What do you tell your Doctor

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I tell my doctor. No need in hiding especially since withholding may effect something else that needs to be monitored.
 
Neurogroot said:
I went through this last month with my primary care doctor last month. I had a follow up appointment, 3 months after seeing the doctor initially. I had lost 28 lbs in that month, so I knew I had some ‘splainin to do!

Previously, a coworker of mine had mentioned their doc had revoked their Adderall script after telling his doc straight up about buying grey market Tirz, since his doctor told him insurance wouldn’t cover him. He believes this honesty caused his doctor to flag him for risk taking behaviors. I don’t know exactly how he worded it though.

With that in mind, I told my doctor that I was working with a consultant from Hims. Not entirely a lie, my first month on GLPs was through that. My doctor said she wasn’t a big fan of this, but at least my weight, BP and A1C were down. And, I still have my scripts.

I guess I’d be more forthcoming if bloodwork turned up trouble. Aside from that, keep it vague and minimal.
How different Dr’s can react is crazy to me. My Dr actually tells her patients how much they would have to pay for the Mounjaro from the pharmacy.

She understands it’s a sustainable thing and recommends patients whose insurance won’t cover it to look at compounding.
 
Am I wrong in reading that nearly everyone who is extra reluctant to tell their doctor about grey GLP's is in the US? Where it sounds like there can be real practical consequences with health insurance etc, and concepts like medical confidentiality seem to have been lost to the commercial interests of insurers? Maybe it is a problem with private health insurance everywhere? Thankfully , although Australia has a mixed system, basic health care is mostly state funded, which while far from perfect usually is the most cost effective method.
 
I'm glad this topic came up. I need some eye surgery and am not sure how to approach it and have been putting it off. I don't mind telling the eye surgeon but I never told my main doctor that I've had for many years who is open minded on many things but not weight loss drugs. If I tried telling her I get compounded she would for sure ask where and how much do I pay and I'm not sure how she would handle the grey market especially since reta isn't even approved yet.
 
toologic said:
I'm glad this topic came up. I need some eye surgery and am not sure how to approach it and have been putting it off. I don't mind telling the eye surgeon but I never told my main doctor that I've had for many years who is open minded on many things but not weight loss drugs. If I tried telling her I get compounded she would for sure ask where and how much do I pay and I'm not sure how she would handle the grey market especially since reta isn't even approved yet.
You absolutely must tell an anesthetist you are on GLP's before surgery if there is any chance of a general anesthetic due to delayed gastric emptying and risks of aspirating stomach acid into your lungs during unconsciousness, usually you might just have to fast or avoid fluids for longer before surgery.

If you have a weight problem you manage with GLP's and your doctor is likely to have a problem with it then maybe find a better doctor? Unless the concern is just about the source and not the drugs themselves.
 
lessthanhalf said:
Am I wrong in reading that nearly everyone who is extra reluctant to tell their doctor about grey GLP's is in the US? Where it sounds like there can be real practical consequences with health insurance etc, and concepts like medical confidentiality seem to have been lost to the commercial interests of insurers? Maybe it is a problem with private health insurance everywhere? Thankfully , although Australia has a mixed system, basic health care is mostly state funded, which while far from perfect usually is the most cost effective method.

You're right, the system is apocalyptically fucked. The corporations and their investors are all powerful and exploit us to the maximum possible degree.
 
toologic said:
I'm glad this topic came up. I need some eye surgery and am not sure how to approach it and have been putting it off. I don't mind telling the eye surgeon but I never told my main doctor that I've had for many years who is open minded on many things but not weight loss drugs. If I tried telling her I get compounded she would for sure ask where and how much do I pay and I'm not sure how she would handle the grey market especially since reta isn't even approved yet.
Look up HIMS/HERS pricing. They just entered into an agreement with BP.

I told my PCP I was with HERS and he accepted it. In fact completely understood the cost of BP direct programs are unrealistic for many. He said if I was going not-BP HERS was the best choice for reputation, stability, and longevity in the market.
 
lessthanhalf said:
You absolutely must tell an anesthetist you are on GLP's before surgery if there is any chance of a general anesthetic due to delayed gastric emptying and risks of aspirating stomach acid into your lungs during unconsciousness, usually you might just have to fast or avoid fluids for longer before surgery.

If you have a weight problem you manage with GLP's and your doctor is likely to have a problem with it then maybe find a better doctor? Unless the concern is just about the source and not the drugs themselves.
I am going to tell them or I will go off of reta for however long is necessary. Mine will be twilight. My surgery isn't urgent but still need to get it done before it gets worse.
 
toologic said:
I am going to tell them or I will go off of reta for however long is necessary. Mine will be twilight. My surgery isn't urgent but still need to get it done before it gets worse.
Twilight applies.
 
lessthanhalf said:
Am I wrong in reading that nearly everyone who is extra reluctant to tell their doctor about grey GLP's is in the US? Where it sounds like there can be real practical consequences with health insurance etc, and concepts like medical confidentiality seem to have been lost to the commercial interests of insurers? Maybe it is a problem with private health insurance everywhere? Thankfully , although Australia has a mixed system, basic health care is mostly state funded, which while far from perfect usually is the most cost effective method.
If you told your GP about some grey peptides, Im not sure they will approve anyway. Wonder if in Australia that will make them reluctant to prescribe you meds for fear incase you may not be sharing the full list of stuff you are on.
 
I have been lucky enough to have the same GP for 25+ years. I do not think he cared much about the tirzepatide as he knew how much weight I was trying to keep off and that I could not afford the legit version, and he had been happy to prescribe ozempic and then tirzepatide. But yes a lot of GP's would see it as a possible risk of abuse if certain other medications like opioids or benzodiazepines were required. It definitely depends on the individual doctor's attitudes, and to what extent they keep up with the research on GLP's and how comfortable they are with prescribing them. Unfortunately a lot of doctors are still going to be a bit bigoted about fat people. But hopefully most see it as mildly risky, but with possible benefits.
 
My GP was the one who hooked me up with the compound stuff originally (before it became illegal) so idk hard to say how he would react. But I also only go to the doctor when necessary (injuries or illness), not for annual check ups (though I should). Ultimately I won’t be disclosing anything unless I need to have a procedure, have an emergency or suffer adverse effects.

Each to their own. I suppose it depends on your comorbidities.
 
In the event of an emergency I hope you are able to communicate your glp usage or someone is present to notify on your behalf.
 
My doctors? No. My pharmacist? Yes, but mostly because he gives me vitamin D shots at my house...
 
I've got a Dr appt for my DOT physical coming up. I'm debating between telling him I bought a book on self-hypnosis, or I took up intermittent fasting... Thoughts?
 
Cdub100 said:
Assuming you go in for regular check ups and get blood work done. Do you tell him what you're taking? Do you keep it a secret?

I've also read you shouldn't hid anything from your doctor but when I told him I like to have a smoke every once in a while I got charged a smoking cessation consultation. And put on my chart which could affect any life insurance policy. Keep in mind I smoke at deer camp and when every once in a while when I would go out and drink.

So do you tell them or not.
Yep. Just say “I’m doing x now. We talked about it and you were against it, but I wanted to do it and it’s helped me, so…”
 
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