Health Chapters

Jamie Selzler · @thedownsized

From 652 lb — Wegovy shortage to Zepbound

Published

“I want you at my funeral — not me at yours.”
0:003:23

Chapters

Highlight watch page

Jamie’s interview starts at 652 lb and walks through a shortage-driven switch from Wegovy to Zepbound. It took months before the scale gave him much of anything — worth reading if highlight reels have you feeling behind.

Highest
652 lb
At interview
308 lb · ~−340 lb
Height
Just over 6′2″
Path
Wegovy ~6 mo → shortage → Zepbound ~18–20 mo
Format
Interview · DOWNSIZED

I want you at my funeral

A mentor’s hard line — wanting Jamie at his funeral, not the reverse — made change feel urgent.

A quiet scale isn’t quitting

Almost no loss on Wegovy for three months until higher doses finally moved the scale.

Shortage forced a switch

When Wegovy became impossible to fill, his clinician switched him to Zepbound.

Hunger isn’t food noise

The medicine quieted food noise, but real hunger still showed up — and he could tell them apart.

Don’t count on motivation

Motivation runs out. Consistency and small kept promises carried the long path.

Considering

He avoided telling the story at first. The line that cut through — a mentor wanting him at a funeral, not the other way around — is how he describes getting serious about change. Hard conversations with people who love you can be part of getting started.

Slow start & shortage

On Wegovy, almost nothing moved for three months until higher doses. Then supply failed, and with his clinician he switched to Zepbound — where most of the sustained loss happened. Little early scale movement isn’t always “nothing happening,” and an access setback is a logistics problem, not a personal failure.

Building forward

Food noise got quieter, but hunger returned in new ways as weight fell — and he could name the difference. Consistency beat waiting for motivation: small kept promises (water, steps, protein) held when feelings didn’t. If you’re on a long path, those check-ins and process goals can become how you stay oriented.

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 Men’s journeys, Setbacks & switches

This story belongs to Jamie Selzler. Watch the full video on YouTube