for the love of God, I NEED to lose weight. Help, please.

[Anonymous]

PP again, like if I look back it has always been about “why do you eat so much” and never about “why are you so much hungrier than you should be.”

But now that I’m on a medication that controls my hunger, it’s suddenly easy to eat much less. I didn’t fix my emotions. I’m still bored or sad or lonely or weak not listening to my fullness or whatever the f$& reason people said I was eating too much before.

[Anonymous]

Ozempic. I have done WW and Noom and LoseIt and all the other stuff. I had pretty good success with WW, some success with the others. But Ozempic has been revolutionary for me. My insurance covers it because I have an obese BMI and elevated blood sugar; I am not sure what will happen once my BMI is lower.

You will hear all kinds of things about Ozempic but for me, and probably for a lot of people, you still have to change your eating and exercise habits. Ozempic just makes it easier to change your eating. I am more motivated to exercise when I see something happening on the scale.

It will take you a minute to see your doctor, probably, so in the meanwhile, try to drink 100 oz of water a day, and avoid refined sugar and white flour (so, yes to fruit and whole grains, no to candy and bagels).

[Anonymous]

Anonymous wrote:

Anonymous wrote:What are you doing now? If you’re truly struggling, talk to a therapist (intuitive eating is terrific IMO and lifestyle-change oriented vs calories and quick loss w/o a maintenance plan) or your PCP.

For what it’s worth I thought intuitive eating was total crap. YMMV but I think there’s something really toxic about the idea that I just needed to “listen to my body” more or whatever after a lifetime of struggling with weight and blood sugar and losing and re-gaining weight time after time.

Now that I’m on Ozempic and I actually feel fullness and hunger in “normal” patterns I’m even more angry about the idea that I was just not “listening” before.

Everyone is different and it’s impossible to know what one person is feeling vs another, and right now medicine provides very little help in the way of assessing why some of us are responding to semaglutide so differently from others and what that means about obesity or whatever.

I’m just throwing this out there so OP had another perspective. When something like “intuitive eating” doesn’t work for you it’s easy to feel like it’s your fault and I just don’t think it’s that simple.

As someone who was an obese child, I completely agree with all of this. Intuitive eating has never and could never work for me. For whatever cursed reason, when I listen to my body, it says “I’m so hungry let’s eat.” And even though I have worked hard to eat very clean with lots of produce, lean proteins, and whole grains, my default setting is just too too high.

I’m not on Ozempic but I do take meds to control my hunger.

[Anonymous]

Anonymous wrote:As a long term weight loss maintainer, and someone aware of the research on people like me, I think you have to accept that you will have to count calories now and forever. It sucks. You probably hate to hear it. But there’s just not a practical way around it.

I don't think this is universally true for everybody. It entirely depends on why the weight was gained in the first place. Once you get to a place where you can figure out your intake appropriately, it may not be necessary to count anything forever. Everybody is different. I lost nearly 100 lbs, and I don't count anything. I never really did.

OP, lots of great advice in this thread. The main thing is to start with something achievable and focus on that until it becomes a habit. Then, start doing something else. Taking a drug for weight loss is just another form of habit. We are our habits. That is as much true about our food and lifestyle as it is about the calluses on your feet and the way your shoes get worn in.

[Anonymous]

Anonymous wrote:Have you ever been checked for PCOS? Many of the “conventional” weight loss mantras (oh, just put down the sandwich) may not work with your body chemistry. The idea that the only solution is to live on air while on a treadmill 20 hours a day is harmful. Your body isn’t processing something properly; the trick is to find out what it is.

Could you please provide the time stamp for where anyone told OP to eat “air” and exercise 20 hours a day? No one on here has said a single thing that wasn’t sensible. Checking for PCOS is sensible, but so is adopting a baseline-healthy lifestyle when it comes to diet and exercise, while enjoying everything in moderation. Whether or not one needs to lose weight, eating healthy foods, enjoying things in moderation, and exercise is a good idea. Come on, no need to pretend like anyone told OP anything that wasn’t completely reasonable.

[Anonymous]

I’m 5’1 and 170, but my health care provider won’t Rx Ozempic, which I get, but hearing the success stories, especially PP where they were overweight for a long time, makes me want to find an alternate provider. I feel like my HCP will be disappointed in me if I do, though.

[Anonymous]

Anonymous wrote:I’m 5’1 and 170, but my health care provider won’t Rx Ozempic, which I get, but hearing the success stories, especially PP where they were overweight for a long time, makes me want to find an alternate provider. I feel like my HCP will be disappointed in me if I do, though.

It’s up to you. They’ve been on the market a long time which is enough for me to feel good about their safety. I would ask your HCP more about their objections and then make a decision. My GP didn’t hesitate, but I’m prediabetic with a family history and have been really struggling to get control since kids.

[Anonymous]

There are clanica in Germany and Siberia where you can do long fasts.

[Anonymous]

Anonymous wrote:I got surgery. Five years ago. Lost 70 pounds. Have kept it off. Look great, feel great, no regrets.

Which surgery?

[Anonymous]

Weight watchers works!!!!

[Anonymous]

Anonymous wrote:I’m 5’1 and 170, but my health care provider won’t Rx Ozempic, which I get, but hearing the success stories, especially PP where they were overweight for a long time, makes me want to find an alternate provider. I feel like my HCP will be disappointed in me if I do, though.

Stop living in fear of judgment from your healthcare provider. Get a new one who will talk with you about a semaglutide like Ozempic or Wegovy.

It’s been a game changer for me.

[Anonymous]

Anonymous wrote:

Anonymous wrote:What are you doing now? If you’re truly struggling, talk to a therapist (intuitive eating is terrific IMO and lifestyle-change oriented vs calories and quick loss w/o a maintenance plan) or your PCP.

For what it’s worth I thought intuitive eating was total crap. YMMV but I think there’s something really toxic about the idea that I just needed to “listen to my body” more or whatever after a lifetime of struggling with weight and blood sugar and losing and re-gaining weight time after time.

Now that I’m on Ozempic and I actually feel fullness and hunger in “normal” patterns I’m even more angry about the idea that I was just not “listening” before.

Everyone is different and it’s impossible to know what one person is feeling vs another, and right now medicine provides very little help in the way of assessing why some of us are responding to semaglutide so differently from others and what that means about obesity or whatever.

I’m just throwing this out there so OP had another perspective. When something like “intuitive eating” doesn’t work for you it’s easy to feel like it’s your fault and I just don’t think it’s that simple.

I agree with you. I also know that intuitive eating often has a very steep initial learning curve. It has worked for me, but I “failed” I failed a handful of times before I got it. I think it’s like most everything and works for some but not all!

[Anonymous]

OP, was over 200 and 5"1' a few months ago and had tried everything. I went to my Dr and got a prescripton for Wegovy. I'm down 15lbs and seeing changes in how I feel about food. It is worth talking to your dr about.

[Anonymous]

Anonymous wrote:

Anonymous wrote:I’m 5’1 and 170, but my health care provider won’t Rx Ozempic, which I get, but hearing the success stories, especially PP where they were overweight for a long time, makes me want to find an alternate provider. I feel like my HCP will be disappointed in me if I do, though.

Stop living in fear of judgment from your healthcare provider. Get a new one who will talk with you about a semaglutide like Ozempic or Wegovy.

It’s been a game changer for me.

How tall are you? How much did you weigh? Did you have other health related concerns?

[Anonymous]

Anonymous wrote:

Anonymous wrote:I’m 5’1 and 170, but my health care provider won’t Rx Ozempic, which I get, but hearing the success stories, especially PP where they were overweight for a long time, makes me want to find an alternate provider. I feel like my HCP will be disappointed in me if I do, though.

It’s up to you. They’ve been on the market a long time which is enough for me to feel good about their safety. I would ask your HCP more about their objections and then make a decision. My GP didn’t hesitate, but I’m prediabetic with a family history and have been really struggling to get control since kids.

Thanks for replying. She wants me to get a personal trainer and try a known diet before she will prescribe.

She is concerned that I would have to stay on it forever.