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ForumsInternationalBrought my sema through customs and almost had a heart attack Page 3

Brought my sema through customs and almost had a heart attack

AussieAnna Tue, Apr 21, 2026 at 1:44 AM 19 replies 808 viewsPage 3 of 4
tammy_FL
Member
234
890
Nov 2024
Tampa, FL
Apr 21, 2026 at 5:59 AM#11
FDA_TrackerJim said:
Brought my sema through customs and is not that straightforward in my experience

This is exactly right. FDA_TrackerJim articulated what I have been trying to explain to my doctor for months. The Brought my sema through aspect is the most important factor.

14 17Dr.LipidDallas, alex_tucson, kevin_tulsa and 11 others
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anders_CPH
Senior Member
1,567
7,234
Feb 2024
Copenhagen, DK
Apr 21, 2026 at 6:16 AM#12

Reading this thread on Brought my sema through hits close to home. Night shift nurse — I started at 299 lbs and felt like I would tried everything.

15 months on tirz and I am a different person. Not just the 74 lbs lost — my energy, my mood, my relationship with food. All transformed.

If you are on the fence about Brought my sema — take the leap. It was the best health decision I have ever made. ❤️

1 16MariaRD
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newstart_MO
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Feb 2026
Springfield, MO
Apr 21, 2026 at 6:33 AM#13

Dr.NateNeph — that is really helpful context on Brought my sema through. Follow-up question: what labs did your doctor order to monitor this?

I am in a similar situation (just started) and trying to set realistic expectations.

9 21HPLC_Greg, LibrarianMeg, bri_stats and 6 others
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Dr.PathRoch
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456
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Jun 2024
Rochester, MN
Apr 21, 2026 at 6:50 AM#14

To answer anders_CPH's question specifically:

From a clinical standpoint, Brought my sema through is an area where we have good evidence.

The short answer: baseline labs + quarterly monitoring is the standard of care.

The longer answer involves understanding the mechanism of action at the receptor level, which I am happy to elaborate on if helpful.

23 1SaraMom3, Dr.MetabolicMD, RetaRick_CA and 20 others
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CryptoCarl
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May 2024
Arizona
Apr 21, 2026 at 7:07 AM#15

Bookmarked 📌 The Brought my sema info in this thread is essential. Coming back to this for sure.

Last edited: Apr 21, 2026 at 11:07 AM
44 23ChrisMacros, KetoKyle, CanadaChris and 41 others
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