PCOS weight loss

Hand holding an Empower compounding pharmacy tirzepatide niacinamide injection vial at 17/2 mg/mL with multiple other compounded GLP-1 vials visible in the background showing pharmacy variation

Is Your Telehealth Company Pharmacy Hopping With Your GLP-1? Here’s Why That Matters

Published on March 21, 2026March 27, 2026 by Nicole, RNLeave a comment

JUMP TO:: MEDICAL + AFFILIATE LINK DISCLOSURES

If you’re on a compounded GLP-1 medication through a telehealth company, there’s something you need to know… and most people have no idea it’s even happening.

It’s called pharmacy hopping. And it could be putting you at risk.

What Is GLP-1 Pharmacy Hopping?

Pharmacy hopping is when your telehealth company sends your prescription to a different compounding pharmacy each month. Not because anything is wrong with your prescription. Not because your dose changed. Just because of whatever deal or arrangement they have going on that month.

Here’s why that’s a problem. Every compounding pharmacy concentrates their GLP-1 medications differently. So even if your prescription says the exact same milligrams from one month to the next, the units, or volume, you draw up in your syringe could be completely different. Same dose on paper. Completely different injection in reality.

That’s exactly how dosing errors happen.

What the FDA Is Actually Saying About This

This isn’t just my opinion as a nurse. The FDA has been raising the alarm on compounded GLP-1 safety for a while now.

As of April 2025, the FDA had received over 500 adverse event reports related to compounded semaglutide and nearly 500 reports concerning compounded tirzepatide. And that number is almost certainly higher because most state-licensed compounding pharmacies aren’t even required to submit adverse event reports.

The FDA has received multiple reports of adverse events, some requiring hospitalization, linked to dosing errors associated with compounded injectable semaglutide. These weren’t errors because people were careless. Many of them were errors because the concentration changed, and nobody clearly explained that.

The FDA estimates that 10 deaths and 100 hospitalizations may be linked to the use of compounded GLP-1 medications. And their responses are often reactive, meaning action is usually taken only after something has already gone wrong.

That last part is the part that keeps me up at night as a nurse.

A Real Example of What Can Go Wrong

I know someone personally who accidentally took four times her dose. Four times. It happened because her pharmacy changed, and she drew up the volume exactly the same as what she was used to… but the concentration was completely different. She felt absolutely awful.

And here’s the thing that really got me. I’m a NICU nurse. Dosage calculations are literally what I do every single day. Tiny babies depend on my accuracy. And I STILL panicked after my own pharmacy changed. I had to go back to my written notes to confirm I’d taken the right dose. I had gone over it so many times in my head that I couldn’t remember what I’d actually done.

If it can happen to me… it can happen to anyone.

Hand holding an SBH Medical niacinamide tirzepatide injectable vial at 2mg/12.5mg/mL showing a different compounding pharmacy concentration than other providers — Same medication. Different pharmacy. Different concentration. This is exactly what pharmacy hopping looks like in real life.

What to Look For in a Compounded GLP-1 Provider

Not all telehealth companies operate the same way. Here’s what actually matters when it comes to safety:

Pharmacy consistency. Your medication should come from the same pharmacy every single month. No exceptions. If your provider can’t tell you exactly which pharmacy fills your prescription, that’s a red flag worth paying attention to.

Standardized dosing. As your dose increases, your units should stay the same. Simple, consistent, easy to follow instructions reduce the risk of errors. If the math changes every time your dose changes, that’s unnecessary confusion and unnecessary risk.

Transparency. A trustworthy provider will tell you where your meds come from, how they’re compounded, and what quality standards their pharmacy follows. You have every right to ask those questions.

Why I Made the Switch

This is a big part of why I moved to EllieMD. One pharmacy, always the same one, every single month. Standardized dosing so the units stay consistent no matter what milligram you’re on. Simple. Clear. And a whole lot less room for the kind of errors that send people to the hospital.

Cheaper isn’t always better y’all. Sometimes what you’re actually paying for is consistency, safety, and peace of mind. And when it comes to injectable medications… that is absolutely worth it.

Hand holding a CloverRx compounding pharmacy tirzepatide plus glycine injection vial at 20mg/0.5mg/mL with a syringe visible in the background — EllieMD's dedicated compounding pharmacy — This is what consistency looks like. Same pharmacy. Every single month.

Questions to Ask Your Telehealth Provider Right Now

Before your next injection, it’s worth picking up the phone or sending a message to ask:

Where is my prescription being filled? Is it always the same pharmacy? How is my dosing calculated and does that change if my concentration changes? What quality standards does your compounding pharmacy follow?

You deserve clear answers. If you’re not getting them, that tells you something too.

_{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.}

Read the full fine print (I made it not boring, promise)

↑ BACK TO TOP ↑

Niki Lamie at 115 lbs living her best life after a 94 lb GLP-1 weight loss journey with EllieMD.

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

Published on March 17, 2026March 27, 2026 by Nicole, RNLeave a comment

☀️ 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.

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.}

Side-by-side weight loss before and after of Niki Lamie from 192 lbs to 115 lbs using GLP-1 and EllieMD.

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

Published on March 16, 2026March 27, 2026 by Nicole, RNLeave a comment

🌟 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.”

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!

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.

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.

start your health journey today with elliemd

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.

SEE MY SUSTAINABLE NON-DIET BLUEPRINT

Key Lime Pie protein bar by Barebells on a tropical background, a healthy snack idea for GLP-1 maintenance.

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

Published on March 15, 2026March 27, 2026 by Nicole, RNLeave a comment

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.

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.