Wednesday, June 17, 2026

Medical and More

Today I had my first appointment with my new primary care provider. I needed to find a new PCP after a series of severe gout attacks that began shortly after I started losing weight with Zepbound. The latest attack was nearly debilitating, so getting back on allopurinol and having someone monitor my weight loss felt important. 

The appointment went okay. We covered the usual questions about weight loss, sleep apnea, gout, and overall health. I got the impression that my new PCP was not especially enthusiastic about Zepbound, but he seemed willing to work with it as long as I focus on eating the right food groups. 

One surprise was learning that I am Vitamin D deficient. It is apparently significant enough that I now have a goal of taking 50,000 IU per week. Since my multivitamin only has 1,000 IU in the daily dose, that feels like a tall order. 


I left the clinic with a goal of reaching 285 pounds by September 17. It sounds reasonable, but it does add some pressure. 

Later, my sister and brother-in-law, passed through Niles on their way back to Ann Arbor after vacation. We met at 2 Broke Eggs, a local eatery that opened last year but that I had not visited yet. It was good to see them again. My sister talked about applying for a new job, and her husband updated me on his research project about mobile medical clinics. They also shared some family updates, including a cousin's political shift and a possible confrontation with my aunt, his mom. 

In the afternoon, I met with a couple friends to see Stop! That! Train!, starring RuPaul. A little fabulous, campy humor was a welcome way to end the day.

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Medical and More

Today I had my first appointment with my new primary care provider. I needed to find a new PCP after a series of severe gout attacks that be...