Anonymous wrote:I’m sorry OP. I had about 120 to lose. 5 months in. Just hit 50 pounds down. But, I had to really make the decision to go for it. I didn’t like being obese. All I had thought about was losing weight. As I gained on antidepressants over a period of years But I couldn’t make it happened. In fact, I ancelled two appointments with my weight loss center before I started.

But once was really ready to start, I made a plan and have stuck with it. I see a dietician and a PA every month (was every 2 weeks during loading doses and when my diet was newer), have a 1200 calorie, 100gs of protein, 100 ozs of water diet plan. Have had zero rice, pasta, alcohol, fried foods, etc. in 5 months. Not one piece of pizza. Not one scoop of ice cream. No sweets at all except an occasional bite of DH’s dessert when eating out. And just one bite is plenty on the meds. A personal trainer and weight training twice a week. 3 45 minute cardio sessions. Checking in with my therapist to discuss how I’m doing with the process and vent when I get frustrated and feel stuck (yep, I have a history of depression).

For me, Wegovy has made it possible to make the lifestyle changes I had decided I wanted 5 years ago and just never been able to make happen. IME, It’s not going to work well unless you use the appetite suppression to make healthy good choices and go into calorie deficit.

I’m sorry OP. I have an awesome husband, who is very supportive of my weight loss. In a concrete— hey, let me make you your favorite high protein smoothie way. But, he couldn’t help me until I was ready to make the changes. Not just take a shot. That’s easy. But to do large scale weight loss. IME diet, cardio and weights have to play a role. The medicine isn’t magic and medicine alone might give some people some weight loss benefit with slowed digestion and appetite suppression. But not BMI > 40 to non-obese type benefit.

One thing that helped is that although I made a plan, I did it one thing at a time. I started meds. Then with some (minimal) appetite suppression on the lowest dose, I tackled the diet. And it took a month to get my calories that low and protein that high everyday. And on loading doses, I still had excess calories the last 2 days of TJ eek. I also had to play around to find the foods that worked for me. And once that was under control I added strength training. And then I added cardio. Took about three months total. Staring down that many lifestyle changes at once was overwhelming.

And most insurances do require 5% weight loss in 6 months to continue. I have very good fed coverage. Still have to lose 5% the first 6 months. After that, I have to maintain the weight loss.

Honestly, if your husband is at 2.4 and has made no diet modifications and has not started any form of exercise, it seems like he needs to be in therapy. With someone who specializes in binge eating type issues. He doesn’t sound like he’s in a place where he can do the work yet, which I guess is why he would fail the psych exam. But never say never either. That doesn’t mean he can’t get there. It just means he’s not there yet.

Anonymous wrote:

Anonymous wrote:If he has only been on the medication for a month, he would not have gotten to the max dose yet because it's a dose that they titrate up after so many weeks. He may still be on the lower doses.

OP here. He has been on it for several months and has been at the max dose for at least one month.

I’m not sure where he is finding it. I misspoke though and he is actually on ozempic (though I think they are the same exact thing).

BED is binge eating disorder.

Anonymous wrote:

Anonymous wrote:If he has only been on the medication for a month, he would not have gotten to the max dose yet because it's a dose that they titrate up after so many weeks. He may still be on the lower doses.

OP here. He has been on it for several months and has been at the max dose for at least one month.

I’m not sure where he is finding it. I misspoke though and he is actually on ozempic (though I think they are the same exact thing).

BED is binge eating disorder.

Anonymous wrote:DH is morbidly obese. He needs to lose at least 270 lbs. I’m not sure exactly when he started Wegovy but he has been at the full dose for at least a month. He is down zero lbs. I expected the weight to come off quickly at least initially because he is so overweight. Has this happened to anyone else? Did it eventually start working? (He is going to discuss this with his doctor at his appointment next month.)

Anonymous wrote:If he has only been on the medication for a month, he would not have gotten to the max dose yet because it's a dose that they titrate up after so many weeks. He may still be on the lower doses.

Anonymous wrote:

Not a troll. He did the customary ramping up over several months. He is at the full dose now and has been for at least a month. I think this is 2.4 but I’m not sure. I’m also not sure how many times he has seen the doctor. What I do know is that it doesn’t seem to be taking away the urge to binge eat, which is why he isn’t losing any weight. He is still eating all of the junk that he was eating before and just as much.

things to discuss with doctor: mounjaro; ; wellbutrin; naltrexone. The latter two are a few medications that are effective for some people with BED. Perhaps there are more.

Anonymous wrote:Wait, where are you finding Wegovy? I have a prescription, but I haven't been able to find it anywhere

Anonymous wrote:9 months and down 40 pounds. Some weeks I lose 1-2, some weeks I lose nothing (esp week before my period, but week after is always 2 pounds down). I eat much less because I feel full after eating much less. And I don't eat because I'm bored (I *think* that's what people mean by saying Wegovy stops the food noise - I'm just not thinking about food all the time). I would like to lose 5 more pounds, and then attempt maintenence. Went from a size 10-12 to a size 2-4 (which I still cannot believe)