Less of You: Life on Semaglutide & Tirzepatide

Two trips to Spirit Halloween this month, and Eva realizes for the first time in her adult life she can fit into everything instead of eyeing the inflatable dinosaur costume. The scale reads 179, a number that hasn't started with a one and a seven since the 1990s, and finally back in a gym she loves: a strength circuit class full of people “kind of old and trying not to die.”Kami's daughter turns nine, which means a zoo trip that leaves Kami sore for days, a sleepover that falls apart at 3 a.m., and a Halloween calendar with more moving parts than an airport. Her birthday weekend also brought something truly frightening to her neighborhood, and Kami talks through what it was like to learn about it.Eva starts seeing a food therapist, and the rule so far: parents control the environment, kids control how much.  Kami's four weeks without estrogen patches during the shortage, which ended in a hallway meltdown over spilled coffee and her nine-year-old patting her back: “It's okay, mommy. You'll get your meds.”Questions answered by this episodeIs there an estrogen patch shortage right now?What happens if you stop estrogen patches suddenly?Can HRT help with ADHD symptoms in perimenopause?Is it normal to forget to eat on tirzepatide?Should you work out on an empty stomach on a GLP-1?What is a Glow peptide stack?Why does Botox come as a powder?How do I help my child with overeating without shaming them?What does a food therapist do for kids?Follow us on Instagram: @lessofyoupodcastHelp us keep this podcast going! When you order your weight loss meds or peptides through our partner at EpixTRX, we get a few dollars at https://lessofyou.com/shop.Co-hosts: Eva Sheie & Kami GamlemAssistant Producer: Mary Ellen ClarksonEngineering: Victoria ChengTheme music: Old Grump, SmartfaceLess of You is a production of The Axis.

Kami is five days into recovery from a balloon sinuplasty and turbinate reduction, and it has been brutal — she’s too congested to wear her CPAP, she can’t use her mouth guard while mouth-breathing all night, and she’s up every hour drinking water. Before any of that came up, though, she showed off three new waist-length hair extension colors, Foxy, Aurora, and Paprika, from Wildcrafted Beauty.Eva turns Kami’s rough week into a bigger point from her five years surveying surgery patients: people who are prepared for both the recovery and the price end up far happier than people handed a stack of paperwork and sent home. Then she tops it with her own chaotic night — a lice outbreak that sent her and her daughters to a walk-in lice clinic, a neighbor’s warning text, and a mobile lice technician who showed up ten minutes after they got home and combed everything out by hand.Eva also explains why nobody can tell she had a recent skin treatment: it’s the paper towel effect — you can pull dozens of sheets off a fresh roll before it looks any smaller, and subtle cosmetic work and early weight loss both hide the same way. The flip side: her lower face now looks years younger than the top half, which is making her overdue Botox and untouched forehead lines stand out more than ever.Kami’s down six pounds on a lower GLP-1 dose and isn’t sure anyone will notice yet, which turns into a debate about Kelly Osbourne’s dramatic transformation and how far is too far. They also flag a telehealth ordering hiccup a listener caught for them (already being fixed) before teasing next episode’s guest, a designer named Lucy Darling.Questions answered by this episodeWhat does recovery from a balloon sinuplasty and turbinate reduction actually feel like?Why can’t you wear a CPAP machine right after nasal surgery?Why is it important for a doctor to prepare patients for both recovery and cost before surgeryWhat should you do if you find lice in your child’s hair?Are mobile lice removal services worth it?What is the “paper towel effect” in weight loss and cosmetic changes?How much weight do you have to lose before people actually notice?What happens when someone loses too much weight on GLP-1 medications?Follow us on Instagram: @lessofyoupodcastHelp us keep this podcast going! When you order your weight loss meds or peptides through our partner at EpixTRX, we get a few dollars at https://lessofyou.com/shop.Got a Skinny Shot Story of your own? Eva wants to hear it at skinnyshotstories.com. If you're a doctor interested in sponsoring this or any Axis cosmetic surgery and weight-loss podcast, visit lessofyou.com.Less of You is a production of The Axis.Host: Eva Sheie & Kami GamlemAssistant Producer: Mary Ellen ClarksonEngineering: Victoria ChengTheme music: Old Grump, Smartface

Eva marched a Stephen King-grade demon clown costume up to the register in a store for kids — and when the manager disagreed that it didn’t belong there, she bought $50 Boden sneakers  out of spite for the place. Weeks later, her 6-year-old still won't go to the bathroom alone, because in her mind, the clown lives there now.Kami, meanwhile, rides the high of the biggest legal win of her life — a court ruling that her former broker owes her over $6k in commission, plus attorney's fees, after she represented herself start to finish. She's 46 and had never set foot in a courtroom before this case, and is already plotting how to pay it forward with a giveaway once the check actually clears.Eva's face is healing beautifully from her Junera laser treatment (thank-you sneakers included, minus the promised hot-pink laces), and she opens up about the financial advisor who finally got her out of feast-or-famine bookkeeping — plus the story of an offhand comment she made years ago that changed a friend's entire career path into trauma therapy.Questions answered by this episodeWhat is post-performance blues and why does it happen after a big presentation? Can you win a small claims court case without hiring an attorney? How long does it take skin to fully heal and tighten after a laser treatment?What does a fractional CFO actually do for a small business owner?How do you help a child who's scared of a Halloween costume or scary mask?Is there a real link between ADHD and a strong sense of justice?How much interest can you collect on a small claims judgment?Follow us on Instagram: @lessofyoupodcastHelp us keep this podcast going! When you order your weight loss meds or peptides through our partner at EpixTRX, we get a few dollars at https://lessofyou.com/shop.Got a Skinny Shot Story of your own? Eva wants to hear it at skinnyshotstories.com. If you're a doctor interested in sponsoring this or any Axis cosmetic surgery and weight-loss podcast, visit lessofyou.com.Less of You is a production of The Axis.Host: Eva Sheie & Kami GamlemAssistant Producer: Mary Ellen ClarksonEngineering: Victoria ChengTheme music: Old Grump, Smartface

Eva hadn't budged from 186 for a year and a half — until she stepped on it this week and saw 180, a number she hasn't seen in ages, ice cream summer in Washington included.Kami has her own update: three pounds down in her fourth week of GLP-1 shots, plus a blunt reality check on the gastrointestinal side effects nobody warns you about (chewable laxatives included).Swerving into real life, Kami searches an elderly neighbor's house for his missing 14-year-old cat after he is found on his floor, dehydrated and confused, having fallen some unknown number of days earlier.Eva also gives a 17-day update on her recent face laser and submental lipo (still a little swollen, still a little numb) and talks through the tricky conversation of watching her daughter start to notice her own changing body during swim season.Questions answered by this episodeHow long does it take to see weight loss results on a GLP-1 medication?What GI side effects are common when starting a GLP-1, and how do you manage them?Does increasing your GLP-1 dose too quickly cause more side effects?Is facial numbness normal after a facelift and neck liposuction?How long does numbness last after facial plastic surgery?How do you talk to a child about their changing body without creating body image issues?Why might a doctor ask you to weigh in for a procedure unrelated to weight?What magnesium supplements help with GLP-1-related constipation?Help us keep this podcast going! When you order your weight loss meds or peptides through our partner at EpixTRX, we get a few dollars at https://lessofyou.com/shop.Less of You is a candid, funny, no-filter conversation between friends about weight loss, GLP-1 medications, aging, and everything that comes with trying to take care of yourself in real life.Follow us on Instagram @lessofyoupodcastAre you confronting the same challenges and have a story to tell? Share it on the Skinny Shot Stories podcast at skinnyshotstories.comIf you're a doctor and would like to learn more about sponsoring this or any of our cosmetic surgery and weight loss podcasts, go to lessofyou.comLess of You is a production of The Axis: theaxis.ioHost: Eva Sheie & Kami GamlemAssistant Producer: Mary Ellen ClarksonEngineering: Victoria ChengTheme music: Old Grump, Smartface

Three weeks after her Halo resurfacing, Eva decides to take the opportunity to have a Junera laser treatment, a new technology that treats the skin from within to tighten the face and neck from the inside. On the morning before heading to Dr. Jennifer Walden’s office in Austin, she took her before photos seriously: the 6:43 AM bathroom pictures, the long-stoplight car selfie video, the in-office clinical photos. Then two pills, a grid drawn on her face, almost falling while putting on socks, nitrous held by Jenny (“Feels like high school, huh?”), and a new perspective on what a great surgeon looks like and what it means to be a patient. Swelling peaks at 72 hours, and by day 10 the befores and afters look glorious. The great reveal comes next week.Kami has her own procedure brewing. After 14 years of sleep apnea, an insurance company demanding a sleep study from a clinic on the other side of the country, and a scope that couldn’t even get up one nostril — 80% closed on one side, 90% on the other — scheduled for in Indianapolis booked her for turbinate reduction and balloon sinuplasty, with a real shot at ditching the CPAP for good.Questions answered by this episodeWhat is the Junera laser and how does it work?Does Junera laser skin tightening hurt?What kind of sedation is used for minimally invasive laser procedures?How long does swelling last after a Junera treatment?Can you tighten loose neck skin after major weight loss without a facelift?What is balloon sinuplasty?What are turbinates and why do they stay swollen?Does losing weight cure sleep apnea?Can fixing a blocked nose get you off a CPAP machine?Follow us on Instagram: @lessofyoupodcastHelp us keep this podcast going! When you order your weight loss meds or peptides through our partner at EpixTRX, we get a few dollars at https://lessofyou.com/shop.Co-hosts: Eva Sheie & Kami GamlemAssistant Producer: Mary Ellen ClarksonEngineering: Victoria ChengTheme music: Old Grump, SmartfaceLess of You is a production of The Axis.