www.montereycountynow.com JANUARY 22-28, 2026 MONTEREY COUNTY WEEKLY 21 Immediately after word came down in March of 2020 about the spread of Covid-19, I threw almost every healthy habit I had out the window. The stress overrode any better angels I had reminding me to eat a balanced diet, get daily movement, moderate my drinking and manage my sleep. The ease of a drive-thru had me lining up for lunch and dinner multiple times a week. My gym was closed. I drank beers at night to relax while I sewed hundreds of face masks at my kitchen table. The comfort of putting back a pint of Ben & Jerry’s in front of a movie felt like it was helping. People started joking about gaining the “quarantine fifteen.” I quietly packed on my own pandemic 75. My weight has gone up and down my entire life. In adolescence, I flirted with an eating disorder, but through varsity athletics, learned the importance of fueling myself properly. Also in my youth I was diagnosed with Polycystic Ovary Syndrome (PCOS), a hormonal imbalance resulting in painful cysts as well as weight gain and facial hair growth that makes being a teenage girl extra-awkward. As an adult, through trial and error and enlisting the help of a physician, a nutritionist and a trainer, I found a routine that worked for me. Annual bloodwork showed that I was adequately managing my risk for diabetes, a condition to which multiple generations on both sides of my family are predisposed. PCOS continued to make it a challenge to lose weight, so I’ve generally been on the pudgier side of healthy. When pandemic restrictions were lifted, my hard-earned healthy habits did not fall back into place. Eventually, my LDL cholesterol was too high, my vitamin D levels were basement-level, and my liver enzymes were elevated. A friend helped pull me out of my head and out of my house, taking me on adventures and hikes in the open air and sunshine. My weight and lack of physical conditioning made getting back out on the hiking trails difficult, but I did it albeit at a slower pace and at lower elevations. The fresh air, friendship and Vitamin D-filled rays boosted my mental health. After slowly dropping 40 pounds, I decided to build on my progress and look into weight loss medications. We’ve all seen ads for Ozempic and Wegovy, the brand-name medications for diabetes and weight loss. In 2025, The World Health Organization added Glucagon-Like Peptide-1 (GLP-1) to their list of essential medicines for the management of diabetes. The WHO has also included GLP-1 in its guidelines for combating obesity, a common comorbidity, which they cite affects more than 1 billion people in the world and was associated with 3.7 million global deaths in 2024. The WHO recognizes obesity as a chronic, progressive and relapsing disease. These medicines, combined with lifestyle changes, can be a lifeline for folks with these disorders—I realized they could be a game-changer for folks like me. I quickly learned that name-brand Ozempic and Wegovy are prohibitively expensive if insurance doesn’t cover it. There are a number of telehealth providers of compounded GLP-1 medications and after researching my options, I settled on one with good reviews and that contracted with an FDA-registered compounding pharmacy following strict manufacturing guidelines. (GLP-1 refers to a class of medications and there are a couple of different formulations: semaglutide and tirzepatide. I underwent an assessment with a doctor and due to my elevated BMI and lack of contraindications, I was prescribed semaglutide.) I studied art history, not medicine. I’m not a doctor. I offer you my perspective and experience, not medical advice. If you have questions about GLP-1 medications, ask a doctor, and enlist the help of professionals all along the way. GLP-1 requires a titration process, so my dose started low and was raised each four weeks until I hit a therapeutic dose. The list of possible side-effects was daunting, but the first couple of months were easy without any of the stomach problems, headaches or injection site issues I had been instructed to watch out for. As the dose increased, I experienced gas and nausea but found those heightened when I ate something too greasy, too sugary, or if I simply ate too much. Adjusting my diet to include leaner protein and ample fiber helped manage these side effects. Not coincidentally, adjusting my diet to include leaner protein and ample fiber was one of the goals of using these meds in the first place— and it was working. I found the process of navigating these side effects was akin to using the bumpers blocking the gutters at the bowling alley—the better my swing became, the less I hit the guardrails. It was helping me build back those healthy habits I’d abandoned during the pandemic, and then some. I’d heard of the reduction in “food My Year on GLP-1s A weight-loss journey turned into a transformation that includes a whole lot more. By Keely Richter Above: Drawing up a syringe of a semaglutide for a weekly dose. Below: The author on the scale, clocking in at 152 pounds, close to her target weight. DANIEL DREIFUSS DANIEL DREIFUSS
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