Introducing Say More, a new relationship advice column from The Washington Post. Read about it here.

Dear Say More: I’m taking Wegovy but am embarrassed to tell my spouse about it. I’m overweight and have been unable to lose weight after trying various diets and programs. My doctor recommended I try Wegovy. Now that it’s available in pill form I can take it without my spouse really noticing. He says I’m beautiful at any weight, but I would be happier if I weighed less. I’m using our HSA funds to pay for the medication. My spouse doesn’t pay attention to that account, so he has no idea how much I’m spending on this.