3 month progress report
I started my Zepbound journey on 2/9/2026. Before starting I had a baseline dexa scan to know my starting lean mass and fat mass. I decided to do an interim scan at around 6 weeks to be able to course correct if I was losing too much muscle.
Happy to report that at 3 months in, I’ve managed to:
decrease ⬇️ 23.3 pounds of fat
increase ⬆️ my lean mass by 1.1 pounds
decrease ⬇️ visceral fat by 1.48 pounds
I’m continually inspired by the success stories I get to read on the Zepbound and ZepboundAthletes subreddits.
My weight has fluctuated a lot over the years. At my highest I weighed in around 304 pounds in my early twenties. (For context, 6’2 male.) I managed to diet and exercise down to a low of 183 pounds a year and a half after that, but given the lack of knowledge I had about muscle and fat back then I likely lost a lot of strength in the process.
After a few years of seeing my weight yo-yo up and down and struggling with willpower it’s so nice to know what it feels like to have a healthier relationship with food and eating while on this medication. I’m trying to measure as much as I can along the way to learn more about myself and what seems to work for my body.
I did decide to add 5g of creatine starting on March 7. I’ve also supplemented with HMB since starting Zepbound to try and preserve muscle. I take a daily multivitamin from Throne, and I supplement collagen at around 10g per day to help with skin and joint health as a distance runner.
I’ve been fortunate enough to have minimal side effects. A little bit of fatigue which has made me increase my caffeine intake a bit around mid day for a boost. I did 4 weeks at 2.5mg, then 8 weeks at 5mg, and switched to 7.5mg this week to help reduce the snacking urge. I’m with Lilly Direct as BCBS wouldn’t help because I had already lost too much weight successfully on my own, which felt like a huge struggle. I believe that by having less willpower and mental energy dedicated to eating well, I have more motivation to work out and get myself to the gym 3-4x a week.
BCBS does fully cover my Registered Dietitian though, which looking at the claims history costs them more than the medication would have been. I’ve unlearned a lot of misconceptions around carbs and sugar working with my RD. The RD has been more informed and more encouraging than my PCP.
That’s where I’m at. If you’re reading this and thinking about starting Zepbound yourself, just give it a try and see how you feel. The shots have been painless to take (all stomach, rotated with the help of the Shotsy app.) I wish this was a paid endorsement, Lilly gets money from me though sadly and unfortunately it’s been money well spent so far.
Good health Zeppers!