Health Journey Highlights

 99-pound weight loss as of April 2026
Greater strength
Greater mobility
Better sleep
Less food noise
Reduced visceral fat

At age 60, Julie had been overweight her entire adult life. While she often was able to lose weight, she wasn’t able to keep it off, even with weight loss programs and gastric bypass surgery, which she’d undergone 25 years ago.

“The weight would start creeping back on and I never could stay at a weight where I belonged,” Julie says. After reaching 282 pounds, “I felt like I was at the end of hope.”

Julie contacted Surgical Associates and got connected with Dr. Gabriella Baran, a board-certified family medicine and obesity specialist, who walked her through her options.

“I really believe people are wired differently, and I wanted someone to hear me. And that’s why I went to Surgical Associates,” says Julie, who learned that GLP-1s could be a possibility for her. So Surgical Associates had Julie work with Elevé on her weight loss journey. “I was so excited to start.”

Dr. Baran told Julie that obesity is a disease, not a failure of willpower, Julie recalls. Taking the weight off would reduce Julie’s risk of developing dozens of other diseases and chronic issues. One of the tools that Elevé used to help Julie achieve her health goals was to prescribe her the medication Zepbound.

That was March 2025, and just over a year later—what Julie called her ‘Zep’aversary—she had lost 99 pounds.

Finding hope in Zepbound

Zepbound is both a GLP-1 and GIP medication, which means the drug mimics two hormones that help regulate appetite and digestion, helping patients to reduce food intake and lose weight.

“The neat thing about Zepbound is it works,” Julie says. “The way it’s changed my appetite allows me to have a serving of something I like and then be satisfied, and not beat myself up about overeating. I hadn't ever felt like that before.”

Along with taking Zepbound, Julie also had a DEXA scan and met with an Elevé nutritionist, who encouraged Julie to consume up to 75 grams of protein daily. Getting enough protein is important when taking GLP-1 and GIP medications to help prevent muscle loss, fatigue and maintain a healthy metabolism. The nutritionist also recommended adding fiber to her diet as well.

“I never viewed this like as a weight loss program,” Julie says. “I saw it as my wellness journey. One thing I wanted to do is keep my mobility as I age. Now, how would I accomplish that? Well, eating right and eating normal portions of food—and that comes so much easier with the help of the Zepbound.” Julie added weight training to increase her muscle mass, and she made simple changes to naturally increase aerobic activity in her daily routine, such as switching pharmacies so that she could ride her bike to pick up her medication.

Adjusting to Zepbound and reaping benefits

When Julie first began taking Zepbound, she felt a bit nauseated, which was resolved by nibbling on saltines. “As my body got used to it, the nausea left. I also had some constipation, and that’s where the fiber helped.” Just over a year after beginning to take the medication, Julie was close to her weight loss goal of 170 pounds. “I’m at 183 right now, so I’m coming close to where I wanted to be,” she says. “One-seventy is still my goal, but we have to revisit that—because here I come!”

Julie also has experienced positive changes beyond her weight loss. Her mobility is better, and she’s added strength training, Tai Chi and Pilates to her routine of walking. “I feel an awakening within my body,” Julie says. She also noticed an unexpected result: When she visited the dentist, she noticed her gum health had improved. “I wasn't thinking my dental hygiene would be impacted,” she says. “The inflammation in my body has left me. I thought I would just always feel like a 60-year-old person, I thought the aches and pains came with age. It came with weight.” There’s also less food noise, or those persistent thoughts of hunger and cravings that can drive people to overeat. “I didn't realize how loud the volume had been turned up—that was my benchmark,” Julie says.

Her fatigue began to dissipate as she lost weight, and her energy grew as she slept more comfortably. “Now, I can follow through on ideas and projects, and I can participate in life. I don’t feel so tired, and I can accomplish things.” One of the most poignant benefits of Julie’s weight loss was that she was able to spend time with her mother as she entered hospice. “I have energy to be present, and hold space with my mom, and it was such an honor to be able to have the energy to be on that journey with her,” Julie says. “I played violin for her. We shared many special moments near the end, and Im so grateful for the energy that I had.”

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Achieving healthy goals

At the beginning of her weight loss journey, Julie bought herself a shirt in a much smaller size. “And it fits now,” she says. Julie plans to continue taking her Zepbound to maintain her healthy weight loss. “If I have a different disease, like high cholesterol, I would take statins. I hope that I can continue taking Zepbound, so I can continue being healthy, maintaining my weight, and being part of life.”

Julie’s weight loss has opened new possibilities for her. “I would like to travel and to not be so tired that I need to take a two-hour nap, even just getting across Wisconsin. I’d like to be able to walk up Rib Mountain again.” (She’s already made it halfway up.) “As the snow melts, I’ll be ready to come back out and walk that incline.”

In the spring, summer and fall, she plans to enjoy her bike, which is mint green and has a basket. “And just being able to continue in building relationships with friends and family and being able to do things with them, like walk along the Wisconsin River.”

Advice for Others

“I'm so grateful that I have had and continue to have the opportunity to use Zebbound, and to work with Dr. Baran—she’s great,” Julie said. “Elevé offers really great things that can help us be our best self. Working with Elevé has given me the gift of hope. I am so grateful I have had this opportunity so far, and I look forward to every step of the way.”

Seeking an effective approach to weight loss?

Elevé’s weight loss division is our ‘dream team’! Whether you want to lose 5 pounds or 150 pounds, we offer all the options, including nutrition guidance, Elevé’s Vitality program, GLP1 medications or bariatric surgery.


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