Would you move up a dose in my position?

Hi everyone,

Looking for advice here before I make my decision, maybe someone was in the same boat.

I started Zepbound in July 2024 with a SW of 205 and a CW of 130. I’m currently on the 12.5 dose and have been for the last ~5 months. I’ve been making great progress and even on 12.5 am still slowly losing weight, around 3 pounds a month.

Since September, I’ve been paying the full $500 out of pocket because Caremark stopped covering it. While I am able to afford it ok, it is certainly a hefty price. I meet with my doctor regularly about dosing and how I’m feeling; I asked about switching to the 15 dose a couple months ago (mindset there was if I’m paying that much, I might as well go up to the highest dose to get my “moneys worth”). They advised me that I can do whatever I want, but that if I’m still losing weight as consistently as I am that they think 12.5 is good. Ultimately I decided to stick it out.

Now, I’m noticing the 12.5 dose is just slightly less effective for me. While it still offers appetite suppression, I find it’s not as consistent. I am still losing around 3 pounds a month so I’m torn about what’s best for me to do.