Reply to Friend on Wegovy - looks haggard and sick

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[quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous]I just saw a friend for the first time since he started wegovy 4 months ago - he’s thrilled with the results, but to me he looks terrible! He has lost a lot of weight but his face looks a decade+ older - almost like a different person. He also seems sad - we had to share an entree since eating makes him feel sick, and he wouldn't have a glass of wine. Usually he’s snarky and funny, but he was so subdued - in part because he said he feels low-grade sick to his stomach all the time.

I understand that this is a healthier number on the scale, but my friend has a bigger stockier build and just looks haggard now - in contrast, my husband has a thinner build and is also very thin, but that visually “makes sense.”

Of course I told my friend that he looks great, but I found myself averting my eyes to avoid looking at his face at dinner. He looks sickly. And he says he still wants to lose 8-10 pounds more!

I[b] am chubby, and my doctor asked me if I wanted a prescription for wegovy.

But I don’t really want to look like that or feel sick/sad all the time. Are there some sort of guidelines for protein intake and exercise? [/b]Are there specific exercise routines that can mitigate this? My friend says he’s been ramping up his dose over time. If you stay on a low dose rather than ramping up do you still feel so ill?[/quote]

You don't have to look like that or feel sick and sad. It sounds like you are clueless of nutrition with or without fat loss drugs. I sympathize with you not wanting to take those drugs. I would not want to be nauseated all the time either. People can lose weight just fine without these drugs, particularly if we are talking chubby and not morbidly obese. Research the calorie intake you need to lose weight, introduce some exercise and you will lose fat. [/quote]
I take “those drugs” and I am not nauseated or sick all the time. I actually didn’t have to change my life at all after starting them because I had already followed for 6+ months a strict regimen of 1400 cal a day to put me at a deficit, 100+ grams of protein, high fiber, and daily exercising, including strength training. My metabolism was busted and a low dose of tirzepatide helped me me going. I stayed on the low dose and have lost 35 pounds and I don’t look any sicker or more haggard than any woman who’s almost 50 and just lost 35 pounds at a slow and sustainable rate of 1 pound a week. I’m also tracking my muscle mass and health with a specialized scale and tape measure and it looks like I’m building muscle, not losing it. I have very few side effects and all of them are very easily manageable and frankly a lot less difficult to manage than the side effects of being 40 pounds overweight for so many years. I feel 1000 times better and I recommend it to anybody that wants to revolutionize their health. there are more ways than one to lose weight and all of them will require a calorie deficit and steady exercise and if someone is already doing that and not losing weight, something is wrong. This is the solution! [/quote]

Did you end up eating less than the 1400 calories you had been eating before?  I had tried to lose weight for so long but I did find when I started the drug, I also ate much less than what I had been doing. Curious if it still helped you lose weight if you were truly eating the same way as before?[/quote]

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