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and... this person now takes these last-measure pills forever? or here in the real world, do they use the pills to lose weight, and then maintain that normal weight forever with... perhaps a diet trick that works?

people who have to take last-measure medication usually don't stop eating when they are full. i know, it's weird to tell someone who doesn't stop eating when they're full, how to still maintain weight if they... don't stop eating when they're full. i'm a weird guy with ADD and get side-tracked easily. I got an appointment with the florist about that next week, hopefully he can recommend a medication.

yes, a doctor will not tell you diet tricks. if you are asking your doctor for diet tricks, we need to step back a minute. when you're done grocery shopping at jiffy lube, drive home, sit down, and carefully read this link.

this is what a doctor is. a doctor will give you general health guidelines, but knows very little about diets. https://en.wikipedia.org/wiki/Physician




Obesity is often a chronic medical condition that’s not solely controllable by willpower. There is no difference between taking pills for treating obesity as a chronic condition vs any other chronic condition, like type 1 diabetes. Decades of treating obesity as a personal failing have resulted in worse and unsustainable health outcomes.

And again, you are being far too presumptuous about OP’s interventions. And I certainly don’t know what this business about ADD appointments at the florist or grocery shopping at Jiffy Lube you’re talking about is.


I suspect a chat bot, maybe not got-4, but maybe Bard? It’s close, but there was no point and the references were off but weirdly close. Like florist could be psychiatrist.


I suspect someone who lacks social interaction in life, so does not understand subtle satire. Like a problem that could be solved by a florist. By talking to the florist, making friends with the florist, and having some bbq outings with the florist and her friends on the weekends.

but before one would do that, which may be an insurmountable long-term goal, someone should compare going to a florist for pills, to going to a doctor for making up diets.


I believe “grocery shopping at JiffyLube” is a reference to consuming oils in one’s diet.


>not solely controllable by willpower

so, would you say a solution to the problem that lets you eat as much as you want, so you don't have to use your willpower, be an appropriate solution to suggest? There is a difference between taking last-resort medication for the rest of your life, and eating apples.


Your experience is not universal. Many classes of obesity CANNOT be treated by “eating apples”. Don’t just take my word for it:

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5764193/ (2019)

  Substantial weight loss is possible across a range of treatment modalities, but long-term sustenance of lost weight is much more challenging, and weight regain is typical1–3. In a meta-analysis of 29 long-term weight loss studies, more than half of the lost weight was regained within two years, and by five years more than 80% of lost weight was regained (Figure 1)4. Indeed, previous failed attempts at achieving durable weight loss may have contributed to the recent decrease in the percentage of people with obesity who are trying to lose weight5 and many now believe that weight loss is a futile endeavor6.
Again, great that your regimen works for you! But a lot of these purely behavioral interventions are really not sufficient.


where in the world from what I wrote, did you get the idea that I was saying the obesity in all cases can be treated by eating as many apples as one likes. I also don't remember saying that apples are sufficient. I'm not taking your word, but you should take my words. Take my words with your eyes, have the brain process my words, and respond to my words and only my words. If you hear other words that your eyes do not see, don't respond to those.


People like you are the absolute worst to deal with when struggling to lose weight. I managed to lose 150lbs, and it had very little to do with will power, at least the way people like you mean it.

I had to reconfigure my entire life around it. I kept barely enough food in the house to meet my calorie target for the week. I once fell asleep while driving home from work and ran off the road because my blood sugar was so low. I spent 9 hours a week doing intense exercise and pretty much any time I wasn't doing that or working I was just sleeping. I basically had to have no social life, because socialization around here pretty much mandates large quantities of food.

Is something physically wrong with me? Probably, but good luck getting an American doctor to give a flying fuck. My thyroid stopped working when I was a child and it went undiagnosed for two years because doctors just keep telling my mother I was lazy. Ultimately a toll booth attendant diagnosed it because her dog had similar symptoms and my mother had to go full Karen to get the simple blood test to happen. American physicians are fucking useless.

Even treated, to this day I have to eat well under the caloric requirement that I "should" be eating and constantly feel like shit in order to lose weight, which makes me perform worse at work and apparently require 3-4 hours extra sleep every day.

I can guarantee you "willpower" people aren't doing that. Your body isn't fucked up and constantly demanding more calories than you need, so it comes easy to you and you probably just take any excuse to feel like you are better than other people.


I don't know how you can take a response that says "don't fight the willpower war, just give in and adjust your life so you don't need willpower" and interpret that as the polar opposite of what was written.

It is people like you who are the absolute worst to deal with. You take a specific example which probably does not not apply to your body, completely and completely twisted what was said so you can both be a victim and feel superior.

I specifically stated a diet that for a person who is working out a couple of hours per week, there is a way to constantly eat and minimize the caloric intake despite large amounts of food. I did not remotely suggest stuffing your face all day is a willpower-based solution to a thyroid problem.

I'm 5'11. In my early 30s, I was a 31 waist, 170lb, benched a full set of 400lb, ran cross country, and had 6% body fat. In my late 30s, I was a 34 waist with high blood pressure. I made the change in my diet, and a few years later, I'm a 31 waist, 170lb, normal blood pressure, and 10% bodyfat, and I eat as much as I feel like, just not whatever I feel like.

This is a solution for maintaining a healthy weight in an active lifestyle, that uses zero willpower, because my willpower is bad. This is not a solution for someone with a thyroid problem who needs to lose almost the weight of my whole body.

I don't know what it is with you and this other guy. You read very simple basic text, and you reply to something you've completely made up. It's like your brain paints a virtual world for yourself where you can feel constantly offended. No one's out to get you. No one's making fun of you. People are talking about something that clearly wasn't for you, so you inject yourself into the conversation so you can feel attacked. Stop that.


> I'm 5'11.

> In my early 30s, I was a 31 waist, 170lb, benched a full set of 400lb, ran cross country, and had 6% body fat.

> In my late 30s, I was a 34 waist with high blood pressure.

> I made the change in my diet, and a few years later, I'm a 31 waist, 170lb, normal blood pressure, and 10% bodyfat.

Your enormous transformation was gaining and losing 3 inches on your waist over the course of a decade or so? WOW! Thank you so much for taking the time to share your perspective. That's incredible. Honestly it's amazing to be inspired by someone like you who has been able to manifest such a huge change from exertion of willpower alone. Reminds me of this video: https://www.youtube.com/watch?v=lsSC2vx7zFQ Let me know what you think about it!

They talk about how if you want success, you need to treat it like the air you breathe, that once you want something as bad as you want to breathe, then you'll finally get there.

Huge respect for your personal transformation, and the insane willpower you channeled to lose 3 inches of your waistline over the course of a few years. Being able to drop one whole pant size is simply incredible.


I’m hopeful that it’s more like 3 months out of the year. Looking back over the years, I’ve gained roughly 5lbs/year since I hit 30. Now in my late 40’s, during Covid, it seems like that went to 10lbs/year. The first 3 months on mounjaro, I lost 20lbs, so that cycle should be sufficient. I’d stay on it permanently, if it weren’t for the $1200/month.


Here's something I tried that's a 5-year max type of solution. If my suggestion for "stuff your face with fruit" isn't for you, maybe this is. If you absolutely Have to eat fatty foods, there's Alli. It clumps about 1/4 of your fat intake into large balls, so you poo it out. For small weight gain like yours, perhaps it's enough reduction to maintain current weight. You can't take it longer than a few years, because you'll have vitamin issues. Oil-soluble vitamins dissolve in the clumped fat and don't get absorbed.

I tried this a few years before going with my "apple diet." It works, but my bloodwork after a few years said I need to stop. There is a catch. The first year, you Cannot pass gas. That clumped oil that comes out, comes out very easily, and unfortunately Alli makes you gassy too. This side-effect goes away in about a year if you power through it.

Not a dietician or a doctor, but perhaps your mounjaro treatment can be cycled with Alli (cheap, OTC) every few years to save some cash. Invest in a large bottle of Dawn dishsoap. Put it in a spray bottle and spray the bowl after you do your stuff. You'll have to, just trust me.




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