Anonymous wrote:

Anonymous wrote: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 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? 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?

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.

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!

Anonymous wrote:Most people who take eegovy, if they titrate up slowly enough, and eat properly, don't feel sick. I've been on it for 2 years, lost 50 pounds, feel great. My face does look a little older as bring thin always makes people look older. But I am never nauseous
And I'm happy. People do love slamming others on these drugs, though.

Same. I’ve been on it for over 4 years. Right now in maintenance mode. Only take a small dose once a month. Lost over 150lbs. Very rarely nauseous. Life changing.

Most people who take eegovy, if they titrate up slowly enough, and eat properly, don't feel sick. I've been on it for 2 years, lost 50 pounds, feel great. My face does look a little older as bring thin always makes people look older. But I am never nauseous
And I'm happy. People do love slamming others on these drugs, though.

Anonymous wrote:Well, I agree with OP. Now that GLP-1s are so ubiquitously available and used, there is more social pressure to be thin (including for both the very obese and the people who are mildly overweight and don’t have any health sequelae from it).

OK, here we can see what this is.

The slightly overweight people are afraid of the obese people reaching normal BMI. Everyone wants to feel that they’re better than someone. When someone who is a friend or significant other or whatever, who weighs significantly more than they do, loses the weight and reaches a normal BMI, it wreaks havoc on their self-esteem. Because now they are the fat one. That’s what’s going on here.

My best friend lost 40 pounds on Wegovy, and she looks fantastic. She looks 20 years younger. She exercises a lot though.

I've had great success with Wegovy, I've lost 40 lbs and my cholesterol went from REALLY high to normal. I lost weight at a slow and reasonable pace, about 1-2 lb a week, and don't have hanging skin or a gaunt face.

However, I never went up to the full dose. I only ever got up to 1mg, because it was so effective. I think if I had continued to titrate up, then I would be feeling ill and gaunt. I think some people are on a dose that is higher than they need. It would knock me flat, for sure.

I've been maintaining on a very low dose, .5 mg every two weeks. I just don't need the higher doses.

Anonymous wrote:I find that men generally look sicker, older after weight loss

It's because they don't do anything to their hair and face to make themselves look better.

Well, I agree with OP. Now that GLP-1s are so ubiquitously available and used, there is more social pressure to be thin (including for both the very obese and the people who are mildly overweight and don’t have any health sequelae from it).

You are very judgey, OP. Plus you have a normal BMI so you shouldn't be on weight loss drugs. You can lose weight on your own.

Anonymous wrote:It does look gross I agree

Look tired and haggard any day of the week over looking like a jelly roll

Anonymous wrote:It does look gross I agree

no one cares what you think. Do you think your comment makes you look smart or relevant?

Anonymous wrote: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 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? 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?

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.

It does look gross I agree

My husband has lost close to 25 pounds in four months on Wegovy and he looks great. His face definitely looks thinner but not gaunt. His goal is to lose another 10-15 to get to 175-180 at 5’10”. My guess is that the older you are the more gaunt you can look because your skin loses elasticity as you age.

I find that men generally look sicker, older after weight loss