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The Journal

Plain-language, doctor-reviewed writing on GLP-1s, weight loss, and how to do this safely.

// The Basics · 7 min read

GLP-1, explained: why your body already speaks this language

A plain-language primer on the hormone behind GLP-1 medicines — and why they amplify a conversation your body is already having.

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// Eligibility · 6 min read

Who GLP-1 medication is — and isn’t — for

“Prescription-only” is a safety feature, not a hurdle. Here’s how clinicians decide whether GLP-1 treatment fits you.

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// Weight Loss · 9 min read

Five myths about GLP-1 weight loss, set straight

The most talked-about tools in weight management are also the most misunderstood. Sorting headline from evidence.

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// How Vive works · 5 min read

What “doctor-prescribed, fully online” actually means at Vive

Done responsibly, telehealth is the opposite of a rubber stamp. Here’s how a Vive assessment actually works.

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// Weight Loss · 8 min read

How much weight can you actually expect to lose?

What the large trials really showed — and why an average is a starting point for a conversation, not a promise to you.

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// Safety · 7 min read

GLP-1 side effects, and how they’re managed

Most side effects are gut-related, usually mild, and often manageable. Here’s what to expect — and when to seek care.

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// Nutrition · 7 min read

Protecting muscle while you lose fat

Any weight loss can cost lean mass if you let it. Protein and resistance training are how you steer the loss toward fat.

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// Weight Loss · 7 min read

What happens if you stop? Maintenance and GLP-1s

Obesity behaves like a chronic condition. Understanding weight regain is the key to a plan that lasts beyond the medicine.

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// Medications · 8 min read

Semaglutide vs. tirzepatide: how the two actually compare

Both are weekly injections for weight management. One acts on a second hormone pathway. Here’s what that means — and why the headline numbers you’ve seen aren’t comparing what you think.

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// The Basics · 6 min read

What tirzepatide does differently: the dual GLP-1/GIP mechanism

Tirzepatide acts on two metabolic hormones rather than one. Here’s what the second pathway actually adds — and what it doesn’t change.

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// Medications · 6 min read

Compounded semaglutide: what “compounded” actually means

Compounding is a long-standing, regulated pharmacy practice — not an unregulated shortcut. Here’s how it works and what to ask about.

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// Medications · 6 min read

Titration, explained: why GLP-1 doses start low and climb slowly

The slow dose ramp is not caution for its own sake. It is the single biggest factor in whether treatment stays tolerable.

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// Medications · 5 min read

Branded pens vs. compounded vials: what’s actually different

The delivery format and the price are what change. Here’s a plain comparison of what you’re actually choosing between.

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// How Vive works · 5 min read

What happens between your assessment and your first dose

A step-by-step walk through what actually happens after you hit submit — including what slows things down.

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// How Vive works · 5 min read

How Vive prices treatment, and why there are no hidden fees

What you pay for, what’s included, and why you don’t see a price until a doctor has confirmed what’s appropriate.

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// How Vive works · 5 min read

What your care team actually does after you start treatment

Treatment doesn’t end at your first shipment. Here’s what ongoing care looks like, and how to reach someone when you need to.

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// Eligibility · 6 min read

BMI isn’t destiny: how doctors actually weigh eligibility

BMI is where a prescribing conversation starts, not a pass/fail test — and it has real limitations worth knowing about.

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// Eligibility · 7 min read

GLP-1s and Type 2 diabetes: where weight loss and blood sugar overlap

Several of these medicines were developed for diabetes first. That history explains a lot about how they work — and why having diabetes changes the conversation.

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// Eligibility · 6 min read

What disqualifies you from GLP-1 treatment, and why that’s a safety feature

A “no” from a physician is the system working, not failing. Here’s what actually rules treatment out, and what only changes how it’s approached.

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// Safety · 6 min read

GLP-1 and your gallbladder: what the research actually shows

Gallbladder problems are a listed risk — but they’re closely tied to rapid weight loss of any kind, not unique to these medicines.

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// Safety · 5 min read

Pancreatitis risk and GLP-1s: separating rare from common

Pancreatitis is on every label in this drug class. It’s also rare — and the distinction between “listed” and “likely” is worth understanding.

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// Safety · 5 min read

When to call your doctor on GLP-1 treatment: a plain-language guide

Most side effects are mild and expected. This is the short list of what isn’t — and what to do about each.

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// Nutrition · 7 min read

What to eat on a GLP-1: a practical, Filipino-food-forward guide

Not a diet plan. Practical adjustments using food that’s already on a Filipino table, built around a smaller appetite.

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// Nutrition · 6 min read

Protein on a reduced appetite: hitting your target without forcing it

A smaller appetite makes protein the easiest thing to under-eat — and the most important thing not to.

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// Nutrition · 5 min read

Hydration and fibre on GLP-1 medication: the two most-missed basics

A surprising share of the side effects people report trace back to these two — and both are fixable without anything from a pharmacy.

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// Living With It · 6 min read

Food noise, quieted: what patients actually notice in the first weeks

The most common thing patients describe isn’t hunger disappearing. It’s the constant background chatter about food going quiet.

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// Living With It · 5 min read

Travelling with GLP-1 medication: storage, flights, and what to pack

Refrigeration, airport security, and time zones — the practical questions, answered.

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// Living With It · 5 min read

Alcohol and GLP-1 medication: what changes and why

Alcohol isn’t forbidden on GLP-1 treatment. But slowed digestion changes how it affects you, and that catches people out.

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// Living With It · 6 min read

Exercise on a GLP-1: building activity back in without overdoing it

Movement protects muscle and supports the medicine’s effect. Starting too hard on a reduced appetite backfires.

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// Metabolic Health · 6 min read

GLP-1s and blood pressure: the metabolic ripple effect of weight loss

Blood pressure often improves alongside weight loss on GLP-1 treatment. Here’s what the evidence shows — and why it isn’t the reason to start.

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// Metabolic Health · 5 min read

Sleep apnea and weight loss: what improves, and how fast

Sleep apnea severity is closely tied to body weight. Here’s what to realistically expect — and what weight loss doesn’t replace.

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// Metabolic Health · 5 min read

Cholesterol, triglycerides, and GLP-1 treatment: what the numbers usually do

Lipid panels often shift alongside weight loss. A plain-language look at what typically moves, and what doesn’t change on its own.

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// Metabolic Health · 6 min read

PCOS and GLP-1 medication: where the evidence actually stands

PCOS with insulin resistance is an active research area, not an approved indication. An honest account of what’s known and what isn’t.

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// Myths & Evidence · 5 min read

“Ozempic face”: what’s actually happening, and what helps

Facial volume loss during rapid weight loss is real. It’s also not a drug side effect, and it has a name only because of who it happened to.

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// Myths & Evidence · 6 min read

Is GLP-1 weight loss “cheating”? A clinician’s answer

The stigma is real and worth addressing directly — including what the medicine genuinely does and doesn’t do for you.

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// Myths & Evidence · 5 min read

Will insurance cover this in the Philippines? How to actually find out

The realistic expectation is out-of-pocket — but coverage varies by plan, and here are the exact questions to ask yours.

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// Myths & Evidence · 7 min read

GLP-1 medication and long-term safety: what the drug class actually tells us

These medicines are newer as weight treatments than as diabetes treatments. That distinction is the whole answer to “is this safe long term?”

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// The Basics · 6 min read

Does GLP-1 medication wreck your metabolism? What actually happens

The fear is that the medicine “breaks” something you can’t get back. Here’s the actual physiology — including the part that is a real concern.

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// Weight Loss · 6 min read

Plateaus on GLP-1 medication: why they happen and what actually helps

Weight loss rarely moves in a straight line. Here’s what a plateau usually means, and what’s worth doing about it.

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// Medications · 5 min read

Storing and handling your medication: the practical guide

Refrigeration, room temperature, sharps disposal, and the mistakes that quietly ruin a month’s supply.

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