You don't automatically drop weight super quickly on drugs like Mounjaro or Saxenda, etc....I went back on Saxenda and lows carb seriously about a month and a half ago after regaining all of the weight I'd lost the last time. I will always be fat unless I can stop eating carbs, and I always give in eventually because life sucks without carbs. I started over 200 pounds. So, it's not like I'm 120 and didn't have much to lose. But I have never been under 160 in my adult life, and that was right before my wedding.

I lost about 10 pounds super quickly--like in the first 2 weeks. Mostly water. Then it's been about a pound a week. I'm in my later 40s. I've definitely been eating under 1,500 calories a day--usually less. So, it's not like these drugs will just melt weight off your body. They just make it easier not to give in to cravings and make better choices.

Np, I had the gastric sleeve at 40 in 2018. I was 214, 5'6 on the day of surgery, and I dropped 85 lbs. I've gained about 7 back.

The most dramatic changes are in my face. I have smile lines that weren't previously there and a crepey neck. I look 100 times better than I did before, and I am super happy that I had the surgery, though. I am considering fillers for the lines.

I didn't know that! Thanks
- OP

It’s a myth that speed of loss is the reason for skin sagging or not sagging.

I think most of us who are obese and are trying to lose weight are mostly concerned about our blood sugar, blood pressure, something like that. Appearance-wise I’d rather look thin and wrinkly. But if your health is good and you don't want to be wrinkly, just don’t lose weight. Problem solved.

Loose skin depends mostly on skin/collagen quality from genetics and age. And of course amount of weight lost. It has almost nothing to do with rate of loss. I could lose half a pound a month and my skin will still sag like hell because I gained so much weight so fast during puberty it just wrecked my skin. I’m only 31 too.

I keep reading about people who drop large amounts of weight quite fast. Doesn't that mess up your skin?

I'm obese and I guess any weight loss is better and healthier than none (none is what I've got now despite all the apps and plans). But I am worried it would leave me wrinkled and saggy.