I got put on phentermine for 14 days and I started experiencing "phen rage", now I'm back at square one

I went to a weight loss clinic where they prescribed me 14 tablets of phentermine. The first few days were fine, I just couldn't achieve an erection at all. I could deal with that. But today I started experiencing uncontrollable angry outbursts at every little thing. I cannot deal with the anger and that makes me even more angry because I spent a lot of money on that appointment and now I'm just going to gain all the weight I lost right back.

I've also been on bupropion for 4 years now, I'm not sure if that had something to do with the side effects. Can anyone recommend any other appetite suppressants that have little side effects?

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Find a reminder of where you began

M/26 6'3 Sw 360 CW 240 Gw 200

As someone who has struggled with weight their entire life I wanted to share a little something that continuously helps motivate me, my belt. When I had started off at my maximum weight of 360 I received a fairly heavy duty belt for my job. I was the 2nd hole away from the very end of it. I have worn this belt in anything that requires a belt from day one, for the last 4 years. I am now 15 holes deep, 8 of those I had to poke in myself because the holes just stopped.

Everytime I had to add another hole was an amazing feeling. Like adding a tick mark on my goal list. It's a bit odd wearing a belt that is now way oversized and wraps around my body another half then it did before. But anytime I felt discouraged and like I was the slobbyish person alive, I looked back at that belt and couldn't help but to smile.

For anyone that may be starting off on a weight loss journey, keep track of something, an object or a picture or anything to remind you of where you began. It's a tough journey and I hope this may help provide some motivation along the way!

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How would you want your doctor to talk to you about weight loss?

I'm a medical student interested in learning more about opening the conversation about weight loss. The majority of patients I see in primary care clinic are obese and I've seen many physicians dance around the topic of weight loss with basic information, but there's little in the way of checking in and seeing if and how a patient was successful.

Has a medical professional ever talked to you about losing weight? What were some successful and not-so-successful strategies?

Thanks for your input!

Side note: Something else I'm interested in is learning how to talk to patients about using intermittent fasting as a technique to lose weight. Many of us eat because it's eating time and have forgotten what it's like to be hungry.

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Personal Trainers and Nutritionists: Do you feel connected to your clients?

I've realized that the weight loss journey is a hard one to do alone... I managed to lose 70 pounds by myself, but since then I've really struggled to find a plan that really works.

I thought having a partner for the journey would help, so I sought out help. But, everyone I have tried to talk to doesn't seem to really care if I succeed or not.

I've had two personal trainers, both of whom praised me for my attendance and work ethic, but never seemed invested in the questions I asked or the walls I ran into.

I had a metabolism coach for a bit but he constantly rescheduled on me and when he said he would email me the next steps of my plan, they never came until I followed up multiple times.

I tried Noom, but I could never get a thoughtful answer from the coach. It felt very scripted.

The clinic I'm visiting now is more of the same. The nurses get me my medicine and give me cookie cutter answers for the questions I ask.

Please don't get me wrong, I don't think poorly of any these people in the least. I have no right to expect them to see me as a friend or to be so personally invested in me. They have a job to do, and I should and do respect that. I'm thankful for their time.

I have really just been looking for someone to truly genuinely care. Turns out that isn't something money can buy.

My experiences have just left me feeling lonely, so I was just wondering what you folks working in the industry think.

Do you ever feel personally connected and invested in your clients, or do you find it's best overall to keep a professional distance?

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I just wanted to say thank you

I’ve been a major lurker here for a few months. Ever since I put on my big girl pants (both literally and figuratively) and decided I needed to shed a few (about 30 lbs). And tonight I made a major, responsible change in my habits and I just wanted to say thank you.

My weight loss struggles began the same as many young girls: in high school when I developed an eating disorder. Lasted all through undergrad. I then went to graduate school and decided I could no longer treat myself that way and remain academically competitive, so I slowly worked my way out of some horrific habits by doing the exact opposite. I started eating what I wanted and literally never thought of my weight. So yeah, I gained a bit.

And the intervening years have been a mix of fad diets, and crash diets, and lots of behavior that dips a toe back into eating disorder territory. I’ve maintained a consistent binging habit this entire time, I would just couple it with fasting and over exercising and VERY strict eating behavior to counter it. Not exactly healthy and responsible.

A few months ago, I started yet another diet and got focused again. And it got bad. I focused on just my diet for a time, losing about 12 lbs (took a while, I’m a little older...), and cut my calories to around 1300 per day to get there. I’m not built small, even despite the few extra pounds, so this is already pretty low for me. And then I stalled, and a friend invited me to try interval training, and I did and I still wasn’t losing. Believe me, my rational brain knew I was gaining muscle, but I was already back in a bad way in my headspace and I was obsessed. And having gained a significant amount of control over my eating habits during this time, I cut even further and I basically wasn’t eating anything beyond enough to get the hunger pains to dissipate. And then I had a complete meltdown.

I came here to refocus. I kinda spend my time before bed on reddit anyway, but I started lurking extra hard here to gain the confidence to pull back out again. I was reading all your posts, your tips and tricks, everything you’ve learned, the good habits, etc. And it was scary to fall back into that place, but even scarier to pull back out again.

And today I sucked it up and I recalculated my calories, I set myself at a healthy deficit, and I ate UP to my requirements, not as little as possible. And it felt good. And that’s a win for today so I’m good with it. Tomorrow is another day to fight the good fight and continue to work on being “healthy,” not “skinny.”

For all of you struggling, no matter what you’re struggling with, keep fighting. Little victories are worth celebrating. I’m getting kinda old, and I’m still remembering and fighting against the stupid shit I did as a teenager. But I’m better every day. And you are too.

And for those of you who spend your time here cataloguing all of your great discoveries and victories for us to look to and build upon... thank you thank you!

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Yo-Yo Dieter’s Lament

I’m just starting out on a new weight loss journey (for the 725384th time, it feels like!) and I can’t wait to be able to sit down in a pair of jeans I already own and not feel like the waistband is cutting right into my gut and messing with my digestion because of how tight my pants are. I want to be able to walk around in my bathing suit and not feel my stomach jiggling around with each step. I want to be able to reach down and tie my shoes without feeling like the internal pressure in my skull is going up.

It’s crazy how much more physically comfortable I feel when I’m not as overweight and I’m so ready to have that feeling again! The last time I lost weight, it was so much fun to try on all my old clothes and feel like they fit me just fine - no straining seams, no muffin top, no side-boob spillage by my armpits, no awkwardly short dresses. It was like having a new wardrobe without spending a dime!

I usually tell myself it’s fine to buy bigger pants if I absolutely need to but it’s BETTER to clean up my lifestyle a bit and keep on wearing the pants I already have. Then I like to give myself a high-five and sing a few rounds of my battle chant: No new pants! No new pants! No new pants! NO NEW PANTS!

If there’s anyone else out there that’s had a similar yo-yo diet approach to their weight in the past and is currently on the heavier end of things right now, I hope you see my post and feel encouraged to start your next attempt at being a healthier you. We’ll all be comfortably sitting cross-legged in our jeans with the fly done up all the way in no time!

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Those of you who grew up being overweight, do you think it contributed to your personality?

I've been overweight since I was around 10 and I know in this decade my weight has affected many decisions such as trips with friends (I didn't want to go to the beach with all of my thin friends), hobbies (I didn't join dance lessons because I was ashamed of my weight and I'm also clumsy so I thought I would humiliate myself) or the clothes I wear (I've always wanted to wear crop tops and cute dresses but I wear oversized T-shirts instead).

But lately I've been wondering if it has also influenced my personality and has made me more shy, as I tried to hide myself, or less confident not only in my looks (which is kind of obvious) but I also thought I was less funny, interesting or "charming" than my skinny friends because the boys always had crushes on them and I was just the friend they would ask advice to.

What's your experience with this? Did you overcome some of these issues? I'm currently in the middle of my weight loss journey and overall I've lost 15lbs. 30 more to go, though.

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