LoseIt: Lose the Fat

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A community for weight-loss, primarily by means of inducing a caloric deficit.

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Anyone on any of the weight loss drugs? (lemm.ee)

submitted 2 months ago* (last edited 2 months ago) by [email protected] to c/[email protected]

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SW: 209 lb - CW: 191 About five months ago my doctor put me on semgultide because I’ve spent years at pre-diabetes and was struggling to lose weight even with regular exercise. I have not found this drug to be a magic pill - I still need to track my CICO daily and exercise.

I pushed to stay on the lowest dose till I hit a two month plateau because I am leery of relying on just the medication to manage my diet. I am well aware of most people’s experiences with getting off the drug and gaining weight again, so I am trying to treat this like a push in the right direction but not a long term solution.

Anyhow I’m also just posting cause I forgot I subscribed to this group and I also want to see it active. If you’re in the US - happy Labor Day! I hope you’re off work today.

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[–] [email protected] 8 points 2 months ago

Been on variations for a couple years... So far the best I can tell you is to be willing to try the others before giving up.

I'd have progress with one, plateau, then bump to a variant and it would surge.

Careful planning with my doctor going really far with this!

The various GLP drugs all have different stats and some work better than others depending on your body.

Currently on ozempic. It's moving slowly but seems consistent in effect... The loss isn't very obvious yet (3 months) but I do note a substantial decrease in desire and capacity. While trulicity was effective to a degree, it leveled off early for me. Trulicity has done well for my girlfriend, and her A1C has dramatically improved.

My case is use in combination with getting out on a bicycle, then long term the bike will be my check once stopping the GLP.

Don't fear the higher doses. As long as you are careful with your dose timing, the GI disruptions can be managed and they do settle down a bit. If you bump up and find too much issue, your doc should be good with dropping back a notch. Find the most effective one for you but don't push for never hungry.

Most importantly, don't run yourself crazy with this. Calorie tracking is less important. The better goal might be to just work at habit forming... Pay closer attention to the other sensations toward getting full and react sooner. The meds for me primarily amplify that moment between "that's enough" and "ugh just a little too much".

Some basic sense as to what is high caloric density vs portion will go much further than counting exact calories in the long run, unless you plan to obsess over calculators forever. It's good to establish an understanding of what is in your foods, but you don't need to know how many feet between Chicago and New York to drive there. Approximation and regular cues to monitor yourself are more practical.