SUCCESS STORY

PATIENT PROFILE

Name: John D. (pseudonym)
Age: 52
Height: 5'10", Weight: 295 lbs, 295 lbs, BMI: 42.3
Alcohol Use: 6-8 drinks/day for 10+ years
Comorbidities: Pre-diabetes, hypertension, NAFLD, low testosterone
Mental Health: Depressive symptoms, poor sleep, low motivation

MEDICAL MANAGEMENT

Zepbound (tirzepatide): Started at 2.5 mg, titrated to 10mg/week
Peptides: CJC-1295/Ipamorelin, BPC-157, Tesamorelin
Supplements: Vitamin D3, omega-3s, NAC, L-glutamine
Hormone Support: Testosterone cypionate 100mg/weel (after detox)

NUTRITIONAL PLAN

PHASE 1 (WEEKS 1-8)
Modified Mediterranean diet, 1500-1700 kcal/day
Alcohol cessation, high hydration, lean proteins, healthy fats
PHASE 2 (WEEKS 9-24)
Reintroduce complex cards, card cycling, intermittent fasting

FITNESS PROTOCOL

MONTHS 1-2
Daily walks, resistance bands, mobility work
MONTHS 3-4
Strength training, HIIT cyclying
MONTHS 5-6
Progressive overload, hikes, sauna & cold plunges

RESULTS AFTER 6 MONTHS

Weight: 295 lbs --> 214 lbs
BMI: 42.3 --> 30.6
A l c: 6.1% --> 5.3%
Liver enzymes: Elevated --> Normal
Testosterone: 240 --> 720 ng/dL
Alcohol Use: Daily --> 100% abstinent
Sleep: Poor --> 7-8 hrs/night
Mood: Low --> High motivation

KEYS TO SUCCESS

Medical supervision & accountability
Zepbound for appetite and metabolic control
Peptides for repair and fat loss
Structured, phased nutrition and training
Emotional suport and behavioral change