Anyone starting / or currently with a BMI over 50

[Cakesandcookiesnomore]

I'm just looking to chat with others who have a lot to loose .
It feels daunting,and it's going to be expensive.
I'm currently week 3 on monjroro

@Cakesandcookiesnomore Those basic food courses sound very patronising!
That’s good that you have felt that full feeling finally, I find it’s like the feeling after Christmas dinner and then wonder how I’m going to fit any more water in, its bizarre isn’t it.
I’m not suffering from any tiredness, if anything I’m sleeping better than ever, getting some weird dreams though.

I’m like you, probably need to lose half my body weight, I’m 5ft 2, that would put me at around 9 stone. I don’t ever remember 9 stone! I must have been 11 years old or younger, I’d be ecstatic with 12 stone at the moment. My first goal is 16.
ive lost and then regained 4 stone a few times, it’s so hard. 5:2 fasting suits me, but I maintain on it (pre MJ) and I think that’s now due to the menopause (I’m 57).
I was both terrified and excited for the first jab, you’ll take it and wonder what all the fuss was about! And a 2.5 stone loss is amazing
Be careful not to drop too low on your calories, as once you lose a few stone you may have to drop calories again, it needs to be sustainable (but that’s why I love 5:2 fasting)
Good luck!

@Cakesandcookiesnomore wow that sounds like an awful experience to go through!

Im on ozempic so Im not sure if my experience will help at all, but have been on 1mg for 4 months now and while I am snacking a little, I do still have a reasonable amount of appetite suppression. I cant manage an adults meal from a restaurant or kfc etc, I get full quickly and the food lasts me for hours and hours, unlike before when I wouldve been eating every hour or two (even if just a couple of biscuits).

I'm focusing on increasing more nutritionally helpful foods, but in a really slow way. Im ridiculous, but after decades of dieting if I try and include food because its healthy and will help me lose weight, my brain automatically rejects it and I avoid it. Where as now Ive started including fibre because its healthy and itll help me avoid tummy troubles, my brain accepts it as a positive - no idea if that makes sense to anyone else!!

I am now on day 5 and have worked out I’m eating roughly 600 calories today. I am not deliberately restricting what I eat but I am avoiding foods I know I overeat (crisps, bread etc). I’m not finding I am needing effort to avoid them though, I just don’t feel I want them right now even though I think of them often. That doesn’t make as much sense as it does in my head so hoping you get the gist.

Anyway, this evening I had some Graze protein crunch (about 30g) and my usual Greek yoghurt, strawberries and granola (300 calories). I had a fist sized portion of stir fried veg and 3 cherry tomatoes for lunch and now I am feeling a bit nauseous for the first time.

Those who have done this a while, what would your advice be? Is there something I could eat that isn’t big but would help the nausea? I’m drinking loads.

Thank you

@OliviaFlaversham 600 calories is low. If you stick at that you will need to take supplements of vitamins and minerals.

I have had no nausea and I am eating what I did before just less. I am still eating some crisps. I am also burning over 1000 calories a day exercising.

Try some banana high in potassium and always cured my hangover nausea (back in the day). Saltine crackers. Ginger biscuits. Arrowroot biscuits. These all helped when I was pregnant with nausea.

What is your BMI? 600 calories is not something I could function on for 5 days 1 or 2 days but no more.

I agree 600 is too low (BMI was 50 Saturday morning when I weighed myself) and also I’m in this for the long term so want to make sure I’m setting up more sustainable habits. I had a few crisps on Sunday but not the nightly sharing bags (so embarrassed to write all of this!).

I am taking vitamins anyway but will try and add a banana or something similar into the day-it’s just that because even the extra handful of nuts today made me feel sick, I am now wary more. plus psychologically nervous that eating more when I’m not hungry will flip a switch and I’ll go back to eating everything.

I think about food a lot. Just not about actually making and eating it.

@OliviaFlaversham please don’t say that you are embarrassed by saying that, you won’t have eaten or done anything different to 99% of us here, after all that’s why we are here. My 36 year old daughter is a size 8, has never had to worry about what she eats, she’ll tuck into chocolate and crisps, but knows when to stop and certainly doesn’t feel guilty if she eats something that she shouldn’t. My 33 year old unfortunately is like me and has a weight ‘problem’ and does feel guilty when eating something on the self imposed banned list… it’s all so messed up and wrong.
I read (either on this thread or another) that someone felt guilty as they gave in to two crumpets. Crumpets aren’t something we should be feeling guilty about, there’s nothing wrong with them, why are we made to feel this way?
We have to try and ‘heal’ our minds and the way society has made us feel and think on this journey too.
I’m sorry that you feel like that…
On a brighter note, my go to if I feel queasy is bulgur wheat cooked in chicken stock with some cherry toms and cucumber, or dry crackers with some thinly sliced cheese

Thank you for being so kind and understanding. I watched a YouTube video last night of someone saying they had therapy whilst on mounjaro to address eating issues and guilt. I can see why!

Haven't read the new messages as I'm dashing out to swim .
But oh my goodness
I had an awful night
I still feel now as full as I did after my dinner .
I couldn't sleep with the awful full feeling all night .
I'm going to have seriously rethink what I have for dinner .

I'd be so grateful if anyone was willing to tell me approximately what they eat each day ,and especially for dinner .
It would be helpful to compare x

What time did you eat? Maybe you are backed up a bit?

Yesterday I ate,

8 am

1 egg, low fat cheese and onion potato tortilla.

11 am

banana

12 til 2 went to Gym

30 minute spin/ 40 min swim/30 min relax in spa

3pm

50g plain Crisps and 1 tbs sour cream dip

4pm

1 chicken wrap

5pm

blueberries, 1 small meringue half small tub chocolate hagandas ice cream.

530pm stopped eating.

Was hungry in bed but ignored it. Woke at 530 am this morning hungry but just had 2 cups of tea. Just had my breakfast at 8 am egg tortilla again, tinned tomatoes and small piece of sourdough toast. I feel like I could eat more but I am going to have a coffee and wait til 11 am then have a chicken salad then gym again at noon. Burger and oven chips for dinner.

Lost 2lbs my first week. Gained loads of psychological in-site though which I feel is just as important if not more.

I find fasting for 14 hours (no food after 6pm) helps me with not feeling full when I go to bed.

Hope you feel okay.

I aim for 1400 calories a day and I'm a lazy cook, so convenient food all the way for me. Breakfast is 45g of Alpen, lunch usually 2 bags of fridge Raiders (or 'real' chicken if I've cooked too much the night before), protein jogurt, babybel and a pepperami. Dinner is usually a lump of meat/fish (chicken breast, pork steak, salmon, tin of tuna), a bag of steamed veg and 150g of potatoes or half a pack of just add water flavoured cous cous. That gives me approx 1200 to 1400, so can have a protein bar or an alpen bar if I fancy in between x

I will start doing calorie counting from Monday just could not face it the first week.

Going to aim for under 1500.

BMI 41.4 today.

My typical midweek day would be:
Breakfast: greek yoghurt with honey, grapes, blueberries and chopped dried prunes, flax and chia seeds (helps with constipation)
if I’ve had a late breakfast I’ll skip lunch. If not…
lunch: a tuna pot (Mexican with corn and beans) with cucumber and cherry toms, or a cup a soup with some cooked bulgur wheat stirred in.
dinner: salmon with roasted new pots and veggies, chicken based or tofu stir fry or Thai green curry, I’ve got lots of ‘hello fresh’ saved recipes that I cycle through. One of my favourites is roasted cauliflower covered in panko breadcrumbs.
snacks would normally be dried apricots, pistachio nuts, cashews, depends what’s in the house. A mini Babybel cheese is also a quick satisfying snack

weekends I have bread as I miss it otherwise, so chicken or tuna sandwich and some crisps, maybe a couple of treat sized chocolate bars on a Saturday evening. Sundays are sensible but I’ll include a dessert of some kind but a small portion.

Yes that's the feeling..it's an odd one for sure

That definitely makes sense
It must be working well ,to of stayed on same dose for 4 months

That's a really balanced daily amount ,your well on the way with that ..

Gosh ,your all eating really healthy,that's brilliant and balanced.
I think I'm still a bit anxious that I'm going to go back to chowing down on anything and everything.
I haven't been eating any snacks ,and I never eat breakfast.
Lunch is bread sticks and 2 dairy lea vegan dunkers or a salad sandwich
Dinner is a salad ,two small pieces of vegan fish ,and a small jacket potato with a bit of vegan mayo..and sometimes a pot of manderins
Comes in around 1300 a day .
Unfortunately I'm not good at varying my food ,so that will be every day untill one day I'm sick of it and I find something else to eat .
Being vegan ,I find protein a nightmare to fit in my diet 😫

Sounds like you are eating healthily too.

I am going to air fry some chickpeas with smoked paprika instead of crisps next week. I am always better on a Monday.

I am still having some naughty food just not loads.

So long as I am losing even half a pound consistently I will take that as a win.

I am aiming for sustainable changes I can live with for the rest of my life. I can tweak if I plateau but I still want yo enjoy my food just be in control more.

It's the top dose I can go on until I see my consultant next year, when he could potentially up me to 2mg but most people stay on 1mg as far as Im aware.

It is working relatively well just not as quickly as I had hoped! There's a post for slow losers I read before as well, quite nice to read of others not losing 7lbs every week! (Exaggerating obvs!)

I've tried that too ,it was ok .

Oh right so not like mj ,where you go up each month

Does anyone know if you can take antidepressants with mj .
I can't remember what they asked me when I first filled the forms in .
As I wasn't taking any then .
I've a horrible feeling I might have to ask my doctor to go on some ..ugh 😩.
Do you think it will be a problem

I'm pretty sure there's no problem taking the two, and the gp should be able to prescribe one that doesnt have a contraindication. Sorry you're feeling low. The injections can also cause mood swings/changes too so could possibly be that - but not suggesting you dont seek help if you feel you need it

Obviously you will need to consult your GP but on other threads posters have mentioned taking fluoxetine and sertraline (not together) so I am sure there will be a way forward. Sorry you are feeling low

There's a list here - https://bnf.nice.org.uk/interactions/tirzepatide/ - of the drug interactions you need to be aware of when you take Mounjaro. I didn't notice any names of common anti-depressants in the list but it'd be worth asking your doctor.

I hope that you find the treatment that works for you.