I've struggled with my weight my whole life. I've tried every diet — keto, paleo, intermittent fasting. I've worked with trainers, nutritionists, and therapists. Nothing stuck long-term. So when I heard about Orforglipron, the new oral weight loss drug from Eli Lilly that was approved by the FDA in March, I was skeptical but curious.
Orforglipron is a GLP-1 receptor agonist, similar to Ozempic and Wegovy, but it's taken as a daily pill instead of a weekly injection. The clinical trials showed an average weight loss of 15% over 6 months. I decided to try it for 30 days and document everything. I'm not a doctor. I'm not recommending this to anyone. I'm just sharing my experience.
Getting the Prescription
First, you need a prescription. I went to my primary care doctor and explained my situation. My BMI is 31, which qualifies as obese, and I have high blood pressure, so I fit the criteria. My doctor was supportive but warned me about side effects. I filled the prescription at my local pharmacy — it cost $150 with my insurance, which is surprisingly cheap compared to the $1,000+ list price.
Week 1: The Side Effects Hit Hard
The first thing I noticed was the nausea. It hit me about 30 minutes after my first dose. It wasn't debilitating, but it was uncomfortable — like a constant low-grade car sickness. The second thing was the burping. I'm not proud of this, but I was burping constantly. Sulfur burps, to be specific. They smell like rotten eggs. It's gross. My girlfriend was not amused.
But here's the thing: I also noticed that my appetite was gone. I mean, completely gone. I had to force myself to eat breakfast. Lunch was a small salad. Dinner was half of what I normally ate. I wasn't hungry at all. By the end of week 1, I had lost 4 pounds. Most of it was water weight, but it was encouraging.
Week 2: Finding a Rhythm
The nausea subsided after day 5. The burping didn't. I learned to deal with it by eating smaller, more frequent meals and avoiding fatty foods. I also started taking the pill with a full glass of water, which helped. My appetite was still suppressed, but not as aggressively. I was eating about 1,500 calories a day, which is a 500-calorie deficit for me.
I also noticed something weird: I stopped craving alcohol. I'm not a heavy drinker, but I enjoy a glass of wine with dinner. On Orforglipron, the thought of alcohol made me nauseous. I didn't have a single drink all week. That alone probably saved me 500 calories.