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[quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous]So does it just make you eat less? Basically an appetite suppressant?

Or does it do more than that? [/quote]

Read the thread.[/quote]

I did and most comments mentioned not being hungry. 
 [/quote]

It mostly works by reducing appetite and therefore caloric input. Yes, it makes you less hungry and makes you get full faster. It also has a stabilizing affect on blood glucose which probably reduces cravings. [/quote]

All this. And it slows the emptying of the stomach, so you feel full faster. [/quote]

Thanks. So a few different mechanisms to make it easier to reduce caloric intake. 
[/quote]

Yes. But when it comes down to it it reduces how much you take in. It’s not changing your metabolism or how you store fat. You don’t eat the same things in the same amount as you did before and still lose weight. [/quote]

I don't understand how it is not changing your metabolism?  If the end result is that you are taking in fewer calories, doesn't that always slow your metabolism over time as it adjusts?

It's like the medicine could make you eat less and less until you are eating almost nothing... And then the day you stop taking it, your metabolism is super slow and you would immediately gain?[/quote]

?? What are you talking about? It doesn’t make you eat less and less until you’re eating almost nothing. [/quote]

I mean, if the medicine is effective because you are ultimately eating less, which is what people are saying is the end result of not feeling hungry or having their stomach empty more slowly, then how does that not slow down your metabolism over time?  Or is there something about the medicine that keeps your metabolism the same even while eating less?[/quote]

It slows your metabolism the same way any weight loss from a calorie deficit slows your metabolism. [/quote]

So, isn't that detrimental in the long run?  Like when you finally stop taking it, your metabolism is super slow and you will gain weight quickly?

[b]Or are people literally planning to stay on it forever?[/b][/quote]

People stay on blood pressure medication forever. This is like that. [/quote]

Not at all for about 100 reasons. Here are just a few:
- there is no generic competition for these drugs and there is a shortage for those that actually need them. No so for nearly all but the most exotic hypertension medications
- most standard hypertension drugs have a very long track record 
- most hypertension drugs work in the background and do nothing to alter behavior
- people beat hypertension all the time through lifestyle changes
- people that refuse to do the above might be on them forever. Some people have a genetic predisposition to hypertension despite being normal weight and having good life style hygiene. So they might be on them forever.

These are not remotely the same thing.

When you titrate off a hypertension drug if the lifestyle changes made support the blood pressure staying low it stays low. You come off one of these drugs that mask true behavior, definitely not going to be the same experience. 
[/quote]

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