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GLP-1 TV · Patient story · views checked Oct 2026

One Month Zepbound Journey | Weight Loss Results & Side Effects | 2.5 mg

Patient storyZepbound and Beyond with NitaV11,425 views20:44Jun 2026

Our summary

In this update from the Zepbound and Beyond channel, Anita says she has finished four weeks on Zepbound at 2.5 mg. She reports weighing 245.4 lb at her latest weigh-in, down 0.4 lb from the week before, for a month total of 7.4 lb. She calls that an average of about 1.8 lb per week, which she says is within the 1 to 2 lb per week she hoped for. She suspects much of it is water weight, and she says she did not take a starting photo or measurements.

One person's experience, in their words. Not medical advice.

What else the video covers

She describes nausea starting about two days after each shot, headaches in the first week, fatigue, occasional body aches and constipation. She says she managed these with food, more water and a magnesium supplement. She says she uses the injector pen in her thighs and plans to try her stomach with the next pens. She reports that she usually lands between 48 and 64 oz of water a day against a 64 oz goal, and that she does not always reach the roughly 1500 calorie target from her tracking app. She says the medication has dampened her sweet tooth and chip cravings.

She also explains that her insurance treats 2.5 mg as a starter dose and expects her to move up after the first box. She asked to stay on 2.5 mg for another month, so the pharmacy had to submit an exception, and she was still waiting on her next pens. She walks through her usual meals, her habit of weighing in only on Wednesdays, and three weight sessions a week. She closes with a bone density DEXA scan she had done and a body composition DEXA booked for July 13th, which she says costs $79.

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.

  1. 0:02 She lists nausea, headaches, fatigue, body aches and constipation, and says food, water and a magnesium supplement helped.
  2. 0:04 She injects with the pen in her thighs and plans to try her stomach with the next set of pens.
  3. 0:04 She says her insurance treats 2.5 mg as a starter dose, so staying on it another month needed a pharmacy exception that was still pending.
  4. 0:08 Anita reports losing 7.4 lb in four weeks on Zepbound 2.5 mg, from the previous weigh-in to 245.4 lb, about 1.8 lb per week.
  5. 0:09 She describes repetitive, simple meals such as cottage cheese bowls, chicken sausage, pressure cooker chicken thighs and fish.
  6. 0:19 She says a body composition DEXA scan is booked for July 13th at a cost of $79.

Key moments

From the creator's own chapters. Tap one to play from there.

  1. 0:00 One month weight update
  2. 1:28 Tracking and body composition
  3. 2:46 Side effects and routine
  4. 4:41 Medication access and habits
  5. 8:05 Water intake and health
  6. 9:44 Diet and eating habits
  7. 14:21 Closing thoughts and outlook
  8. 16:58 DEXA scan update

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
2.5 mg
Point in the journey
Month 1
Side effects mentioned
nausea and fatigue
Who is speaking
Patient

Questions this video answers

How much weight can you lose in the first month on Zepbound 2.5 mg?

Anita says she lost 7.4 lb over four weeks, which she puts at about 1.8 lb per week, ending at 245.4 lb. She suspects most of it was water weight. This is her own result.

What side effects did she have on Zepbound 2.5 mg?

She reports nausea starting around the second day after a shot, headaches in the first week, fatigue, body aches and constipation. She says eating well, drinking more water and taking a magnesium supplement helped.

Why was she waiting on her next Zepbound pens?

She says her insurance plan considers 2.5 mg a starter dose and expects patients to move up after the first box. She asked to stay on 2.5 mg for another month, so the pharmacy submitted an exception that was taking a while.

How much does a body composition DEXA scan cost?

Anita says her doctor's office told her the scan would be $79, which she says was less than the $200 she expected. She says insurance likely would not cover it.

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  • Zepbound dosage chart: every tirzepatide dose, the escalation rule, what each rung lost in the trial, and what it costs

    Zepbound has six doses, 2.5 to 15 mg, taken once a week. The label's rule is four weeks at 2.5 mg, then 2.5 mg steps with at least four weeks on each, to a maintenance dose of 5, 10 or 15 mg. In SURMOUNT-1 those three doses lost 15.0, 19.5 and 20.9 percent of body weight over 72 weeks. Direct from Lilly each rung has a price, $299 at 2.5 mg rising to $699 at 10 mg and above, so the chart below carries the dose, the rule, the trial result and the bill in one place, plus the vial and KwikPen concentrations for anyone measuring in units.

  • 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.

  • Zepbound without insurance: every dose priced, and what the vial changes

    Without insurance, Zepbound costs $299 a month at the 2.5 mg starting dose and $399 at 5 mg, bought direct from Lilly. From 7.5 mg up the vial and the KwikPen are both $449 a month as long as each refill arrives within 45 days of the last; miss that window and it is $499 at 7.5 mg and $699 from 10 mg. That replaces a list price Lilly itself puts at $499 to $1,086.37 per fill. A year of 13 four-week fills at the trial doses is about $5,800 on refills kept on time and $9,087 at the regular price. Compounded tirzepatide, which is not FDA-approved, starts at $85 a month on our board.

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