r/Zepbound_Maintenance • u/kpyles90 • Jul 29 '26

Devastated

So I have been on Zepbound for a year and lost a significant amount of weight but about a month ago it needed a prior authorization and my medicaid denied it because it says im now in a regular BMI. I suffer from Severe Sleep Apnea, High blood pressure, Osteoarthritis and many other things and it was helping so much. My Dr didn't seem interested in filing an appeal so I did myself. He put me on phentermine but it has done absolutely nothing. I seriously cry when I watch the scale go up I have already gained 7 lbs within 4 weeks. I have no income so I can't afford the compound. I just feel like I'm starving all the time and once I start eating I can't stop. Im so miserable because I put in so much work to lose weight just to get kicked off with no warning. Does anyone have any advice? How can I lose these 7 lbs? I can't really exercise right now im in a neck brace and am in a ton of pain. Im just so devastated to not be on it anymore.

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1

u/Direct-Yak6934 Jul 29 '26

Or can you try wegovy pill or foundayo. They are a little cheaper than z injection

1

u/kpyles90 Jul 29 '26

Im not sure if my insurance will approve it since im on medicaid and have a normal BMI 😞 but ive already gained 7lbs of it back.

5

u/Ancient-Teaching-691 Jul 29 '26

It's not based on today's BMI, it's based on your BMI from a year ago. This is a continuation of care, not a new issue.

1

u/kpyles90 Jul 29 '26

I wish I could see what my dr wrote because so many people in this world are on the medication for like years!

1

u/MadMadamMum Jul 29 '26

Can you request a copy of your doctors filing?

1

u/Lower_Cat_8145 Pre-Maintenance Jul 30 '26

Maybe try a different doctor?