39M, 6'1, SW: 450+, CW: 255, GW: 200? Dose: 15mg.

Images are in reverse chronological order.  I do not have any pictures from my SW of 450, they are 255 (today), \~325 (last year), \~380 (year before).  I've been on 15mg for the majority of my time (I went up one dose every 4 weeks until at 15mg); and I've experienced two moderate length (6+ week) plateaus.  Threw in one extra picture with a t-shirt as well since I am in a suit in the current picture, something I'd have never done at the other weights. 

I never had any issues with blood sugar, but I did have elevated AST/ALT and Bilirubin when I started, by a year in my liver enzymes were back to normal.  I'll probably get an ultrasound to see how my fatty liver is looking.  My good cholesterol is finally climbing up there, my totals and triglycerides were always fine. 

For lifestyle changes;  I eat a lot cleaner now, a lot more protein and I've not had sugar (like granulated, powdered, corn syrup, maple syrup, etc) in my house in over two years. For supplements:  fiber (3x daily metamucil, I need that big boy help :( ),   creatine, standard mens multivitamin.  At one point I was extremely Vitamin D deficient, so I'm happy my doctor was doing those panels.  My doctor has had me previously on 3-month check ins, now we're on 6-month.  I'm still obese, working on it, but I think I'm actually the closest I've been to healthy in my entire life. 

I go to the gym 3-4 times a week, 1+ hour sessions, working on cardiovascular endurance and strength. By the various body-comp scales I have managed to mostly lose fat and maintain/gain muscle on this adventure so far.

I guess I'm ranting a bit, sorry, but I know there are a lot of people who are probably hitting that first plateau on 15mg and panicking like I did; or people who think this only works for 12 months then it's all over.  I am a sample size of 1, not statistically significant, but there are others out there.  I do think the bigger we are the more we fall; so to speak but that's just an idle observation  I've tried to keep the pace 1-2lb/week on average \[that includes some wild post plateau woosh weeks making up for plateaus though. it's not just a solid minus 1-2 per week\] and keep doing what's working.

I do not expect I'll ever stop taking Zepbound.  Shits a miracle. 

Another year down (or: 3 years+, 200lbs+, still going strong.)