale really moved, with few side effects. Quieter food noise and simple daily anchors — steps, protein, water — showed up later as tools that helped him stay steady.

Phase

Shortage & switch

Wegovy became hard to get; with his clinician he moved to Zepbound. Large sustained loss followed in his telling — one person’s path after a setback, not a promise of the same result.

Phase

Building forward

He talks about loving labs and doctor visits now versus before, and about hunger returning in new ways as weight falls. If you’re on a long path, those check-ins can become part of how you stay oriented.

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Questions for a clinician

  • If my medication is on shortage, what’s the next safe option for me?
  • How do we set process goals when motivation swings?
  • What labs and follow-up should I expect on a long path?

Also in Setbacks & switches, Men’s journeys

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