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.
If you’re like me and snowed in for a few days, you might be feeling a little extra snacky! I know I am. That’s my M.O. though. I always snack more at home than when at work or out running errands.
EVEN ON A GLP-1
The difference now… I don’t eat as large of quantities of anything as I used to, and I also typically reach for healthier options – That’s It fruit bars, protein bars that taste like candy, protein chips, granola bars, etc…
Do I still cave in and have a fun size snickers? You bet I do!
But I don’t eat a whole bag of them. And I don’t feel guilty over wanting and having a Snickers once in a blue moon now.
That’s what happens when you’ve used these medications as a TOOL and not a quick fix.
This is also a part of where I am on my wellness journey. I’m well in maintenance, but also slowly decreasing my dosing to allow for slightly higher intake than when I was actively losing…. and the snow fell right at the perfect time for me to get snacky. I take my injection tonight, and I’ve now been snowed in since yesterday morning lol. I’m in that balancing act between increasing my intake and decreasing my dose, and not doing either one too quickly or too slowly. I do not want to lose any more, but I also don’t want to gain more than a few pounds in the process, to maintian my other health goals such as lower blood pressure.
Maintenance is not as easy as it looks… but I have amazing tools and resources at my fingertips with EllieMD to keep it up!
If you’ve been thinking about starting a GLP-1 but you’re worried that you’ll gain all the weight back when you stop, keep reading…
If you start, or continue your GLP-1 journey with me, I will help you learn how to make better choices that keep you full longer, so that you can continue these healthy habits when you’re ready to come off the meds.
It’s ok to do a slow taper off if that makes you feel more comfortable. Ease into doing it all on your own. Just plan the taper doses with your doctor, and plan to adjust your diet accordingly to maintain your current weight. Then, if the weight does start creeping back, we can talk about how a microdose for a short term might be beneficial.
Depending on your personal health history, like mine with PCOS, it’s also ok if you need to be on these medications long-term. It’s up to you and your doctor if this is the right choice.
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.
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?
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.
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.
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.
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.
Trust your body.
If you feel like something is off, something probably is.
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
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.
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.
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 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.
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!
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!
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.
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.
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.”
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! 🍟🙈
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
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.
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.
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!
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.
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.
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.
Have you ever felt like you’re fighting a battle with your own body that no one else understands?
Maybe for you, it was a diagnosis that seemed to come out of nowhere and changed everything. Maybe it was a long and frustrating cycle of dieting that always left you feeling worse than before. Or maybe it was a season of life—grief, stress, change—that took its toll, emotionally and physically, and you haven’t truly felt like yourself since.
If you’ve ever felt that way, I want you to know I see you. Because for me, it was all of the above. So many of you have seen my journey, but I wanted to share the real story behind it.
My Story Started Long Before the Scale
My relationship with my body was complicated from the start. Growing up, I was a product of 90s starvation diet culture, where being “skinny” was the goal, no matter how unhealthy the methods were.
In my early 20s, I was diagnosed with PCOS, and we began a long and painful journey to start our family. That journey included nine pregnancies. It’s still hard to type that number. Over several years, we experienced the heartbreak of three infant losses and six miscarriages. My body went through an absolute warzone of hormones, grief, emotional eating, and medical interventions like magnesium drips that caused insane fluid retention.
10 years ago at 30 weeks pregnant – yes THIRTY – we don’t make small babies
My Metabolism Had Officially Quit
By the time that chapter of our lives closed, my body felt completely foreign. It felt broken. My metabolism, for all intents and purposes, was non-existent. The old “calories in, calories out” formula was a joke. I once gained 20 pounds in three months from having one soda a month, with absolutely no other changes to my diet. It felt like I was being punished by my own body, and I was starting to believe I’d never have control again.
Finding Hope in Science
The turning point for me was realizing I didn’t need another diet; I needed a different set of tools. I started researching and learning about how my hormones and metabolic system were truly functioning (or not functioning). This is what led me to GLP-1 medications and peptides, like the ones I now get from Ellie MD.
For the first time, it felt like I wasn’t fighting my body anymore. Instead, I was giving it the support it needed to finally work with me. This was the useful, science-backed information I needed to finally find hope again.
This Isn’t Diet Culture – It’s Health
For the first time in my adult life, I have reached a healthy weight, and I’ve done it the HEALTHY way. There is no starvation here. In fact, I eat MORE now than I did before my journey began. The difference is that I’m making better choices, and my body is able to properly use the fuel I give it. This isn’t about fitting into a certain size; it’s about having the energy to live my life, feeling confident in my skin, and knowing I’m nourishing my body.
You’re Not Broken, and You’re Not Alone
I’m sharing all of this because I know how lonely that battle can feel. For years, I thought my body was broken beyond repair. If any part of my story sounds like your own, I just want you to know I see you, and you are not alone. Your story is valid.
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.
Alright, let’s talk about GLP-1 therapy—aka the little injection that could! If you’ve been battling cravings, feeling like a human garbage disposal for snacks, or just trying to get your metabolism to cooperate for once, then this might just be the tool you need.
But before you start dreaming of effortlessly shedding pounds while binging Netflix (sorry, it doesn’t work quite like that), let’s break down what GLP-1 therapy is—and more importantly, what it isn’t. Buckle up, because we’re about to get real, and a little sassy.
What Exactly Is GLP-1 Therapy?
Think of GLP-1 therapy as your metabolism’s new BFF—the one who tells you to stop texting your toxic ex (aka late-night snacks) and actually encourages you to make better choices.
Scientifically speaking, GLP-1 receptor agonists mimic the hormone glucagon-like peptide-1, which helps control appetite, slow digestion, and balance blood sugar. In non-science terms? It helps you feel full longer, reduce cravings, and stop treating your fridge like it’s the last meal on Earth.
Some of the big names in the GLP-1 world include:
Ozempic® – Originally for diabetes, but got famous for weight loss real quick.
Zepbound™ – The new kid on the block making waves in the weight-loss world.
Mounjaro® – The overachiever that helps with both diabetes and weight loss.
These medications don’t just shrink your appetite—they help with blood sugar control, metabolic health, and kicking emotional eating to the curb.
What glp-1 therapy does and does not do.
GLP-1 Therapy: The Perks (AKA Why Everyone’s Talking About It)
✅ 1. Bye-Bye, Cravings!
Ever stare at a bag of chips and think, “Just one…” and then suddenly, it’s empty? Yeah, GLP-1 therapy helps prevent that. It regulates appetite signals in your brain, so your stomach doesn’t convince you that an entire pizza is a “light snack.”
✅ 2. You’ll Actually Feel Full
GLP-1 slows digestion, so your meals stick around longer instead of disappearing like a magic trick. This means you won’t be rummaging through the pantry an hour after dinner like a snack detective.
✅ 3. Helps You Eat Like a Normal Human
Portion control? Mindful eating? Who is she? GLP-1 therapy makes it easier to eat like someone who actually respects their hunger cues, rather than someone at an all-you-can-eat buffet.
✅ 4. Metabolism’s Glow-Up
Not only does this magic shot help with weight loss, but it also balances blood sugar and improves metabolic function. Translation: your body stops treating carbs like a sworn enemy and starts burning fuel more efficiently.
✅ 5. Great for PCOS & Insulin Resistance
If you have PCOS, you know the struggle of hormonal weight gain and sugar cravings. GLP-1 therapy helps regulate insulin, making it easier to lose weight and keep it off without feeling like you’re fighting against your own body.
What GLP-1 Therapy Isn’t
Now, before you start celebrating, let’s clear up some misconceptions because this isn’t some “eat-whatever-you-want-and-wake-up-skinny” situation (tragic, I know).
❌ 1. A Quick Fix (Sorry, Y’all)
If you’re expecting to wake up looking like a Kardashian overnight, I have some bad news. GLP-1 therapy takes time. It’s like a slow-burn romance—not a Vegas elopement.
❌ 2. A Free Pass to Eat Like a Raccoon
Yes, this med helps control cravings, but that doesn’t mean you should test its limits by living off donuts and soda. It works best when paired with actual nutrients (I know, bummer).
❌ 3. A One-Size-Fits-All Solution
Your BFF might drop 20 lbs in a month, while you see the scale move at a turtle’s pace. Bodies are weird and work at their own pace—so don’t compare your journey to someone else’s highlight reel.
❌ 4. For Everyone
Not everyone is a candidate. If you have certain medical conditions (like thyroid cancer history or pancreatitis), this might not be for you. That’s why you should talk to a provider before diving in (shoutout to IVIM’s free consultations!).
How to Actually Make GLP-1 Therapy Work for You
So you’ve got the shot, and now you’re waiting for the magic to happen. Here’s how to boost your results and make sure you’re setting yourself up for success:
1. Prioritize Protein & Fiber (Trust Me, Your Body Will Thank You)
Since GLP-1 slows digestion, protein, and fiber will keep you extra satisfied. Think chicken, eggs, beans, and leafy greens—not just a sad granola bar.
No, you don’t have to become a gym rat, but walking, yoga, or even dancing in your kitchen helps. Your body likes to move—treat it well!
4. Celebrate All Wins (Not Just the Scale)
The scale is not the only measurement of progress. Celebrate: ✅ Clothes fitting better ✅ More energy & confidence ✅ Balanced blood sugar levels ✅ Feeling in control of food choices
If your jeans fit without you having to do a full-on squat routine to get them on, that’s a win, babe.
If you’ve tried all the things—keto, calorie counting, intermittent fasting, sacrificing your soul to the weight loss gods—and still struggle with cravings and metabolic issues, GLP-1 therapy might be your answer.
That said, it’s not a magic wand. You still need to support it with healthy habits, patience, and some common sense. But when used correctly, it can be a game-changer for weight loss, PCOS, and metabolic health.
✨ Have you started GLP-1 therapy or thinking about it? Drop your thoughts below—I’d love to hear your experience! ⬇️
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.
Let me take you back to 2001. I was 18 years old, navigating life as best I could, and decided to switch to the Depo-Provera shot. At the time, I was at my smallest size ever—a size 0. Don’t get too impressed, though. It wasn’t healthy, and even then, I was at the upper limits of a “normal BMI.” That’s when I realized BMI is absolute nonsense. (Seriously, who came up with that?!)
What I didn’t know then was that I had undiagnosed PCOS—a condition that really doesn’t get along with Depo-Provera. Within 72 hours of my first shot, I gained 15 pounds. Not kidding. I woke up, and the shorts I had just bought two weeks earlier didn’t fit. Over the next three months, while that shot coursed through my system, I packed on another 15-20 pounds. My doctor reassured me, saying the weight would “come right off” after a few months. Spoiler alert: It didn’t.
By nine months in, I’d gained over 30 pounds and was an emotional wreck. My cycle—already chaotic—was worse than ever. So, we ditched Depo-Provera and went back to traditional birth control. The weight stayed put, and I started experiencing other symptoms of PCOS, though I wouldn’t get an official diagnosis until 2006.
The Diagnosis That Changed Everything
Fast forward to 2006. I was 22 years old, newly diagnosed with PCOS and pre-diabetes. My husband and I decided to start trying for a baby earlier than planned, knowing infertility might be an uphill battle. What we didn’t expect was my atypical version of PCOS. Instead of struggling with infertility, I had hyperfertility. It really does only take one time, folks, and birth control is not foolproof.
But PCOS wasn’t the only challenge we faced. That same year, after three heartbreaking miscarriages, we discovered a genetic condition—one that gave our babies a 50/50 chance of inheriting not one but two rare syndromes. This discovery would shape our future in ways we couldn’t have imagined.
The Losses That Shaped Me
In 2009, after a whirlwind of deployments, cross-country moves, and life transitions, we welcomed our son, Anthony Maddox, on January 4, 2010. Born at 35 weeks, he carried the weight of those two syndromes and left us too soon, soaring to heaven the same day. I turned to old, unhealthy habits to cope, dropping from 155 to 135 pounds in a haze of grief.
Over the next few years, we endured more losses, including our daughter Avery Shea, who blessed us with 12 beautiful days in 2012, and our youngest son, Richard Franklin, who fought valiantly but passed on February 18, 2016. Each loss came with its own struggles, including weight fluctuations, emotional eating, and the added challenges of gestational hypertension.
Finding My Way Back to Health
By 2022, my health had hit rock bottom. My weight peaked at 209 pounds, and my hypertension was out of control. Every attempt to lose weight was met with failure—five pounds off, ten pounds back on. Keto? Tried it. Lost 25 pounds, gained it all back. COVID and DoorDash? Yeah, they didn’t help either.
Then, in October 2023, everything changed. I started my GLP-1 journey at 192.6 pounds. For the first time in years, I felt like I had a real fighting chance. These medications, combined with lipotropic + B12 injections, Sermorelin, and a lot of determination, helped me break through the barriers PCOS had thrown my way.
Where I Am Today
Thirteen and a half months later, I’m at my lowest weight since starting the Depo-Provera shot—129.4 pounds. I’ve lost over 63 pounds, conquered my insulin resistance (bye-bye, pre-diabetes!), and finally feel like I’m in control of my health.
If you’re struggling, I want you to know you’re not alone. PCOS is a beast, but with the right tools and support, you can overcome it. If you’re curious about GLP-1 medications or need a cheerleader to help you along the way, let me know. I’m here for you!
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.
nicoleinscrubs.com 