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[quote=Anonymous][quote=Anonymous]Im not on these drugs and dont need them, but was curious about why everyone insists the minute you get off the drugs you go backt to how you were eating before.

First, I am curious about the science--esp whether the act of losing weight and eating more healthfully would significantly change the microbiome enough to help keep the "food noise" at bay.  From what I understand, the more crap you eat, the more you crave it, in part due to shifts in the microbiome, but if you can reset, nourish your microbiome, create new habits, maybe that rewires some of those metabolic pathways...

Second, what's different from people who lose weight through diet/exercise and keep it off ? Yes, its a struggle, but some people do and some dont, so I dont see why this would be any different. You make a big change, and you have to adapt to it.[/quote]

OP. I'm only five days in, but this was a near instant physical *and* mental change for me. I can feel it. I don't ever feel hungry. The most I feel is a little weak, which signals to me that I better eat something. I've eaten under 1,000 calories per day since starting this medication, with zero willpower or effort. This is a massive shift for me compared to the last few years. I abhor hunger. I can't tolerate it - it feels like torture to me, a scream that must be silenced. It hurts and it makes me feel sad.

Food has also been a form of mental torture for me - on my mind constantly, with unending self-judgement and berating. Little things - like going to a kid's birthday party - would cause me so much anxiety and dread and a sense of inevitable failure. There'll be pizza and cake, and I love both those things, and I can't just have a little, once I have a slice, I'll want two or three plus a slice or two of cake. I'll eat until my pants are tight and my stomach hurts. I'm taking my daughter to the movies tomorrow night. Normally this would be an event where I would either "be good" and not partake in any movie treats (slim chance) or just binge a bucket of butter soaked popcorn and a box of bunch-a-crunch.

All those feelings are gone now. I feel comfortable that I can go to the movies, and if my daughter wants popcorn, maybe I'll have a few bites, but I know I won't want to binge the bucket. When I've eaten this week, I haven't had emotions attached to the experience. More like - what should I eat to nourish my body, knowing that I don't want a lot of food because I'm not that hungry? I still enjoy food, but not passionately like I usually do.

I definitely feel a sense of shame that I couldn't do this by myself. I'm not telling anyone besides DH that I'm doing this, which is why I'm so compelled to come here and pour my guts out. I am really excited about this and have no one to talk with about it (besides DH, who is excited for me).

I feel so sure that this will work for me and I will lose the 15 pounds I want to drop. I am definitely scared about how I will maintain that when I stop the meds, which I expect to do in two months. The scale already reads down 5 lbs, which doesn't feel possible, but that's what it says. Crazy. I think maybe that's because I've always been someone who eats a relatively large amount of food and somehow has stayed a reasonable weight (though not as slim as I'd like, lately). So eating sub 1000 calories is a huge deficit for me - I think I was eating 3k/day before. It makes me optimistic that for many years, before Covid and my last pregnancy, I managed to stay pretty slim - between 128-132 lbs at 5'7. Then I just got into some terrible habits, and became kind of a slave to my cravings and binging tendencies. I have always read, like you said, that the more crap you eat the more you crave it. Like if you can, just, stay away from sugar for ten days you're on a path to breaking the addiction. The more you have of it, the more you crave it. So I am hoping that this period of eating almost exclusively nutritious food will, as you say, "reset" me. It's not like I need to reset for the first time in my life, either - more like, reset to the way I was before I gained all this weight five years ago. I'm also hoping that reaching my goal weight, fitting into my clothes and feeling good about myself will be motivation not to poison myself with more processed, sugary, fatty foods in huge quantities.

BUT. Hunger is so tough for me to deal with in a healthy way. I have read that when I stop the meds, the hunger comes roaring back. So, I don't know how I'll handle it and I'm thinking about things I can do to prepare for that. Thinking about visiting a dietician to talk about a plan for coming off the meds and how to maintain the weight I'm confident I'm going to lose.

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