Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:For those who have taken the medication, I'm wondering what it actually does and how it makes you feel and eat differently. Like, did you go from being physically hungry all day every day to having very little appetite whatsoever? Did you formerly crave junk food or were you already eating pretty healthy? If you used to eat unhealthy food, did the medicine take away that craving and make you crave healthy foods, or did it sort of reduce your interest in all foods equally? If you used to eat healthy food but were still overweight, is it because you ate large quantities of food or did you track your intake pretty carefully and gained regardless? Do you forget to eat or have to remind yourself to eat now? Is it like surgery where you can only eat a small quantity at a time now?

I’m answering for a dear friend not me, but what I saw with her was that she was a volume eater. Her diet was quite healthy—her fridge always looked better than mine, and I lived with her for awhile and I know she eats very healthy. But she eats a lot, because she’s never satiated. So for instance we might eat a dinner together of grilled salmon, broccoli, and maybe a side of couscous. But she would eat probably 1/3rd more than me, and also be hungry again an hour later whereas I would still be full. She didn’t tend to eat a lot of sweets, but if she did, she would struggle to stop (which is why she avoided them). Pre-Wegovy she was probably about 70 lbs overweight.

Wegovy changed all of that. She’s simply not hungry. She still eats healthy, but I would say she is consuming less than half of what she ate before. She’s had some minor gastrointestinal side effects according to her but nothing bad. She has lost over 60 lbs. The other thing that is interesting is that she always suffered from joint stiffness and facial flushing, and struggled with skin irritation. That all started to go away almost immediately, before she lost any significant weight. Her theory is that she has suffered for a long time from some sort of systemic inflammation that this drug has controlled.

She had to suddenly go off of it because of supply chain issues for a few months and her desire to eat a lot more came roaring back. She gained weight during that time, which she lost when the supply chain resolved.

The psychological aspects have been intense because she’s had to come to grip with how much of her overeating and weight gain was a physiological issue, not the moral failing she’d always been told it was. She’s dealt with a great deal of anger at people much like the “just have discipline” people in this thread. Turns out weight has nothing to do with discipline. It’s very easy to maintain a healthy weight if your body isn’t driven to consume calories. So, she’s been going through therapy to help her come to grips with the history of shame and self-loathing that she’s realized she’s directed at herself for nothing. (As her friend watching this up close, I am angry myself, having realized what an absolute load of nonsense we’ve been peddled by snake oil salespeople like the trainer who was posting up thread. The diet and wellness industry is such a poisonous blight. But I digress.)

She’s always been an exerciser and has continued that. She’s able to bike up steeper hills now because she isn’t carrying as much weight.

She views this as a lifelong drug.

To say heathy eating and exercise doesn’t require discipline is simple not true though.

There are extremes like your friend, where they impulsively eat and simply cannot help it. And then those at the other end that are are “naturally thin” with little desire for food and eating beyond exactly what their body burns. But the vast majority of people fall somewhere in between and have to exercise discipline, good choices, commitment to health, and set restraint

It sounds like her friend did exercise discipline and commitment to health to the best of her abilities. This medicine gives her more ability. Why are you opposed to making someone else's journey a little easier?

Because now all PP’s hard work and discipline that they’ve put into remaining thin or whatever is meaningless now. It doesn’t make them special or superior when anyone can take an injection and get the same or similar results. People like PP are having to face the fact that they put so much of their self worth into their ability to be thin and feel very superior about it. I kind of feel bad for them.

I really think this is where all the resistance is from, although it's not just because of the hard work or discipline they've put into it. A lot of people are naturally thin and don't need to put that much effort into it.

But if you've spent your whole life feeling good because you have something other people want (thinness), and then all of a sudden thinness becomes easier to get, you are going to feel like something was taken away from you.

Anonymous wrote:

Anonymous wrote:Can you take it forever?

If not, I’m not sure how that’ll work. When you go back to eating normally, the weight will come back on.

That’s why the surgery works best. Makes your stomach physically smaller.

Yes, just like you take it forever to treat diabetes, you take it forever to treat obesity.

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:For those who have taken the medication, I'm wondering what it actually does and how it makes you feel and eat differently. Like, did you go from being physically hungry all day every day to having very little appetite whatsoever? Did you formerly crave junk food or were you already eating pretty healthy? If you used to eat unhealthy food, did the medicine take away that craving and make you crave healthy foods, or did it sort of reduce your interest in all foods equally? If you used to eat healthy food but were still overweight, is it because you ate large quantities of food or did you track your intake pretty carefully and gained regardless? Do you forget to eat or have to remind yourself to eat now? Is it like surgery where you can only eat a small quantity at a time now?

I’m answering for a dear friend not me, but what I saw with her was that she was a volume eater. Her diet was quite healthy—her fridge always looked better than mine, and I lived with her for awhile and I know she eats very healthy. But she eats a lot, because she’s never satiated. So for instance we might eat a dinner together of grilled salmon, broccoli, and maybe a side of couscous. But she would eat probably 1/3rd more than me, and also be hungry again an hour later whereas I would still be full. She didn’t tend to eat a lot of sweets, but if she did, she would struggle to stop (which is why she avoided them). Pre-Wegovy she was probably about 70 lbs overweight.

Wegovy changed all of that. She’s simply not hungry. She still eats healthy, but I would say she is consuming less than half of what she ate before. She’s had some minor gastrointestinal side effects according to her but nothing bad. She has lost over 60 lbs. The other thing that is interesting is that she always suffered from joint stiffness and facial flushing, and struggled with skin irritation. That all started to go away almost immediately, before she lost any significant weight. Her theory is that she has suffered for a long time from some sort of systemic inflammation that this drug has controlled.

She had to suddenly go off of it because of supply chain issues for a few months and her desire to eat a lot more came roaring back. She gained weight during that time, which she lost when the supply chain resolved.

The psychological aspects have been intense because she’s had to come to grip with how much of her overeating and weight gain was a physiological issue, not the moral failing she’d always been told it was. She’s dealt with a great deal of anger at people much like the “just have discipline” people in this thread. Turns out weight has nothing to do with discipline. It’s very easy to maintain a healthy weight if your body isn’t driven to consume calories. So, she’s been going through therapy to help her come to grips with the history of shame and self-loathing that she’s realized she’s directed at herself for nothing. (As her friend watching this up close, I am angry myself, having realized what an absolute load of nonsense we’ve been peddled by snake oil salespeople like the trainer who was posting up thread. The diet and wellness industry is such a poisonous blight. But I digress.)

She’s always been an exerciser and has continued that. She’s able to bike up steeper hills now because she isn’t carrying as much weight.

She views this as a lifelong drug.

To say heathy eating and exercise doesn’t require discipline is simple not true though.

There are extremes like your friend, where they impulsively eat and simply cannot help it. And then those at the other end that are are “naturally thin” with little desire for food and eating beyond exactly what their body burns. But the vast majority of people fall somewhere in between and have to exercise discipline, good choices, commitment to health, and set restraint

It sounds like her friend did exercise discipline and commitment to health to the best of her abilities. This medicine gives her more ability. Why are you opposed to making someone else's journey a little easier?

Not opposed at all. Simply stating that implying that everyone that is overweight or obese has a brain disorder making them totally unable to have any control on their eating simply isn’t true- for most. There isn’t enough medication out there to dose out to everyone that is overweight

Anonymous wrote:

Anonymous wrote:Can you take it forever?

If not, I’m not sure how that’ll work. When you go back to eating normally, the weight will come back on.

That’s why the surgery works best. Makes your stomach physically smaller.

That’s actually not how the surgery works. Your stomach stretches back out over time, but the surgery removes much of the tissues that produce hunger hormones, which makes your brain drive you to eat less. Which is sort of what these new drugs do, too.

Anonymous wrote:Can you take it forever?

If not, I’m not sure how that’ll work. When you go back to eating normally, the weight will come back on.

That’s why the surgery works best. Makes your stomach physically smaller.

Anonymous wrote:Can you take it forever?

If not, I’m not sure how that’ll work. When you go back to eating normally, the weight will come back on.

That’s why the surgery works best. Makes your stomach physically smaller.

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:For those who have taken the medication, I'm wondering what it actually does and how it makes you feel and eat differently. Like, did you go from being physically hungry all day every day to having very little appetite whatsoever? Did you formerly crave junk food or were you already eating pretty healthy? If you used to eat unhealthy food, did the medicine take away that craving and make you crave healthy foods, or did it sort of reduce your interest in all foods equally? If you used to eat healthy food but were still overweight, is it because you ate large quantities of food or did you track your intake pretty carefully and gained regardless? Do you forget to eat or have to remind yourself to eat now? Is it like surgery where you can only eat a small quantity at a time now?

I’m answering for a dear friend not me, but what I saw with her was that she was a volume eater. Her diet was quite healthy—her fridge always looked better than mine, and I lived with her for awhile and I know she eats very healthy. But she eats a lot, because she’s never satiated. So for instance we might eat a dinner together of grilled salmon, broccoli, and maybe a side of couscous. But she would eat probably 1/3rd more than me, and also be hungry again an hour later whereas I would still be full. She didn’t tend to eat a lot of sweets, but if she did, she would struggle to stop (which is why she avoided them). Pre-Wegovy she was probably about 70 lbs overweight.

Wegovy changed all of that. She’s simply not hungry. She still eats healthy, but I would say she is consuming less than half of what she ate before. She’s had some minor gastrointestinal side effects according to her but nothing bad. She has lost over 60 lbs. The other thing that is interesting is that she always suffered from joint stiffness and facial flushing, and struggled with skin irritation. That all started to go away almost immediately, before she lost any significant weight. Her theory is that she has suffered for a long time from some sort of systemic inflammation that this drug has controlled.

She had to suddenly go off of it because of supply chain issues for a few months and her desire to eat a lot more came roaring back. She gained weight during that time, which she lost when the supply chain resolved.

The psychological aspects have been intense because she’s had to come to grip with how much of her overeating and weight gain was a physiological issue, not the moral failing she’d always been told it was. She’s dealt with a great deal of anger at people much like the “just have discipline” people in this thread. Turns out weight has nothing to do with discipline. It’s very easy to maintain a healthy weight if your body isn’t driven to consume calories. So, she’s been going through therapy to help her come to grips with the history of shame and self-loathing that she’s realized she’s directed at herself for nothing. (As her friend watching this up close, I am angry myself, having realized what an absolute load of nonsense we’ve been peddled by snake oil salespeople like the trainer who was posting up thread. The diet and wellness industry is such a poisonous blight. But I digress.)

She’s always been an exerciser and has continued that. She’s able to bike up steeper hills now because she isn’t carrying as much weight.

She views this as a lifelong drug.

To say heathy eating and exercise doesn’t require discipline is simple not true though.

There are extremes like your friend, where they impulsively eat and simply cannot help it. And then those at the other end that are are “naturally thin” with little desire for food and eating beyond exactly what their body burns. But the vast majority of people fall somewhere in between and have to exercise discipline, good choices, commitment to health, and set restraint

It sounds like her friend did exercise discipline and commitment to health to the best of her abilities. This medicine gives her more ability. Why are you opposed to making someone else's journey a little easier?

Not opposed at all. Simply stating that implying that everyone that is overweight or obese has a brain disorder making them totally unable to have any control on their eating simply isn’t true- for most. There isn’t enough medication out there to dose out to everyone that is overweight

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:For those who have taken the medication, I'm wondering what it actually does and how it makes you feel and eat differently. Like, did you go from being physically hungry all day every day to having very little appetite whatsoever? Did you formerly crave junk food or were you already eating pretty healthy? If you used to eat unhealthy food, did the medicine take away that craving and make you crave healthy foods, or did it sort of reduce your interest in all foods equally? If you used to eat healthy food but were still overweight, is it because you ate large quantities of food or did you track your intake pretty carefully and gained regardless? Do you forget to eat or have to remind yourself to eat now? Is it like surgery where you can only eat a small quantity at a time now?

I’m answering for a dear friend not me, but what I saw with her was that she was a volume eater. Her diet was quite healthy—her fridge always looked better than mine, and I lived with her for awhile and I know she eats very healthy. But she eats a lot, because she’s never satiated. So for instance we might eat a dinner together of grilled salmon, broccoli, and maybe a side of couscous. But she would eat probably 1/3rd more than me, and also be hungry again an hour later whereas I would still be full. She didn’t tend to eat a lot of sweets, but if she did, she would struggle to stop (which is why she avoided them). Pre-Wegovy she was probably about 70 lbs overweight.

Wegovy changed all of that. She’s simply not hungry. She still eats healthy, but I would say she is consuming less than half of what she ate before. She’s had some minor gastrointestinal side effects according to her but nothing bad. She has lost over 60 lbs. The other thing that is interesting is that she always suffered from joint stiffness and facial flushing, and struggled with skin irritation. That all started to go away almost immediately, before she lost any significant weight. Her theory is that she has suffered for a long time from some sort of systemic inflammation that this drug has controlled.

She had to suddenly go off of it because of supply chain issues for a few months and her desire to eat a lot more came roaring back. She gained weight during that time, which she lost when the supply chain resolved.

The psychological aspects have been intense because she’s had to come to grip with how much of her overeating and weight gain was a physiological issue, not the moral failing she’d always been told it was. She’s dealt with a great deal of anger at people much like the “just have discipline” people in this thread. Turns out weight has nothing to do with discipline. It’s very easy to maintain a healthy weight if your body isn’t driven to consume calories. So, she’s been going through therapy to help her come to grips with the history of shame and self-loathing that she’s realized she’s directed at herself for nothing. (As her friend watching this up close, I am angry myself, having realized what an absolute load of nonsense we’ve been peddled by snake oil salespeople like the trainer who was posting up thread. The diet and wellness industry is such a poisonous blight. But I digress.)

She’s always been an exerciser and has continued that. She’s able to bike up steeper hills now because she isn’t carrying as much weight.

She views this as a lifelong drug.

To say heathy eating and exercise doesn’t require discipline is simple not true though.

There are extremes like your friend, where they impulsively eat and simply cannot help it. And then those at the other end that are are “naturally thin” with little desire for food and eating beyond exactly what their body burns. But the vast majority of people fall somewhere in between and have to exercise discipline, good choices, commitment to health, and set restraint

It sounds like her friend did exercise discipline and commitment to health to the best of her abilities. This medicine gives her more ability. Why are you opposed to making someone else's journey a little easier?

Because now all PP’s hard work and discipline that they’ve put into remaining thin or whatever is meaningless now. It doesn’t make them special or superior when anyone can take an injection and get the same or similar results. People like PP are having to face the fact that they put so much of their self worth into their ability to be thin and feel very superior about it. I kind of feel bad for them.

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:For those who have taken the medication, I'm wondering what it actually does and how it makes you feel and eat differently. Like, did you go from being physically hungry all day every day to having very little appetite whatsoever? Did you formerly crave junk food or were you already eating pretty healthy? If you used to eat unhealthy food, did the medicine take away that craving and make you crave healthy foods, or did it sort of reduce your interest in all foods equally? If you used to eat healthy food but were still overweight, is it because you ate large quantities of food or did you track your intake pretty carefully and gained regardless? Do you forget to eat or have to remind yourself to eat now? Is it like surgery where you can only eat a small quantity at a time now?

I’m answering for a dear friend not me, but what I saw with her was that she was a volume eater. Her diet was quite healthy—her fridge always looked better than mine, and I lived with her for awhile and I know she eats very healthy. But she eats a lot, because she’s never satiated. So for instance we might eat a dinner together of grilled salmon, broccoli, and maybe a side of couscous. But she would eat probably 1/3rd more than me, and also be hungry again an hour later whereas I would still be full. She didn’t tend to eat a lot of sweets, but if she did, she would struggle to stop (which is why she avoided them). Pre-Wegovy she was probably about 70 lbs overweight.

Wegovy changed all of that. She’s simply not hungry. She still eats healthy, but I would say she is consuming less than half of what she ate before. She’s had some minor gastrointestinal side effects according to her but nothing bad. She has lost over 60 lbs. The other thing that is interesting is that she always suffered from joint stiffness and facial flushing, and struggled with skin irritation. That all started to go away almost immediately, before she lost any significant weight. Her theory is that she has suffered for a long time from some sort of systemic inflammation that this drug has controlled.

She had to suddenly go off of it because of supply chain issues for a few months and her desire to eat a lot more came roaring back. She gained weight during that time, which she lost when the supply chain resolved.

The psychological aspects have been intense because she’s had to come to grip with how much of her overeating and weight gain was a physiological issue, not the moral failing she’d always been told it was. She’s dealt with a great deal of anger at people much like the “just have discipline” people in this thread. Turns out weight has nothing to do with discipline. It’s very easy to maintain a healthy weight if your body isn’t driven to consume calories. So, she’s been going through therapy to help her come to grips with the history of shame and self-loathing that she’s realized she’s directed at herself for nothing. (As her friend watching this up close, I am angry myself, having realized what an absolute load of nonsense we’ve been peddled by snake oil salespeople like the trainer who was posting up thread. The diet and wellness industry is such a poisonous blight. But I digress.)

She’s always been an exerciser and has continued that. She’s able to bike up steeper hills now because she isn’t carrying as much weight.

She views this as a lifelong drug.

To say heathy eating and exercise doesn’t require discipline is simple not true though.

There are extremes like your friend, where they impulsively eat and simply cannot help it. And then those at the other end that are are “naturally thin” with little desire for food and eating beyond exactly what their body burns. But the vast majority of people fall somewhere in between and have to exercise discipline, good choices, commitment to health, and set restraint

It sounds like her friend did exercise discipline and commitment to health to the best of her abilities. This medicine gives her more ability. Why are you opposed to making someone else's journey a little easier?

Anonymous wrote:This entire discussion, summed up:

Fat shamer: You need to lose weight and get healthy! Take some personal responsibility, I’m tired of the excuses.

Fat person: You’re so right! I’m going to take this medication that will help me lose weight.

FS: NO NOT LIKE THAT

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:For those who have taken the medication, I'm wondering what it actually does and how it makes you feel and eat differently. Like, did you go from being physically hungry all day every day to having very little appetite whatsoever? Did you formerly crave junk food or were you already eating pretty healthy? If you used to eat unhealthy food, did the medicine take away that craving and make you crave healthy foods, or did it sort of reduce your interest in all foods equally? If you used to eat healthy food but were still overweight, is it because you ate large quantities of food or did you track your intake pretty carefully and gained regardless? Do you forget to eat or have to remind yourself to eat now? Is it like surgery where you can only eat a small quantity at a time now?

I’m answering for a dear friend not me, but what I saw with her was that she was a volume eater. Her diet was quite healthy—her fridge always looked better than mine, and I lived with her for awhile and I know she eats very healthy. But she eats a lot, because she’s never satiated. So for instance we might eat a dinner together of grilled salmon, broccoli, and maybe a side of couscous. But she would eat probably 1/3rd more than me, and also be hungry again an hour later whereas I would still be full. She didn’t tend to eat a lot of sweets, but if she did, she would struggle to stop (which is why she avoided them). Pre-Wegovy she was probably about 70 lbs overweight.

Wegovy changed all of that. She’s simply not hungry. She still eats healthy, but I would say she is consuming less than half of what she ate before. She’s had some minor gastrointestinal side effects according to her but nothing bad. She has lost over 60 lbs. The other thing that is interesting is that she always suffered from joint stiffness and facial flushing, and struggled with skin irritation. That all started to go away almost immediately, before she lost any significant weight. Her theory is that she has suffered for a long time from some sort of systemic inflammation that this drug has controlled.

She had to suddenly go off of it because of supply chain issues for a few months and her desire to eat a lot more came roaring back. She gained weight during that time, which she lost when the supply chain resolved.

The psychological aspects have been intense because she’s had to come to grip with how much of her overeating and weight gain was a physiological issue, not the moral failing she’d always been told it was. She’s dealt with a great deal of anger at people much like the “just have discipline” people in this thread. Turns out weight has nothing to do with discipline. It’s very easy to maintain a healthy weight if your body isn’t driven to consume calories. So, she’s been going through therapy to help her come to grips with the history of shame and self-loathing that she’s realized she’s directed at herself for nothing. (As her friend watching this up close, I am angry myself, having realized what an absolute load of nonsense we’ve been peddled by snake oil salespeople like the trainer who was posting up thread. The diet and wellness industry is such a poisonous blight. But I digress.)

She’s always been an exerciser and has continued that. She’s able to bike up steeper hills now because she isn’t carrying as much weight.

She views this as a lifelong drug.

To say heathy eating and exercise doesn’t require discipline is simple not true though.

There are extremes like your friend, where they impulsively eat and simply cannot help it. And then those at the other end that are are “naturally thin” with little desire for food and eating beyond exactly what their body burns. But the vast majority of people fall somewhere in between and have to exercise discipline, good choices, commitment to health, and set restraint

It sounds like her friend did exercise discipline and commitment to health to the best of her abilities. This medicine gives her more ability. Why are you opposed to making someone else's journey a little easier?

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:For those who have taken the medication, I'm wondering what it actually does and how it makes you feel and eat differently. Like, did you go from being physically hungry all day every day to having very little appetite whatsoever? Did you formerly crave junk food or were you already eating pretty healthy? If you used to eat unhealthy food, did the medicine take away that craving and make you crave healthy foods, or did it sort of reduce your interest in all foods equally? If you used to eat healthy food but were still overweight, is it because you ate large quantities of food or did you track your intake pretty carefully and gained regardless? Do you forget to eat or have to remind yourself to eat now? Is it like surgery where you can only eat a small quantity at a time now?

I’m answering for a dear friend not me, but what I saw with her was that she was a volume eater. Her diet was quite healthy—her fridge always looked better than mine, and I lived with her for awhile and I know she eats very healthy. But she eats a lot, because she’s never satiated. So for instance we might eat a dinner together of grilled salmon, broccoli, and maybe a side of couscous. But she would eat probably 1/3rd more than me, and also be hungry again an hour later whereas I would still be full. She didn’t tend to eat a lot of sweets, but if she did, she would struggle to stop (which is why she avoided them). Pre-Wegovy she was probably about 70 lbs overweight.

Wegovy changed all of that. She’s simply not hungry. She still eats healthy, but I would say she is consuming less than half of what she ate before. She’s had some minor gastrointestinal side effects according to her but nothing bad. She has lost over 60 lbs. The other thing that is interesting is that she always suffered from joint stiffness and facial flushing, and struggled with skin irritation. That all started to go away almost immediately, before she lost any significant weight. Her theory is that she has suffered for a long time from some sort of systemic inflammation that this drug has controlled.

She had to suddenly go off of it because of supply chain issues for a few months and her desire to eat a lot more came roaring back. She gained weight during that time, which she lost when the supply chain resolved.

The psychological aspects have been intense because she’s had to come to grip with how much of her overeating and weight gain was a physiological issue, not the moral failing she’d always been told it was. She’s dealt with a great deal of anger at people much like the “just have discipline” people in this thread. Turns out weight has nothing to do with discipline. It’s very easy to maintain a healthy weight if your body isn’t driven to consume calories. So, she’s been going through therapy to help her come to grips with the history of shame and self-loathing that she’s realized she’s directed at herself for nothing. (As her friend watching this up close, I am angry myself, having realized what an absolute load of nonsense we’ve been peddled by snake oil salespeople like the trainer who was posting up thread. The diet and wellness industry is such a poisonous blight. But I digress.)

She’s always been an exerciser and has continued that. She’s able to bike up steeper hills now because she isn’t carrying as much weight.

She views this as a lifelong drug.

To say heathy eating and exercise doesn’t require discipline is simple not true though.

There are extremes like your friend, where they impulsively eat and simply cannot help it. And then those at the other end that are are “naturally thin” with little desire for food and eating beyond exactly what their body burns. But the vast majority of people fall somewhere in between and have to exercise discipline, good choices, commitment to health, and set restraint

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:For those who have taken the medication, I'm wondering what it actually does and how it makes you feel and eat differently. Like, did you go from being physically hungry all day every day to having very little appetite whatsoever? Did you formerly crave junk food or were you already eating pretty healthy? If you used to eat unhealthy food, did the medicine take away that craving and make you crave healthy foods, or did it sort of reduce your interest in all foods equally? If you used to eat healthy food but were still overweight, is it because you ate large quantities of food or did you track your intake pretty carefully and gained regardless? Do you forget to eat or have to remind yourself to eat now? Is it like surgery where you can only eat a small quantity at a time now?

I’m answering for a dear friend not me, but what I saw with her was that she was a volume eater. Her diet was quite healthy—her fridge always looked better than mine, and I lived with her for awhile and I know she eats very healthy. But she eats a lot, because she’s never satiated. So for instance we might eat a dinner together of grilled salmon, broccoli, and maybe a side of couscous. But she would eat probably 1/3rd more than me, and also be hungry again an hour later whereas I would still be full. She didn’t tend to eat a lot of sweets, but if she did, she would struggle to stop (which is why she avoided them). Pre-Wegovy she was probably about 70 lbs overweight.

Wegovy changed all of that. She’s simply not hungry. She still eats healthy, but I would say she is consuming less than half of what she ate before. She’s had some minor gastrointestinal side effects according to her but nothing bad. She has lost over 60 lbs. The other thing that is interesting is that she always suffered from joint stiffness and facial flushing, and struggled with skin irritation. That all started to go away almost immediately, before she lost any significant weight. Her theory is that she has suffered for a long time from some sort of systemic inflammation that this drug has controlled.

She had to suddenly go off of it because of supply chain issues for a few months and her desire to eat a lot more came roaring back. She gained weight during that time, which she lost when the supply chain resolved.

The psychological aspects have been intense because she’s had to come to grip with how much of her overeating and weight gain was a physiological issue, not the moral failing she’d always been told it was. She’s dealt with a great deal of anger at people much like the “just have discipline” people in this thread. Turns out weight has nothing to do with discipline. It’s very easy to maintain a healthy weight if your body isn’t driven to consume calories. So, she’s been going through therapy to help her come to grips with the history of shame and self-loathing that she’s realized she’s directed at herself for nothing. (As her friend watching this up close, I am angry myself, having realized what an absolute load of nonsense we’ve been peddled by snake oil salespeople like the trainer who was posting up thread. The diet and wellness industry is such a poisonous blight. But I digress.)

She’s always been an exerciser and has continued that. She’s able to bike up steeper hills now because she isn’t carrying as much weight.

She views this as a lifelong drug.

To say heathy eating and exercise doesn’t require discipline is simple not true though.

There are extremes like your friend, where they impulsively eat and simply cannot help it. And then those at the other end that are are “naturally thin” with little desire for food and eating beyond exactly what their body burns. But the vast majority of people fall somewhere in between and have to exercise discipline, good choices, commitment to health, medications, and set restraint