GLP-1 TV · Patient story · views checked Oct 2026
Losing 100 Pounds! | 2 Years On Zepbound - The Good, The Bad, & The Ugly
Our summary
Sarah, who runs the realiteasquad channel, gives a two-year update on her weight loss with Zepbound. She says she started at 241 lb and weighed 140.6 lb on the morning of filming, and that she has hovered around a 100 lb loss. She notes she is not a medical professional and that the video is not medical advice. She explains that she began on Mounjaro, switched to Zepbound, and describes both as the same drug, tirzepatide, made by Eli Lilly.
One person's experience, in their words. Not medical advice.
Where Zepbound costs least today
The three cheapest partner programs for Zepbound, all in per month, checked weekly. Brand Zepbound and compounded versions are different products; each row says which it is.
What else the video covers
On cost, she says she paid out of pocket for roughly the first six months, using a savings card that brought the price to about $500 to $550 a month. After she changed primary care doctors in mid-2024, prior authorization was approved and she has paid a $100 monthly copay since. She describes avoiding side effects by drinking 60 to 80 ounces of water daily and taking Omeprazole and Miralax under doctor supervision. She sees her doctor every four months and a GI doctor every six months. She says her doctor considers her BMI in the normal range.
She reports taking Zepbound completely off from May to September 2025 around surgeries and regaining 30 lb. She now takes 7.5 mg weekly, after peaking at 10 mg, and plans to stay on it. She attributes her hair thinning mostly to three plastic surgeries in one year, anemia found in September 2025 and hair extensions, rather than the medication. She says she spent about $40,000 out of pocket on a tummy tuck, breast lift, fat transfer, neck lift and implants, and she names the tummy tuck as her top priority.
Our summary of what is said, in our words. Doses, results and prices are the speaker’s, not advice.
Takeaways
The main points, in the order they come up. Tap a time to play from there.
- 0:00 Sarah says she went from 241 lb to 140.6 lb over about two years on Zepbound, which she describes as the same drug as Mounjaro.
- 0:03 She says she paid roughly $500 to $550 a month out of pocket at first, then $100 a month in copays once prior authorization was approved.
- 0:04 She says drinking 60 to 80 ounces of water daily and taking Omeprazole and Miralax, under doctor supervision, helps her avoid side effects.
- 0:08 She says she stopped Zepbound from May to September 2025 around surgeries, regained 30 lb, and now takes 7.5 mg weekly.
- 0:11 She says her hair loss seems tied to three surgeries in a year, anemia and hair extensions more than to the medication.
- 0:14 She says she paid about $40,000 out of pocket for plastic surgery and would skip the fat transfer and possibly the neck lift if she repeated it.
Key moments
From the creator's own chapters. Tap one to play from there.
What the video says
As stated in the video, not checked by us. Doses and results are the speaker’s, not advice.
- Medication
- Zepbound
- Doses mentioned
- 10 mg and 15 mg
- Point in the journey
- Year 2
- Weight loss mentioned
- 100 lb, in the title
- Side effects mentioned
- hair loss, loose skin or face changes and gallbladder
- Prices mentioned
- $500 a month and $100 a month
- Who is speaking
- Patient
Questions this video answers
How much weight did she lose on Zepbound in two years?
Sarah says she started at 241 lb and weighed 140.6 lb on the day of filming, which she describes as about a 100 lb loss. She says her doctor is happy as long as she stays in the normal BMI range.
What Zepbound dose is she on for maintenance?
She says she is taking 7.5 mg weekly and plans to stay there because her weight is no longer fluctuating much. Her highest dose was 10 mg, and she says any change should be made with a doctor's approval.
Did she gain weight back after stopping Zepbound?
She says she was completely off Zepbound from May to September 2025 for two of her surgeries and gained back 30 lb. She says she now plans to stay on some dose for the foreseeable future.
Did Zepbound cause her hair loss?
Sarah says she noticed no significant hair loss at about 80 lb lost. She says her hair trouble last year seems linked to three surgeries in a year, anemia and extensions. She also says she took a hair, skin and nail gummy and tracked protein.
Videos on the same question
The closest videos in the library by what is said in them, not by title.
Zepbound (tirzepatide) My 100+ pounds weight loss journey! #glp1 #zepboundMs. Toy, who runs the channel Ms. Toy The Review, introduces her weight loss story with Zepbound (tirzepatide).
70 Pounds Down on Zepbound: The Truth After 2 MonthsIn this video from the Living Phase 2 channel, Mike says he has lost 70 pounds in 10 months by combining more activity with tirzepatide (Zepbound).
I've Lost 60 Pounds In 6 Months! An Update On My Weightloss Journey #zepboundSarah, who runs the realiteasquad channel, says she has lost 60 lbs in 6 months on tirzepatide.
I SPENT OVER 2K to LOSE WEIGHT / 6 Months on Zepbound GLP-1 / was it worth it?In this six-month update, a creator who goes by Kristen says she started Zepbound at 205 pounds and is now 161 pounds, a loss of 44 pounds.
What Losing 60 Pounds on Zepbound Actually Cost MeMatt Fjerstad says he spent $4,300 on Zepbound and lost about 60 lb, going from 223 lb to a low of 158 lb.
Read next
Our guides closest to what this video covers, with prices checked weekly.
- Zepbound vs Mounjaro: one molecule, two labels, and why the label sets your price
Zepbound and Mounjaro are both tirzepatide, made by Lilly, injected weekly at the same six doses from 2.5 to 15 mg. Mounjaro is approved for type 2 diabetes and Lilly's own site says it is not a weight-loss drug; Zepbound is the same molecule approved for obesity and sleep apnoea. That label decides everything downstream: insurers cover Mounjaro for diabetes and refuse it for weight, Zepbound is the box a plan can cover for weight, and Zepbound's cash price runs $299 to $699 by dose, while LillyDirect sells Mounjaro from $499 a month at every strength, against a list price of $1,112.16 per fill.
- Mounjaro for weight loss, and why Zepbound exists
Mounjaro is tirzepatide approved for type 2 diabetes. Zepbound is the same molecule from the same maker, approved for weight management, and it goes to the same 15 mg. So unlike Ozempic and Wegovy, there is no dose ceiling pushing you from one to the other: the reason people move is coverage and cash price, not strength. Using Mounjaro for weight is off-label and a prescriber's decision. In the one head-to-head trial, tirzepatide beat semaglutide, 20.2% mean body-weight loss at 72 weeks against 13.7%.
- How to get Zepbound: who qualifies, who prescribes it, and the four ways to pay
Zepbound is a prescription drug approved for adults with obesity, or overweight with at least one weight-related condition, which the trials defined as a BMI of 30, or 27 with a comorbidity. Any licensed prescriber can write it, including online. Then it is a payment question with four answers: a commercial plan that covers it brings it to $25 with Lilly's card; Lilly sells it direct for $299 to $699 a month by dose; a plan that refuses can be appealed; and compounded tirzepatide, the same molecule without FDA approval, starts at $85 on our board.
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Side effectsDose changeWeigh-in and resultsFood, protein and eatingCost and insuranceStopping and maintenanceHair lossLoose skin or face changesGallbladder
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