7 months mounjaro were amazing! Lost 35 quick with no side effects. Just lost all interest food. Then the coupon ran out so switched to Wegovy which barely stopped the food noise. Didn't gain it back but didn't lose any either. I had to be careful. Now Im one month back on Zepbound and staring to lost again finally. This Zepbound is MAGIC. But Wegovy didn't do it for me.
Good that you did'nt gain any. How long were you off of monjauro b4 taking Zepbound? I'm impressed that you didn't gain. Wegovy must have helped somewhat?
TLDR: Zepbound and Wegovy are both effective weight loss medications, but cost and insurance coverage are major factors to consider when choosing between the two. 00:00 📈 Zepbound and Wegovy are both effective weight loss medications that work by boosting naturally occurring hormones in the body, specifically increasing glucagonlike peptide 1 levels. 00:55 💡 Zepbound (tirzepatide) targets both GLP1 and GIP receptors, while Wegovy (semaglutide) only impacts GLP1, making Zepbound more effective in managing appetite, satiety, glucose levels, and weight. 01:37 💉 Both Zepbound and Wegovy are weekly injections with a gradual dose increase over 4-5 months, but their milligram strength should not be directly compared, and they both impact PCT glp1. 02:00 💊 Both Zepbound (tirzepatide) and Wegovy (semaglutide) have similar side effects, with rare potential risks including pancreatitis, gallbladder disease, and gallstones, as well as a blackbox warning for thyroid cancer. 02:35 💡 Zepbound (tirzepatide) showed greater weight loss compared to Wegovy (semaglutide) in individual randomized trials. 03:28 💡 Zepbound (tirzepatide) and Wegovy (semaglutide) are both effective for weight loss, but cost is a major factor due to limited insurance coverage. 03:55 💰 Both Zepbound and Wegovy cost around $1,000 per month, making them unaffordable for most people without insurance. 04:12 📈 Insurance coverage and prices for Zepbound and Wegovy may improve, but it's best to consult with an obesity medicine specialist for guidance on the best option, and adding support from a dietitian or health coach can maximize effectiveness in managing obesity.
I’m with you on Zepbound.. 30 pds on two months of Mounjaro. Off 3 months because of insurance. Now on Zepbound and down an additional 10 total 40 pds down. Very few side effects, stay mindful of constipation.
My first month on Zepbound. 22 lbs down, zero effort. You just don’t want food, and when you get it it’s hard to eat. It’s just like…I just don’t want this anymore,
Praying 🙏 for this outcome. I remember as a teenager when I was skinny through my 20s and 30s I just didn’t want food and then all that changes as I got older and insulin resistant and now I just want to get rid of the fat and the high blood sugar I’m praying that I will get that feeling again on Zepbound.
I lost 60 lbs on Wegovy in 4 months, but shortly after i hit the highest dose i could feel all my old habits and appetite creeping back and ive now regained 8 lbs. Thinking of asking my doc if i can switch to Zep
Just coming off of Wegovy. 9 months, 40 lb lose. My weight has been stagnant for about 4 months. Im starting Zepbound next week. Im excited because I still have 50 lbs to lose. I hope Zepbound helps me reach my goal
How do you compare the dose escalation done in clinical trials to the current trend of keeping people on a low dose for a longer period of time? Does it result in greater ultimate weight loss? The current chatter is to "stay low and keep it slow", but the Surmount studies would indicate that keeping the dose at 5 mg will lead to less weight loss.
I recommend following the FDA-approved dose escalation schedule, whenever possible. Some patients may need to titrate at a slower pace due to side effects. Otherwise, we should follow the protocol that was studied in the clinical trials.
If anyone is curious my insurance covered Zepbound fully after seeing an endocrinologist. They rejected my GP, but after endo did the prior authorization they approved it.
Yes, all patients will reach a nadir weight. The weight loss is not continuous. Typically, this is reached between 1 and 1.5 years after starting the medication. Those weight loss percentages are averages, so keep in mind that an individual’s weight loss may vary from that number. Some patients may lose more than 20%. Some patients may lose less (up to 20% of patients will lose less than 10% of their weight).
Been on zepbound for two months. Now its gotten so popular canr find it and dr is going to switch me to wegovy nsonce it seems its more in stock st higher doses.
I have a prescription for Zepbound but am hesitant to try it. I was previously on Rybelsus but had to stop because my insurance refused to pay for it. My concern is the constipation. With the Rybelsus, it was pretty bad. My doc told me to take a probiotic and that didn’t help. What else can I do to help keep it in check?
Mine went away after a few weeks. Water water water, fiber fiber fiber (I do psyllium in the morning, chia seeds soaked in water with a dash of lemon for 4 hours in the afternoon), OTC constipation meds…**OCCASIONALLY** (don’t get hooked on it). And excercise. Moving with walking bounces things around and helps keep things moving
Hi try eating a Mango - it’s a natural laxative - not excessively but when you feel constipated . You can also Try a chamomile tea before bed . Wouldn’t recommend together not sure how they would react. Good luck !
I was on Wegovy for 6 months I only lost 10 pounds 😢I don’t know if it’s because I have hypothyroidism but I will start Zepbound tomorrow so hopefully it will work better.
Had the same problem. I was on it for 2 months and only lost 8 pounds. I also have hypothroidism. I just went to my dr asking for Zepbound and hoping this works. How has it been for you so far?
I have the same issue. I was on Wegovy and no horrible side effects, except heartburn was a bit*h. Only lost 8 pounds in 2 months. Trying to see if i can get on Zepbound.
Thank you for this video! You answered all of my questions comparing both of these medications. I started with semaglutide but the side effect of extreme fatigue was just too much for me. This week I switched to trizepatide and I am hoping it’s better for me.
My Doctor has prescribed Tirzepatide (Mounjaro) for me. I've completed the 4 week intro on 2.5mg and 2 weeks on 5mg. Nothing, no side effects at all, but no weight loss either. My concern.....my body hates moving off Stasis. I never eat junk food, I live on a ranch in the Idaho Mountains and cook for my wife and I.. No deep frying, only bake, roast, boil and air fry. I also move around a lot, yet no weight loss yet. My question, according to statistics, people who finally get to the 15mg does lose from 21-26% of body weight. Does this work on everyone, or are there those like me whose bodies are stubborn. Just wondering?
@@MomOfSeven123 Hi Janet...tomorrow I will take my 2nd injection of 12.5mg Mounjaro terzepatide. No weight loss yet...my body resists anything that takes it of stasis (maintenance). I'm frustrated as can be. Sorry it took so long to reply, as, I just saw your post.
@@nihadbalushi5138 I've lost 27 lbs in 6 months on Mounjaro. I eat a lot less, but my body is fighting me at every turn. I hate it. The good news, my A1C has gone from 6.3 to 5.8....a full half point down. My body just can't handle any form of sugar. I don't eat any carbs at all and yet my glucose was a bit high....go figure. That how these poor bastards get to 1,000 pounds.... because their bodies go haywire....I can tell you from experience, it's not just move more eat less....it's f'ing genetics.
Hi Dr McGowan. I’m thinking about talking to my Dr about trying Zepbound but before I call and schedule an appt. I’m wondering if it’s worth it because my family has a history of thyroid cancer. Do you think it’s worth talking to my Dr?
The GLP meds are contraindicated (black box warning) if you have a personal or family history of MEDULLARY thyroid cancer, which is a less common form of thyroid cancer. If you cannot confirm what type is in your family, it may best to avoid the medication.
These drugs could change our collective health for the better, especially in countries like that US and UK where we struggle with obesity even in children.
Here my experience and disclaimer - a not so positive one. I started with Zepbound because of high triglycerides in my blood. I was overweight but not severely (talking about 10 extra pounds). Usually patients increase the dose fast, it took me 4 mounted to get from 2.5mg to 5mg because my body couldn’t handle it. We talk about severe gallbladder pain, throwing up and a consistent acid reflux that made life miserable. Let’s also talk about insurance compatibility - neither Kaiser nor Multiplan PPO covered me and furthermore the providers savings card wasn’t accepted. Paid over $1000 myself every months being afraid to end up diabetic. Did I lose extra weight - yes sure but guess what happens if you can’t eat at all? You will feel weak. I used to hit the gym regularly. Right after my first injection I stopped, I couldn’t take physical exercise. I’m glad it helped a lot of people, for me it was horrific.
Neither of these Medications are Recommended for anyone with a bmi under 27.. and if you just had an extra 10 lbs to lose it’s amazing any reputable doc would give you these medications in the first place.
Of course. Hence the “receptor agonist” name. Many people may not be familiar with what an agonist is, or how hormone receptors work, so consider this a slightly simplified explanation!
Gastric balloons are a good option for someone seeking a low-risk, reversible weight loss tool. The average weight loss is approximately 15% of body weight in 6 months - similar to Wegovy, but a little faster. Different options for different people, that’s how I view it.
I wish doctors were more proactive at stressing the need of an informed dietitian. It took quite a bit of research to understand how to eat to reduce or prevent side effects. I have had a very thorough understanding of nutrition and how to cook healthy meals. The food noise and the sweets sirens call is what i struggled with. I have seen criticism about these medications due to people losing muscle mass and other effects that are associated with poor nutrition. These individuals mostly didn’t understand the importance of prioritizing protein intake, and eating nutritious foods and avoiding high sugar, high fats and processed foods. I learned, painful, that my mild lactose intolerance was now a high intolerance. Also the broccoli I regularly ate was now something I needed to eat sparingly, it resulted in a ridiculous amount of gas. Also I needed to be selective about my fruit intake. I can only eat a little bit of apple due to its high sugar content. This has been a massive game changer for me. I started at 285 and I’m now 215. I have the fantastic issue of my pants falling off.
The GLP-1 med work primarily through appetite suppression, so this may not be the best path for you. That said, we aim to maintain a healthy relationship with food, enjoying everything in moderation.
7 months mounjaro were amazing! Lost 35 quick with no side effects. Just lost all interest food. Then the coupon ran out so switched to Wegovy which barely stopped the food noise. Didn't gain it back but didn't lose any either. I had to be careful. Now Im one month back on Zepbound and staring to lost again finally. This Zepbound is MAGIC. But Wegovy didn't do it for me.
I stalled out after 80 pounds lost on Ozempic and it's creeping back. So starting Mounjaro now.
Good that you did'nt gain any. How long were you off of monjauro b4 taking Zepbound? I'm impressed that you didn't gain. Wegovy must have helped somewhat?
Thanks for that helpful comment
what’s the cost difference?
Can I take zepbound if I have hypertension & thyroid disease?
As a pharmacist, i have to say, this is an excellent video
TLDR: Zepbound and Wegovy are both effective weight loss medications, but cost and insurance coverage are major factors to consider when choosing between the two.
00:00 📈 Zepbound and Wegovy are both effective weight loss medications that work by boosting naturally occurring hormones in the body, specifically increasing glucagonlike peptide 1 levels.
00:55 💡 Zepbound (tirzepatide) targets both GLP1 and GIP receptors, while Wegovy (semaglutide) only impacts GLP1, making Zepbound more effective in managing appetite, satiety, glucose levels, and weight.
01:37 💉 Both Zepbound and Wegovy are weekly injections with a gradual dose increase over 4-5 months, but their milligram strength should not be directly compared, and they both impact PCT glp1.
02:00 💊 Both Zepbound (tirzepatide) and Wegovy (semaglutide) have similar side effects, with rare potential risks including pancreatitis, gallbladder disease, and gallstones, as well as a blackbox warning for thyroid cancer.
02:35 💡 Zepbound (tirzepatide) showed greater weight loss compared to Wegovy (semaglutide) in individual randomized trials.
03:28 💡 Zepbound (tirzepatide) and Wegovy (semaglutide) are both effective for weight loss, but cost is a major factor due to limited insurance coverage.
03:55 💰 Both Zepbound and Wegovy cost around $1,000 per month, making them unaffordable for most people without insurance.
04:12 📈 Insurance coverage and prices for Zepbound and Wegovy may improve, but it's best to consult with an obesity medicine specialist for guidance on the best option, and adding support from a dietitian or health coach can maximize effectiveness in managing obesity.
This was such a nice, compact, and educational video.
Down 92 lbs since August on wegovy just switched to zepbound this week got 48lbs to go for my target. Anyone on the fence just try it yourself
Wegovy didn’t work for me
I’m with you on Zepbound.. 30 pds on two months of Mounjaro. Off 3 months because of insurance. Now on Zepbound and down an additional 10 total 40 pds down. Very few side effects, stay mindful of constipation.
I am thanks for your comment. So expensive but worth it if it works
Do your mind sharing your starting weight? I seen most people start in the 200s im in the high 3s, im wondering if you weigh more you lose faster?
I am so scared of the side effects… I have a month’s dose of Zepbound sitting in the fridge because I’m scared to use it smh…
My first month on Zepbound. 22 lbs down, zero effort. You just don’t want food, and when you get it it’s hard to eat. It’s just like…I just don’t want this anymore,
Very true you just don’t care about food at all
How much did you weigh before?
Praying 🙏 for this outcome. I remember as a teenager when I was skinny through my 20s and 30s I just didn’t want food and then all that changes as I got older and insulin resistant and now I just want to get rid of the fat and the high blood sugar I’m praying that I will get that feeling again on Zepbound.
Does it make you nauseous at all? I couldn’t get past that with ozempic.
In Spain (without government aid) Ozempic (similar to Wegovy) cost 130€. In the US 1010$. 😢
I lost 60 lbs on Wegovy in 4 months, but shortly after i hit the highest dose i could feel all my old habits and appetite creeping back and ive now regained 8 lbs. Thinking of asking my doc if i can switch to Zep
Have you switched yet? Are you strength training during your weight loss or after?
Hope so much those drugs to be autorized in France soon 🙏 for my patients
I'm in France (Lyon) and my doctor has prescribed Ozempic at least. But the newer medicine is not here yet I guess.
Been on zepbound for 2 months down 22 lbs.. but now we cant find it. Its so popular it has disappeared.
Nice share!
Hey can you take Wegovy with antipsychotics (Olanzapine and aripiprazole)?
Do you offer telemedicine
Just coming off of Wegovy. 9 months, 40 lb lose. My weight has been stagnant for about 4 months. Im starting Zepbound next week. Im excited because I still have 50 lbs to lose. I hope Zepbound helps me reach my goal
How does this affect muscle retention and gains being you need food/protein.
Fantastic quick summary!
How do you compare the dose escalation done in clinical trials to the current trend of keeping people on a low dose for a longer period of time? Does it result in greater ultimate weight loss? The current chatter is to "stay low and keep it slow", but the Surmount studies would indicate that keeping the dose at 5 mg will lead to less weight loss.
I recommend following the FDA-approved dose escalation schedule, whenever possible. Some patients may need to titrate at a slower pace due to side effects. Otherwise, we should follow the protocol that was studied in the clinical trials.
Please lose the background music - it's unnecessary and distracting
Amen. Stupid distracting music.
If anyone is curious my insurance covered Zepbound fully after seeing an endocrinologist. They rejected my GP, but after endo did the prior authorization they approved it.
In looking at the Surmount trial results, there appeared to be a cap of weight loss at 20%, resulting in a plateau. Are you seeing this in patients?
Yes, all patients will reach a nadir weight. The weight loss is not continuous. Typically, this is reached between 1 and 1.5 years after starting the medication. Those weight loss percentages are averages, so keep in mind that an individual’s weight loss may vary from that number. Some patients may lose more than 20%. Some patients may lose less (up to 20% of patients will lose less than 10% of their weight).
@DrMcGowanMD Good morning Dr. Have prices gone down yet....I really can't afford these right now 😢but want to be a patient!
Been on zepbound for two months. Now its gotten so popular canr find it and dr is going to switch me to wegovy nsonce it seems its more in stock st higher doses.
Have you tried grocery stores
I have a prescription for Zepbound but am hesitant to try it. I was previously on Rybelsus but had to stop because my insurance refused to pay for it. My concern is the constipation. With the Rybelsus, it was pretty bad. My doc told me to take a probiotic and that didn’t help. What else can I do to help keep it in check?
Maybe non stimulant colace if your doc approves.
Mine went away after a few weeks. Water water water, fiber fiber fiber (I do psyllium in the morning, chia seeds soaked in water with a dash of lemon for 4 hours in the afternoon), OTC constipation meds…**OCCASIONALLY** (don’t get hooked on it). And excercise. Moving with walking bounces things around and helps keep things moving
Hi try eating a Mango - it’s a natural laxative - not excessively but when you feel constipated . You can also Try a chamomile tea before bed . Wouldn’t recommend together not sure how they would react. Good luck !
I was on Wegovy for 6 months I only lost 10 pounds 😢I don’t know if it’s because I have hypothyroidism but I will start Zepbound tomorrow so hopefully it will work better.
Same with me. 6.5 months and only 16 lbs loss. Switching soon.
Had the same problem. I was on it for 2 months and only lost 8 pounds. I also have hypothroidism. I just went to my dr asking for Zepbound and hoping this works. How has it been for you so far?
I’ve been on Wegovy for 5 months and lost 8 pounds. I was hoping for a better result.
Did the zepound work?
Tirzepatide (which is in Zepbound) reduces your food cravings. 👍
So I have hypothyroidism and celiac whats your thoughts on me taking this med?
I have the same issue. I was on Wegovy and no horrible side effects, except heartburn was a bit*h. Only lost 8 pounds in 2 months. Trying to see if i can get on Zepbound.
Thank you for this video! You answered all of my questions comparing both of these medications.
I started with semaglutide but the side effect of extreme fatigue was just too much for me. This week I switched to trizepatide and I am hoping it’s better for me.
Follow up? Hows it going? I was on wegovy but the fatigue and heartburn where INSAINE i had to get off. I am hoping to try Zebound
Hello,madam.Tirzepatide 30mg 10 vials only $160,buy 2 boxes or more, free shipping and additional gifts
what about for people with Antipsychotic-associated weight gain: ?
@Devo1987. Speak to your doctor, that's a tough situation
My Doctor has prescribed Tirzepatide (Mounjaro) for me. I've completed the 4 week intro on 2.5mg and 2 weeks on 5mg. Nothing, no side effects at all, but no weight loss either. My concern.....my body hates moving off Stasis. I never eat junk food, I live on a ranch in the Idaho Mountains and cook for my wife and I.. No deep frying, only bake, roast, boil and air fry. I also move around a lot, yet no weight loss yet.
My question, according to statistics, people who finally get to the 15mg does lose from 21-26% of body weight. Does this work on everyone, or are there those like me whose bodies are stubborn. Just wondering?
@jimjohngirard any update?
@@MomOfSeven123 Hi Janet...tomorrow I will take my 2nd injection of 12.5mg Mounjaro terzepatide. No weight loss yet...my body resists anything that takes it of stasis (maintenance). I'm frustrated as can be. Sorry it took so long to reply, as, I just saw your post.
@@jimjohngirardany updates?
@@nihadbalushi5138 I've lost 27 lbs in 6 months on Mounjaro. I eat a lot less, but my body is fighting me at every turn. I hate it. The good news, my A1C has gone from 6.3 to 5.8....a full half point down. My body just can't handle any form of sugar. I don't eat any carbs at all and yet my glucose was a bit high....go figure. That how these poor bastards get to 1,000 pounds.... because their bodies go haywire....I can tell you from experience, it's not just move more eat less....it's f'ing genetics.
I’d love to know too. We share this no budge only great for a famine superpower
Zepbound can be gotten from LILY DIRECT with a prescription from your doctor. The price is without insurance and it runs about $500 a month.
Thanks Doc!
Hi Dr McGowan. I’m thinking about talking to my Dr about trying Zepbound but before I call and schedule an appt. I’m wondering if it’s worth it because my family has a history of thyroid cancer. Do you think it’s worth talking to my Dr?
The GLP meds are contraindicated (black box warning) if you have a personal or family history of MEDULLARY thyroid cancer, which is a less common form of thyroid cancer. If you cannot confirm what type is in your family, it may best to avoid the medication.
Thank you so much! That is very helpful 👍
Will I lose more switching to Mounjaro from Ozempic which I have stalled on?
Is a stall different than gaining? Cuz a stall may be great so one doesn't lose too fast?
Do you practice in NY state?
These drugs could change our collective health for the better, especially in countries like that US and UK where we struggle with obesity even in children.
Here my experience and disclaimer - a not so positive one. I started with Zepbound because of high triglycerides in my blood. I was overweight but not severely (talking about 10 extra pounds). Usually patients increase the dose fast, it took me 4 mounted to get from 2.5mg to 5mg because my body couldn’t handle it. We talk about severe gallbladder pain, throwing up and a consistent acid reflux that made life miserable. Let’s also talk about insurance compatibility - neither Kaiser nor Multiplan PPO covered me and furthermore the providers savings card wasn’t accepted. Paid over $1000 myself every months being afraid to end up diabetic. Did I lose extra weight - yes sure but guess what happens if you can’t eat at all? You will feel weak. I used to hit the gym regularly. Right after my first injection I stopped, I couldn’t take physical exercise. I’m glad it helped a lot of people, for me it was horrific.
Neither of these
Medications are
Recommended for anyone with a bmi under 27.. and if you just had an extra 10 lbs to lose it’s amazing any reputable doc would give you these medications in the first place.
Hello, if possible please can you talk about EMSCULPT NEO, is it effective for fat reduction as they marketing it, Thank you!
The medicines do not increase GLP-1 and GIP levels. They just mimic them and bind the receptors.
1:33 GLP and GIP-1 :)
Of course. Hence the “receptor agonist” name. Many people may not be familiar with what an agonist is, or how hormone receptors work, so consider this a slightly simplified explanation!
By mimicking them it causes an increase 😅😅😅
@@sunflowerssunshine1323 ehh nope
What are your thoughts on gastric balloon?
Gastric balloons are a good option for someone seeking a low-risk, reversible weight loss tool. The average weight loss is approximately 15% of body weight in 6 months - similar to Wegovy, but a little faster. Different options for different people, that’s how I view it.
The Spatz3 Adjustable Weight Loss Balloon: An Overview
ruclips.net/video/bUvOgCHTNRY/видео.html
@DrMcGowanMD didn't know you had a video on it thank you so much for your time 😊
Did anyone lose their goal weight and stop. He said it's not recommended and I need to know why?
Bathroom Bathroom anus pain and this only occurs if you increase the dose.
The only option if you can't have true sleep schedule meal planning gym program that's the only option for you.
Is the 20 percent weight loss the excessive weight ?
The side effects are meant to be less with tirzepatide as it’s a weaker GLP1 agonist than Wegovy and this is what causes the side effects
Yep. That's the assumption. Thanks for clarifying! There haven't been head to head studies (yet) but it appears slightly better tolerated overall.
Why do they cost so much? In the uk it’s around £200
Medicines like these are considerably more expensive than that in the U.S.
Do people who don’t respond to Wegovy respond to Zepbound?
I really hope so
I am praying. Because Wegovy didn’t do anything for me
Some say yes but don't switch if you are doing ok.
Wegovy didn't work for me. Trying Zepbound now.
Wish I could afford them 😢
I came out in hives with wegovy do I need to stop taking it?
Allergic reactions are rare, but documented. Contact your prescribing doctor!
I wish doctors were more proactive at stressing the need of an informed dietitian. It took quite a bit of research to understand how to eat to reduce or prevent side effects. I have had a very thorough understanding of nutrition and how to cook healthy meals. The food noise and the sweets sirens call is what i struggled with.
I have seen criticism about these medications due to people losing muscle mass and other effects that are associated with poor nutrition. These individuals mostly didn’t understand the importance of prioritizing protein intake, and eating nutritious foods and avoiding high sugar, high fats and processed foods. I learned, painful, that my mild lactose intolerance was now a high intolerance. Also the broccoli I regularly ate was now something I needed to eat sparingly, it resulted in a ridiculous amount of gas. Also I needed to be selective about my fruit intake. I can only eat a little bit of apple due to its high sugar content.
This has been a massive game changer for me. I started at 285 and I’m now 215. I have the fantastic issue of my pants falling off.
SO true. Very few patients on GLP-1 medications work with a registered dietitian. It is a major missed opportunity.
Thank God for insurance ❤
You say 15mg Tirzepatide?!!! That makes me curious because you get it in a Pen or Vial(2mg and 5mg).
Wegovy didn't work for me. I actually gained three lbs over four months. Started Zepbound this week.
You are skinny so why taking them?.
Im on Zepbound compounding pharmacy, hope its real …lol
Is it working for you? I'm considering that route.
Haircut 💇♀️. Haha..couldn't get just hair. I'm about 7 days into my journey
But I like to eat and drink. I don`t want anything to suppress my appetite.
The GLP-1 med work primarily through appetite suppression, so this may not be the best path for you. That said, we aim to maintain a healthy relationship with food, enjoying everything in moderation.
Thats scary for you to say : meant to be long term, dont stop taking it!!
Why??
What if I try it one or 2 weeks and totally stop??
What will happen?
It's not dangerous, per se. It's just that the hunger and weight will rapidly return.
🌟🌟🌟🌟🌟🌟
Dnp is the real goat haha
Do you have an office in Central Florida? Let me know please
We currently have offices in Atlanta, GA and Cary, NC.
@@DrMcGowanMD omg I live in Cary! :)