Tiny weight loss on Weygovy.

[MissHalloween]

I’m positing this in my behalf of my DH. He started Weygovy around mid May and has only lost one kilo. Around the two month mark he missed a couple of weeks due to a holiday (he didn’t want to take the equipment abroad) and had to start from the beginning on 0.25 mg. He’s now on 1.7 mg and I believe he will go on to 2.4 ish in a few weeks which is the maximum dose.
He has only lost one kilo, is this normal as the strength of the dose is building up? It seems a lot of money for not much of a result at the moment.
Thank you for reading.

Is he tracking what he's eating and definitely eating in a calorie deficit? So around 500 calories less than his TDEE. Has he increased his activity levels, and is he experiencing any appetite suppression, feeling full on less and feeling fuller longer?

He’s said he feels slightly less hungry, he already does loads of sports and is active. I haven’t seen any evidence of eating less or calorie tracking etc.

Is he obese?

Well, the medication doesn't produce weight loss on its own, it produces appetite suppression etc which enables you to stick to a lower calorie diet.

He really needs to spend a week scrupulously totalling his calories and seeing if he's anywhere near a 500 cal deficit per day. At that level he'd lose 1 to 2 pounds a week, or about 0.5 to 1kg.

Is he obese

Yes his BMI is 34

Well, the medication doesn't produce weight loss on its own, it produces appetite suppression etc which enables you to stick to a lower calorie diet.
He really needs to spend a week scrupulously totalling his calories and seeing if he's anywhere near a 500 cal deficit per day. At that level he'd lose 1 to 2 pounds a week, or about 0.5 to 1kg.

Thats what I thought, I think he thinks the medication will do all the hard work.

He should have had supporting information form wherever he's getting it prescribed from that explained that to him. He does need to manage his own diet and not assume that feeling slightly less hungry will have any long term impact.

It sounds like he's not interested in losing weight

It sounds like he's not interested in losing weight

That is what I think to be honest.

I'm on Wegovy. It is slower than mounjaro. I've only just started but down a kilo in three days. I'm using nutracheck to log my food. It's an eye opener. It gives breakdowns too, fat sugar etc. £26 per year.
The drugs work on dopamine levels so it's a bit odd he's still eating the same. I struggled on a second half of a sandwich today and I'm bmi 32. Not a skinny.
He's wasting money if he won't take this seriously but tbh if you read the threads people are doing some scary shit with these drugs.

The drugs work on dopamine levels so it's a bit odd he's still eating the same. His food intake looks the same to me than before, still around six bottles of wine per week and chips every day. I’m not going to say anything as he’s using his personal money for it, it just seems a waste of an opportunity to lose weight.

So he's spent upwards of a grand losing 1kilo? Is he ok?? Of course that's not normal and some people may not respond to wegovy but most people wouldn't keep paying for it!

If he's still eating the same then of course he isn't going to lose weight. I will say though I found wegovy didn't work for me but mounjaro really does.

I think I'd have to say something to him. It is odd behaviour, to spend that much money and then not do anything to actually help himself. It sounds like it isn't working for him at all, if he can eat fatty refined carbs like that daily and drink daily bottles of wine.

I think his prescriber will stop his prescription if he hasn't lost a reasonable percentage of his body weight in a specific time frame so he may eventually be forced to stop the pointless spending.

I think I'd have to say something to him. It is odd behaviour, to spend that much money and then not do anything to actually help himself. It sounds like it isn't working for him at all, if he can eat fatty refined carbs like that daily and drink daily bottles of wine.
I am biting my tongue and am not sure whether to say anything or let him figure it for himself. I lost a lot of weight last year by eating less carbs and he keeps saying how well we are both doing. I haven’t corrected him and said well I’ve done well, I don’t want to hurt his feelings.

He needs to switch to mounjaro

So he's risking kidney issues for no reason? I'd be giving him a bit of shit right about now tbh

6 bottles of wine indeed.

That's crazy. I lost 20lbs in 6 weeks with a start BMI of 27 with mounjaro. (Have medical reason to be able to take)

He's just wasting his money!

Thank you to everyone for responding, I guess I was just checking in case people had found they lost no weight and then when they got to the maximum dose they started to lose the weight. Deep down I knew you’d all say this didn’t happen and he should be losing by now but I needed to check.

Bloody hell OP. That is 60 units a week.

This is urgent. He is putting himself at serious risk of kidney damage or pancreatitis drinking so heavily on a GLP1. He needs to stop the Wegovy and get help for his drinking problem.

He needs not to drink six bottles of wine a week.

He sounds as though he has terribly disordered eating.