Not losing weight on Wegovy

[Anonymous]

Anonymous wrote:

Anonymous wrote:I just started Wegovy so not a ton of experience with it yet, and haven’t lost any weight yet.

But I notice it does help to diminish my appetite and specifically my craving for carbs and sweets. Sweets taste metallic to me right now so I just don’t want to eat them.

So the cravings are gone and the appetite is diminished but I do have to stop myself from habit and or emotional eating. It’s easier to do that now with the drug, but if someone is going to overeat and eat when they aren’t hungry then that’s a strong drive that needs to be dealt with.

I watch Dr Now (600 lb Life) and the common theme with the people who fail to lose weight is that they don’t want to, at least they don’t want to strongly enough. And aren’t willing to face the emotional reasons that drive them to get really obese in the first place.

How long has your DH been overweight? If he’s 250lbs overweight probably a long time. That’s not 30-50 lbs of Covid weight, that’s really obese. He’s dealing, or not dealing with some stuff. Did his doctor make him go to counseling before prescribing the meds?

I don’t think there are any shortcuts to dealing with your stuff.

OP here. I think you probably hit the nail on the head with the bolded. He has been overweight for years, but the weight gain increased drastically in the last 7-10 years. It has been a source of contention. I’m very fit and active. I’ve essentially checked out at this point but hope that my kids will one day have a dad who can do more than sit in a chair.

I’m sorry that must be really frustrating. But you can’t make someone want more for themselves than they want for themselves.

[Anonymous]

There’s no way he is on the full dose at 4 weeks. It takes at least 2 months to step up to the full dose, and many don’t see any results until then.

[Anonymous]

Anonymous wrote:There’s no way he is on the full dose at 4 weeks. It takes at least 2 months to step up to the full dose, and many don’t see any results until then.

He has been on the full dose for at least 4 weeks. He started a few months ago (not sure exactly, but at least three) and slowly ramped up.

[Anonymous]

He's a great candidate for weight loss surgery.

[Anonymous]

Anonymous wrote:He's a great candidate for weight loss surgery.

He failed the psych test ….

[Anonymous]

I’m on Mounjaro and have lost 65# in 11 months.

I follow several people to TikTok who had to move to Wegovy from Mounjaro due to insurance coverage issues and most have shared that Wegovy feels very different from Mounjaro.

Is there any chance he could be approved for Mounjaro? If not I would have him stay on Wegovy for at least 3 months at max dose before giving up. Is he diabetic or insulin resistant? Is he having any of the side effects?

He may also want to discuss with his doctor the option of taking the shot every 5 days instead of 7. It may be wearing off too quickly for him.

Also look into changing injection sites - there are studies showing some people have better intake of the meds in certain sites (arm vs stomach)

[Anonymous]

Anonymous wrote:

Anonymous wrote:He's a great candidate for weight loss surgery.

He failed the psych test ….

So sorry OP. I would get him the help he needs then. This is a mental health issue more than anything else.

[Anonymous]

Has WeGovy really be tested in morbidly obese? Even with surgery 275 is a huge amount of weight to lose.

[Anonymous]

It isn’t magic - he needs to eat less. It’s an appetite suppressant but you can easily override that and consume too many calories especially from sugar, other processed carbs, and alcohol.

I recommend working with a registered dietician in conjunction with the drug. That has helped me be accountable. I don’t think I would have lost anything otherwise, even with the semaglutide.

One thing I’ve noticed is that I’m less hungry physically but still really want to eat when I’m stressed or bored. And if it’s a coke or something it’s really easy to just have it. So I still need to do the mental work too.

Wegovy and Ozempic are helpful tools, but you still have to put in the work. That’s why I get frustrated when people say it’s taking the easy way. It’s really not.

[Anonymous]

Anonymous wrote:

Anonymous wrote:He's a great candidate for weight loss surgery.

He failed the psych test ….

Yep he sounds depressed. All of my family members who were or still are obese suffer from depression.

The only ones who have lost weight are the ones who received gastric bypasses, this was only possible because they treated the depression which eventually helped them to break out of their helplessness and do what was needed to get approved for the surgery.

The others are sadly still obese but slowly fading away due to comorbidities.

After a certain point being overweight is a symptom of a much larger problem, mental illness, problems that aren’t about lifestyle choices, so it’s not like a person who gets that big can just stop overeating.

You have to blow through a lot of flashing red lights on your way to 400 + lbs. Imagine how physically uncomfortable you have to feel on a daily basis. At some point you look at what you are doing to yourself and you stop if you are at all mentally healthy enough to do so.

[Anonymous]

I’m sorry OP. I had about 120 to lose. 5 months in. Just hit 50 pounds down. But, I had to really make the decision to go for it. I didn’t like being obese. All I had thought about was losing weight. As I gained on antidepressants over a period of years But I couldn’t make it happened. In fact, I ancelled two appointments with my weight loss center before I started.

But once was really ready to start, I made a plan and have stuck with it. I see a dietician and a PA every month (was every 2 weeks during loading doses and when my diet was newer), have a 1200 calorie, 100gs of protein, 100 ozs of water diet plan. Have had zero rice, pasta, alcohol, fried foods, etc. in 5 months. Not one piece of pizza. Not one scoop of ice cream. No sweets at all except an occasional bite of DH’s dessert when eating out. And just one bite is plenty on the meds. A personal trainer and weight training twice a week. 3 45 minute cardio sessions. Checking in with my therapist to discuss how I’m doing with the process and vent when I get frustrated and feel stuck (yep, I have a history of depression).

For me, Wegovy has made it possible to make the lifestyle changes I had decided I wanted 5 years ago and just never been able to make happen. IME, It’s not going to work well unless you use the appetite suppression to make healthy good choices and go into calorie deficit.

I’m sorry OP. I have an awesome husband, who is very supportive of my weight loss. In a concrete— hey, let me make you your favorite high protein smoothie way. But, he couldn’t help me until I was ready to make the changes. Not just take a shot. That’s easy. But to do large scale weight loss. IME diet, cardio and weights have to play a role. The medicine isn’t magic and medicine alone might give some people some weight loss benefit with slowed digestion and appetite suppression. But not BMI > 40 to non-obese type benefit.

One thing that helped is that although I made a plan, I did it one thing at a time. I started meds. Then with some (minimal) appetite suppression on the lowest dose, I tackled the diet. And it took a month to get my calories that low and protein that high everyday. And on loading doses, I still had excess calories the last 2 days of TJ eek. I also had to play around to find the foods that worked for me. And once that was under control I added strength training. And then I added cardio. Took about three months total. Staring down that many lifestyle changes at once was overwhelming.

And most insurances do require 5% weight loss in 6 months to continue. I have very good fed coverage. Still have to lose 5% the first 6 months. After that, I have to maintain the weight loss.

Honestly, if your husband is at 2.4 and has made no diet modifications and has not started any form of exercise, it seems like he needs to be in therapy. With someone who specializes in binge eating type issues. He doesn’t sound like he’s in a place where he can do the work yet, which I guess is why he would fail the psych exam. But never say never either. That doesn’t mean he can’t get there. It just means he’s not there yet.

[Anonymous]

Anonymous wrote:I’m sorry OP. I had about 120 to lose. 5 months in. Just hit 50 pounds down. But, I had to really make the decision to go for it. I didn’t like being obese. All I had thought about was losing weight. As I gained on antidepressants over a period of years But I couldn’t make it happened. In fact, I ancelled two appointments with my weight loss center before I started.

But once was really ready to start, I made a plan and have stuck with it. I see a dietician and a PA every month (was every 2 weeks during loading doses and when my diet was newer), have a 1200 calorie, 100gs of protein, 100 ozs of water diet plan. Have had zero rice, pasta, alcohol, fried foods, etc. in 5 months. Not one piece of pizza. Not one scoop of ice cream. No sweets at all except an occasional bite of DH’s dessert when eating out. And just one bite is plenty on the meds. A personal trainer and weight training twice a week. 3 45 minute cardio sessions. Checking in with my therapist to discuss how I’m doing with the process and vent when I get frustrated and feel stuck (yep, I have a history of depression).

For me, Wegovy has made it possible to make the lifestyle changes I had decided I wanted 5 years ago and just never been able to make happen. IME, It’s not going to work well unless you use the appetite suppression to make healthy good choices and go into calorie deficit.

I’m sorry OP. I have an awesome husband, who is very supportive of my weight loss. In a concrete— hey, let me make you your favorite high protein smoothie way. But, he couldn’t help me until I was ready to make the changes. Not just take a shot. That’s easy. But to do large scale weight loss. IME diet, cardio and weights have to play a role. The medicine isn’t magic and medicine alone might give some people some weight loss benefit with slowed digestion and appetite suppression. But not BMI > 40 to non-obese type benefit.

One thing that helped is that although I made a plan, I did it one thing at a time. I started meds. Then with some (minimal) appetite suppression on the lowest dose, I tackled the diet. And it took a month to get my calories that low and protein that high everyday. And on loading doses, I still had excess calories the last 2 days of TJ eek. I also had to play around to find the foods that worked for me. And once that was under control I added strength training. And then I added cardio. Took about three months total. Staring down that many lifestyle changes at once was overwhelming.

And most insurances do require 5% weight loss in 6 months to continue. I have very good fed coverage. Still have to lose 5% the first 6 months. After that, I have to maintain the weight loss.

Honestly, if your husband is at 2.4 and has made no diet modifications and has not started any form of exercise, it seems like he needs to be in therapy. With someone who specializes in binge eating type issues. He doesn’t sound like he’s in a place where he can do the work yet, which I guess is why he would fail the psych exam. But never say never either. That doesn’t mean he can’t get there. It just means he’s not there yet.

Thanks for sharing this and good luck on the rest of your weight loss journey. Fifty pounds is fantastic!

[Anonymous]

Anonymous wrote:I’m sorry OP. I had about 120 to lose. 5 months in. Just hit 50 pounds down. But, I had to really make the decision to go for it. I didn’t like being obese. All I had thought about was losing weight. As I gained on antidepressants over a period of years But I couldn’t make it happened. In fact, I ancelled two appointments with my weight loss center before I started.

But once was really ready to start, I made a plan and have stuck with it. I see a dietician and a PA every month (was every 2 weeks during loading doses and when my diet was newer), have a 1200 calorie, 100gs of protein, 100 ozs of water diet plan. Have had zero rice, pasta, alcohol, fried foods, etc. in 5 months. Not one piece of pizza. Not one scoop of ice cream. No sweets at all except an occasional bite of DH’s dessert when eating out. And just one bite is plenty on the meds. A personal trainer and weight training twice a week. 3 45 minute cardio sessions. Checking in with my therapist to discuss how I’m doing with the process and vent when I get frustrated and feel stuck (yep, I have a history of depression).

For me, Wegovy has made it possible to make the lifestyle changes I had decided I wanted 5 years ago and just never been able to make happen. IME, It’s not going to work well unless you use the appetite suppression to make healthy good choices and go into calorie deficit.

I’m sorry OP. I have an awesome husband, who is very supportive of my weight loss. In a concrete— hey, let me make you your favorite high protein smoothie way. But, he couldn’t help me until I was ready to make the changes. Not just take a shot. That’s easy. But to do large scale weight loss. IME diet, cardio and weights have to play a role. The medicine isn’t magic and medicine alone might give some people some weight loss benefit with slowed digestion and appetite suppression. But not BMI > 40 to non-obese type benefit.

One thing that helped is that although I made a plan, I did it one thing at a time. I started meds. Then with some (minimal) appetite suppression on the lowest dose, I tackled the diet. And it took a month to get my calories that low and protein that high everyday. And on loading doses, I still had excess calories the last 2 days of TJ eek. I also had to play around to find the foods that worked for me. And once that was under control I added strength training. And then I added cardio. Took about three months total. Staring down that many lifestyle changes at once was overwhelming.

And most insurances do require 5% weight loss in 6 months to continue. I have very good fed coverage. Still have to lose 5% the first 6 months. After that, I have to maintain the weight loss.

Honestly, if your husband is at 2.4 and has made no diet modifications and has not started any form of exercise, it seems like he needs to be in therapy. With someone who specializes in binge eating type issues. He doesn’t sound like he’s in a place where he can do the work yet, which I guess is why he would fail the psych exam. But never say never either. That doesn’t mean he can’t get there. It just means he’s not there yet.

Like any overly restrictive diet, this does not sound sustainable in the long run. Are you planning on never having a slice of pizza or a dessert ever again?

[Anonymous]

I’ve been in ozempic for 6months now and have lost 40lbs.

1. It did not eliminate my appetite and cravings, just took the edge off. Tonight I ate Popeyes and mashed potatoes.

2. It it calories in calories out. Don’t change your caloric consumption? Don’t expect to lose weight

3. Works very very well when combined with exercise.

4. After a few months my boys normalized in it. My poops went to normal, and I definitely felt hunger. So I had to control myself.

I personally have to pay outbid pocket and every visit to the pharmacist is 1,000, so I’m pretty careful what I eat. Did to the Popeyes tonight I’ll be doing 2 workouts tomorrow and will be sure to walk a minimum of 10k steps.

[Anonymous]

Wait, where are you finding Wegovy? I have a prescription, but I haven't been able to find it anywhere