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Jessica Nazzaro, a practicing OB-GYN at the Cleveland Clinic, a NAMS-certified menopause practitioner and a medical advisor at Mira

Without insurance, you can get Zepbound vials for up to $449 per month through LillyDirect

Choose nutrient-dense snacks over volume

They are abundant in vital vitamins, minerals, and fiber and have a low-calorie content

Whether I was gluten-free, dairy-free, or calorie counting, nothing worked

If you receive lyophilized vials, do not reconstitute them until you are ready to begin using them