Lost 154 lbs (started around 368, now 214) while managing epilepsy + recovering from two brain surgeries — happy to share what worked

Stats: down 154 lbs, now at 214. Not a straight line, and not fast — this happened alongside years of epilepsy treatment, including a 2017 brain surgery (temporal lobectomy) and a 2022 deep brain stimulation implant.

A few things that mattered for me specifically, since my situation had some unusual constraints (seizure risk, surgery recovery, medication side effects, depression that didn't fully lift until DBS settings were tuned in early 2026):

• I couldn't rely on high-intensity everything, so I built consistency around low-impact stuff first (walking, then a weighted vest, then eventually running).
• I had to plan around "what if a seizure happens right now" for every workout — so solo, isolated workouts were out for a long time.
• Mental health treatment (in my case, DBS finally being tuned correctly) mattered as much as diet/exercise. I didn't have the bandwidth to sustain habit changes until the depression eased.
• I stopped trying to fix everything at once. Weight loss, seizure management, and mental health got worked on in sequence, not all simultaneously.

Now I'm training for the LA Marathon (March 2027) which felt like a joke a few years ago.

Happy to answer anything about training around a chronic neurological condition, or just the slow/nonlinear parts of the process nobody posts about.

https://www.epilepsysucks.org

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Another update on my progress. (Down 73lbs)

I’m pretty high while writing this on my phone, so sorry if it isn’t as detailed as my last posts. Also sorry for the late update, I just didn’t really think there was much to talk about, so I hadn’t mentioned it till now.

I’m now down to 264lbs from 337lbs since the end of February this year (when I really decided to make changes). The highest I’ve ever weighed was 360 something pounds ~3ish years ago. For the most part I feel better physically, I don’t get abdominal pains nearly as much as I used to. I don’t have an update on the fibrosis, but I do plan to ask my doctor about scheduling a fibroscan during my next visit.

I’ve been a lot better mentally (when it comes to my physical health). I’m still eating about the same as I have been (although sometimes I eat more than I should when with friends).

If I had anything to say about my progress so far, is that although I’m happy and proud of my weight loss, I’d probably not advise others to do what I did (shocking I know). My diet could use a lot of work, I’m just lazy when it has to do with preparing food and I should exercise more consistently.

Something I’ve learned that really stuck with me, is that your nutrients are vital. Yes you may be dropping weight, but if your nutrient intake is way off, you’re going to have problems. Make sure you drink plenty of water, roughly a gallon a day (which I often don’t achieve).

That’s about all I have to say. Cya!

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I can’t stop binge eating

I feel like such a freaking loser. I’ve been trying to lose weight but I CAN’T control my eating. I have no self discipline and when my family buys junk food, I can’t stop thinking about it until I binge eat. I want to lose 30 pounds but my diet is getting in the way of my goals.

I don’t know how to fight the food noise, to prioritize my weight loss goal over the short term relief of food. Does anybody have any tips? I’m desperate and have a horrible relationship with food. (Adding extra text so I can post this.)

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Plateau advice

I’ve lost 40 lbs over the past 14 months (F 5’8” CW 158, age 58). I have always been muscular with a larger frame, so I don’t plan to lose more than 5-10 lbs. I’d be content at my current weight.

I track calories and work out 5-6 days per week, strength training and 30 min cardio. My current daily calorie goal is 1470, which is a 500 cal deficit. Thus far, weight loss has been pretty effortless. However, over the past 8 weeks I’ve hit a stubborn plateau. And over the past week or so, I’ve been unusually hungry. I’ve tried eating an extra 100-200 cals, but it’s persistent. I’ve been at a 500 cal deficit for the past 14 months.

Is my calorie count too low? Should I eat at maintenance for a while? Any advice is appreciated!

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Did anyone else lose weight in/throughout their relationship?

Struggling to find any other Reddit posts about this anywhere. I used to weigh 160lbs as a 5’4 woman but after 2 years I finally got down to 120. When I first got into my relationship, I maintained between 120-125, jumping up to 130 around thanksgiving, Christmas, and new years, and then as the relationship progressed, I ended up actually hitting my lowest weight ever in my entire adult life even lower than I was ever in highschool, at about 113lbs.

I maintained 113lbs for about 8 months until we eventually broke up for other reasons. Since the breakup I have gone back up in weight and now swing between 125-130lbs. However, I have been eating fairly clean, making an effort to eat protein as I was trying to grow my glutes back, and I still workout 5 days a week. I do have more of a sweet tooth nowadays and will let myself indulge, but I simply cannot understand why it was so easy for me to maintain such a low weight when I was in this relationship? And it’s worth mentioning that when I was weighing 113lbs I was drinking alcohol almost every day, eating out often, and working out farrrrr less than I do now. I know the obvious answer would be to blame the relationship causing the weight loss but the relationship was fairly healthy too?

The reason I ask this question is because I am still trying to solve the puzzle or get back to the mindset I had when in this relationship. The mindset or state of being where I didn’t crave sweets and chocolate all the time, where I didn’t think of my next meal all the time, and could essentially eat/drink whatever I wanted in moderation and still weigh between 113-116lbs. Like it was sooooo easy back then. I barely ever felt hungry and when I did eat, it was to fuel my body rather than for enjoyment. I barely thought about the snacks I ate or how calorie-dense my dinner would be that night because it always balanced out somehow. And nowadays food and calories is all I think about, and I fear I keep gaining more and more weight and I can’t stop it. Any advice is welcome or any insight as to why this happened/why it was so easy to lose and maintain a low weight in a relationship, when most people gain weight in relationships?

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Back on the weight loss journey!

Hey everyone, it’s been awhile since I’ve been on here but I lost about 25 pounds going from 150-125lb from late march-august of 2025. I was really happy and proud of myself yet I ended up losing too much and lost my appetite. Overtime as my freshman year of college ended I got it back and gained weight again and I am at 140ish rn maybe 145 right now. I’m feeling a bit discouraged about my weight again and it’s hard to start my deficit again even though I know it is possible, it’s just annoying losing the weight you previously lost once again. I’m happy that my mental health has gotten better as I am not going crazy over the fact that I gained weight again. Does anyone have any tips? Unfortunately im in my second year of college so eating is kind of hard when you live on campus and I have no clue what to eat besides just grilled chicken lol. I’m trying to find motivation to stay consistent but it’s hard :( thank you all. I’ll start my deficit Monday and continue to post about it so that way I can have something to motivate me. Realistically could I lose 10 pounds before Halloween as a 5’3 F? The good thing is I can get my 10k steps in more easily now!

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Weight loss while recovering from Lipo 360

Hi guys, I got lipo 360 3 weeks ago and am currently in recovery for the next few months. Pre surgery I was 156 lbs, my waist was 37 inches, and my biggest area of insecurity has always been the area of my upper abdomen immediately below my bra line and around my ribs because even when I’m a healthy weight I tend to carry a stubborn fat roll around that area.

I have been a million weights and sizes and tried a million different things for weight loss, most effectively I started Wegovy in September 2024-September 2025 and went from 240 to 150 lbs. then insurance stopped covering it and I gained up to 175 lbs, so when I got coverage back in April 2026 and started back on it I was starting from 175, and weight loss has been much much slower.

Prior to me weighing 240 lbs, I had been 110 lbs, with a 23.5-24 inch waist and wore xs or xxs clothing. I felt good at that weight/size, and ideally I would like to get back to or get very close to that now. That was the only time in my life I didn’t have that upper abdominal spare tire of fat I hate so much, and I’m hoping me having the Lipo 360 will make it easier to eliminate that, but I know that I’m still needing to lose some weight to get back to the silhouette and proportions I feel best at.

Currently with all the post op swelling and edema my bra line is at 34 inches, waist at 36 inches, and I’m about to switch to a stage 2 size medium faja.

All this to say, when I was 110 before I was doing a lot of water fasting, OMAD, did 60-90 min cardio daily, and walked a trail with decent incline that was about 2 miles daily. Right now obviously I’m still recovering and not able to exercise as much as that, but I want to work my way up to that.

My question is, if I do a 60 min walk daily, do a water fasting 2x a week, and eat in a deficit could I realistically lose 35ish lbs by Christmas? I’m 152 lbs right now and ideally would like to be around 118-120 by then. Also, I had to stop Wegovy a month before my surgery but I’m starting back on it now so that will definitely help as far as appetite and with my hormones since I have PCOS. But I’m looking for tips to be able to reach 118-120 by Christmas working from where I am now and with me not able to do much weighted or strength training.

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