Sunday, September 10, 2023

Keeping weight off after wegovy? For those who gained from depression.

I’ve read that most gain back weight after wegovy, what I’m wondering is if anyone in a similar situation to myself can offer advice.

I was always chubby but never obese until my late teen years. I lost all the weight without any drugs and kept it off for about two years. I was wandering if the fact that I only became obese due to depression and have been able to maintain a healthy weight means I might successfully be able to come off the medication after weight loss?

I’ve read that most people gain it back- but is it that they’re going back to bad habits or does going off just make it come back no matter what you do? If you actually maintain the correct number of calories you need to stay at your weight will it stay off? I can be very active but this weight is holding me back, I know I’ll be moving a lot once I’m lighter. I’d like to mention I’m physically pretty strong and now that my depression is managed I’ve been roller skating a lot and I’m starting roller derby soon.

Any insight would be extremely helpful.

TLDR, is regaining weight 100% inevitable or exercising and maintaining proper diet actually work?

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Saturday, September 9, 2023

Weightloss vs ED

TW: eating disorders

Hi. This post is definitely a rant and there are things in it that are above reddits paygrade. So read if you want, I'm just venting.

33 f 5'6 start: 246lbs goal: 130-140 current: 170

I want to start by saying I love my body. I did not love my body at 246 pounds. My knees were giving out, I never had energy, I hated looking in the mirror, none of my clothes fit, I didn't feel sexy or attracted to myself or want to be involved in sexy times with my husband or myself. I started loving my progress and feeling better around 210, getting down to 199 felt amazing. I'm continuing my journey because I've been skinnier before. When I was partying and carrying on a lot in my early 20s I was 115 which I know was not any healthier than 246 but I looked a hell of a lot better. I am aiming for in the 130s or if I feel like maintaining at 145 that's fine too. I maybe need to talk with a doctor about a good goal weight, but I'm not worried, I'll know when to start maintaining.

Let me start with my sister. In 2006ish my younger sister was hospitalized for the first of many times for anorexia. She's been in and out of many many many programs over the last 17 years. And for the last 2 years she's only been home for 3 months. I've come to terms with all of this over the years and I offer support and sisterly love as much as she will accept. We don't have the closest relationship, there's no hate, but we just never got the opportunity to bridge the gap between bickering kids and close sister adults. Mostly because of her treatment and some don't allow access to cell phones/internet.

Back to my weight journey: My weight has always been skinny, my whole life leading up to my freshman year of college, I have always been a twig. My senior year of high school when my sisters stuff really started i went from 120 to 130. Freshman year of college (2008) I went from 130 to 175 between August and May. Lots of beer, lots of late night snack runs, pizza, cafeteria food and not knowing how to choose healthy foods for myself since my parents always did that for me. Between freshman and sophomore year of college I swam a ton, and ate healthier. I went from 175 to 145 in about 3 and a half months. Then between sophomore year and senior year I was slowly back up to 185. My second senior year, I started running. Making healthier food choices and then unhealthy choices like intentionally drinking so much that I threw up all the alcohol calories. Skipping meals and going to bed starving. Not a good way to go about it but I reached my goal of 120 in 2013. After college I got into more partying and I was jobless and homeless (but kinda popular wink so I always had a place to stay one way or the other.) That's when I dipped down to 115 (2014). Realized this life wasn't sustainable and had a few friends sort of intervene me. So I put down the partying and gained a little weight. I was probably 130 pounds when my ex model/coke dealer boyfriend told me I looked like I'd gained weight. I lived right next to a Wendy's and went every day. Then I started working at a cheese shop. So it's 2016 and I'm 170 pounds and I meet my husband. He's larger and we are happy so we eat good food and hang out and get married and then all of a sudden it's january of 2023 and I'm 32 going to physical therapy for knee problems because I'm obese. February I kick it into gear and here I am today, down 76 pounds.

If you're still with me, thank you so much. Here's the actual rant:

My parents never comment on weight. They've seen me at 115, they've seen me at 246. They never really commented on weight when my sister and I were younger either, always encouraged second plates at dinner. My mom didn't say anything when I came home from college after my freshman 40. They've never been those parents. My sisters eating disorder comes from other mental health issues and trauma. My parents have been very encouraging of me through this recent weight loss. My dad has bought me 2 new pairs of shoes for walking and my mom was the first person to notice I was losing weight (I know I just said they don't comment on weight but she did when I lost 30 pounds at the start of thus year) Yesterday I was walking with them and I mentioned that I took my dog on what I like to call a "choose your own adventure" walk on thursday. I basically just follow her. She's 2 so she has a ton of energy and it ended up being 6 miles. Now for the record, and you can check my fitbit app, this is the first ever 6 mile walk I've done. The longest before was 5 miles and that was a few weeks before. I usually aim for 2 to 4 miles once or twice a week and at least a mile or 2 just for a regular daily walk. Part of this comes from my sister walking for very long walks every day and complaining in treatments when they dont let her pace or walk around. But my dad said something that caught me off guard. "We have one daughter with an eating disorder, we don't need another one" and then my mom chimed in with "yeah what's your goal, are you going to be able to stop dieting when you get there?" And I know damn well that both of these comments come from a place of trauma from the 17 years of my sisters struggle. But I am so offended. First of all I had disordered eating at 115lbs and they never said anything, and I had disordered eating at 246lbs and they never said anything. This is the healthiest I have probably been in almost 2 decades and the most rational I've ever been about feeding myself and exercising. I really try to not go into it because it makes me angry but I think part of the reason I started eating so much before and during college was subconsciously driven because my sister wasn't eating and I was trying to eat and set an example. I am not at all concerned about my weight loss journey. I don't have a goal in mind, but I already have stopped logging calories. I've developed healthy habits over the past 8 months. I'm sure that I won't have any issues when I get down to 140 or 130 or whatever. I'm not worried. I honestly don't care what the final range is. I just want to stay there when I get there. I know I can't reassure my parents because they'll probably still be worried. And I can't just say I've struggled with eating disorders too because I think that will worry them more. I just want them to know that this shouldn't worry them. I guess the best thing I can do is let them have their worry for me and just mind my own business and keep doing what I've been doing and when I get to my goal range, stay there. I mean at this point I've lost almost a third of my body weight. So I'm sure it's shocking. They've also been gone most of this summer so yesterday was the first time I've seen them in a couple months.

Anyway, thank you for reading I don't even know if I should post this essay. But it did feel good to type it out and I feel more at ease now. So thank you already for listening.

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Really discouraged right now and I dont know what to do

22 year old male, ~285 lbs. I started calorie counting with Lose It! two weeks ago and have been consistently going to the gym to do treadmill things (apple watch says I burn 1000 active calories doing that, but that sounds unbelievable. The treadmill and lose it say its closer to 500). I felt super good about myself, like this is going to be the successful attempt I make at weight loss. Then, of course, I had to see all the stupid research on the stupid problem of maintaining weight and I want to give up because of it.

Basically everything I've read says that after weight loss, ghrelin and leptin production go up, and more importantly stay up WITHOUT GOING DONE. EVER. So as far as I've been told, if I were to lose weight I'd have to be hungry basically for the rest of my life, and I do not have the willpower to do that I think. I want to, I want to finally feel good about myself, but all this is super discouraging.

I'm hoping someone here has some good news, and that it's not actually all fucked, or that despite the difficulties, it is possible to keep weight off for good. I don't know what to do. I really wanna abandon all hope right now.

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Tracking perimenopause and its effects on my personal TDEE

Stats: 5’6ish (167cm), 48F, currently 171lbs, 33lbs lost

I have terrible hot flashes and night sweats. Due to family history and personal history, I am running out of medications I can safety take. Which means, at times, I frankly suffer. Thankfully, my symptoms are such that I go through waves, so I get stretches of relief. I noticed that my weight loss radically changes during those periods, so I decided to track calories for the last five months in a TDEE adaptive calorie app to see what those changes were. (I hadn't tracked calories before, because I was overall fine with my slow weight loss, but I decided to to help track how hot flash phases of 4-6 weeks meant very little weight loss compared to "normal" for me).

For those who don’t know, a hot flash can be a short or longer period of hotness, obviously, but some people also get adrenaline surges with it (physically feels like a panic attack, except you’re mentally absolutely fine). Some get nausea with them. Night sweats are when they happen at night, obviously, but can be mild (where you just need to remove a blanket from the bed) to severe (where you have the AC on 16, the overhead fan on, no blankets, and you still wake up 2-3 times a night having to change the sheets because they are soaked through with sweat).

Average “normal” TDEE: 2289 Average “on fire” TDEE: 1971

Steps average “normal” 9427 Steps average “on fire” 7594

Average calories “normal” 1779 Average calories “on fire” 1882

I don't do strenuous exercise or heavy weightlifting. I walk, garden, and do physiotherapy-prescribed strength and very light weight-based exercises.

This turned out to be the biggest shocked for me: my TDEE drops a lot when the hot flashes and night sweats are really bad. My steps are lower during those weeks, but not shockingly so. I started to journal and make note. I discovered a few things.

  1. I have significantly more migraines and headaches during hot flash phases. Understandable, but in discussing this with my specialist, we realized I am extremely dehydrated. Drinking 3.5L of water turned out to be pointless; I needed salt. Which was why half a family bag of chips could get rid of my headaches and literally nothing else could.
  2. I did significantly less chores during this period. It makes completely sense. I get an average of 5.25 hours of sleep during these phases, as opposed to 8.15 hours (according to my Garmin). The insomnia is brutal during this phase. I’m exhausted.
  3. I am significantly hungrier. Sometimes to the point of nausea.
  4. I watch significantly more TV and play more video games during these periods.

The calorie uptake isn’t that high, overall, but I am miserable during these phases. I came to realize it’s nearly all NEAT-based for me. I am moving less. My step count isn’t that reduced, sure, but I’m gardening less, I’m doing fewer chores, I’m laying down more than sitting up or standing up. My entire body moves significantly less.

So here’s the actions I’ve taken, and they honestly help.

I moved to using electrolytes meant for backpackers, and that helped significantly with the headaches. I drink 500mL with breakfast. I also make homemade broth that is in ice cube trays in the freezer, so that I can pop one into a mug and add boiling hot water when I cannot sleep (so, instead of tea, salty broth). This greatly reduced the hunger and headaches.

If I am awake from insomnia, I do some light chores, such as washing a sink of dishes, tidying the countertop, or bake three months worth of cookie platters and storing them into mix and match containers, don’t look at me like that we’ve all done it.

I set my Garmin to alert me to move which buzzes every hour of sitting around, and I do a 5-10 minute youtube stretching video (I really like fabulous50s youtube exercises and Bob and Brad’s channel. They’re all gentle, safe, and don’t exhaust me).

Strict sleep hygiene rules. The bedroom is now only for sleep, sex…and sorting the laundry because it’s the easiest place to do it. No laying in bed on the phone. No watching TV in bed now. If I am not asleep within 20 minutes, I get up and do a light chore.

With these changes, I found my weight loss re-stabilized around 2.75-3.25lbs a month (the goal I’m comfortable with) and I am not nearly so miserable.

I hope this is helpful to some of you. Also, please talk to your doctor. For most people, there are a lot of solutions.

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Any idea what I should be doing?

Hello everyone,

I'm honestly feeling very discouraged and disappointed at the moment and I can really use an advice.

I'm a 29 year old male, 5 ft 11 and now back at 255 lbs.

I would give myself a pat on the back and say I had a pretty good weight loss journey but now it looks like everything is going down the drain.

Back in February 2019 I was 320 lbs, that's when I started my weight loss journey. I followed a strict low calories diet where most my consumption were salad, grilled meat,chicken, fish and some fruits. With the help of some light physical exercising (mostly walking) I reached 240 lbs by July 2019 and that's when I stopped losing weight (I took into accounts that my body is lighter and needed less calories) and nothing seemed to help until I started low carb.

Buy the beginning of 2020 I was down to 200 lbs that's when I thought I can go back to eating normally. Still being mindful of my calories intake and taken into consideration the water retention I was back to 240 lbs in 5 weeks.

So I went back on low carbs took me another 6 months and I was sitting comfortably for 2 months at 190 lbs while still on low carbs.

I guess you can see a pattern by now, I would ditch low carb gain 20-25 pounds in weeks then go back on low carb and lose them in a couple of months.

Well that isn't working anymore. I was constantly on low carb diet and calories deficit I was keeping check my ketones levels and I was indeed in ketosis but I'm not losing any weight.

I broke my low carb diet because I've been planning on doing some tests and gained even more weight.

Any advice if I should see an endocrinologist or any other type of doctor and what tests I should make?

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Friday, September 8, 2023

My experience with 1200 calories and why I won’t go back

Hello! 21, 5’4, 130-ish lbs, gw is 120-125 lbs.

A few weeks back, I started struggling severely with fatigue, muscle weakness, feeling hungry (I wasn’t hungry), headaches, bloating, nausea, much more medical issues, and ultimately stopped losing weight. I was eating roughly around 1200 calories a day and rarely went over. For reference, my BMR is 1450-ish. I was losing weight at first, but it started getting so bad that I had to cut my walks, workouts and such short and had to start taking more rest days. I counted macros and ate very balanced meals, so I figured it wasn’t what I was eating but the amount I was eating- so I upped it to 1300, 1400 and ultimately 1400-1500 calories which is what I am currently eating now. On top of that, I stopped working out as much. I would be able to do 10k steps a day alongside pilates and light weight 3-6 times a week, which turned into half the amount of steps, and yoga every other day.

I made a post here about plateauing- and I got a large amount of comments to go get vitamin testing which came back today.

I am both severely dehydrated and somewhat malnutritioned.

My heart wasn’t healthy, and my kidneys weren’t thriving because of my food and water choices. I don’t need to drink more water, but I need to drink smaller amounts of water more often throughout the day. I need to be consuming more food, more water and taking better care of myself. I had such a strong urge to get to my goal weight, which I sat at in March before gaining weight over the summer that I didn’t think that consuming 1200 calories a day could hurt me like that.

This isn’t advice, and I’m not here to scare anyone out of that diet. It didn’t work for my health, but it may work for some people. But I do not see enough posts here about how 1200 calories a day can make weight loss harder- which for me, it did. Even if 1400-1600 calories a day is slower and less rewarding, it will be more fulfilling and medically sustainable for me.

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Introduction and end of journey

Hello all. New to Reddit, if I'm doing it wrong, just let me know. I have a few questions, thought it would be better to introduce myself first.

49yo male, 5'4" 260lb(est) sw, 148lb cw, 145lb gw. I estimate 260 because once I saw 248 on a scale I didn't step back on one, my clothes got tighter after that weight in. Up until now, I have always been overweight. My family just did not have realistic weight goals. I would diet in the past and be able to lose weight, but not keep it off. At my lightest, which was 25ish years ago, I was 190lbs and was a nationally competitive motorcycle road racer. Have always been active and a gym goer with good muscle mass. Food has been my issue. Have always known what healthy and unhealthy food choices are. Always had to be full after a meal, and that was my crutch. I would dress to hide my weight. Didn't really care what it was, just as long as a roll wasn’t hanging out, or my tits didn’t pop too much. I wore XL shirts and 36 pants(should have been 38)on my hips. Would not have ever dreamed of wearing pants at my waist. Now I wear smalls and mediums and 28/29" pants, actually at my waist.

Its 2021 and I just went through the worst time in my life. Lost my business of 5 years I built from scratch, along with just about everything else I had built. Savings, retirement, credit all gone. Once my doors where closed, and I was prepared to move on, my dog of 11 years, my sister was his breeder, passes suddenly, in a matter of hours. After getting my head straightened out and back on, started to get a plan together to move forward. To top it all off, I had ruptured my right ACL and couldn't get it fixed right away(eventually did, 18mos later). Wanted to get another dog, but without an ACL I was limited on activities. I like to play hard with my pups, so I started to think a dog wasn't the best move. Then, a thought, I'll get a 3 legged pup. They should be a little slower. Started my research on care for a 3 legger. One of the biggest things is keeping their weight in check. This somehow flipped a switch in my head. I was willing to do what it takes to keep a dog healthy, but I wasn't doing it for myself. Problem targeted, now had to figure out how to fix it. I started learning about nutrition, how your body processes different foods and the food industry in general. If your not aware, food labels can be off by 20% per the FDA. Because its HARD, cmon. If they are in it to make money, they are most likely not your friend. Any food that is not clean, I add 20% to its calorie count. I started asking doctors recommendation. Just about all doctors recommend a low fat diet. Me: what is a low fat diet. Them: Just eat low fats. Me: FDA recommends 78g per 2000 calories, should I eat less than that? Them: Yes Me: So 5g of fats or 65g of fats. Them: just eat low fats. Thanks! Started my own path for weight loss. In previous weight loss attempts. I was eating healthy food, but eating too much and at the wrong times of day. I always had to be full. Even if my planned meal didnt make me full, I would eat a little more of what I had portioned and that was enough to halt weight loss. I was also a stress eater and ate late at night.

I got my plan together around Jan of 22. I went through a mental transformation how I thought about food. It was no longer to make myself feel better, it was no longer a treat or a gift to myself. It was to fuel my body, exclusively. Somehow also complelty reversed the stress eating to not eating. I don’t understand why, but I lose my appetite and don’t get any headaches to trigger me to eat. Thankfully i dont stress long. I started a high fat, low carb diet. Did not exercise at all during the majority of my weight loss, it was all diet control. Didn’t have an ACL, remember. I was eating around 1600 calories a day. The only macros i worked on were fats and carbs. Fats were at least 80g a day and carbs were as little as possible. This worked great for me from 260 to 175. Once I got down to 175, I just stayed there for a couple months getting use to the changes. Figuring out how to dress and wishing it wasn't sooo dang cold at 70 degrees, lol. My thermal management is screwed. I used to sit without a shirt on in 68 degree weather and sweat. Now if its 68, I’m in a hoody and sweat pants. Now I keep my place at 75 degrees, can sit outside in 90 degree temps without sweating. I was very active at 260, I’m a wildman at 150. Thought it would be a good idea to get my ACL reconstructed. This was the test. Recovery is 3 months of sitting on your ass. Stuck with my eating habits, gained 3 lbs. Was extremely happy my new mentality works .
I am now at 148lbs with a goal of 145lbs. The last 25lbs have been a different path. It wasn't harder, just a change. I went up to 1700 calories a day, brought in more protein, less fats and more carbs. I would do easy light workouts after my ACL reconstruction. I am just now starting to be able to lift weights to build muscle again and do long cardio work. At 260, if someone asked me to pick my real body type from a lineup. I would have never picked this.

Still dont know how I will react when I do see 145lbs It will surely be an emotional day. My current challenge is staying focused on healthy loss and not just doing a hard cut so I can see 145. I had to learn how to dress at 49. I still remember the first double take I got from an attractive woman. Have no idea what to say, but at least it’s a start. 260lbs and 5'4 gets alot of hard no. I'm a different person now. Thankfully I didn't beat myself up for taking so long to figure this out. I have a sense of pride and accomplishment that I did not know could exist. I REALLY hope everyone reading this will have, or already has this feeling.

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