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[quote=Anonymous]This is splitting hairs a bit.

The current obesity science will tell you that the "food noise" is akin to your brain believing that you are hungry (based on signals from hormones, etc), even when you aren't experiencing that deep physical feeling of hunger in your stomach (a feeling that might also be accompanied at times by jitteriness, feeling hangry, etc, as comes along with low blood sugar). That physical experience of hunger isn't necessarily there with "food noise." But the attention your brain pays to seeking out food when that feeling of hunger is there? Scanning the environment for food (which is 2026 tends to take the form of wandering to the refrigerator and standing in front of it, or thinking about the candy machine on the second floor, or ordering on the Starbucks app without even thinking about it, or planning to pick up Ledo pizza on the way home)? That is food noise. You experience it because your body thinks you need to eat. This is the science of the "set point," which most people don't understand.

People think "set point" is just oh-my-body-just-wants-to-weigh-xamount-of-pounds. But that isn't really it. It's more that everyone's body has a healthy set point where there is homeostasis and things are running optimally. When your BMI is, oh, let's say 34 (where mine was when I went on Wegovy), your body is confused, and thinks your BMI is too low. So it's doing what it would do should it be too low ... sending signals to you to scan the environment for high-calorie food and eat all of it once you find it. We evolved this way ... 10,000 years ago you find a fig tree full of ripe fruit, you eat them all -- you do let that resource go to be eaten by another animal or to rot. The problem is, it is not 10k years ago, and we are not desperate to get in as many calories as we can. We have had too many calories and there isn't the problem of few-and-far-between fig trees, there is the opposite problem of a 711 on every corner full of candy and cookies and hot dogs, all there for the taking. But why if one's bmi is 34 does your body tell you to eat all of the things in 711? Because something is wrong. Your body thinks it is too thin, when it is the opposite. How can it do that? Why does it do that when it is actually harmful for the person to keep eating? Well, human bodies get things wrong all the time; look at autoimmune disorders where the body gets confused and attacks itself, or cancer, where the cells get confused and reproduce inappropriately. This is akin to that -- the body gets confused and thinks it is desperate for food, and not just food, high-calorie food stat. So hormones are at play telling you to think about nothing else but acquiring it, and eating it. Then you do that, and you aren't satisfied. You want more, more, more. Because your body is confused -- it isn't regulating appetite appropriately for homestasis. But it thinks it is.

This is why the GLP-1 and GIP meds work. They basically unconfuse your body by acting on the hormones that are wrongly telling you to eat. They act on what is causing the food noise. The food noise your body wrongly thought you needed to survive.

Obesity is a chronic condition like autoimmune. It is the condition of a body that is confusedly telling you to eat. This is why you are still "legitimately hungry" after eating a good balanced meal that should give you plenty of calories and nutrients. It did give you all of that. And you should be satisfied. But your body is confused and is still sending you hormone signals that you need to eat. More. Right now. And preferably something very calorie dense. This is the complicated workings of metabolism (another aspect of it in addition to your body telling you to seek food is that your body tells itself to hang on to every ounce of fat it has).

I've been on Wegovy two years now. I lost about 70lbs in the first 1.5 years and am now at maintenance dose. I will have to be on it for life to control the food noise that roars back if I don't take the shot. And my food noise isn't going disappear on it's own, I had a bmi of about 21 until I went on psych meds, which destroyed my metabolism and caused me to gain almost 100 pounds over a few years. I have to take those meds if I want to live, so here I am.

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