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Weight loss jabs: What happens when you stop taking them

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Re: Weight loss jabs: What happens when you stop taking them

#81
Question for people who have trouble losing fat (this was never my problem): have you ever tried instead of dieting to just force yourself to eat more fruits, vegetables, and protein daily while also allowing yourself free range in the remaining appetite room to have whatever? The human mind/brain/whatever doesn't do well with deprivation of a high dopamine reward, but what would happen if you started to shift your tastes by insisting that it get used to a more healthful diet as a precursor to getting what it wants?

I ask this because when I was younger, I also had tastebuds warped by hyper-palatable foods, but after incrementally getting my diet to such a clean and optimized place, I literally feel bad even while chewing and tasting something like a donut, heavily salted and oiled potato chips, or candy. It's probably like how I would have felt if I literally mixed a tablespoon of oil and sugar or salt together and swallowed it.

Is it that hard to shift the system toward better habits by incremental introduction of better ones, and crowding out the bad? Exercise helps here, because once you begin to enjoy fitness, you get a stronger feedback loop with the bad food creating bad outcomes.

Re: Weight loss jabs: What happens when you stop taking them

#82
post #8

Other medications become lifelong medications but without this level of scrutiny. I am 100% in favor of finding a more permanent treatment, but switching blood pressure meds, and cholesterol meds, and other daily meds for a single once a week med is a massive improvement, especially since the all source mortality data keeps rolling in showing the efficacy here is orders of magnitude better than all the other medicati…

But it is factually true that it’s a matter of willpower, no amount of reframing it is going to change that. It’s not like others like myself, currently on a cut cycle, don’t experience hunger. The idea that we are just “lucky” ignores all the willpower and discipline we fight through to do it ourselves. I’ve eaten about 800 calories today and it is 4pm. Just finished 90 minutes on the indoor bike. My stomach feels h…

Willpower is just brain chemistry. Some are lucky, some are not.

Re: Weight loss jabs: What happens when you stop taking them

#83

> "The environment that people live in needs to be one that promotes health, not weight gain. […] Obesity is not a GLP-1 deficiency," he says. This is my biggest issue with weight healthcare, the idea that if only the patient would eat correctly they wouldn’t be overweight. It’s not some moral failing a person often over eats, it very well could be some physiological issue that should be treated. It would be like tel…

As someone with asthma, let me tell you that they _do_ need to get into better shape to breathe better. Part of that is a medically proven practice called pulmonary rehabilitation, but also, regular cardiovascular exercise at different intensities and direct training of the abdominal muscles has a marked improvement both on pulmonary function (to a limit, but even more important as you age) and oxygen utilization from the reduced pulmonary function. Finally, both acid and laryngeal reflux are silent contributors to asthma by introducing acid and pepin into the airways, and weight loss can improve the symptoms of those.

Re: Weight loss jabs: What happens when you stop taking them

#84
post #19

Being overweight is a chronic disease. Just like alcoholism, or any kind of other addictions. I've struggled with alcohol abuse, and once you come to the realization that you're abusing it, the fix FOR ME was relatively simple: I stopped (under medical supervision) drinking, or to be more precise: I stopped starting to drink. I have no problems not drinking, I have a problem that when I start I cannot stop. I have th…

It's frustrating. "Just Eat Less" is roughly the way to lose weight, but the problem is not that fat people are so unbelievably stupid that they didn't know this. I am sure for some people it really is that simple. Not us. My weight has been a bit of a rollercoaster. I've never been terribly thin, but I've been "not technically obese" from time to time. I'm currently back on the downswing, but God, what a pain in the…

Entirely anecdotal, perhaps useless information (and off-topic for anyone who doesn't current consume caffeine) but I've never had an easier time losing weight than I have since I entirely quit using caffeine after decades of normal usage.

After eliminating caffeine its like a switch entirely flipped in my brain turning off all the usual cravings I'd have for carbs/sugars/etc.

The quitting caffeine part was pretty horrible though. Not just because of the headaches (which weren't actually super bad for me) but I went through a couple of weeks of what I assume was for-reals depression/anhedonia as my brain figured out how to operate with non-blocked adenosine suddenly suppressing my dopamine levels.

Re: Weight loss jabs: What happens when you stop taking them

#85
post #19

Being overweight is a chronic disease. Just like alcoholism, or any kind of other addictions. I've struggled with alcohol abuse, and once you come to the realization that you're abusing it, the fix FOR ME was relatively simple: I stopped (under medical supervision) drinking, or to be more precise: I stopped starting to drink. I have no problems not drinking, I have a problem that when I start I cannot stop. I have th…

It's frustrating. "Just Eat Less" is roughly the way to lose weight, but the problem is not that fat people are so unbelievably stupid that they didn't know this. I am sure for some people it really is that simple. Not us. My weight has been a bit of a rollercoaster. I've never been terribly thin, but I've been "not technically obese" from time to time. I'm currently back on the downswing, but God, what a pain in the…

> "Just Eat Less" is roughly the way to lose weight

Maybe the messaging should be "eat healthier"? How many obese people cook for themselves and eat exclusively from the outer aisles of the grocery (fruits, vegetables, seafood, meat, eggs, dairy)?

I could be wrong but I have to imagine the average obese person has a terrible diet. Portion control won't work at that point, you're already doomed to fail.

To be fair, most people have a terrible diet, it's just that some lucky individuals have the metabolism to overcome it. It seems like those people are increasingly the exception and a bad benchmark for how humans should eat.

Re: Weight loss jabs: What happens when you stop taking them

#86
post #8

Other medications become lifelong medications but without this level of scrutiny. I am 100% in favor of finding a more permanent treatment, but switching blood pressure meds, and cholesterol meds, and other daily meds for a single once a week med is a massive improvement, especially since the all source mortality data keeps rolling in showing the efficacy here is orders of magnitude better than all the other medicati…

But it is factually true that it’s a matter of willpower, no amount of reframing it is going to change that. It’s not like others like myself, currently on a cut cycle, don’t experience hunger. The idea that we are just “lucky” ignores all the willpower and discipline we fight through to do it ourselves. I’ve eaten about 800 calories today and it is 4pm. Just finished 90 minutes on the indoor bike. My stomach feels h…

What is your definition of willpower? What is it, mechanistically, that you have and others lack?

Re: Weight loss jabs: What happens when you stop taking them

#87
post #8

Other medications become lifelong medications but without this level of scrutiny. I am 100% in favor of finding a more permanent treatment, but switching blood pressure meds, and cholesterol meds, and other daily meds for a single once a week med is a massive improvement, especially since the all source mortality data keeps rolling in showing the efficacy here is orders of magnitude better than all the other medicati…

But what if these weight loss drugs are making you hungrier than you ever would have been had you not started in the first place?

Re: Weight loss jabs: What happens when you stop taking them

#88

Earlier quoted context omitted.

What works for me is to eat highly nutritious low-glycemic food until I feel full (eggs, avocado, quinoa, etc) Otherwise I over eat crap and gain weight easily

How many years have you been able to keep that diet up?

Particularly eating a lot of eggs daily for about 3 years

Re: Weight loss jabs: What happens when you stop taking them

#89

Earlier quoted context omitted.

What works for me is to eat highly nutritious low-glycemic food until I feel full (eggs, avocado, quinoa, etc) Otherwise I over eat crap and gain weight easily

the problem is, obese or formerly obese people clan eat a lot of anything before the full feeling sets in, no matter what. Eggs, chicken..does not matter.

It takes time and discipline to make the stomach smaller

I was pre-diabetic at 100kg and went down to 70kg over a year of low carb diet and intermittent fasting

It’s a daily struggle trying to NOT eat until literally feeling pain in the belly, and even then, I know if I wait 30 minutes more I can keep eating

Re: Weight loss jabs: What happens when you stop taking them

#90
post #25

> "The environment that people live in needs to be one that promotes health, not weight gain. […] Obesity is not a GLP-1 deficiency," he says. This is my biggest issue with weight healthcare, the idea that if only the patient would eat correctly they wouldn’t be overweight. It’s not some moral failing a person often over eats, it very well could be some physiological issue that should be treated. It would be like tel…

I don't have a horse in this race, but from my personal experience eating satiating whole foods with lower glycemic index, higher fiber and protein content makes it very difficult to gain excessive weight. On the asthma front, from experiences with someone close to me -- getting in great physical shape (with caveats regarding training) DID indeed help greatly with broncho-constriction and higher scores on FEV. Basica…

I find for me that doesn't work. I have to actively count calories to lose or maintain a healthy BMI range. If I don't, no matter what I eat, I end up stabilizing in the overweight category. I'm lucky enough that my wife has a very flexible work schedule where she is able to cook most meals for us, but she hates weighing everything out so I can track... we've tried to stop the tracking multiple times but it never works. I'll think I'm eating to the same satiety level as before, but I end up slowly creeping back up in weight. My wife is fine either with or without tracking for maintaining her weight, though she does also seem to have an easier time losing when she's counting her calories. I think this is why it's so hard to have discussions about it, people's experiences literally don't match even when they try the same things. I suspect I'd be one of those people that if they tried Ozempic would be able to lose tons of weight, and who would shoot back up as soon as they stopped, unless I track the whole time... at which point I wouldn't need the Ozempic in the first place
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