Reply to Weight loss drugs—is it just eating less calories??

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[quote=Anonymous][quote=Anonymous]It slows down the absorption of food and causes the pancrease to release more insulin.

Higher insulin promotes burning fat.

Without the drugs you burn carbohydrates which decreases energy and you move less. Burning fat makes you lighter and have more energy so you move more.

Also youre less hungry so for people who have issues eating too much it helps with that.[/quote]
+1000 
NP here. Everyone just ignored this thoughtful and correct post.

I’m 56, started semiglutide 6 mos ago at 240 lbs and have lost 20 lbs. I’ve never been a junk food eater (vacations and eating out were usually my 5 lbs per year weight gain) and have had a fresh food high protein, low carb, high veggies diet for 25 years. But with menopause 5 years ago, I started slowly gaining weight on a 1400-1500 calorie diet, that used to allow me to lose weight. If I dropped lower than 1400 calories, my system started screaming that I’m definitely hungry, about to starve, and might pass out from low blood sugar. I did not know what food noise was until semiglutide turned it off. But I’m not eating less that I was (I actually have to pay attention and make sure I do eat enough). Because the other thing that is happening it exactly what this poster described. Food absorption is different and my insulin response is different. (And my cholesterol levels have dropped with the same diet as lest year.)

So much of this thread is arguing about CICO. What I see missing often is the nuance that calories in is not just the caloric number (and type) of the food that enters the mouth, but how the body accesses those calories. And calories out is not just exercise, it’s both the base metabolic rate and how a particular body accesses energy during exercise.

A little acceptance of nuance would go a long way in this discussion.[/quote]

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