Thin people just don’t understand how little food it takes to maintain an obese (not morbidly obese) body when you’ve got decades of increasing insulin resistance, leptin issues, messed up circadian rhythm, modest aerobic output and not enough strength training.

To lose weight naturally you have to eat small amounts of low-carb foods at a few specific times of day all while strength training—that’s not disordered, it’s reality. It’s incredibly hard and that’s where these drugs come in.

Anonymous wrote:Not me but a close friend: she says that on Wegovy, for the first time in her adult life, she doesn’t feel low-level hungry all the time. She’s always been a pretty healthy eater, just a volume eater, so it’s not like her diet has changed all that much in what she eats. But the quantity has dropped significantly.

She also told me that dense proteins are unappealing (like beef).

If anything my diet has gotten worse because a lot of protein sources have become completely unappealing to me. So carbs are a much bigger proportion of my diet because sometimes all that sounds appetizing is a piece of toast or a cookie. Still down 65 pounds and counting.

Not me but a close friend: she says that on Wegovy, for the first time in her adult life, she doesn’t feel low-level hungry all the time. She’s always been a pretty healthy eater, just a volume eater, so it’s not like her diet has changed all that much in what she eats. But the quantity has dropped significantly.

She also told me that dense proteins are unappealing (like beef).

Anonymous wrote:

Anonymous wrote:I'm in the midst of appealing authorization with my insurance company. I've been off Wegovy for 4 weeks. This week I realized that I don't have enough food in the house to sustain me without being on Wegovy. Meaning that while on Wegovy, a chicken breast plus veg is 2 or 3 meals. Now it's 1. Breakfast on wegovy is a small container of yogurt + berries. Now that does nothing for me and I'm looking for food again an hour later. On Wegovy, that was enough to lunch or later.

I'm still eating the same foods just bigger portion sizes and more often which I guess is how I got to the overweight size in the first place. I still drink water all day but I don't crave it like I did on Wegovy.

How big of a chicken breast are we talking about here? A 6oz chicken breast and some vegetables is one meal. A small (5oz yogurt) and some berries is a small breakfast. You are describing the dinner and breakfast of my 5yo.

Posts like this are why people think that people seeking this drug for weight loss are disordered. The diet you're describing - that you need medication in order to stretch a 6oz chicken breast and a salad over 2-3 meals - is deeply unhealthy.

NP. Well when you have 100 pounds to lose and have been obese for years and years, that's how you have to eat to become a normal weight. It sucks but it's true. That's why these drugs are a game changer. You can make the changes necessary to get to a normal weight without unsustainable hunger.

Anonymous wrote:I'm in the midst of appealing authorization with my insurance company. I've been off Wegovy for 4 weeks. This week I realized that I don't have enough food in the house to sustain me without being on Wegovy. Meaning that while on Wegovy, a chicken breast plus veg is 2 or 3 meals. Now it's 1. Breakfast on wegovy is a small container of yogurt + berries. Now that does nothing for me and I'm looking for food again an hour later. On Wegovy, that was enough to lunch or later.

I'm still eating the same foods just bigger portion sizes and more often which I guess is how I got to the overweight size in the first place. I still drink water all day but I don't crave it like I did on Wegovy.

How big of a chicken breast are we talking about here? A 6oz chicken breast and some vegetables is one meal. A small (5oz yogurt) and some berries is a small breakfast. You are describing the dinner and breakfast of my 5yo.

Posts like this are why people think that people seeking this drug for weight loss are disordered. The diet you're describing - that you need medication in order to stretch a 6oz chicken breast and a salad over 2-3 meals - is deeply unhealthy.

Anonymous wrote:If these drugs help you produce insulin or somehow whatever they're doing insulin-wise is leading to weight loss, does that suggest you had some sort of metabolic imbalance to begin with? Was your body craving sugar and not producing enough insulin beforehand? trying to understand how/why these drugs seem to lead to weight loss in people who aren't a)morbidly obese (maybe just a little overweight due to poor portion control) and 2) are seemingly otherwise healthy.

It's not well understood why it works so well for weight loss.

Anonymous wrote:

Anonymous wrote:It slows gastric emptying, causing appetite suppression, and also helps your body produce insulin/metabolize sugar better

What does this mean? It keeps you sustained longer by slowing down the absorption or digestion of food?

Food literally stays in your stomach longer. Food in stomach = not hungry.