If you take weight loss drugs, how did you get them prescribed?

I am 5’ 2” and 190 lbs and I feel like I’ve tried everything. I ran every other day for a month and didn’t lose a pound. I started counting calories and after no change after a couple of weeks, I gave back in to bingeing. I seem to have an insatiable hunger that I can’t shake. I have high blood pressure and a fast heart rate and I’m worried that I’m prediabetic. I want a change so bad and I just can’t seem to do it for myself. If I ask my doctor for weight loss medicine, would she be inclined to give it to me given the info above? Is asking all I have to do? Or would I not qualify? Are there tests you have to do? I feel like it’s my last hope… Looking for advice about how to get the best shot at being heard and getting a prescription.

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Any tips on maintenance? (Potential TW, maybe ED)

I (23 M 6'2 SW246lb CW 175lb) started my weight loss journey about a year ago, cut out all alcohol (my biggest issue leading to weight gain), restricted my calorie intake to about 1500 a day, and got seriously into running and biking. Everything luckily went great. My goal was to get down to 185 as that's what I was all throughout high school and what I considered to be my "healthy" weight. I hit 185 about 3 months ago and was overjoyed and was very excitedly ready to bring everything back up to maintenance but then...I kept going, not intentionally. Bit of backstory, I never had any issues with my weight until college, I was always active and never had a troublesome relationship with food, ironically I spent most of my teenage years trying to bulk up for sports. College starts and now I'm drinking 12+ beers 3 nights a week for 4 years and my closest thing to exercise is cornhole with a beer in my hand. My diet became anything that costs less than 10 dollars a day and didn't require cooking (exclusively fast food and convenience store snacks). I promptly skipped the freshman 15 and went straight to the sophomore 70. Junior year I start tracking my calories and eating healthier thanks to a new job that allowed me to actually compile a shopping list. Of course I didn't factor in the drinking to this equation so the scale didn't budge. (A medical mystery in my mind at the time) I graduate and stop drinking and lower my calorie deficit even farther and the pounds start flying off. I get super into it (probably unhealthily so) everything in life started to fall under the umbrella of how will this impact the scale tomorrow. Which brings me back to now. I've stopped tracking my calories and have told myself I'm fine to eat whatever I want within reason and I do. I don't skip desserts anymore, I'm always game for a pizza night, and if I feel like having a breakfast burrito with every item you can find on a farm stuffed into I'm going to. But the scale keeps going down. I'm now the least I've weighed since I finished growing. Which is a pain as I'm trying to gain back th muscle I lost. Am I still subconsciously making calorie decisions? Should I start tracking again? Just looking if anyone else has struggle starting maintenance and if they have any tips.

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I'm very concerned about the sudden uptick in Ozempic and other weight loss meds like it.

I'm hearing more and more friends and family members using meds like Ozempic, Wygovy, etc for weightloss, and I'm becoming concerned.

For context: I started weightloss last year late, and my bf lost a lot of weight before we met and has been maintaining it. We're both doing it the old fashioned way. He has a medical condition, and I personally want to do it slowly to help preserve my tattoos.

This wouldn't be the first time prescription weightloss has become trendy, which is cause for concern in of itself. What also worries me is how so many people are being diagnosed with insulin or leptin resistance as a justification for this medication to be covered. Its making me wonder if its just a chronically underdiagnosed issue.

That being said, insulin resistance, while very real, has been a phrase used in crash diet advertising since Jenny Craig. There's also side effects to consider. My MIL's coworker had to seriously cut her dose because she was losing too much weight and was basically a walking skeleton. Also, wouldn't it be better to focus on preventative measures regarding insulin resistance?

Again, insulin resistance, leptin resistance, and other metabolic issues are very real disorders and of course require treatment. My concern is that people are going to seek out quacks for these prescriptions because it's becoming popular and get hurt, as well as drive up costs for people with diabetes who rely on these meds. I don't personally care how someone loses weight, I just care that they do it safely.

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Is my diet the reason I'm sleepy during the day?

With some occasional set-backs, I've been counting calories for about three years, and I went from above 80kg to currently 64 (I'm 159cm tall, 23F). Of course during that time there were months where I would fall off with my tracking but eventually I would restart wothout much damage. This year I decided to incorporate short 30min workout about 3 or 4 times a week along with 1400cal diet and if I walk (I often walk to my classes, 4 days in a week about 50min there and back) I add the calories I spent to My fitness pal. I am losing weight, slowly but steadily. However, I often find myself tired during the day. I sleep well, about 8h every night, my body even naturally wakes up at 7-8 AM every morning. Still, I feel very sleepy in the afternoon and I sleep again for at least an hour or two. My roommate thinks this is very odd as she doesn't at all feel sleepy during the day and she also exercises about as much as I do but she's not counting calories. At this point I do wonder if she's right. Before, I had worse sleeping schedule and despite that I felt fine during the day, this only started with the new weight loss routine. Is that really the reason?

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If we can't spot reduce, what does targeting specific body parts accomplish?

You hear it all the time, you can't spot reduce. You have to be in an overall calorie deficit to reduce body fat. So then what does doing ab workouts, for example, accomplish or what benefit is there if it won't flatten your stomach? I am currently on a weight loss journey and my stomach is one of the areas I am most insecure about. I haven't really prioritized ab/core workouts since I started working out last year, because I always was told that belly fat can only be burned by being in a caloric deficit. Have I been doing myself a disservice?

Someone please explain!

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How do I avoid loose skin?

Something that’s been worrying me for a while about losing weight is the possibility of having really loose skin. For context, I’m 18F and have about 70lbs to lose, possibly more depending on how I feel when I get closer to my goal. I don’t have the means to get skin removal surgery, but the idea of having it excessively discourages me. My mom lost a lot of weight and has a lot of loose skin, and it often gets in the way of her every day life. Plus, I don’t think I will like the way it looks on me. I’m willing to set a higher goal weight if it means having less loose skin. How much weight loss causes excessive loose skin? What are some ways I can minimize or avoid having it? It might seem vain, and I wouldn’t mind having a bit, but I don’t want to have so much loose skin that it interferes with my life.

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I want to give up

I weigh almost 200 pounds. I gained about 60 pounds from 2020 because my mom got diagnosed with cancer and I started eating to cope and my eating disorder got really bad. When I started gaining, I started to hate myself and I still do. I keep spending money on weight loss programs and healthy food but I end up going on a binge or just eating unhealthy to make up for how empty I am inside. I barely have the motivation to workout or go outside because I hate myself and feel ashamed. My confidence and self image has been destroyed. My mom passed away in last November and I have trauma surrounding her death that I am still coping/struggling with. I have been stressed since 2020 and I still am now. I feel overwhelmed with diets and workouts and weight loss conversations. I wish I never starting eating so much because I felt sad leading to my weight gain. I wish I was my weight in 2019; I didnt love my body then but at least I was at a healthy weight. I am scared I am going to form health problems. I am only 26 years old and i am afraid for my health and I feel like I have no self control whatsoever. I spend everyday thinking about what I am going to eat and how much I weight and what workouts I should do on top of being stressed and grief stricken. I feel like there is no hope for me. I don't even take pictures of myself anymore. I miss the old me and I don't like how food and weight controls my life. thanks for listening.

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