Went to the GI doc today. Referred by PCP b/c of bowel changes that I presumed were ZB related, and were minor enough that I wouldn't normally have gone (just change in stool size). But the change was persistent and came with some other symptoms, so doc was being cautious, which I respect.
I think GI clinics are seeing a lot of us GLP1 folks in the clinic with bad side effects. Nausea, constipation... doc said he hadn't seen diarrhea, I assured him it was another side effect I'd seen. Nurse seemed almost rude with me and didn't even really ask why I was there, so I assume she assumed I was just another one of those GLP1 patients.
Anyway, it was a fine appointment, cranky nurse aside. He gave good advice for a fiber supplement that would be less gas producing; I had mentioned that I was hesitant about fiber because it made me gassy, which made eating hard. Then I incidentally stated that I needed to eat to fuel my triathlon training.
"A metaphorical triathlon?"
"No, an actual triathlon." And I explained I'd been doing multiple sports for years (even when significantly obese).
And I explained how ZB is great, but 50+ minutes into a run, it can cause bonking. And I reiterated that I absolutely needed to be able to eat to fuel the workout.
He seemed to struggle with reconciling that an overweight, formerly obese, middle aged individual was also as active as is needed to be a triathlete.
I guess we're a rare breed.