Sustainability. An outsiders question

[Itcostshowmuchnow]

I am curious what happens when you lose all the weight. If no lessons about adequate nutrition have been learned do you need to be taking these injections for life?

This forum is not for you! Off you pop is a good phrase. Being judgemental about a stranger's healthcare in order to make yourself feel superior is a nasty choice to make.

The amount of upset these drugs are causing some people is staggering. It just shows how utterly messed up about weight some people really are. I’ve seen so many threads on here where people do the bingo card.

I knew weight was a contentious issue. But not to the extent that it is for some individuals.

What I find the most baffling about this kind of smug 'question' (which has been asked a million times before on here) is the lack of critical thinking behind it.

The jabs don't change people's personalities. They don't simply turn a whole cohort from those who love sitting on the sofa with cake all day into people who suddenly love going to the gym and eating vegetables, yet we are all losing weight in a way we did not before when we implemented lifestyle changes alone (because, believe me, we've all done that). Other things are at work here.

Before asking this sort of question, maybe ask what changes when people take these injections. And then ask yourself why. Because that might lead you to conclude that there is an underlying cause to obesity that has nothing to do with ignorance or laziness.

I am starting to pity those posters who start threads like this. They need to find their clan on other forums.

I don't care a bit if the OP hasn't a clue about obesity, and good for her that it isn't an issue in her life. But you don't then purposely come on to a support forum for people with a condition you don't have and know nothing about and behave like a dick. There can be no purpose other than wanting to feel superior.

Do you do this on diabetic, mental health and addiction support forms too? Maybe they could do with your wisdom too. Just eat less sugar. Just pull yourself together. Just say no.

For OP's assistance: it's about why people with obesity eat more and why it's hard for them to stop. Saying people with obesity eat too much is like saying that someone with a broken leg isn't walking enough.

Well sort of but not because they don’t know what causes weight gain. Many obese people are incredibly clued up on exactly what foods are healthy and exactly what exercise they need to do. The thing is that we have bodies who fight us to death to try to get us to eat more and move less. There’s lots of scientific research on how the body will slow down to try to conserve energy and will issue stronger hunger signals to promote weight gain.

Saying it’s simple and just don’t listen to your body when it tells you it’s hungry totally misunderstands the issue. Imagine if I said to you “it’s simple, just don’t have a wee all day”? Your body would be sending increasingly strong signals to urinate and you can only ignore these for so long. Those who claim it is easy have usually not experienced the strong hunger cravings that obese people have.

I'm on mounjaro, prescribed as I am diabetic. Likely I will be on it for life.

The new WLI aren't simple appetite suppressants. They improve the way the body responds to food. T2 diabetic don't process food correctly.

But why does that matter? I'm already on other medication for life (excitable immune system). A tiny weekly injection which I barely feel is a small price to pay for losing weight and improving my diabetes symptoms.

I agree. It baffles me that someone like the OP would actively seek out the WLI forum to start a goady thread like this, suggest we know nothing about nutrition and then claim to know more about obesity than the WHO.
It would never cross my mind to start a thread about smokers assuming they didn't know the threat to their health and telling them to just quit. Or the MH forum to tell depressed people to just cheer up because I think it's a pretend illness (for clarity, I don't think this, I'm better educated than the OP).
What is missing on a person's life to go to a forum full of people taking positive action to improve their health and start threads like this to antagonise them?!

It's just good old fashioned trolling, I think

What is missing on a person's life to go to a forum full of people taking positive action to improve their health and start threads like this to antagonise them?!

I think some people have spent their lives depriving themselves of food and they are angry now that the greedy fatties are able to lose weight easily and without suffering. My MIL is like that. I’ve noticed that most of what she talks about is different people’s weights and also the various low fat products she uses. But if Susan down the road loses weight on WLIs then it’s not good because surely that can’t be good for her and surely she’ll pile it back on again because it’s not teaching her to control her eating. Despite having said umpteen times about how worried she is because surely all that weight can’t be good for Susan’s knees and how it’s not that difficult to eat less if you really want to be slim.

Agree.

it is always the same,

those who work hard to maintain a healthy weight and felt smug about it,over those they perceived to be fat. It was their advantage. Now the advantage is gone. They need to keep working hard just to be the same as the rest of us.

those who want the drugs and can’t get them, be they a healthy weight, overweight, or obese. And resent the fact others can.

what surprises me is the level of envy and resentment, the scale of it for some is off the charts, and it drives them to wake up and chose having a go on line.

in this instance the op appears to be someone so desperate to hold onto her smug superior advantage that she’s now lost, she’s stooped to seeking out a forum discussing it to specifically tell fat people they should eat more and move less and point out their ignorance in nutrition and point to regain.

tnis isn’t about fat people; this is about the op and her not insignificant issues. If all you’ve got going for you is you’re a healthy weight, then you’ve not got it going for you anymore and best to focus on improving that personality.

I am more than happy for people to lose weight this way. It's brilliant that people have this way of making themselves better. The purpose of this thread was a ask a question which many other people suddenly took offence too and the whole thread went off piste.

No offence intended but please can somebody venture an answer to the original question because I am still none the wiser.

Are the injections for life? If not how is the new weight maintained.

Hopefully we can keep this on topic and nobody will be offended. Peace!

That wasn't what you asked though @Itcostshowmuchnow. You asked about maintenance 'If no lessons about adequate nutrition...', so clearly you assumed any obese people didn't understand nutrition on the first place. It was goady AF and you surely knew that. You can't be surprised people answered in the tone you asked.
You then went on to suggest you know better than the WHO that obesity isn't a disease.
You also managed to pop in the old chestnut about how we all just need to eat less and move more.
And now you are back to say that people losing weight is 'making themselves better', which again is goady AF of you. Because thin people are better than obese people?
Nobody would be offended if you weren't being so fucking offensive.
If you want to know the stats about maintaining weight loss following use of the jabs - and I'm curious about why that specifically is your burning question - why not go and do some reading? There so plenty out there but on the spirit of 'peace': https://jamanetwork.com/journals/jama/fullarticle/2812936?

If no lessons about adequate nutrition have been learned do you need to be taking these injections for life?

OK, original question. Most people that are obese know plenty about adequate nutrition, ignorance is not what makes people obese.

The real reasons why people are obese (are not up to us to educate you on, plenty of resources out there), might mean for some or even many they need to be medicated for life yes.

Does that answer your question?

If these kinds of issues interest you OP, even to a tiny degree, you’ll know that the ‘eat less, move more’ thinking is so last century.

The most recent podcast episode of Zoe Science and Nutrition discusses how lack of adequate sleep can cause weight gain, even when eating exactly the same as someone who sleeps well (yes, controlled studies). This is just one of a range of contributing factors that can have an impact. It’s a very complex issue.

As others have said, your posts are goady. And smug. But also pretty lacking in knowledge and insight.

Okay well the evidence suggests that you’re more likely to keep weight off (maybe not all the weight but a decent amount) than on calorie control and exercise. The studies are not conclusive and more work needs to be done but it’s not impossible.
An alternative is a low dose to maintain the loss - these drugs have been around for 20 years so it’s not a total unknown how they work long term. Presumably the pharmaceutical companies will create some sort of maintenance product as there will definitely be a market for it.

Out of interest, do you also go on the “traditional” weight loss boards where people are doing diet and exercise and ask them how they will sustain it? Because they have a 95% chance of regaining all of the weight.

Ok, I will bite.

to lose weight on the drugs you need to be in a calorie deficit, like any other diet.

you also need to eat healthy, as unhealthy eating ie too much fat, sugar, booze, carby stuff will likely give you gastrointestinal issues.

as such, for the time you’re on the drugs you need to completely reset your eating habits, eating reasonable portions of healthy clean food. As everyone starts obese, then this is usually several months at least to learn and reset.

qnen you reach goal it is up to the individual. You can come off and go it alone, or you can chose to stay on a low maintenance dose for life, it is an individual choice and mounjaro is approved for life.

people have individual issues, from trauma causing emotional eating, difficult lives, stress, through to insulin resistance, metabolic disease, disabilities meaning tdee is very low, or other health issues that cause weight gain be it fibromyalgia or arthritis and the associated meds or discomfort , which make it complex for them to eat a healthy diet consistently within calorie limits.

Others just hit a blip in their lives and gained, we are all individuals and our path when we hit a healthy weight will be tailored to us as individuals.

i will stay on a low dose, i am 2kg off a healthy weight/25 bmi now, i will get to bmi of 23 and stay there, and live my life without feeling deprived, hungry, struggling with food, i am fully aware of what good nutrition is, i am not some ignorant woman as you appear to think, as I gained weight during menopause, covid, and a stressful period in my life, combined with health issues such as insulin resistance and high cortisol.,,and I exercise several times a week in the gym .

But I also know due to insulin resistance, high cortisol levels due to menopause and a stressful job, thay there will come a time where it becomes difficult and I risk regain.

so the drugs keep my blood sugars under control. Ensure I do not produce too much cortisol and my body manages insulin effectively. They allow me to not feel hungry or tempted by big portions or the sweet cupboard. It also appears it protects me from cardio vascular and kidney disease and other ailments currently in testing. Ie Alzheimer’s. My gp is fully supportive.

your post was laughably ignorant and I do not quite beleive you actually were not intending to be goady, but I will play the game and now you have your answer.

When I wear glasses I can see properly. However, when I take them off, I'm back to square one. Does this mean that the glasses are a waste of time?

Loving the passive aggressive 'no offence but'. I'd rather be fat than rude, but the good news thanks to mj I can be slim and still a nice person. And if you want to know about the changes people make to their lifestyle there's lots of info already out there. I'm not wasting my time justifying myself to people who can't be bothered to listen

i agree, I think the op is being disingenuous. Woke up yesterday and chose goady , climbed down today. As surely no one is so utterly ignorant they think that being fst is simply as you eat too much and don’t move enough or that the drugs just magic the weight off.

Well yes if you didn't take the time to learn about proper vision while you were wearing them. Have you tried just seeing better and looking at things more?

The injections come with a special feature - they download a full nutrition manual straight into your brain. No need to bother with actually learning about food or eating properly. Just keep getting the shots, and voilà! You’re instantly a nutrition expert for life! What a time to be alive! I can’t wait for the injection that downloads critical thinking, kindness, and maybe a dash of common sense too - now that’s the future I’m waiting for!

OP it might be worth reflecting on why your thread mysteriously went off piste and ask yourself whether it might have been something about what you asked, or the way you asked it, in a chat area on Mumsnet specifically dedicated to WLI.

Can I suggest that you'll get very informative answers to your questions by asking ChatGPT? You can ask what you like, and be directed to the very latest academic studies which will let you in on the latest thinking on the science of obesity and whether or not there's a case for taking these injections for life.

Nobody will get offended, you can ask whatever you like, and there's a whole heap of fascinating information right at your fingertips.