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> something that multiple years of consistent dieting hasn't solved

Did you continue to track calories while using the drug?

As somebody who has successfully increased and decreased their body weight over the years (after initially being obese), if you’re able to diet consistently I don’t see why a drug is needed. My guess is whatever diet you were on was consistent for the weight you were at.



I don't find calorie tracking to be very successful. In my mental ecosystem, it penalizes spending calories on healthy foods (why eat that banana if it's just calories), and I don't do so well with a budget, constant go over just slightly.

I had better luck with Weight Watcher with "free" healthy foods and the segmentation between weekly and daily budgets. Then weight watchers tweaked their point values so much that I couldn't stick with it very well, and when I dual tracked points and calories the new WW plan had me at under 1400 cal/day, which isn't sustainable.

> if you’re able to diet consistently I don’t see why a drug is needed

It'd really really really really really really hard to stick to a diet, especially long term. GLP-1s puts eating healthy and good portion sizes all on autopilot. I don't have to plan out how I'm going to manage my hunger and my food noise, it's just auto pilot. I naturally gravitate to eating enough, but not too much, and mostly plants.


I don't think 1400 is unsustainable? it'll lead to losing weight continuously, maybe a half pound a week ish, but that's sustainable for as long as you have weight to lose, isn't it?


This depends on your size and activity level. The last time I dieted, I was losing a pound a week on 2700 calories. 1400 would have been a severe crash diet.


Depends on the person. I'm an active, 6' male with a TDEE of 2600. 1400 calories is absolutely unsustainable. That's nearly 3lb of weightloss per week.

If I was shorter, female and sedentary, sure. But that's not me.



There's physically sustainable, and then there's mentally sustainable. Based on what I've read about long term fasts, I suspect 0 would be easier than 1400.


Bananas aren't really that healthy. Like you said their nutritional value is mainly just calories.




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