If you're having HUGE losses on GLP1

[mamabeeboo]

If this is you - what are you doing differently? Are your calories non-existent? Low carb? Fasting? Exercising rigorously? Or something else?

(The thoughts behind the question)
I've seen people losing 1 stone a month or 1lb per day. This isn't the initial water/salt weight, this is consistent every week and every month. There's a guy I follow online who has lost 70lbs in 90 days on mj. (Funny that he doesn't seem to answer questions regarding what he is eating.)

These losses aren't explained by a higher starting weight as these fast losses are happening to people with only a couple of stone to lose. And vice versa, as a larger person, with 40+ BMI, it's taken me 3 months to shift 1 stone.

i work with a guy who was on semaglutide and he was taking more than the prescribed dose to increase appetite suppression and he lost a lot very quickly. not recommended obviously and he ended up quite ill and had to stop.

Losing at that level is dangerous. My consultant said if my levels rise above an average of 2lb a week prescriptions will be stopped.

If what they’re saying is true, then they may well be exercising a huge amount, not really eating and possibly overdosing too. It is dangerous and must be stressing out their systems massively.

Of course, it is quite dangerous, and I'm half following this (70lbs in 90 days) guy out of intrigue to see what happens in the future. Of course he never responds to questions asking what he is eating, he just says he's in a cal deficit (no shit).

But I also want to hear from people who have done it because it's always good to see if there's something more that the rest of us can do.

It took me 6.5 months to lose 5 stone on MJ, so not extreme like in your OP but pretty fast! BMI of 34 or so down to 22.5. My husband was 39BMI and has lost 7 stone in same time frame.

I was in deficit every single day, there wasn’t a single day I would have gone over my calories, I upped my exercise massively, from sedentary to 10,000+ steps a day, changed my lifestyle around walking places instead of driving. I changed my diet hugely, focused on protein, reduced carbs, cut out a lot of sugar. A lot of people talk shit about how fast they’ve lost weight up though, or round it up, are economical with the truth, etc. so I would take what you see and read online with a grain of salt.

I have ended up with symptomatic gallstones (I had them already but they were were dormant for a long time and the weight loss has woken them up again!) so I need to get my gallbladder removed, but otherwise the rapidity of the weight loss doesn’t seem to have caused any issues, I feel fantastic, I’ve got energy, I need less sleep, I just feel like this is what life is meant to feel like now.

I do think some people just respond better and have bodies who are ‘happier’ to lose weight than others though, there’s all sorts of biochemical and physiological stuff that comes with weight gain and loss, and science is only now really drilling down into why it can be so different individual to individual.

I would say that three months to lost a stone when you’re 40 BMI is definitely on the slower side and I understand why you might feel disheartened. Maybe it’s less a question of wondering what other people are doing and evaluating what you are doing? Or perhaps this is just what works for you and it’s just a case of steering clear of all the social media gubbins about it and just focusing on your journey.

But it inevitably just comes down to diet. MJ makes it easier to stay in a deficit but you need to actually know what the correct deficit is for you and what food portions and type look like for being in deficit. I tracked a lot in the first month till I got a handle on what kind of stuff I should be having, then stopped, but it’s still in my head.

op, have a look at your calories, i started mounjaro with a bmi of 45 on the 5th of march, its now 42.3 and a loss of 7.4kg as of this morning. wasnt losing much at frist till i downloaded the nutracheck app to track calories and that was an eye opener, its amazing how quickly the calories add up. goodluck and keep going.

I lost 53 pounds in the first 13 weeks, so 91 days, which I thought was a stupidly fast rate of weight loss and I wasn't trying to achieve it. So I don't know if that is in the same territory as what you're interested in? In my case, my BMI was 50 at the start, I had immediate suppression from day one that really knocked all snacking on the head, and meant I was eating very little compared to what I had been eating. And compared to my TDEE which at the time was quite high due to being BMI 50. So I was able to create large calorie deficits for the first few weeks. I also found that Mounjaro got rid of water retention pretty quickly too - I used to get very swollen feet and ankles and generally be quite puffy. That disappeared during the first few weeks too and that definitely contributed to the weight loss.

But none of those things were intentional choices, so not much help to you, sorry.

In general though, to increase your weight loss you'd be looking at increasing exercise - strengthening and cardio, keeping to your calorie total tightly every day and see how that goes.

Track everything on Nutracheck and weight and measure portion sizes carefully. LOTS of water!!

Its easy to go over the deficit you think you are in by just guessing portion sizes etc

I've lost 3 stone in 4 months. I'm virtually sofa bound as I'm waiting for a hip replacement. I get dressed in the morning and work from home on the sofa. Thank God I don't have long to wait. Calories trump exercise every single time. If I eat 1200 calories a day inclusive of milk in coffee I lose weight. I'm in my 60s and it's hard graft as I don't lose as fast as I used to.
Another 2 stone and I'm done. I wouldn't want to lose more than 2 pounds a week though or my muscles would start wasting. I have physio at home to prevent that.

I have a lot (>10st) to lose which I think makes a big difference especially as I was eating so poorly pre-mounjaro. I track everything to stick to my calorie deficit and have lost 39lbs in 10 weeks - because my weitht is so high my calorie deficit is too and some dsys I manage to eat them all, some I don't and there have been a few occasions where I've gone over. I'm trying to focus on protein and light healthy meals but haven't cut out carbs, just don't feel like snacking in between meals, eat smaller portions and haven't fancied more than the odd beer at times. I haven't really focused on exercise yet which I know I need to for muscle retention and general fitness, that's my next goal.

I've lost 24lbs in 6 weeks. Changes I've made - I havent eaten chocolate (I've had w squares of dark choc abd 4 mini eggs) biscuits (I've had 1 biscuit)
cake - 2 pieces.
Wine - massively reduced, from 5 bottles a week to 1.
Snacks - I haven't eaten ANY of tge kids snacks.
Crisps - 2 packets.
I'm having a protein yogurt fir breakfast, or greek yogurt, fruit granola .
Lunch - ryvita, soft cheese, or a wrap with chicken and salad. Crudités and houmous
Dinner - chicken/fish , salad/roasted veg, grains/rice.
I have fruit as a snack, or naked bar or similar.
Drinking loads of water.

This is all a HUGE change in my way of eating, I can see exactly why I've had such good results. That said, I've always been the one to lose 7lbs in my first week at weight watchers. Whether that's luck, or because I go all in, I don't know . I do worry about maintaining.

Averaging 2-3lbs a week after initial drop. I'm not getting a lot of suppression, but just a nice amount. I can eat without nausea, except at the start when sugary things made me a bit too queasy. Seems to be fine now though I'm about to go up a dose.
I notice if I have a lazy day or if I eat too little (ignoring hunger cues as I'm busy or out) my weight loss stagnates. But even going for a gentle stroll and having a bar in my bag ready to snack makes all the difference.
I don't count calories daily or even once a week, just if I'm eating something very different like at a restaurant. My meals are pretty standard day to day so I know the average.
I haven't done any mad exercising as I had an injury that's now mostly healed so I'm looking some gentle stuff to do at home for muscle building.