I Tried Melatonin, Benadryl, Unisom, and Sermorelin for Sleep. Here’s What Actually Worked (and Why I’m Trying DSIP Next)

JUMP TO:: MEDICAL + AFFILIATE LINK DISCLOSURES


I’ve been a night owl since second grade.

Not because I was being a bad kid. Not because I was sneaking around. My brain just… never wanted to sleep when it got dark outside. Every summer break I would stay up all night watching TV, get a few hours of sleep, and wake up ready for the day. I was maybe 7 years old. That wasn’t a phase. That was my body telling me something nobody bothered to listen to.

And then school would start back up. 7:20 am bell. Which meant catching the bus before 6 am some mornings. My mom drove me as often as she could because getting me up and functioning that early was a battle neither of us was winning. I was sick constantly. I missed more school than I should have. And not a single person ever connected the dots. Not my parents, not my teachers, not my pediatrician. Nobody looked at this kid who was wide awake at midnight and dragging by 7 am and thought… maybe her body is on a different clock.

It took me until I was an adult, working night shift as a NICU nurse, to finally figure it out.

Night shift was the first time in my entire life that my schedule matched my brain. I had energy. I wasn’t getting sick all the time. While everyone else on the unit was barely functioning, I was thriving. My body finally made sense. And it hit me… my circadian rhythm was never broken. The world just wasn’t built for it.

Why Sleeping on a Night Shift Schedule Still Didn’t Fix My Insomnia

Here’s the thing nobody tells you about being a night owl. Even when your schedule finally matches your body, that doesn’t automatically mean you’re getting quality sleep. It means you’re sleeping at the right TIME. But the quality? That’s a whole different conversation.

I have figured out how to actually fall asleep. Well… sometimes. If I put my phone down and turn on my audiobook, I can usually drift off within a few minutes. But if I won’t put my phone down? No. I’m not falling asleep. My phone is my kryptonite, and I know it.

But falling asleep was never really the main problem. My problem has always been STAYING asleep. Waking up in the middle of the night and then lying there for an hour trying to fall back to sleep after a bathroom break. Watching my brain decide that 3 am is the perfect time to plan tomorrow’s grocery list or replay a conversation from 2009.

And honestly? My sleep history goes darker than that.

After we lost our oldest son, I hit a level of insomnia I didn’t know was possible. I could stay awake for 72 hours straight. Then I’d sleep for maybe 6 hours and do it all over again. I told my doctors. They didn’t do anything. I told them OTC wasn’t working. They shrugged.

Looking back, it was probably depression driving the worst of it. That tracks. It’s never been that severe again. But I have stayed up for over 24 hours more times than I can count… sometimes because my schedule required it, and sometimes because my body just refused to shut down.

Deep Sleep vs. Light Sleep: Why 5 Hours of Quality Rest Beats 8 Hours of Garbage Sleep

Here’s what took me years to understand about my own body.

I function best on 4 to 6 hours of sleep. Always have.

And before anyone comes at me with “you NEED 8 hours”… I have tried. Eight hours makes me feel like I got hit by a truck. I wake up groggy, sluggish, and honestly worse than if I had slept 5. My body does not want 8 hours. It wants 4 to 6 good ones.

I can even function on less for a day or two at a time before I start feeling like I’m coming down with the flu. So my window is already small. Which means every single hour inside that window has to COUNT. There is zero room for garbage sleep. No room for light, surface-level, tossing and turning nonsense where my body never actually gets to the deep stages.

And that need only gets more critical as I get older. Deep sleep naturally declines with age. Perimenopause accelerates that. Stress accelerates it. So I’m working with a short sleep window AND the quality of that sleep is getting harder to protect at the same time. Two forces squeezing from both sides.

This isn’t a story about trying to sleep MORE. This is a story about needing the sleep I get to actually do its job.

And that one sentence is the measuring stick for everything I’ve tried.

Benadryl for Sleep: What Diphenhydramine Actually Does (and the Side Effects Nobody Warns You About)

Most people start with melatonin. I started with Benadryl.

In 2010, my insomnia was at its absolute worst. I hadn’t even heard of melatonin at that point. What I knew was that Benadryl made you drowsy, it was at every pharmacy, and I was desperate. So I started taking it. 25mg at first, and honestly? It usually worked. I could fall asleep.

Benadryl is an antihistamine. It works by crossing into your brain and blocking histamine, which is one of the chemicals that keeps you awake and alert. It’s a blunt force way to sedate you. You’re not sleeping… you’re chemically unconscious. There’s a difference.

But when you’re running on 72 hours of no sleep and your body won’t shut down no matter what you do? Chemically unconscious sounded pretty good to me.

The problem is your body builds tolerance to antihistamines really fast. After a few nights in a row, your brain gets used to it and you need more to get the same effect. 25mg became 50mg. And eventually 50mg wasn’t enough either.

I’ll be honest. I was taking up to 75mg at a time. And yes, I know. I’m a nurse. Do as I say, not as I do. I knew the recommended dose. I took more anyway because I needed to sleep and nothing else was working.

But the real reason I can’t take Benadryl for more than a few days at a time? The dreams.

If I take Benadryl too many nights in a row, I get the most vivid, intense, realistic dreams. And not fun ones. I’m talking full-blown arguments with my husband that feel 100% real. I wake up genuinely mad at him for something he said… that he never actually said. Because it happened in my dream. Not in real life.

I literally have to warn Rich if I’m going to be taking Benadryl for more than 3 days. “Hey babe, just a heads up, if I wake up mad at you for no reason… it’s the Benadryl. You didn’t do anything.” That is not a sustainable sleep solution. Vivid and disturbing dreams are a known side effect of antihistamine sleep aids, and at 75mg I was basically guaranteeing them.

Diphenhydramine has a half-life of about 4 to 8 hours, which means it clears your system relatively quickly compared to some other options. But “relatively quickly” still means you can wake up feeling groggy, especially at higher doses.

The measuring stick: It knocked me out but didn’t give me quality sleep. Built tolerance fast. And the vivid dream side effects made it unsustainable for more than a few days at a time.

Why Melatonin Didn’t Work for Me (and What It Actually Does)

I didn’t try melatonin until nursing school. That’s when I started bouncing between night and day schedules, and every time my schedule flipped I reached for melatonin thinking it would help me adjust.

It got me to sleep. But I still woke up feeling like I hadn’t slept at all.

Melatonin is a hormone. Your brain makes it naturally when it gets dark outside. Its entire job is to signal your body that it’s time to sleep. That’s it. Think of it like a “closed” sign on a store. It tells the world the store is shut down for the night.

But whether the cleaning crew actually shows up to do the overnight work? Melatonin has nothing to do with that.

The “cleaning crew” is deep sleep. Stage 3. Delta wave sleep. That’s where your brain consolidates memories, your immune system does its thing, your hormones get regulated, tissue gets repaired. ALL of that happens in deep sleep. And melatonin doesn’t touch it. At all.

So I was putting up the “closed” sign every night. But the cleaning crew never showed up.

DSIP vs Melatonin comparison chart - DSIP regulates deep delta sleep, balances stress via HPA axis, no morning hangover, supports neuronal resilience vs melatonin which only signals time to sleep
DSIP vs. Melatonin — they’re not doing the same job. Based on preclinical and limited clinical research. DSIP is not FDA-approved. Use is determined by a licensed medical provider.

There’s also a timing problem that nobody talks about. Melatonin works by responding to darkness. If you’ve spent 35 years training your brain to ignore the “it’s dark outside” signal… your body is just going to blow right past that melatonin like it’s not even there. It’s not a sedative. It’s a suggestion. And my body has been ignoring that suggestion since I was 7.

A meta-analysis of 19 randomized controlled trials found that melatonin supplements helped people fall asleep about 7 minutes faster and sleep about 8 minutes longer than a placebo. Seven minutes. That’s it. For most people dealing with real sleep issues, that’s barely a dent.

And here’s the part that really gets me as a nurse. Melatonin is not regulated by the FDA. It’s sold as a supplement, not a medication. A 2023 study published in JAMA looked at 25 melatonin gummy products and found that 22 of them contained different amounts of melatonin than what the label said. Some had nearly 3.5 times the labeled amount. You don’t actually know what you’re taking.

The measuring stick: Did melatonin help me get quality, restorative sleep in my 4 to 6 hour window? No. It suggested sleep. It never delivered depth.

Olly Sleep Gummies Review: Still Just Melatonin in a Prettier Package

After plain melatonin didn’t cut it, I tried the Olly Sleep gummies. The ones with melatonin plus L-theanine, chamomile, passionflower, lemon balm… all the “calming” botanicals.

I’ll give them this: they’re tasty. And I figured they weren’t hurting anything. So I kept taking them alongside whatever else I was using at the time. But the quality of sleep? Still garbage. I was still waking up feeling like my body never actually got to the deep stages.

It’s still melatonin-based. The add-in ingredients may help with relaxation, and some of them have mild evidence for calming the nervous system. But none of them are changing your sleep architecture. None of them are getting you into deeper sleep stages. It’s the same traffic cop in a fancier uniform.

The measuring stick: Slightly better packaging, same result. My body still wasn’t getting the deep, restorative sleep it needed.

Unisom vs. Benadryl for Sleep: Doxylamine Succinate vs. Diphenhydramine

By this point I was combining melatonin (or the Olly version) with 75mg of Benadryl. Yes, again with the 75mg. I know. Nurse brain knows better. Desperate-for-sleep brain does not care.

When even that combo wasn’t cutting it anymore, I swapped the Benadryl out for Unisom SleepTabs. Doxylamine succinate. Same family of antihistamines, but this one is the heavy hitter. I still took the melatonin alongside it, though honestly I couldn’t tell a difference with or without it at that point.

The biggest difference between Unisom SleepTabs and Benadryl is the half-life. Doxylamine hangs around in your system for 10 to 12 hours. It will absolutely knock you out cold. But when that alarm goes off the next morning? You feel like you’re walking through concrete. The next-day hangover from doxylamine is brutal.

Everything else is the same problem. It’s still blocking histamine to force sedation. It’s still not improving sleep quality or depth. Your body still builds tolerance. You’re still chemically unconscious, not restored.

And for anyone working 12-hour shifts where you have to be sharp and alert and making critical decisions? That next-day fog is dangerous. I cannot afford to be operating in a haze when I’m taking care of sick and premature infants. Period.

The measuring stick: Stronger sedation, longer hangover, same lack of actual deep sleep. Not the answer.

Why OTC Sleep Aids Never Fixed My Sleep Quality

Here’s what I wish somebody had explained to me years ago, instead of letting me fumble through the pharmacy aisle trying to figure it out on my own.

Everything I tried was doing one of two things. Either it was SUGGESTING sleep (melatonin and its fancier versions) or it was FORCING sedation (antihistamines like Benadryl and Unisom).

Neither one was addressing the actual quality of my sleep. Neither one was helping my body get into deep, restorative delta wave sleep. They were either putting up the “closed” sign or knocking me unconscious. But the cleaning crew… the part where my body actually does the repair work, consolidates memories, regulates hormones, restores itself… that part never showed up.

I spent years cycling through the same two categories of sleep aids and wondering why I still felt exhausted. The answer was that I was solving the wrong problem the entire time.

I didn’t need help falling asleep. I needed help sleeping DEEPLY.

Sermorelin for Sleep: The Peptide That Actually Helped Me Stay Asleep

I didn’t start Sermorelin for sleep.

I started it for completely different reasons. But one of the first things I noticed? I was falling asleep easier. And when I woke up in the middle of the night for a bathroom break, I could actually fall back to sleep instead of lying there staring at the ceiling for an hour while my brain ran tomorrow’s to-do list.

Sermorelin tablet held between fingers - oral peptide for sleep and growth hormone support from EllieMD
Sermorelin is available as a capsule or injection through EllieMD.

That was huge for me. Falling back to sleep after waking up had been one of my biggest struggles for years. And Sermorelin quietly fixed it without that even being the goal.

Sermorelin is a growth hormone-releasing hormone (GHRH) analog. It supports your body’s natural production of growth hormone, which plays a big role in recovery, tissue repair, and body composition. Growth hormone release is closely tied to your sleep cycles… your body produces most of it during deep sleep. So it makes sense that supporting GH production would also support the sleep that triggers it.

Unlike everything I tried from the pharmacy aisle, Sermorelin requires a prescription and physician oversight. I get mine through EllieMD, where a licensed provider evaluates you and personalizes your dosing. That’s a completely different experience from grabbing a bottle off a shelf and hoping for the best. And honestly? That’s part of why it actually works. Someone is paying attention to what YOUR body needs, rather than handing you a one-size-fits-all dose.

Sleep isn’t why I started Sermorelin. But sleep is absolutely why I continue to take it. The muscle and body composition benefits are the icing on the cake at this point.

If your main struggle is falling asleep, staying asleep, or falling back to sleep after waking up… Sermorelin might be worth exploring on its own. It made the biggest difference of anything I’ve tried for those specific problems. But if your struggle is more about the QUALITY and depth of your sleep once you’re actually out? Keep reading. Because that’s where my story goes next.

Even with Sermorelin helping me fall asleep and stay asleep better than anything else I’ve tried… my watch data still tells me I’m not consistently getting a lot of deep sleep. The falling asleep part improved. The staying asleep part improved. But the DEPTH? That gap is still there.

Benefits of Sermorelin peptide from EllieMD - boosts cognitive abilities, promotes fat loss and lean muscle, elevates sex drive, supports stamina and endurance, enhances recovery, regulates sleep patterns

Sermorelin got me further than anything in the pharmacy aisle ever did. It was the first time I felt like something was actually working WITH my body instead of just sedating it or suggesting it do something it didn’t want to do. But it wasn’t the complete answer.

The measuring stick: Best results so far. Genuinely helps me fall asleep and fall back to sleep. But my watch data says the deep sleep depth still isn’t where it needs to be. Close… but not all the way there.

What Is Deep Sleep? A Nurse Explains Sleep Stages and Why They Matter

Okay, so I keep saying “deep sleep” like it’s this one magic thing. Let me break down what’s actually happening in your brain when you sleep, because this is the part that changed everything for me.

Your sleep has stages. You cycle through them multiple times every night.

Stages 1 and 2 are light sleep. Your body is transitioning, slowing down, but you’re not doing the heavy repair work yet. You can be woken up pretty easily. This is where most people spend the majority of their night if their sleep quality is poor.

Stage 3 is deep sleep. Delta wave sleep. This is where the real work happens. Your brain waves slow way down into these big, heavy delta waves. Your brain is consolidating memories. Your immune system is doing its thing. Your hormones are getting regulated. Tissue is getting repaired. Your body is literally rebuilding itself. This is the stage that matters most for waking up feeling like you actually slept.

Then there’s REM sleep, which is where dreaming happens, and your brain processes emotions and experiences.

The first cycle through all of these stages takes about 90 minutes. Then you cycle through again, about 100 to 120 minutes per cycle, after that. In a healthy night of sleep, you’re getting multiple rounds of deep sleep woven into those cycles.

Here’s the problem. Deep sleep is the FIRST stage to get wrecked by stress, hormonal shifts, and age. Perimenopause? Your sleep architecture starts changing before you even realize what’s happening. Chronic stress? Cortisol stays elevated when it’s supposed to drop, and deep sleep suffers. Shift work? Your circadian rhythm is so confused that your body can’t settle into the normal cycling pattern.

You can sleep 8 hours and barely touch Stage 3. You were in the pool all night, but you never went below the surface.

And here’s the other part nobody talks about. Your stress system and your sleep system are supposed to take TURNS. Stress runs the day. Then it clocks out so sleep can take over at night. When that handoff breaks down, you get that “tired but wired” feeling. Exhausted, but your brain won’t stop running the list. That’s not a personality trait. That’s not anxiety being dramatic. That’s a broken shift change inside your body.

This is why the hours don’t matter as much as people think. This is why I feel great on 5 hours and terrible on 8. If my body is efficient at getting into deep sleep during a shorter window, those 5 hours are doing more for me than 8 hours of light, surface-level sleep ever could. But if something is preventing me from reaching that deep stage consistently… it doesn’t matter how many hours I’m in bed. My body isn’t getting what it needs.

And that’s exactly what my watch has been showing me. Even with Sermorelin helping me fall asleep and stay asleep… the deep sleep numbers aren’t always there.

Which brings me to DSIP.

What Is DSIP? The Sleep Peptide Being Studied for Deep, Restorative Sleep

DSIP stands for Delta Sleep-Inducing Peptide. It is literally named after the thing I’ve been chasing this entire time.

It’s a naturally occurring neuropeptide… meaning your body already makes it. It was first discovered in the 1970s when researchers noticed it helped promote delta wave activity in the brain. That’s deep sleep. Stage 3. The cleaning crew. It’s been studied for over 40 years, and the research has looked at its role in sleep regulation, circadian rhythm signaling, stress hormone balance, and neurological resilience.

Let me say that again. It’s being studied for sleep DEPTH, circadian rhythm, AND the stress-cortisol connection. All three of the things that have been working against me my entire life.

DSIP Delta Sleep-Inducing Peptide injection vial from Cloverx held in hand - 1mg/mL 5mL multi-dose
My DSIP injection vial. It arrived ready to use — no home mixing.

DSIP is not a sedative. It’s not knocking you out like Benadryl or Unisom. It’s not just suggesting sleep like melatonin. It’s being looked at for helping your brain actually access and maintain those deep, restorative delta wave sleep stages. It may help support the quality of your sleep, not just the timing or the duration.

Remember the stress-sleep handoff I talked about? Where your stress system is supposed to clock out so your sleep system can take over? Research suggests DSIP may help support that handoff by helping regulate cortisol pathways through the HPA axis. So instead of lying there “tired but wired” with your brain refusing to shut down… DSIP may help your body actually make that transition.

And unlike melatonin, which only responds to darkness and has nothing to do with what happens after you fall asleep… DSIP is being studied for what happens DURING sleep. The architecture. The depth. The repair work. The part that actually matters for how you feel when you wake up.

Here’s what the research shows so far. A double-blind study on chronic insomnia patients found improved sleep efficiency and shorter time to fall asleep with DSIP compared to placebo. Animal studies have shown DSIP’s ability to increase delta wave sleep without suppressing REM, meaning it may help enhance sleep quality rather than just sedating the subject. Research has also shown it may help support the body’s response to stress, with studies noting what researchers described as decreased stress markers and improved stress tolerance.

Is the research perfect? No. The human trials are small and some of the data is older. There are scientists who think DSIP is the real deal and scientists who think the evidence is inconclusive. I’m being straight with you about that because I’m always going to keep it real. But for someone like me… a lifelong night owl with a short sleep window who needs every hour to count, who has tried everything in the pharmacy aisle and hit a wall, who is already seeing real benefits from Sermorelin but still has a gap in deep sleep… the research on DSIP lines up with exactly what I need.

DSIP for Shift Workers and Night Owls: Why I Started It Before Day Shift

When EllieMD added DSIP to their offerings, I was completely stoked. And the timing could not have been better.

I was about to be forced onto day shift for three months. My lifelong night owl brain was about to be shoved onto a schedule that goes against everything my body has ever wanted. I already knew from experience that my sleep quality is historically garbage when I’m on a day shift schedule. Even with Sermorelin helping me fall asleep and stay asleep, forcing my body to sleep during hours it doesn’t want to sleep means those hours are usually light, surface-level, not restorative.

DSIP is being studied for exactly the gap that’s left. If Sermorelin handles the falling asleep and staying asleep part… DSIP may help with the depth and quality of the sleep I’m actually getting. And for someone who runs on 4 to 6 hours, that depth is everything.

But it’s not just about surviving day shift. When I go back to nights, I want to maintain a quality, restorative sleep pattern there too. This isn’t a short-term fix for a temporary schedule change. This is about finally addressing the one part of my sleep that nothing else has been able to touch.

I ordered it. It’s here. And at the time I’m writing this, I’ve taken my first dose. It’s way too early to tell you how it’s working… I’m not going to do that. Y’all know me. I’ll never talk about results I don’t have. But I’m documenting everything, and once I have real experience to share, I’ll write a full blog post about it.

In the meantime, follow me on Instagram @nicoleinscrubs for the most up-to-date stories on how it’s going. That’s where I’ll be sharing the real-time journey as it happens.

Where to Get DSIP With Real Physician Oversight (Not Research Chemical Websites)

This is important and I want to be clear about it.

DSIP is not something you grab off a shelf at the drugstore. It’s not an unregulated supplement where you don’t know what’s actually in the bottle. It requires a prescription from a licensed healthcare provider who evaluates YOUR health history, YOUR needs, and personalizes YOUR dosing.

I get mine through EllieMD, the same provider I use for my Sermorelin and my GLP-1. Every plan is supervised by a licensed physician. The peptides are compounded to pharmaceutical-grade standards, not research grade. They’re tested for potency and purity and triple-purified for safety. The vials arrive ready to use… no home mixing, no guessing.

DSIP injection vial with syringes on table - subcutaneous peptide for deep sleep support

And here’s the part that honestly sets it apart for me. You get unlimited messaging with your doctor. You can ask a million questions. That’s what they’re there for, and it’s included in the cost of your meds. You’re not paying extra to talk to someone. You’re not waiting 6 weeks for a follow-up appointment to ask one question. You have a provider in your corner who you can actually reach.

There are people all over the internet buying peptides from random research chemical websites with zero physician oversight and calling it biohacking. As a nurse, that makes me genuinely nervous. You don’t know what you’re getting, you don’t know the purity, you don’t have anyone monitoring how your body is responding. Having a real provider in your corner isn’t just safer… it’s the whole point.

Sermorelin, DSIP, or Both? How to Know Which Sleep Peptide Is Right for You

If any of this resonated with you… if you’re the woman sleeping 7 hours and still waking up exhausted, or the night owl who’s been told to “just go to bed earlier,” or the person who’s tried every melatonin and Unisom on the shelf and nothing has actually fixed the quality of your sleep…

Here’s where I’d start.

If your main struggle is falling asleep, staying asleep, or getting back to sleep after waking up… ask about Sermorelin. That’s where I saw the first real change.

If your main struggle is the DEPTH and quality of your sleep… if you’re sleeping enough hours but never actually feeling rested… DSIP may be worth exploring.

If you’re like me, and it’s both? The combination is what I’m testing now, and I’ll be documenting everything.

You can explore it all through my link at elliemd.com/NicoleInScrubs. A licensed provider will evaluate whether any of this is right for YOUR body. Not mine. Not your friend’s. Yours.

And if you’re not sure where to start, take my free quiz and let’s figure it out together.

I’ve spent over 15 years trying to fix my sleep. I tried the melatonin. The gummies. The Benadryl at doses I shouldn’t have been taking. The Unisom that left me in a fog. I found Sermorelin and it changed the game for falling asleep and staying asleep. And now I’m adding DSIP to address the one thing nothing else has been able to touch… the depth.

I’ve taken my first dose. I’ll be back with a full post once I have real results to share. In the meantime, follow along on Instagram @nicoleinscrubs for the real-time updates.


This post contains affiliate links and/or brand partnership content. I may earn a commission at no extra cost to you.

LET’S BE CLEAR ABOUT WHO I AM (AND WHO I’M NOT).

I’m a registered nurse and health coach who shares real, BS-free information about metabolic health, PCOS, perimenopause, and weight loss, because y’all deserve better than vague wellness fluff. But here’s what I need you to know: I am not YOUR nurse. Everything I share here is for educational purposes only. It is not medical advice, it’s not a diagnosis, and it doesn’t create a provider-patient relationship between us. Nothing on this site replaces the care of a licensed provider who actually knows your full health history. The opinions and content here are my own and do not reflect the views of my employer or the hospital where I work.

SCOPE OF PRACTICE.

As a nurse health coach, I can recommend over-the-counter products and supplements that may support your wellness goals. I don’t prescribe specific prescription medications. When it comes to GLP-1s and peptides, what I can do is talk about the science, what’s available, and what may be beneficial, so you can have an informed conversation with your licensed medical provider. The decision about what’s right for your body always belongs to you and your provider. Always consult your licensed provider before starting any prescription treatment — this is not something that should be DIY’d. These statements have not been evaluated by the FDA. Products discussed on this site are not intended to diagnose, treat, cure, or prevent any disease.

TRANSPARENCY.

I only recommend things I actually trust. Most are products I personally use, some are from partners whose clinical standards I believe in. I will always let you know when it’s something I haven’t tried personally. Some links on this site are affiliate links or part of brand partnerships, which means I may earn a commission at no extra cost to you. As an Amazon Associate I earn from qualifying purchases.

RESULTS + TESTIMONIALS.

Any testimonials or results shared on this site reflect individual experiences only. Results are not guaranteed and will vary based on individual circumstances.

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The Nurses’s RX no. 5: Girl, Your Metabolism Needs This

The Nurse's RX newsletter header - Everything your doctor didn't have time to explain

Okay soooo….

Let’s talk about the absolute most frustrating thing in weightloss: the feeling that your body is a total energy hog. You’re moving your tushie, you’re eating your protein, drinking your water, and eating that fiber to stay running smooth (IYKYK), but when you look in the mirror, your fat stores are just waving back at you like, “Nope, still here!”

You are NOT failing. This is simply a matter of chemistry. This is why I’m breaking down L-Carnitine today, it’s the chemical assistant your system may be missing.

L-Carnitine Can Help

  • The Energy Crash::
    • You feel constantly drained because your cells aren’t getting the right fuel.
  • The Muscle Hangover::
    • You are totally wiped out and sore for days after a good workout.
  • The Stubborn Fat::
    • Your body isn’t using its stored fat for energy, so it just sits there.

I know we've covered this, but quick refresher: Amino acids are the basic building blocks of your body. Think of them as the individual beads on a long necklace, all working together to create the necklace. Lose one and it all falls apart. L-Carnitine is one of those crucial beads, and it has the most important job in your cell's engine room.

Your fat is your cells’ most powerful fuel, but the engine that burns everything up (your mitochondria) is tiny.

It’s like having a giant frozen pizza (your fat fuel), but all you have is a toaster oven. The oven will only fit one slice at a time!

L-Carnitine is your specialized tool. It’s like your pizza cutter, it cuts the bulky fat down into individual slices, ready to cook and use for massive energy.

L-Carnitine makes sure your body is working smarter, not harder.

Because L-Carnitine makes fat a better fuel source, it helps your body prioritize burning fat for energy. This is super important because it reduces the need to break down other valuable energy sources, like your muscle tissue. It helps keep your muscle strong while you lose the weight.


This is why L-Carnitine is one of the new, customized GLP-1 options available with EllieMD to tailor your weight-loss and wellness journey to your personal needs.

Let’s Get This Started!

START TODAY

XOXO,
NIKI, RN

PCOS. Perimenopause. Metabolic health. The real stuff. Not just “eat less, move more.”

Not sure where to start? Take my free quiz and I’ll send you a custom plan.
WHAT’S RIGHT FOR MY BODY?
P.S. Missed the previous editions of The Nurse’s RX?
↓ Catch up here ↓
READ PAST EDITIONS

↓ LET’S CONNECT ↓


Let’s be clear about who I am (and who I’m not)

I’m a registered nurse and health coach who shares real, BS-free information about metabolic health, PCOS, perimenopause, and weight loss, because y’all deserve better than vague wellness fluff. But here’s what I need you to know: I am not YOUR nurse. Everything I share here is for educational purposes only. It is not medical advice, it’s not a diagnosis, and it doesn’t create a provider-patient relationship between us. Nothing here replaces the care of a licensed provider who actually knows your full health history. The opinions and content here are my own and do not reflect the views of my employer or the hospital where I work.

Scope of practice

As a nurse health coach, I can recommend over-the-counter products and supplements that may support your wellness goals. I don’t prescribe specific prescription medications. When it comes to GLP-1s and peptides, what I can do is talk about the science, what’s available, and what may be beneficial, so you can have an informed conversation with your licensed medical provider. The decision about what’s right for your body always belongs to you and your provider. Always consult your licensed provider before starting any prescription treatment. These statements have not been evaluated by the FDA. Products discussed are not intended to diagnose, treat, cure, or prevent any disease.

Transparency

I only recommend things I actually trust. Most are products I personally use, some are from partners whose clinical standards I believe in. I will always let you know when it’s something I haven’t tried personally. Some links in this email are affiliate links or part of brand partnerships, which means I may earn a commission at no extra cost to you. As an Amazon Associate, I earn from qualifying purchases.

Results + Testimonials

Any testimonials or results shared here reflect individual experiences only. Results are not guaranteed and will vary based on individual circumstances.

Read the full fine print at nicoleinscrubs.com/disclosure

Can You Have Insulin Resistance with a Normal A1C? What a Nurse Wants You to Know

“Your Labs Are Normal” Doesn’t Mean You’re Fine

JUMP TO:: MEDICAL + AFFILIATE LINK DISCLOSURES


You leave your doctor’s appointment with the same answer you’ve gotten for the last five years.
“Everything looks good. Labs are normal.”

And you sit in your car and think… then why do I feel like this?
Why am I exhausted by 2pm every day? Why can’t I lose weight no matter what I do? Why does my brain feel like it’s running through fog? Why am I doing everything “right” and nothing is changing?

You’ve heard “your labs are normal” so many times that you’ve started to believe the problem must be you. Your discipline. Your effort. Your willpower.

It’s not you. And I need you to hear that.

Your labs might technically be within range. But “within range” and “optimal” are not the same thing. And the test that would actually tell you whether you have insulin resistance? There’s a very good chance your doctor never ordered it.

What Is a Fasting Insulin Test and Why Don’t Most Doctors Order It?

When you go in for your annual physical or routine bloodwork, your doctor typically checks two things related to blood sugar: your fasting glucose and your A1C (hemoglobin A1C).

Fasting glucose is a snapshot. It tells you what your blood sugar is right now, after you haven’t eaten for 8 to 12 hours. A result under 100 mg/dL is considered normal. Between 100 and 125 is prediabetes. Over 126 is diabetes.

A1C is a wider view. It measures your average blood sugar over the last 2 to 3 months by looking at how much sugar has attached to your red blood cells. Under 5.7% is normal. 5.7 to 6.4% is prediabetes. Over 6.5% is diabetes.

Both of these tests measure the same thing… glucose. They just measure it differently.

And here’s the problem: neither one tells you how hard your body is working to keep that glucose number “normal.”

Think of it this way. Imagine two women sitting in the same doctor’s office on the same day. Both have a fasting glucose of 94 mg/dL. Both A1Cs come back at 5.4%. Both get told their labs are normal.

But behind the scenes, the first woman’s pancreas is producing 5 units of insulin to maintain that glucose level. Easy. No sweat. Her metabolic system is cruising.

The second woman’s pancreas is grinding out 18 units of insulin just to hold the line at 94. Her body is working triple shifts to keep that number where it is. She’s exhausted, gaining weight she can’t explain, brain fog is constant, and she can’t stop thinking about food.

On paper, they look identical. Metabolically, they’re in completely different places.

The only way to see the difference? A fasting insulin test. And most routine bloodwork panels do not include it.

That’s not an oversight by your specific doctor. The National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) states plainly that doctors use blood tests to find out if someone has prediabetes, but they don’t usually test for insulin resistance. It’s just not part of the standard protocol. Which means millions of women are walking around with insulin resistance that nobody is looking for… because nobody is ordering the test that would find it.

What Is HOMA-IR and How Do You Calculate It?

A fasting insulin test measures how much insulin your pancreas is producing after you haven’t eaten. That number alone is helpful. But when you combine it with your fasting glucose, you can calculate something even more useful… your HOMA-IR score (Homeostatic Model Assessment of Insulin Resistance). This is essentially a number that tells you how insulin-resistant your body is.

The math is simple: (fasting glucose x fasting insulin) / 405.

Both values must come from the same fasting blood draw.

Here’s how to read your HOMA-IR score:
Under 1.0 — Optimal insulin sensitivity. Your body is using insulin efficiently.
1.0 to 2.5 — Moderate range. Worth watching, especially if you have other risk factors like PCOS, family history of diabetes, or unexplained weight gain.
Over 2.5 — Insulin resistance is likely present. Your pancreas is working harder than it should to keep your blood sugar in range.
Over 3.0 — Significant insulin resistance. This level may already be driving symptoms… fatigue, weight gain, brain fog, food noise… even if your glucose and A1C still look completely normal on paper.

So why doesn’t your HOMA-IR show up on your standard bloodwork? A few reasons. Most standard metabolic panels are built around glucose, not insulin. Time constraints in a 15-minute appointment don’t leave room for expanded testing. And many providers follow a “wait and see” approach to borderline results… meaning they don’t dig deeper until your numbers actually cross into prediabetes or diabetes territory.

By then, the damage has been building for years.

Can You Have Insulin Resistance with Normal Blood Sugar and a Normal A1C?

Yes. And this is the part that makes me want to flip a table.

Your fasting glucose can be perfect. Your A1C can be textbook. And insulin resistance can still be building behind the scenes for years because your pancreas is compensating… producing more and more insulin to keep your blood sugar in range.

According to the Cleveland Clinic, as long as your pancreas can make enough insulin to overcome the resistance, your blood sugar levels will stay in a healthy range and you won’t have any symptoms. But over time, the cells that make insulin can wear out. That’s when blood sugar finally rises. That’s when you get the prediabetes or diabetes diagnosis. But the insulin resistance? That started long before the numbers changed.

Research from a peer-reviewed study published in a PMC journal found that elevated insulin levels in the absence of impaired glucose tolerance and normal A1C may actually be a much earlier indicator of metabolic disease risk than glucose or A1C alone. In other words… insulin was waving a red flag the whole time. Nobody was watching for it.

How Many People Have Undiagnosed Insulin Resistance and Prediabetes?

According to the CDC’s most recent National Diabetes Statistics Report (January 2026), over 115 million American adults have prediabetes. And 8 in 10 of them don’t know it.

Let that sink in for a second. 80% of people with prediabetes are walking around right now being told their labs are normal.

On top of that, research published in Diabetes Care found that using A1C alone to screen for prediabetes missed about 75% of at-risk individuals. The study specifically noted that A1C was less sensitive for detecting at-risk individuals compared to fasting glucose and glucose tolerance testing… and none of those tests even measure insulin.

Meanwhile, a growing body of research shows that elevated insulin levels can appear years… and according to some researchers, potentially even decades… before blood sugar ever crosses into an abnormal range. Your pancreas is working overtime to keep your glucose normal, and nobody’s checking to see how hard it’s working.

Why Insulin Resistance Testing Matters Even More If You Have PCOS

If you have polycystic ovary syndrome, this isn’t just relevant. It may be the entire missing piece of your health puzzle.

Research estimates that insulin resistance affects between 50 and 80% of women with PCOS… including women who are not overweight. That’s not a small subset. That’s the majority. And many of those women have never had their insulin levels checked.

Insulin resistance in PCOS doesn’t just affect blood sugar. It directly drives excess androgen (testosterone) production, which can cause irregular periods, acne, hair loss, excess body hair, and difficulty getting pregnant. The cycle looks like this: insulin resistance leads to higher insulin levels, which triggers increased androgen production, which disrupts ovulation, which worsens PCOS symptoms. It feeds itself.

And the whole time, your fasting glucose and A1C may look completely normal because your pancreas is compensating.

One peer-reviewed study in the Journal of Clinical Medicine proposed that the medical community needs to shift from a “glucose-centric” approach to an “insulin-centric” model when managing PCOS… because by the time glucose rises, the metabolic damage has already been happening for years. The study emphasized that early identification of insulin resistance would enable timely intervention and could reduce the risk of long-term metabolic and reproductive complications.

If you’ve been told your labs look fine but you’re still gaining weight, still exhausted, still struggling with PCOS symptoms that nobody can explain… this may be why. The right labs were never ordered.

What Blood Tests Should You Ask Your Doctor For?

  1. Ask for a fasting insulin test at your next appointment.
    • It’s a simple blood draw done at the same time as your regular fasting labs.
    • You may need to specifically request it… many providers won’t think to order it unless you ask.
    • If your provider pushes back, you can explain that you’d like to assess insulin resistance beyond what glucose and A1C alone can show.
    • The NIDDK confirms that providers don’t usually test for insulin resistance as part of standard screening.
    • That doesn’t mean the test isn’t available or valuable. It means you may need to advocate for yourself.
  2. Know your HOMA-IR score.
    • Once you have your fasting insulin and fasting glucose from the same blood draw, you can calculate it yourself:
      • (fasting glucose x fasting insulin) / 405.
        • Under 1.0 is optimal.
        • Over 2.5 starts to suggest insulin resistance.
        • Over 3.0 is significant.
    • There are also free HOMA-IR calculators online if math isn’t your thing.
  3. Ask about a full hormone panel if you have PCOS or suspect it.
    • Fasting insulin
    • HOMA-IR
    • testosterone (total and free)
    • DHEA-S
    • LH
    • FSH
    • lipid panel
      • These give a much more complete picture of what’s happening metabolically and hormonally than glucose and A1C alone.
  4. Know the difference between “normal range” and “optimal.”
    • Lab reference ranges are based on population averages… they tell you where most people fall, not where you should be for your best health.
    • A fasting glucose of 98 is technically “normal” but it’s not optimal.
    • An A1C of 5.6 is technically “normal” but it’s one decimal point from a prediabetes diagnosis.
    • Don’t let “in range” make you stop asking questions.
  5. Trust your body.
    • If you feel like something is off, something probably is.
    • You are not imagining it.
    • You are not lazy.
    • You are not failing.
    • You may just be missing data.

If you’re currently on a GLP-1 or considering one, I put together a free checklist that walks you through what to track between appointments… the stuff most people don’t think to monitor.

GRAB IT HERE FOR FREE

The Part I Take Personally

I was the woman in the car. I had PCOS. I had high blood pressure, high cholesterol, and sleep apnea. I was labeled pre-diabetic for about eight months in 2006… and then my A1C came back down and everybody moved on. Normal. Case closed.

Except my white blood cell count kept showing chronic inflammation. Nobody connected those dots. Nobody said “hey, your A1C looks better but let’s dig deeper into WHY your body is still inflamed, WHY you can’t lose weight, WHY none of this is adding up.”

I never got the right tests. I still haven’t. What I got was a doctor who finally looked at me and said… something isn’t adding up. The calories in versus calories out math wasn’t mathing. My body wasn’t responding the way it should have been. And instead of handing me another pamphlet, he prescribed a GLP-1.

That changed everything. But I think about how many years I spent blaming myself for something that had a physiological explanation nobody bothered to look for. How many times I white-knuckled a diet and watched the scale not move and thought it was ME.

I’m a NICU nurse. I believe in evidence. I believe in labs. But I also believe that the wrong labs… or the incomplete ones… can leave you blaming yourself for something that was never your fault.

If your doctor says your labs are normal but your body is screaming that something is wrong… believe your body. Then go get the right labs. The ones I’m telling you about in this post? I wish someone had told me about them ten years ago.

Frequently Asked Questions About Insulin Resistance and Lab Testing

Can you have insulin resistance with a normal A1C?

Yes. Insulin resistance can develop years before your A1C ever moves out of the normal range. Your pancreas compensates by producing more insulin to keep blood sugar stable. As long as it can keep up, your glucose and A1C may look fine on paper while insulin resistance builds underneath. A fasting insulin test or HOMA-IR calculation can reveal what glucose-based tests miss.

What is HOMA-IR and how do I get tested?

HOMA-IR stands for Homeostatic Model Assessment of Insulin Resistance. It’s not a separate blood test… it’s a calculation using two values from a single fasting blood draw: your fasting glucose and your fasting insulin. The formula is (fasting glucose x fasting insulin) / 405. A score under 1.0 is considered optimal. Over 2.5 suggests insulin resistance. Over 3.0 is significant. You’ll need to ask your doctor to order a fasting insulin level since it’s not included in standard metabolic panels.

Does a normal fasting glucose mean I don’t have insulin resistance?

Not necessarily. Your fasting glucose measures what your blood sugar is at one moment in time. It doesn’t tell you how much insulin your body needed to get it there. Two people can have the exact same fasting glucose but very different insulin levels… and very different levels of metabolic stress happening behind the scenes.

Why doesn’t my doctor test for insulin resistance?

Most standard bloodwork panels focus on glucose, not insulin. The NIDDK notes that providers don’t usually test for insulin resistance as part of routine screening. It’s not that the test doesn’t exist or isn’t valuable. It’s that the current standard of care doesn’t include it unless you specifically ask or your provider is thinking beyond the basics.

What blood tests should I ask for if I have PCOS?

For a more complete metabolic and hormonal picture, consider asking about: fasting insulin, fasting glucose (to calculate HOMA-IR), A1C, testosterone (total and free), DHEA-S, LH, FSH, and a full lipid panel. These tests together can reveal insulin resistance, hormonal imbalances, and metabolic risk factors that glucose and A1C alone would miss.

Is it too late to test for insulin resistance in my 40s?

No. Research shows that lifestyle and medical interventions can reduce the risk of progressing from insulin resistance to type 2 diabetes significantly… even in midlife. The earlier you identify insulin resistance, the more options you have. But “earlier” doesn’t mean it has to be your 20s. It means earlier than waiting for a diabetes diagnosis.

Not sure where to start? My free Wellness Strategy Quiz can help you figure out what to focus on first based on where you are right now

TAKE MY FREE WELLNESS QUIZ NOW

Click here to view my sources:
  • CDC National Diabetes Statistics Report (January 2026) — cdc.gov/diabetes/php/data-research
  • CDC Prediabetes Statistics — cdc.gov/diabetes/communication-resources/prediabetes-statistics
  • NIDDK — Insulin Resistance & Prediabetes — niddk.nih.gov/health-information/diabetes/overview/what-is-diabetes/prediabetes-insulin-resistance
  • Lorenzo C, et al. “A1C Between 5.7 and 6.4% as a Marker for Identifying Pre-Diabetes, Insulin Sensitivity and Secretion, and Cardiovascular Risk Factors.” Diabetes Care. 2010;33(9):2104-2109.
  • Parker J. “Recognizing the Role of Insulin Resistance in Polycystic Ovary Syndrome: A Paradigm Shift from a Glucose-Centric Approach to an Insulin-Centric Model.” Journal of Clinical Medicine. 2025;14(12):4021.
  • “Hyperinsulinemia: An Early Biomarker of Metabolic Dysfunction.” PMC. 2023. pmc.ncbi.nlm.nih.gov/articles/PMC10186728
  • Cleveland Clinic — Insulin Resistance: What It Is, Causes, Symptoms & Treatment — my.clevelandclinic.org/health/diseases/22206-insulin-resistance
  • “Markers of Insulin Resistance in Polycystic Ovary Syndrome Women: An Update.” World Journal of Diabetes. 2022. pmc.ncbi.nlm.nih.gov/articles/PMC8984569
  • “Insulin Resistance, Metabolic Syndrome and Polycystic Ovaries: An Intriguing Conundrum.” Frontiers in Endocrinology. 2025.
  • Ezeh U, et al. “Detecting Insulin Resistance in Polycystic Ovary Syndrome: Purposes and Pitfalls.” PubMed. 2004.

This site contains affiliate links and/or brand partnership content. I may earn a commission at no extra cost to you.

LET’S BE CLEAR ABOUT WHO I AM (AND WHO I’M NOT).

I’m a registered nurse and health coach who shares real, BS-free information about metabolic health, PCOS, perimenopause, and weight loss, because y’all deserve better than vague wellness fluff. But here’s what I need you to know: I am not YOUR nurse. Everything I share here is for educational purposes only. It is not medical advice, it’s not a diagnosis, and it doesn’t create a provider-patient relationship between us. Nothing on this site replaces the care of a licensed provider who actually knows your full health history. The opinions and content here are my own and do not reflect the views of my employer or the hospital where I work.

SCOPE OF PRACTICE.

As a nurse health coach, I can recommend over-the-counter products and supplements that may support your wellness goals. I don’t prescribe specific prescription medications. When it comes to GLP-1s and peptides, what I can do is talk about the science, what’s available, and what may be beneficial, so you can have an informed conversation with your licensed medical provider. The decision about what’s right for your body always belongs to you and your provider. Always consult your licensed provider before starting any prescription treatment — this is not something that should be DIY’d. These statements have not been evaluated by the FDA. Products discussed on this site are not intended to diagnose, treat, cure, or prevent any disease.

TRANSPARENCY.

I only recommend things I actually trust. Most are products I personally use, some are from partners whose clinical standards I believe in. I will always let you know when it’s something I haven’t tried personally. Some links on this site are affiliate links or part of brand partnerships, which means I may earn a commission at no extra cost to you. As an Amazon Associate I earn from qualifying purchases.

RESULTS + TESTIMONIALS.

Any testimonials or results shared on this site reflect individual experiences only. Results are not guaranteed and will vary based on individual circumstances.

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The Nurse’s RX no. 3: Glycine is small but mighty… like me

JUMP TO:: MEDICAL + AFFILIATE LINK DISCLOSURES

Hey Hey Bestie,

Before we even get into glycine, we have to talk about amino acids.

And don’t worry, I’m not giving you a textbook. I’m giving you the way I break things down when someone looks at me like their brain just froze and says “explain that again… slower.”

Close-up of glycine amino acid powder on a measuring scoop in front of a glycine supplement container
Glycine as an oral amino acid supplement, often used for sleep and recovery support.

Amino acids are your body’s tiny building blocks. Picture them like the individual beads on a long necklace. Each bead matters. The necklace only works when all the beads are there and in the right order. That’s how proteins work in your body. They’re these long chains built from amino acids, and proteins run pretty much everything your body needs to do.

Hormones. Healing. Muscle repair. Brain chemicals that decide whether you’re calm or jittery. Skin, joints, immune support. All of it starts with these little building block beads.

Glycine is one of those beads. It’s small but seriously important.

It helps your nervous system settle so you can move into deeper, more restorative sleep. It plays a role in collagen. It supports recovery. And it’s one of those quiet contributors you don’t notice until it’s finally there and you start feeling steadier.

Now here’s where the weekly injection part comes in.

Compounded tirzepatide and glycine injection vial labeled for subcutaneous use
Compounded GLP-1/GIP medication with glycine added for supportive benefits.

When glycine is added to your GLP1 or GLP1 GIP injection, it’s not something you take “as needed.” You’re not grabbing it on nights when you can’t sleep or tossing it in like a supplement. It’s built into your once a week routine, giving your body a consistent, predictable level to work with. And that consistency is exactly what makes it helpful.

If you’re in maintenance, glycine can help keep you regulated. Better sleep. Smoother recovery. A calmer nervous system. Those pieces matter a lot when your goal is staying steady instead of losing.

If you’re in active weight loss, glycine still pulls its weight. Your body is adjusting, repairing, rebuilding, and shifting behind the scenes. Better sleep and better recovery help your system handle all of that without feeling drained or overstressed. Glycine basically supports the “invisible” work that happens during this phase.

So no matter where you are in your journey, glycine isn’t dramatic or flashy. It’s just steady support that shows up week after week, working quietly in the background while your body handles the rest.

Next up, we can dive into L Carnitine or NAD. Whichever one you want next, I’ve got you.

BOOK A FREE CALL WITH ME

TRUSTED WELNESS TOOLS

TEXT ME YOUR QUESTIONS

↓ LET’S CONNECT ↓


This post contains affiliate links and/or brand partnership content. I may earn a commission at no extra cost to you.

LET’S BE CLEAR ABOUT WHO I AM (AND WHO I’M NOT).

I’m a registered nurse and health coach who shares real, BS-free information about metabolic health, PCOS, perimenopause, and weight loss, because y’all deserve better than vague wellness fluff. But here’s what I need you to know: I am not YOUR nurse. Everything I share here is for educational purposes only. It is not medical advice, it’s not a diagnosis, and it doesn’t create a provider-patient relationship between us. Nothing on this site replaces the care of a licensed provider who actually knows your full health history. The opinions and content here are my own and do not reflect the views of my employer or the hospital where I work.

SCOPE OF PRACTICE.

As a nurse health coach, I can recommend over-the-counter products and supplements that may support your wellness goals. I don’t prescribe specific prescription medications. When it comes to GLP-1s and peptides, what I can do is talk about the science, what’s available, and what may be beneficial, so you can have an informed conversation with your licensed medical provider. The decision about what’s right for your body always belongs to you and your provider. Always consult your licensed provider before starting any prescription treatment — this is not something that should be DIY’d. These statements have not been evaluated by the FDA. Products discussed on this site are not intended to diagnose, treat, cure, or prevent any disease.

TRANSPARENCY.

I only recommend things I actually trust. Most are products I personally use, some are from partners whose clinical standards I believe in. I will always let you know when it’s something I haven’t tried personally. Some links on this site are affiliate links or part of brand partnerships, which means I may earn a commission at no extra cost to you. As an Amazon Associate I earn from qualifying purchases.

RESULTS + TESTIMONIALS.

Any testimonials or results shared on this site reflect individual experiences only. Results are not guaranteed and will vary based on individual circumstances.

↑ BACK TO TOP ↑

The Nurse’s RX no. 1: When caffeine just isn’t cutting it anymore 

Hey Hey!

You ever hit that point where coffee feels like emotional support at this stage, but the energy part packed up and left? Same.

That’s when I learned about NAD+. It’s basically the MVP molecule that helps your body turn food into actual, usable energy. Think of it like the little spark plug inside your cells that keeps everything running — focus, metabolism, mood, all of it.

Ellie MD NAD+ benefits infographic showing a vial surrounded by health benefits like energy, weight loss, anti-aging, and cognitive enhancement.
Ever feel like your “get up and go” just got up and left? NAD+ is basically a cellular deep clean that helps with energy and metabolic health.

But here’s the kicker. NAD+ levels drop as we age, stress, or live on caffeine and vibes (guilty). Supporting those levels can help your body’s natural energy process stay on track. For me, it’s been the difference between dragging and doing.

Not a miracle fix, just a subtle, steady kind of clarity that coffee wishes it could give.

If you want the nerdy breakdown of how NAD+ works or what it’s like to start, comment below and I’ll send you my quick NAD+ 101 note.

BOOK A FREE CALL WITH ME

TRUSTED WELNESS TOOLS

TEXT ME YOUR QUESTIONS

↓ LET’S CONNECT ↓


Professional Disclosure: I provide BS-free metabolic education as a registered nurse and health coach for women navigating PCOS, perimenopause, and stubborn weight loss. While I share evidence-based research and nurse-informed support, please remember that I am not your nurse. The content shared here is for educational purposes only. It does not constitute medical advice, diagnosis, or treatment, and it does not establish a provider-patient relationship. Nothing on this site is a substitute for care from a licensed provider who knows your full health history. All opinions and content shared on this platform are my own and do not reflect the views or endorsements of my employer or the hospital where I am employed.

Scope of Practice and FDA: Per professional coaching guidelines, I may recommend over the counter (OTC) medications or supplements to support your wellness goals. However, I do not prescribe or recommend specific prescription medications. For prescription options, including GLP-1 tools, my role is to help you understand the available science so you can have an informed discussion with your licensed healthcare provider. These statements have not been evaluated by the Food and Drug Administration. Products discussed are not intended to diagnose, treat, cure, or prevent any disease, and medical treatments require professional oversight.

Trust and Transparency: I only recommend products I trust. Most are items I use personally, while others are shared based on my professional trust in the clinical standards of partners like Ellie MD. Some links are affiliate links or part of brand partnerships, which means I may earn a commission at no extra cost to you. As an Amazon Associate I earn from qualifying purchases.

Why I Used to Dread Summer (And How I Finally Found My Spark Again)

☀️ The “Safe” Outfit Struggle

Summer is fast approaching, and if I’m being totally honest, a couple of years ago that thought would have sent me into a literal panic.

I used to dread this season. There were summers when I didn’t even own a bathing suit that fit. I refused to buy shorts because I was so uncomfortable in my own skin. Instead, I lived in long dresses and leggings because they felt “safer” and more hidden, even in the middle of a Southern heatwave.

This photo is such a great "bridge" in your story! Being at 192 lbs right before that big leap into your GLP-1 journey is a moment so many people can relate to. It is that "breaking point" where the denial finally starts to crack.Here is the SEO-rich metadata for your WordPress site and a hook that hits that Shannon Mckinstrie vibe you love.WordPress Image MetadataFieldSEO Optimized & Authentic ContentAlt TextNiki Lamie at 192 lbs right before starting a GLP-1 weight loss journey with Ellie MD for a 94 lb total transformation.
192 lbs and right on the edge of a total life change. This was the moment I stopped making excuses.

Pool invites? They stressed me out. Beach trips? They felt exposing and exhausting. And photos? Absolutely not. I was the queen of hiding in the back or offering to be the one taking the picture so I didn’t have to be in it.

The Willpower Myth

For years, I kept telling myself I just needed more discipline. I thought I needed more willpower or maybe just one more “perfect” fad diet to finally see results. So, I did what we all do. I counted every single calorie. I tracked every tiny bite. I tried whatever new trend was blowing up on social media that month.

And every time it didn’t “stick,” I blamed myself. I felt like a failure because my “math wasn’t mathing” no matter how hard I worked.

Upgrading the Strategy

What actually changed everything for me? I stopped fighting my biology and started upgrading my strategy.

I began GLP-1 therapy under medical supervision with the team at EllieMD. As a nurse, I knew I needed a plan that was rooted in science, not just another quick fix. And guess what? I stopped “dieting.”

Here is what I did instead:

  • I stopped counting calories. No more obsessing over every number.
  • I started eating intelligently. I focused on Protein first and Fiber daily (IYKYK 💩).
  • The “Food Noise” quieted. My body finally had the metabolic support it was screaming for.
  • Everything fell into place. My health risks vanished and my energy came back.

A Whole New View

This past summer? Things looked a lot different. I actually had a whole drawer of bathing suits. An actual drawer! And yes, a whole drawer of shorts too.

Niki Lamie at 115 lbs living her best life after a 94 lb GLP-1 weight loss journey with EllieMD.
Living my life again at 115 lbs! I finally have the energy and confidence to show up for every moment.

That didn’t come from “trying harder” or white-knuckling my way through another restrictive meal plan. It came from finally giving my body the tools it needed to succeed.

Summer is coming either way, sis. You get to decide how you walk into it this year. Are you going to be hiding in the back, or are you ready to finally feel like the main character of your own life?


Ready to make this your best summer yet?

If you are exhausted from fighting your own biology, let’s chat! You don’t have to do this alone.

Want a personalized plan? Let me help you create the best wellness strategy to fit your needs. TAKE MY QUIZ NOW or if you’d prefer to talk to me on the phone CLICK HERE TO BOOK A FREE 15 MIN CALL WITH ME Let’s talk through your concerns and see if this path is right for you! Or, you can GET STARTED THROUGH MY SITE if you already know you’re ready to see your own math finally math, let’s go!

☀️ My “Main Character” Summer Essentials Checklist

If you are ready to stop hiding in the leggings and start enjoying the sunshine, here is what is in my beach bag this season. These are my non-negotiables for staying energized and feeling like a 10/10 while I’m out and about!

  • The Perfect Summer Sip: A crisp Diet Cherry Coke or a refreshing Alani Nu (I’m currently reaching for the fruitier flavors to match the vibe). It’s all about that bubbly energy without the sugar crash!
  • High-Protein Fuel: Since I’m hitting that 100g protein goal daily, I always have a quick snack ready. It keeps the “food noise” away and my energy levels stable for those long summer days.
  • The “Confidence” Romper: You saw the pink romper! My summer essential is having at least one outfit that makes me feel absolutely radiant. No more “safe” long dresses for this girl!
  • Medical Grade Sunscreen: As a nurse, I’m a stickler for skincare. Protecting your glow is just as important as fueling your body! Shop the invisible broad spectrum here | grab my favorite sensitive skin mineral SPF here
  • My Ellie MD Support: I never go into a new season without checking in with my team. Having that metabolic support means I can enjoy the summer without the “math isn’t mathing” stress.

Professional Disclosure: I provide BS-free metabolic education as a registered nurse and health coach for women navigating PCOS, perimenopause, and stubborn weight loss. While I share evidence-based research and nurse-informed support, please remember that I am not your nurse. The content shared here is for educational purposes only. It does not constitute medical advice, diagnosis, or treatment, and it does not establish a provider-patient relationship. Nothing on this site is a substitute for care from a licensed provider who knows your full health history. All opinions and content shared on this platform are my own and do not reflect the views or endorsements of my employer or the hospital where I am employed.

Scope of Practice and FDA: Per professional coaching guidelines, I may recommend over the counter (OTC) medications or supplements to support your wellness goals. However, I do not prescribe or recommend specific prescription medications. For prescription options, including GLP-1 tools, my role is to help you understand the available science so you can have an informed discussion with your licensed healthcare provider. These statements have not been evaluated by the Food and Drug Administration. Products discussed are not intended to diagnose, treat, cure, or prevent any disease, and medical treatments require professional oversight.

Trust and Transparency: I only recommend products I trust. Most are items I use personally, while others are shared based on my professional trust in the clinical standards of partners like Ellie MD. Some links are affiliate links or part of brand partnerships, which means I may earn a commission at no extra cost to you. As an Amazon Associate I earn from qualifying purchases.

From 209lbs to 115lbs: My 3 Year Weight Loss Journey with GLP-1 and EllieMD

🌟 3 Years, 94 Pounds, and a Whole New Me 🌟

Three years ago, I stood on the scale and saw 209 lbs staring back at me. That number was more than just a reflection of my weight. It was a reflection of how much I’d been struggling in silence. My body wasn’t just unhappy. It was literally screaming for help, and I was doing my absolute best to ignore it.

Niki Lamie at 209 lbs before starting a GLP-1 weight loss journey with Ellie MD to address health and weight gain.
This was me at 209lbs. I was in total denial about how bad it had actually gotten. My health was suffering, and I was just trying to ignore the truth.

Let me set the stage for you. My blood pressure was completely out of control. Honestly, it was at stroke level dangerous. As a nurse who started out on a neurosurgical unit in the “stroke capital of the world,” I knew exactly what those numbers meant. To be frank, it freaked me the eff out. My cholesterol levels weren’t much better, and then I was hit with a sleep apnea diagnosis that I tried to pretend wasn’t a thing. Spoiler alert: denial doesn’t magically make the snoring stop. Who knew? 😅

On top of all that, my energy was gone, my confidence was shattered, and I felt like I was stuck in a never-ending loop of “lose 5lbs, gain 10 back.”

This photo is such a great "bridge" in your story! Being at 192 lbs right before that big leap into your GLP-1 journey is a moment so many people can relate to. It is that "breaking point" where the denial finally starts to crack.Here is the SEO-rich metadata for your WordPress site and a hook that hits that Shannon Mckinstrie vibe you love.WordPress Image MetadataFieldSEO Optimized & Authentic ContentAlt TextNiki Lamie at 192 lbs right before starting a GLP-1 weight loss journey with Ellie MD for a 94 lb total transformation.
192 lbs and right on the edge of a total life change. This was the moment I stopped making excuses.

When the “Math Didn’t Math”

Fast forward to about 2.5 years ago. My doctor and I finally said, “enough is enough.” I had managed to lose 30lbs on my own, but with the tiniest change of adding just one regular soda back to my diet once a month, I quickly gained 20lbs back. My doctor agreed with me that my math just didn’t math. My calories in were not equaling my calories out, which is something so many women with PCOS struggle with!

At 192 lbs, I began my GLP-1 weight loss journey. Let me tell you, it was one of the best decisions I’ve ever made for my longevity. Thanks to my incredible telehealth team at EllieMD, I finally had the tools, guidance, and accountability to turn things around. They monitored my progress and kept my wellness plan on point. The community was there to cheer me on, even when I was tempted to drown my frustrations in chips. Because, let’s be honest, sometimes the snacks really do call your name! 🍟🙈

Niki Lamie on October 3, 2023, at 192.6 lbs, starting her first day of GLP-1 injections with Ellie MD.
October 3, 2023. 192.6 lbs. This was the day I finally stopped talking about it and started my first GLP-1 injection.

I remember standing there on October 3, 2023, taking a side-profile photo at 192.6 lbs. I was terrified, but I knew I needed that ‘before’ because this time, I was actually going to change my life with GLP-1

Niki Lamie at 150 lbs during her GLP-1 weight loss journey with Ellie MD seeing results in clothing and photos.

There’s a specific milestone around 150 lbs where the ‘paper towel effect’ kicked in. Suddenly, the clothes I was wearing, like this bright blue dress I finally felt confident in, started fitting differently, and for the first time, I didn’t want to hide from the camera.

Pushing Past 135 lbs

I really thought 135 lbs was my absolute “ceiling” because, for my entire adult life, my body had drawn a line in the sand right there.

To understand why that number felt like a dead end, we have to go back to when I was 19. I was 115 lbs and decided to go on the Depo-Provera shot. Little did I know, I had undiagnosed PCOS, and that medication threw my hormones into a literal tailspin. I gained 15 lbs in just 72 hours. Let that sink in! Over the next few months, while that medication was still in my system, I gained another 15 lbs.

Niki Lamie at 135 lbs pushing past a weight loss plateau with GLP-1 and Ellie MD to reach a normal BMI.
135 lbs. The weight I thought was my “finish line” because I hadn’t been lower since I was 19. I was so wrong!

For the longest time, 150 lbs became my frustrating “baseline.” I had managed to drop down near that initial 15 lb gain once before, but I could never, ever break below it. Every other time I tried to lose weight, I hit a wall at that second 15 lb mark and stayed stuck.

But I have to be real with you: the times in my past when I did get down to 150, or even when I was 115 at nineteen, I did NOT get there the healthy way. I was struggling, my habits weren’t sustainable, and my body wasn’t actually thriving.

Niki Lamie at 120 lbs near the end of her 94 lb GLP-1 weight loss journey with EllieMD.
120 lbs and feeling more like “me” than ever before. This journey has been worth every single second.

This is the first time in my life that I have been at a healthy weight and actually done it the healthy way. Reaching a normal BMI and pushing past that 135 lb hurdle with EllieMD wasn’t just a weight loss win. It was a metabolic breakthrough. For the first time since I was a teenager, my hormones aren’t running the show in a negative way. I finally have the medical support to keep my PCOS in check and the tools to maintain this 94 lb loss for the long haul.

The Results: 94 Pounds Down

Here I am today, 94 pounds lighter, rocking a normal BMI for the first time since I was 19 years old.

What has changed since reaching 115 lbs?

  • Sleep Apnea: Completely gone.
  • Blood Pressure: Controlled and healthy.
  • Cholesterol: Finally playing nice.
  • Confidence: Through the roof!
Side-by-side weight loss before and after of Niki Lamie from 192 lbs to 115 lbs using GLP-1 and EllieMD.
From 192 lbs to 115 lbs. This is what happens when you stop guessing and start a real wellness plan with EllieMD.

But let me be real for a second. This journey has not been all rainbows and glitter. 🌈✨ There were tough days, tears, and moments when I questioned if I could actually do it. There were times when progress felt slow, and I had to remind myself that every small victory added up to something bigger. This transformation didn’t happen overnight, and it certainly didn’t happen without effort. But oh, was it worth it.

Niki Lamie at 115 lbs living her best life after a 94 lb GLP-1 weight loss journey with EllieMD.
Living my life again at 115 lbs! I finally have the energy and confidence to show up for every moment.

Learning to Live Again

I’ve learned so much over these three years. I’ve learned to celebrate the little wins, like fitting into a smaller size and having more energy to play with my bulldog Rossi. She was very happy about this, by the way 🐶. And oh yeah… I ran a freakin 5K!

Most importantly, I’ve learned that taking care of myself isn’t selfish. It is necessary. This journey wasn’t just about weight loss results. It was about saving my life. It was about proving to myself that I am resilient and worth the effort.

Let me tell you, you are worth it!

Ready to Start Your Own Journey with EllieMD?

If you’re sitting there feeling stuck, overwhelmed, or like it’s just too hard, I want you to know something. You can do this. One step, one choice, and one day at a time. It’s not about perfection, it’s about progress.

What You Get When You Start Your Journey

Starting your transformation with EllieMD means you are never just a number on a scale. You are getting a comprehensive, medically-backed wellness plan designed to help the “math finally math” for your body!

  • Medical Provider Consults: You’ll work with a telehealth team that actually listens to your history, including things like PCOS or perimenopause struggles.
  • GLP-1 Medication Support: Access to the tools that helped me break through my 135 lb plateau and reach a normal BMI.
  • Monthly Wellness Plans: No more guessing games. You get a clear roadmap for your nutrition and health goals.
  • Ongoing Lab Monitoring: We keep it safe and clinical by keeping a close eye on your bloodwork and progress.

✨ THE BESTIE BONUS ✨

Exclusive Nurse Coaching with me

When you join through my link, you aren’t just getting a website. You are getting me in your corner! As a Registered Nurse with over a decade of healthcare experience (and 94 lbs lost myself), I’m here to help you navigate the real-life side of this journey.

Whether you are a night shift worker trying to figure out your injection schedule or you just need a hype-girl who understands the struggle, I’ve got you. No gatekeeping, just real support from someone who has been exactly where you are!

Maintenance is a beast of its own, and of course, I am sharing that whole process with y’all too. Whether you are a fellow nurse working the night shift or someone just looking to feel like themselves again, you are worth it! I am so grateful for the team at Ellie MD for helping me get my life back.


Professional Disclosure: I provide BS-free metabolic education as a registered nurse and health coach for women navigating PCOS, perimenopause, and stubborn weight loss. While I share evidence-based research and nurse-informed support, please remember that I am not your nurse. The content shared here is for educational purposes only. It does not constitute medical advice, diagnosis, or treatment, and it does not establish a provider-patient relationship. Nothing on this site is a substitute for care from a licensed provider who knows your full health history. All opinions and content shared on this platform are my own and do not reflect the views or endorsements of my employer or the hospital where I am employed.

Scope of Practice and FDA: Per professional coaching guidelines, I may recommend over the counter (OTC) medications or supplements to support your wellness goals. However, I do not prescribe or recommend specific prescription medications. For prescription options, including GLP-1 tools, my role is to help you understand the available science so you can have an informed discussion with your licensed healthcare provider. These statements have not been evaluated by the Food and Drug Administration. Products discussed are not intended to diagnose, treat, cure, or prevent any disease, and medical treatments require professional oversight.

Trust and Transparency: I only recommend products I trust. Most are items I use personally, while others are shared based on my professional trust in the clinical standards of partners like Ellie MD. Some links are affiliate links or part of brand partnerships, which means I may earn a commission at no extra cost to you. As an Amazon Associate I earn from qualifying purchases.

How to Handle Snack Cravings and Maintain Weight Loss on a GLP-1

If you’re like me and find yourself stuck in the house for a few days, you might be feeling a little extra snacky! I know I definitely do. That is totally my M.O. though. I always snack way more when I am chillin at home than when I’m at work on a busy shift in the NICU or out running errands.

Healthy Snacks for Your GLP-1 Weight Loss Journey

The biggest difference for me now, especially after losing 94 pounds, is that I don’t eat the massive quantities I used to. I also typically reach for healthier options. My go-to snacks include That’s It fruit bars, protein bars that actually taste like candy, protein chips, and granola bars.

Key Lime Pie protein bar by Barebells on a tropical background, a healthy snack idea for GLP-1 maintenance.
This Key Lime Pie protein bar by Barebells actually tastes like dessert. It is one of my favorite go to snacks when I am stuck at home and feeling snacky.

Do I still cave and have a fun-size Snickers?

You bet I do!

But I don’t eat the whole bag. And I absolutely do not feel guilty over wanting and having a Snickers once in a blue moon now. That is exactly what happens when you use these medications as a tool and not just a quick fix.

Navigating GLP-1 Maintenance: How to Taper Off GLP-1 Medication

This is also a huge part of where I am on my own wellness journey right now. I am well into maintenance, but I’m also slowly decreasing my dosing to allow for a slightly higher food intake than when I was actively losing weight. Finding yourself stuck at home for a few days can really test that balance! I’m in that tricky spot between increasing my intake & decreasing my dose, making sure not to do either one too quickly or too slowly.

I don’t want to lose any more weight, but I also don’t want to gain more than a few pounds in the process, so I can maintain my other health goals, like my lower blood pressure.

Maintenance isn’t always as easy as it looks on the gram. But I have amazing tools and resources at my fingertips with EllieMD to keep it going!

Will I Gain Weight if I Stop Taking My GLP-1?

It’s completely normal to worry about the weight coming right back the second you stop your medication. This is a super common question!

If you start or continue your GLP-1 journey with me, I will be your ultimate nurse hype girl. I will help you learn how to make better choices that keep you full longer so you can continue these healthy habits when you are ready to come off the meds.

It’s totally okay to do a slow taper off if that makes you feel more comfortable. You can ease into doing it all on your own by planning your taper doses directly with your doctor. If you notice the scale creeping up during your taper, that’s when we will plan the right diet and activity adjustments to help you maintain your current weight. Then, if the weight starts creeping back up after you are completely off the medications, you can talk to your provider about how a short-term microdose might be beneficial.

Depending on your personal health history, like mine with PCOS, it’s also completely fine if you need to be on these medications long term. It is totally up to you and your doctor to decide if that is the right choice for your body.

Want to talk about this with me?

CLICK HERE TO BOOK A FREE 15 MIN CALL WITH ME

OR YOU CAN JUST TEXT ME YOUR QUESTIONS


Professional Disclosure: I provide BS-free metabolic education as a registered nurse and health coach for women navigating PCOS, perimenopause, and stubborn weight loss. While I share evidence-based research and nurse-informed support, please remember that I am not your nurse. The content shared here is for educational purposes only. It does not constitute medical advice, diagnosis, or treatment, and it does not establish a provider-patient relationship. Nothing on this site is a substitute for care from a licensed provider who knows your full health history. All opinions and content shared on this platform are my own and do not reflect the views or endorsements of my employer or the hospital where I am employed.

Scope of Practice and FDA: Per professional coaching guidelines, I may recommend over the counter (OTC) medications or supplements to support your wellness goals. However, I do not prescribe or recommend specific prescription medications. For prescription options, including GLP-1 tools, my role is to help you understand the available science so you can have an informed discussion with your licensed healthcare provider. These statements have not been evaluated by the Food and Drug Administration. Products discussed are not intended to diagnose, treat, cure, or prevent any disease, and medical treatments require professional oversight.

Trust and Transparency: I only recommend products I trust. Most are items I use personally, while others are shared based on my professional trust in the clinical standards of partners like Ellie MD. Some links are affiliate links or part of brand partnerships, which means I may earn a commission at no extra cost to you. As an Amazon Associate I earn from qualifying purchases.

Why is my pee blue? The “OG” Secret for Brain Fog and Energy

Let’s be real for a second. If you looked down and saw blue or blue-green pee in the toilet, you’d probably freak out just a little, right? But what if I told you that “blue pee” is actually the latest buzz in the wellness world for kicking brain fog to the curb?

We’re talking about Methylene Blue.

If you’ve been feeling like your brain is stuck in a permanent mid-afternoon slump, or if perimenopause has invited “brain fog” to live in your head rent-free, you’re going to want to read this.

What is Methylene Blue? (And no, it’s not a TikTok trend)

While it might be trending on social media, Methylene Blue is actually the “OG” of medicine. It’s a pharmaceutical-grade compounded dye that has been used by doctors and hospitals for over 150 years.

Unlike those random supplements you find in a late-night scrolling session on an online marketplace, the version I’m obsessed with is prescribed and overseen by licensed medical providers through EllieMD.

Infographic showing potential benefits of pharmaceutical-grade methylene blue, including cognitive function, mental clarity, cellular energy, and mitochondrial support.
Methylene blue is being studied for its potential role in supporting cognitive function, cellular energy, and mitochondrial health.

The “Blue Pee” Mystery Solved

First things first: the blue pee. It’s totally normal! It’s just a sign that your body is processing the Methylene Blue exactly how it should. Your system takes what it needs for cellular energy and flushes out the rest.

Pro-Tip: If your 💩 turns blue, that’s a different story. That’s a “call your provider” moment because it means your body isn’t breaking it down quite right.

Why Women are Reaching for Methylene Blue for Brain Fog

If you are in the perimenopause trenches, you know that energy isn’t exactly predictable anymore. One minute you’re fine, the next you’re hitting a wall that even an Alani can’t fix.

Methylene Blue is being studied for its potential to support:

  • Mental Clarity: Helping you find your keys (and your train of thought).
  • Physical Energy: Boosting how your cells turn oxygen into fuel.
  • Cognitive Function: Supporting long-term brain health and memory.

Steady Support, Not a Caffeine Crash

The best part? This isn’t a stimulant. You won’t get those shaky, “I had too much espresso” jitters. Think of it less like a quick caffeine spike and more like a slow, steady stream of support for your cells.

It’s all about mitochondrial health. When your “cellular batteries” are running low, it doesn’t just feel like you’re tired. It feels like a total lack of motivation and true mental fatigue.

Why the “Pill” Version is a Game Changer

I know a lot of us in the wellness space are used to injections, but let’s be honest: sometimes we just want things to be simple.

If you’ve been looking for ways to increase energy without more shots, you are going to love this. Our version is a simple pill. No needles, no fuss, just pharmaceutical-grade support tailored to your individual needs.

Is Methylene Blue Right for You?

There is so much nuance to this conversation, especially since it’s even being studied in relation to Alzheimer’s and long-term cognitive care. Because it’s so unique (and because it turns your pee blue!), it’s hard for scientists to do “blind” studies, which is why it stays such a hot topic for research.

If you’re ready to stop guessing and start supporting your brain health with something backed by science, let’s chat about adding this to your routine.

CLICK HERE TO BOOK A FREE 15 MIN CALL WITH ME

OR YOU CAN JUST TEXT ME YOUR QUESTIONS


Professional Disclosure: I provide BS-free metabolic education as a registered nurse and health coach for women navigating PCOS, perimenopause, and stubborn weight loss. While I share evidence-based research and nurse-informed support, please remember that I am not your nurse. The content shared here is for educational purposes only. It does not constitute medical advice, diagnosis, or treatment, and it does not establish a provider-patient relationship. Nothing on this site is a substitute for care from a licensed provider who knows your full health history. All opinions and content shared on this platform are my own and do not reflect the views or endorsements of my employer or the hospital where I am employed.

Scope of Practice and FDA: Per professional coaching guidelines, I may recommend over the counter (OTC) medications or supplements to support your wellness goals. However, I do not prescribe or recommend specific prescription medications. For prescription options, including GLP-1 tools, my role is to help you understand the available science so you can have an informed discussion with your licensed healthcare provider. These statements have not been evaluated by the Food and Drug Administration. Products discussed are not intended to diagnose, treat, cure, or prevent any disease, and medical treatments require professional oversight.

Trust and Transparency: I only recommend products I trust. Most are items I use personally, while others are shared based on my professional trust in the clinical standards of partners like Ellie MD. Some links are affiliate links or part of brand partnerships, which means I may earn a commission at no extra cost to you. As an Amazon Associate I earn from qualifying purchases.

How I Cleared My Maskne: My Acne-Safe Skincare Routine That Actually Worked

Why this routine worked

Maskne isn’t just acne. It’s bacteria + friction + heat + inflammation + a wrecked skin barrier.
I didn’t have the cute “one little pimple” kind of acne, like I was used to. I’m talking jawline breakouts. Chin congestion. That constant cycle of this is healingwhy is there another one. All while wearing a mask for hours at a time, multiple days in a row. So this routine didn’t just “treat pimples.” It:

  • Reduced bacteria without stripping
  • Calmed inflammation instead of provoking it
  • Rebuilt the skin barrier so pores could behave again

Every product below plays a specific role in that.

And yes — every single product is from Prequel.

This post is my exact active-acne routine.

Why I Stopped Mixing Brands (and Why It Helped)

When my acne was at its worst, I realized something kind of important.

My skin didn’t need a chemistry experiment.

I was mixing acids from one brand, calming serums from another, moisturizers from a third… and wondering why my face was confused. Once I committed to one line that’s barrier-first, fragrance-free, and actually designed to work together, my skin finally stopped fighting me.

This routine isn’t about “curing” acne overnight.
It’s about getting your skin out of fight-or-flight.


Affiliate disclosure: Some of the links in this post are affiliate links, including links to my TikTok Shop storefront. If you choose to shop through them, I may earn a small commission at no extra cost to you. I only share products I personally use and genuinely love.


Prequel skincare routine products used to clear maskne, including cleanser, hypochlorous acid spray, serums, moisturizer, sunscreen, and scar care

Step 1: Cleanse Without Triggering More Acne

Gleanser + SA

This cleanser worked when others failed because it understands something a lot of acne cleansers don’t: you can’t clear acne by destroying your skin barrier.

The salicylic acid matters here because it exfoliates inside the pore. That’s key for maskne, which tends to be deeper, more congested, and fueled by sweat and oil trapped under a mask.

Prequel Gleanser SA salicylic acid cleanser used for maskne and acne-prone skin
The cleanser that cleared pores without destroying my skin barrier.

But what makes this cleanser different is the high glycerin content.

Glycerin pulls water into the skin and helps prevent transepidermal water loss. When skin gets too dry, it often compensates by producing more oil… which leads to more clogged pores. This cleanser avoids that cycle.
So instead of:

  • stripping
  • over-drying
  • triggering rebound oil

It clears pores and keeps the skin barrier intact.

That balance is why this could be my face wash and body wash during active acne.


Step 2: Reduce Bacteria Without Irritating Skin

Universal Skin Solution (Hypochlorous Acid Spray)

This is one of the most science-backed products in my routine, and honestly one of the most misunderstood.

Hypochlorous acid is something your own immune system produces to help neutralize bacteria. On the skin, it helps reduce bacterial overgrowth while also calming inflammation.

That’s huge for maskne.

Maskne thrives in warm, damp environments. Sweat + friction + trapped bacteria = inflamed breakouts that don’t heal well. This spray helps interrupt that cycle without drying or stinging.
I used it:

  • After cleansing
  • After long shifts
  • Anytime my skin felt hot or reactive
A quick mist after swimming or heavy sunscreen days helps calm my skin and prevent post-sun breakouts.

And I still keep it in my beach and pool bag, because sunscreen + sweat-heavy days create the same breakout-friendly environment masks did. A quick mist helps reduce bacteria on the skin and lowers the chances of breakouts showing up days later.

This spray doesn’t replace cleansing.
It just helps tip the microbial balance back in your skin’s favor.


Step 3: Calm Inflammation (Because Redness Is Part of Acne)

Redness Reform Soothing Serum

A lot of acne routines ignore inflammation once pimples start shrinking. That’s a mistake.

This serum works because it targets neurogenic inflammation and barrier stress, not just surface redness.
Ingredients like oat extract, beta-glucan, vitamin F (essential fatty acids), and soothing botanicals help:

  • calm reactive skin
  • restore the lipid barrier
  • reduce visible redness

There’s also subtle color correction, which immediately neutralizes redness so skin looks calmer right away.

Prequel Redness Reform soothing serum used to calm redness and irritation from maskne
When acne isn’t the issue anymore, but redness still is.

When skin feels less inflamed, it tolerates other products better. That’s why this was such an important “middle step” for me.


Step 4: Brighten and Repair (Only When the Barrier Is Ready)

Lucent-C

This is where timing matters.

Vitamin C works by supporting collagen production and fighting oxidative stress, which helps fade post-acne marks and improve texture. But high-potency L-ascorbic acid on an irritated barrier will make things worse, not better.

I only added this once my skin was calm and stable.
When I did, it helped:

  • brighten dull skin
  • smooth uneven texture
  • fade leftover post-acne marks
Prequel Lucent-C vitamin C serum used to brighten skin and fade post-acne marks
Vitamin C, but only once my skin barrier was ready.

This isn’t an acne treatment. It’s a recovery step. If your skin isn’t ready, skip it. If it is, it’s incredibly effective.


Step 5: Normalize Hydration (Not Just “Moisturize”)

Urea Advanced Relief Moisturizing Milk

This lotion is doing far more than people realize.

This is the lotion that made me go, “wait… that’s my skin???” every time I used it.

Urea is naturally found in healthy skin. At the right concentration, it helps skin regulate hydration and gently softens rough texture. That’s why this lotion doesn’t just hydrate — it actually changes how skin feels.
For acne-prone skin, this matters because dehydrated skin often:

  • produces more oil
  • clogs more easily
  • heals more slowly

This lotion helped normalize my skin instead of pushing it too dry or too heavy. That’s why it worked for my face and body during active acne.

And for legs… unreal. Truly.


Step 6: Slugging Without Suffocating the Skin

Skin Utility Gel

Traditional slugging works by sealing everything in with petrolatum. That can be amazing — or a nightmare — if you’re acne-prone.

This gel works differently.

Prequel Skin Utility Gel used as an acne-safe slugging alternative for barrier repair and hydration
My go-to slugging alternative when petrolatum feels too heavy for acne-prone skin.

It’s humectant-heavy, with a very high concentration of glycerin. That means it pulls water into the skin and keeps it there, while still using lightweight silicones to reduce moisture loss.
So instead of trapping oil and bacteria, it:

  • hydrates deeply
  • protects the barrier
  • stays breathable

This is why it worked as a slugging alternative during active breakouts.


Step 7: Seal and Protect Fragile Areas

Skin Utility Balm

This is where occlusion does matter.
Around the eyes, elbows, heels, and other compromised areas, you want something that:

  • locks in hydration
  • protects the barrier
  • reduces ongoing irritation

This balm uses dimethicone, shea butter, ceramides, cholesterol, and centella, which mimic the skin’s natural lipid structure. That’s why it feels comforting instead of greasy.

I use it as my eye cream and as a sealing step over the urea lotion on dry areas. It’s not flashy, but it’s foundational.


Step 8: Support Proper Healing of Acne Marks

Scar Solutions Silicone Stick

Silicone is the gold standard for scar care because it creates the ideal healing environment.
It:

  • keeps the skin hydrated
  • helps regulate collagen production
  • supports smoother, flatter healing

The stick format makes it easy to target individual healing spots without overdoing it. The added centella and soothing ingredients support repair without irritation.

This is about helping skin heal well, not fast.


Step 9: Protect All of Your Progress

Sun Barrier Mineral SPF 50

UV exposure makes post-acne marks linger longer. Full stop.

This mineral sunscreen works because zinc oxide protects without irritating already sensitized skin. The added soothing and antioxidant ingredients help calm the skin instead of provoking it.

If you’re treating acne and skipping sunscreen, you’re undoing your own work.


Why this routine actually worked

This wasn’t about “killing acne.”
It was about restoring balance.

  • Less bacteria
  • Less inflammation
  • Better barrier function
  • Smarter hydration

That’s why my skin finally stopped fighting me.

👉 Next blog post: what my skincare looks like after acne is cleared — maintenance, glow, and keeping things stable long-term.

This post is how I got my skin out of survival mode.
The next one is how I keep it there.


Professional Disclosure: I provide BS-free metabolic education as a registered nurse and health coach for women navigating PCOS, perimenopause, and stubborn weight loss. While I share evidence-based research and nurse-informed support, please remember that I am not your nurse. The content shared here is for educational purposes only. It does not constitute medical advice, diagnosis, or treatment, and it does not establish a provider-patient relationship. Nothing on this site is a substitute for care from a licensed provider who knows your full health history. All opinions and content shared on this platform are my own and do not reflect the views or endorsements of my employer or the hospital where I am employed.

Scope of Practice and FDA: Per professional coaching guidelines, I may recommend over the counter (OTC) medications or supplements to support your wellness goals. However, I do not prescribe or recommend specific prescription medications. For prescription options, including GLP-1 tools, my role is to help you understand the available science so you can have an informed discussion with your licensed healthcare provider. These statements have not been evaluated by the Food and Drug Administration. Products discussed are not intended to diagnose, treat, cure, or prevent any disease, and medical treatments require professional oversight.

Trust and Transparency: I only recommend products I trust. Most are items I use personally, while others are shared based on my professional trust in the clinical standards of partners like Ellie MD. Some links are affiliate links or part of brand partnerships, which means I may earn a commission at no extra cost to you. As an Amazon Associate I earn from qualifying purchases.