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Weight loss injections/treatments

Discuss weight-loss injections and treatments, including personal experiences. Mumsnet hasn't checked the qualifications of anyone posting here. You may wish to speak to a medical professional before starting any treatments.

Mounjaro / Wegovy with > 5st / 30kg to lose: Thread 4

1000 replies

VelociraptorsVelociRapping · 19/11/2024 13:29

Thread 4 (!) of this lovely community. Anyone using weight-loss injections to lose more than 5 stone or 30kg is very welcome to join us.

No discount codes, please - these need to go in the dedicated thread on this board and they will be deleted.

OP posts:
Thread gallery
31
Darlinghag · 25/11/2024 13:42

Looks right if your activity level is correct - I would be ruthless about that! I believe under 5000 steps a day is considered sedentary!

SilenceInside · 25/11/2024 13:52

If you look at the difference between "moderate" and "light" exercise it's about 300 calories, which makes quite a difference. I think I'd err on the lower side for activity level.

alwaysscared · 25/11/2024 13:59

Ok, will do. But I am burning over 500cal a day, everyday. But when I'm not doing my exercise, which is about 55mins a day, I am pretty sedentary.

Snozzlemaid · 25/11/2024 14:00

I've been on 10mg for 4 weeks and for the last two weeks I've had one day of diarrhoea, so I think I'm going back down to 7.5mg for my next jab on Wednesday to see if it improves things. This is the first time I've had side effects.
I've got a work Christmas meal next week and don't want to be suffering then and I would like to enjoy it a little without feeling really full after one bite. So I think dropping down would be good for me at this time.
I just hope I still feel the effects of it.

SilenceInside · 25/11/2024 14:01

@alwaysscared how are you calculating the 500 cals burned each day? I wonder if that's accurate.

VelociraptorsVelociRapping · 25/11/2024 14:03

@alwaysscared if you have a look at these definitions I think you need to bring down your activity level for the purposes of calculating TDEE. ‘Moderate activity’ implies that you are actively up and on your feet for most of the day, in addition to your workouts.

Mounjaro / Wegovy with > 5st / 30kg to lose: Thread 4
Mounjaro / Wegovy with > 5st / 30kg to lose: Thread 4
OP posts:
alwaysscared · 25/11/2024 14:04

@SilenceInside I have a peloton. I do 45mins of cycling every day and 10mins of arms and light weights strength training. The peloton shows how many calories you have burnt.

alwaysscared · 25/11/2024 14:07

Ok, I've changed it to light exercise. This is what it shows now. Still seems very high

Mounjaro / Wegovy with > 5st / 30kg to lose: Thread 4
VelociraptorsVelociRapping · 25/11/2024 14:10

Are you on your feet for most of the day, @alwaysscared ? If not, I’d be inclined to put ‘sedentary’. I know that’s frustrating when you are working hard on the bike.

I wear a Fitbit and find the daily calculation of my TDEE very accurate.

OP posts:
alwaysscared · 25/11/2024 14:13

@VelociraptorsVelociRapping no, not on my feet at all other than when I am exercising. Will change to sedentary

Darlinghag · 25/11/2024 15:11

I dont think its high! My deficit is 1700 a day, and I am a lot shorter than you (and marked as sedentary!) and weigh only 6lbs more!

Darlinghag · 25/11/2024 15:11

And i am losing between 1-2lbs a week on average!

WeAllHaveWings · 25/11/2024 16:01

@alwaysscared Looks like it is the same site I use, I've attached their comment on what they consider the exercise levels to be. I put mine at sedentary as @VelociraptorsVelociRapping suggests and aim for 500-750ish below for 1-2lbs a week loss, then any exercise is a bonus. It is also good to know you have bagged some calories in exercise if you want to go out! As I am losing weight the deficit is getting less - so I expect the losses will eventually slow down.

Some weeks when suppression is high (it comes and goes) I still end up with less calories than I'd ideally like.

Mounjaro / Wegovy with > 5st / 30kg to lose: Thread 4
Carridoesntlivehereanymore · 25/11/2024 16:33

I just had my 7th 2.5 dose this morning and am so happy to be 1st 3lb down!! I started lurking here before my mj journey and couldn't quite believe just how many of you were reporting big losses so early on. And now I am, too! Still a long way to go but that's ok.

It's so helpful and reassuring to follow other people's journeys, to know that there are other people also following the same path and we're all working towards the same end goal. And to know that not losing for a week or two isn't a failure, just a pause.

KittensUnderTheDuvet · 25/11/2024 17:37

VelociraptorsVelociRapping · 25/11/2024 14:03

@alwaysscared if you have a look at these definitions I think you need to bring down your activity level for the purposes of calculating TDEE. ‘Moderate activity’ implies that you are actively up and on your feet for most of the day, in addition to your workouts.

Totally agree with this. Most people with desk jobs would probably fall under the 'sedentary' category, even if they manage to squeeze in a workout or hit a decent step count. The better comparison for 'lightly active' or 'very active' probably isn’t another office worker who’s just slightly less sedentary, but someone like a nurse, a shop assistant, a farmer, or builder.
I remember reading about a study that compared the health and weight loss benefits of doing a daily intense gym session after a day at the office versus being more active throughout the day with no extra workout (waiters were the example they used, I think). The (somewhat depressing) conclusion was that it’s really difficult to make up for a day of sitting around with just a couple of hours of exercise, no matter how dedicated you are.

@alwaysscared Those TDEE numbers sound really high to me. I’m no expert, but I did look into TDEE for myself a few years ago, and I’m pretty sure the general consensus was that most calculators are on the generous side anyway and, more importantly, way off for overweight or obese people.
The one you used asks for body fat percentage, which is definitely important since the calories you burn depend a lot on your lean/muscle mass. If you leave that blank, the calculator probably defaults to the average body fat percentage for a healthy-weight woman of your age. That’s likely to be lower than your actual percentage, which means it could be massively overestimating your basal metabolic rate.

From what I’ve read, the extra weight we carry (mostly fat, not much muscle) doesn’t seem to have a massive impact on TDEE. When I looked into this a few years back, I used a calculator which adjusted for obesity (unfortunately, I can't find it now). Even so, my TDEE only came out about 100–200 calories higher than it would have been at a healthy weight. I’m 5'11", put myself in as sedentary, and my basal metabolic rate was estimated to be somewhere around 1650 calories. I’ve no idea how accurate that actually is (and it’s definitely not an exact science), but it does line up fairly well with how much I can eat if I want to lose weight versus just maintain.

For me, it’s also very true that 'a calorie isn’t just a calorie'. If I eat the same number of calories but from different foods, I definitely lose more when the meals are low-carb compared to higher-carb ones.

On another note, I do wonder if the Peloton might slightly overestimate calories burned. Can I ask how fit you are or if you know your FTP? I ask because my DH's usual evening workout is an hour of cycling, and his tracker (a Wahoo Kickr) says he burns around 600 calories per hour. He’s a pretty keen cyclist with very muscular legs and a decent FTP. I’d imagine most women might burn a fair bit less than him. Of course, I don’t know if the Peloton or the Wahoo (or neither!) is more accurate, but it’s possible your estimated 500 calories might just be slightly on the high side.

NewbieMJ · 25/11/2024 18:38

KittensUnderTheDuvet · 25/11/2024 17:37

Totally agree with this. Most people with desk jobs would probably fall under the 'sedentary' category, even if they manage to squeeze in a workout or hit a decent step count. The better comparison for 'lightly active' or 'very active' probably isn’t another office worker who’s just slightly less sedentary, but someone like a nurse, a shop assistant, a farmer, or builder.
I remember reading about a study that compared the health and weight loss benefits of doing a daily intense gym session after a day at the office versus being more active throughout the day with no extra workout (waiters were the example they used, I think). The (somewhat depressing) conclusion was that it’s really difficult to make up for a day of sitting around with just a couple of hours of exercise, no matter how dedicated you are.

@alwaysscared Those TDEE numbers sound really high to me. I’m no expert, but I did look into TDEE for myself a few years ago, and I’m pretty sure the general consensus was that most calculators are on the generous side anyway and, more importantly, way off for overweight or obese people.
The one you used asks for body fat percentage, which is definitely important since the calories you burn depend a lot on your lean/muscle mass. If you leave that blank, the calculator probably defaults to the average body fat percentage for a healthy-weight woman of your age. That’s likely to be lower than your actual percentage, which means it could be massively overestimating your basal metabolic rate.

From what I’ve read, the extra weight we carry (mostly fat, not much muscle) doesn’t seem to have a massive impact on TDEE. When I looked into this a few years back, I used a calculator which adjusted for obesity (unfortunately, I can't find it now). Even so, my TDEE only came out about 100–200 calories higher than it would have been at a healthy weight. I’m 5'11", put myself in as sedentary, and my basal metabolic rate was estimated to be somewhere around 1650 calories. I’ve no idea how accurate that actually is (and it’s definitely not an exact science), but it does line up fairly well with how much I can eat if I want to lose weight versus just maintain.

For me, it’s also very true that 'a calorie isn’t just a calorie'. If I eat the same number of calories but from different foods, I definitely lose more when the meals are low-carb compared to higher-carb ones.

On another note, I do wonder if the Peloton might slightly overestimate calories burned. Can I ask how fit you are or if you know your FTP? I ask because my DH's usual evening workout is an hour of cycling, and his tracker (a Wahoo Kickr) says he burns around 600 calories per hour. He’s a pretty keen cyclist with very muscular legs and a decent FTP. I’d imagine most women might burn a fair bit less than him. Of course, I don’t know if the Peloton or the Wahoo (or neither!) is more accurate, but it’s possible your estimated 500 calories might just be slightly on the high side.

That is so helpful to read - thank you.

I don't count calories, but the lower carb intake completely resonates with me. I am so insulin resistant, that unless I eat no processed carbs, the weight stays on (regardless if I have a calorie deficit or not). I don't count carbs in vegetables, but stick to maximum 20g carbs a day.

You have also struck a chord on the exercise front. My seasonal (summer/early autumn) job is full on, on my feet all day, never stopping and in the winter time I am far more sedentary - this has coincided with my weight loss slowing down. Still coming down overall and I like the principle of lose weight how you intend to maintain it, so it is fine. I am enjoying being fitter and automatically am moving more and walking more, etc though, so there is that.

Love this thread for the insightful dialogue that I continue to learn so much from. Thank you.

InfoSecInTheCity · 25/11/2024 19:13

I always put sedentary as my activity level too, some days I may do more but I spend most of the day sat at my desk tapping a keyboard so I look at any exercise I do as a bonus rather than the norm. I'm also very easily swayed towards laziness so if I wake up and it's frosty or I'm tired I'm likely to skip the swim.

Right. Time to get serious!

Weight today is 184.3lb which is 13 st 2.3 lbs. I want to see a 12 on the scales. I cannot remember ever seeing a 12 on the scales, I was 11stone at 11years old and 16 stone something at 15 years old. I remember those weights from my first sign up to weight watchers and then needing an MRI.

This week I hit my 15% bodyweight lost goal.

So my next goal is to get into the 12 stone bracket.

alwaysscared · 25/11/2024 19:55

It's just so boring having to think about all this. Things at home are really bad with my poor son, and I cannot reach for my usual comfort, food.
Counting calories, exercising daily. I'm exhausted with it all, being a carer is so hard.
I know I need to carry on, because I need to lose weight and be healthy, but I just feel like giving up sometimes.

velvetseven · 25/11/2024 21:58

Upped my dose to 5mg now, after losing 12lbs on the 4 weeks of 2.5mg. I could barely finish a small yogurt this morning.
I've started to get the dreaded sulphur burps but worse I have developed a dreadful itchy rash on my legs. I only linked it to potentially being the Mounjaro after a couple of days of mad scratching, perhaps I didn't want to make the connection. For now I will carry on with the cream and antihistamines, I don't want to stop the jab, for me the biggest health risk is obesity, but I don't know if I'm thinking clearly about the risks. I'll let my prescriber know of course.

SilenceInside · 25/11/2024 22:01

@alwaysscared sorry to hear it's difficult with your son at the moment, and to not have your usual comfort is a tricky thing.

Could you maybe reduce the exercise a bit if you're feeling exhausted? Just for a week maybe.

VelociraptorsVelociRapping · 25/11/2024 22:18

I’m so sorry that things are tough @alwaysscared. What other things do you take pleasure in or comfort from?

OP posts:
alwaysscared · 25/11/2024 22:22

@SilenceInside I skipped exercise today, but I don't want to make a habit of skipping it really.
@VelociraptorsVelociRapping I don't really find comfort in anything except food, hence why I'm so fat and why life is so hard right now

peonym · 25/11/2024 22:34

Sorry to hear you're struggling @alwaysscared

Does your doctor know you're on MJ? I wonder if it's worth a consult just to explain all the exercise you're doing, the fact you aren't overeating and are on MJ and still not losing to see if they have any suggestions? It can be so disheartening I know. Hope you can hang in there

alwaysscared · 25/11/2024 22:37

@peonym I am prescribed MJ for diabetes, so docs know.
I am losing, I've lost 30lbs in 11 weeks, it's just slowing down massively, and I'm hungry a lot.

VelociraptorsVelociRapping · 25/11/2024 22:51

@alwaysscared we are here if you ever want to talk through that some more. All the best to you.

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