Nurse Practitioner's Remarkable 100-Pound Weight Loss Journey with Contrave: A Life-Changing Success Story
Tim Nicaise's weight loss journey offers a compelling look at using anti-obesity medication alongside lifestyle changes. A nurse practitioner who reached 300 pounds during the pandemic, Nicaise transformed his health through medication, diet, exercise, and therapy.

Man standing in doorway after weightloss
After reaching his highest weight and facing multiple health issues including prediabetes, sleep apnea, and requiring three blood pressure medications, Nicaise turned to Contrave - a combination of bupropion and naltrexone - when traditional weight loss methods failed.
Key differences between Contrave and GLP-1 drugs:
- Contrave targets mood, energy, and cravings pathways in the brain
- GLP-1s affect gut hormones, insulin production, and glucose metabolism
- Contrave is typically more affordable and taken as a daily pill
- GLP-1s are weekly injections with primarily gastrointestinal side effects
Nicaise's success included:
- 100-pound weight loss in six months
- Maintained 85-pound loss after stopping medication
- Resolved sleep apnea and improved blood pressure
- Enhanced mental well-being and self-confidence
His comprehensive approach involved:
- Low-carb diet
- Intermittent fasting
- Daily walking (20,000 steps or 10 miles)
- Regular therapy sessions
- Medication support
For those considering weight loss treatment:
- Discuss options openly with your doctor
- Don't be embarrassed about seeking help
- Consider multiple approaches (diet, exercise, therapy, medication)
- Remember obesity is a chronic condition requiring individualized treatment
The key to sustainable weight loss often combines medical intervention with lifestyle changes, as demonstrated by Nicaise's success story. His experience shows that medication can be an effective tool when used alongside behavioral modifications and professional support.