Super morbidly obese. Where do I start?

[Anonymous]

OP, congratulations on your journey.

One day at a time.

[Anonymous]

Thanks for the update OP! You are an inspiration.

[Anonymous]

Anonymous wrote:Hi all, OP here.

Hope everyone is doing well. Just wanted to update (I've been on DCUM for 10+ years and have wanted so many thread updates from OPs, ha.)

I have definitely had my ups and downs, with most days being a bit of a struggle as I think about food A LOT, + had a 4-5 month period in the Spring/Summer where I wasn't gaining weight but also not losing as I fell into old habits with binge eating, something I feel like I've done for so many years.

I'm currently at 263, so yep, VERY slow going. I approached my doctor about starting Vyvanse to help with BED at the beginning of June and she thought it might be better for me to try Ozempic first. The first couple months were disappointing as I felt almost no negative side effects, until I started the 2mg, which I've been on now for going on week 6 iirc. I definitely still crave "bad" foods but at least I'm not BE as much anymore but the medication hasn't helped as much as I'd hoped/read it helping for others weight wise. Numbers in bloodwork have definitely improved though, to the point doctor said I don't need Metformin for diabetes anymore but I'm still currently on it as it's also for PCOS.

As far as exercise, I aim to walk 4-6 miles a day since August, and that's been going well. Drink mostly water, diet soda here and there. Never drank coffee or alcohol so no issue there. I know I really need to try to eat fruit and veggie servings, as well as more protein.

Going to try the Ozempic for a bit more and if I feel like it's not helping me get to where I need, doctor said I can start Vyvanse and use both at the same time. BE has been something I've struggled with for many years and I know I need to probably also try CBT or another mental health therapy to help beyond just medication.

Tysm for the advice and words of encouragement on this thread again!

Congrats OP! I am on Mounjaro and I started a year ago with a BMI of 51. I’ve since lost 66 pounds and I’m down to BMI 39. I work out more now and eat a healthy diet focused on protein.

You’re doing well, keep going!

[Anonymous]

Why not weight loss surgery? The goal is remove excess stomach to curb the cravings / hormones caused from over eating

[Anonymous]

I had the gastric band. It was life changing but I still had to do the work.

[Anonymous]

Anonymous wrote:

Anonymous wrote:I agree with therapy and semaglutide (ozempic if insurance doesn't cover wegovy). Also look into weight loss surgery or try to get on the clinical study for this one.

https://www.sciencealert.com/experimental-drug-breaks-record-for-weight-loss-in-latest-clinical-trial-results

Ozempic is going to paralyze your gut and you will have a bad end. Don't be stupid.

What is stupid is spreading complete misinformation like you just did.

[Anonymous]

Anonymous wrote:Hi all, OP here.

Hope everyone is doing well. Just wanted to update (I've been on DCUM for 10+ years and have wanted so many thread updates from OPs, ha.)

I have definitely had my ups and downs, with most days being a bit of a struggle as I think about food A LOT, + had a 4-5 month period in the Spring/Summer where I wasn't gaining weight but also not losing as I fell into old habits with binge eating, something I feel like I've done for so many years.

I'm currently at 263, so yep, VERY slow going. I approached my doctor about starting Vyvanse to help with BED at the beginning of June and she thought it might be better for me to try Ozempic first. The first couple months were disappointing as I felt almost no negative side effects, until I started the 2mg, which I've been on now for going on week 6 iirc. I definitely still crave "bad" foods but at least I'm not BE as much anymore but the medication hasn't helped as much as I'd hoped/read it helping for others weight wise. Numbers in bloodwork have definitely improved though, to the point doctor said I don't need Metformin for diabetes anymore but I'm still currently on it as it's also for PCOS.

As far as exercise, I aim to walk 4-6 miles a day since August, and that's been going well. Drink mostly water, diet soda here and there. Never drank coffee or alcohol so no issue there. I know I really need to try to eat fruit and veggie servings, as well as more protein.

Going to try the Ozempic for a bit more and if I feel like it's not helping me get to where I need, doctor said I can start Vyvanse and use both at the same time. BE has been something I've struggled with for many years and I know I need to probably also try CBT or another mental health therapy to help beyond just medication.

Tysm for the advice and words of encouragement on this thread again!

Good for you OP!! Appreciate the update and keep up the good work!

[Anonymous]

Anonymous wrote:Why not weight loss surgery? The goal is remove excess
stomach to curb the cravings / hormones caused from over eating

GLP1 meds do more than curb cravings - they work on brain signals and correct hormone imbalances. Semaglutide (ingredient in Ozempic) has data showing its effectiveness in improving kidney function for patients with CKD. Another clinical study found significant cardiovascular benefits.

But sure, let’s cut people up instead and force them to live with life long issues like nutrient malabsorption.

[Anonymous]

Thanks OP, for your courage and choice to mar a change. No advice, just I wish you good luck!

[Anonymous]

Anonymous wrote:

Anonymous wrote:Why not weight loss surgery? The goal is remove excess
stomach to curb the cravings / hormones caused from over eating

GLP1 meds do more than curb cravings - they work on brain signals and correct hormone imbalances. Semaglutide (ingredient in Ozempic) has data showing its effectiveness in improving kidney function for patients with CKD. Another clinical study found significant cardiovascular benefits.

But sure, let’s cut people up instead and force them to live with life long issues like nutrient malabsorption.

Yeah, OP should definitely try medications before surgery. There's risks with both, but at least you can stop medications if there are side effects, surgery is permanent.

[Anonymous]

OP, I was having a rough day and you put a smile on my face. Thank you and congratulations!

[Anonymous]

OP - I’m so impressed. I’m sort of average sized, could afford to lose 10-20 lbs and i think it’s sheer luck and genetics. I am SO impressed that you’re walking 4-6 miles a day! I’m just trying to do any work outs and struggling right now. Fast weight loss is usually easily reversed weight loss, but you e made huge life changes and are doing everything the right way! I’m going to try to be inspired by your journey and get my butt outside to exercise more!

[Anonymous]

Anonymous wrote:The first stop is therapy. If you treat all the emotional issues that got you to this weight and has kept you at this weight, you will lose weight without dieting.
-- Trauma survivor and formerly obese person with 20-yr eating disorder who did EMDR + CBT (and a LOT of it).

This is fine if you have trauma, but I didn’t do any therapy and Ozempic has worked like a miracle for me. I have the same personality, willpower, emotions etc. I just don’t want to eat too much. Obviously this might not work for OP but there’s no way of knowing. She needs to go to her doctor.

[Anonymous]

Op great job! You say slow going but you’ve lost 70 something pounds. That is definitely something!!

[Anonymous]

I think this is amazing news OP. It sounds like you’ve consistently lost weight for a year and a half-roughly a pound a week which is EXACTLY how you want to lose. I agree with another poster who said quick and large weight loss is easily reversed. You have put in the work, and it is showing. I don’t know you, but I am very proud of you all the same. Keep up the good work!