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[quote=Anonymous][quote=Anonymous]The thing is, every person I know for whom those drugs made a difference also made drastic changes to their lifestyle - exercise, healthy eating, etc.  From what I understand, the drugs help you regulate your appetite, but you still have to do the work.  The extra 100lbs did not come out of nowhere.  [/quote]

The medication makes the work far less laborious.  Believe me, when I was in a depression treatment that worked, I couldn’t believe how easy ut was to lose 80 pounds.  Yes, I had to give up lots of snacking, didn’t eat after 8, fasted 3x week…but all that feels Herculean when I am depressed.  It’s literally torture to resist candy and sweeets.  But when my brain was right, it was like…”man I’d really like to eat that ice cream but I know I’ll feel better if I don’t” and I can resist.  Now, I walk past ice cream and it’s SCREAMING to me and it takes every last bit of mental energy to keep walking…and then after I walk away it’s ALL I can think about.  So a huge % of my mental and emotional energy are spent on not giving in to intense, torturous cravings.

When my brain was right, food had a right-sized space in my head.  Yes, I still had to do the actual work of changing my diet, of saying no to carbs and sweets and comfort foods, but it was infinitely easier.  Tonight literally every waking moment I’m thinking about what I could be eating right now.  With my head right, I’d just decide I wasn’t eating past 8 and that was that.

The newer medications seem to similarly put food in a right-sized space in a person’s brain.  It’s not that they can eat ice cream all day if they take the meds.  It’s that giving up ice cream is appropriately hard, not something akin to surviving a near death struggle on an hourly basis.[/quote]

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