Piling the weight back on when stopping MJ

[Richtea67]

Hi all....I'm so disappointed. I lost 3 and a half stone, have been off injections for a month and regained nearly 7lbs 😩. I was a slow loser (1-2lb per week) and focused on changing habits and reducing portion size rather than diets/calorie counting (this has led to binging previously). I have kept up with a lot of the habits (smoothie for breakfast, cutting out alcohol and healthy high protein snacks). But portion sizes have definitely gone up as I'm hungrier! And I've been more tempted by the biscuits at work and the kids treats! Any advice?? I'm considering re starting if I put too much weight on, but financially this would be a struggle, which is part of the reason I came off them. My starting weight was 14.5 stones, weight when stopping injections 11 stones and at present nearly half a stone back on!! Help!

What do you mean by "the UK does not recognise" obesity as a medical condition? Who is "the UK"? Doctors? The government? It's in the ICD-11 (not that we are as reliant on coding in this country as they are in the US, because of their insurance-heavy medical ecosystem).

I am a doctor (semi-retired now) and when I had inpatients the majority of them were obese. I sure as hell recognised it as a medical condition (and so wish I had had the choice of treating them with WLI, I lost many over the years through complications of obesity).

@Arraminta It reportedly works for smoking as well. I almost wish my DH was overweight so he could be prescribed MJ, as he has tried and failed to stop smoking so many times! (I am not serious obviously!).

You say this but I did clean eating. I ended up doing this like binging sweet potatoes because I felt like I was starving despite eating beyond my calorie needs.

It may be a mental issue for some but if there's a physiological issue going on where your body feels like it's constantly starving you will eventually lose control.

I am pleased that I mostly, with a heck of a lot of willpower, kept within a couple of stone of a healthy weight until these GLPs came along and fixed my issues.

Citation please.

Your point is the opposite of proved 😆

Boooolsheeet

https://www.thelancet.com/journals/eclinm/article/PIIS2589-5370%2823%2900139-6/fulltext. (Curious so found citation myself)

This is because weight loss jabs don’t do anything mentally to get to the root cause of why you over ate. You need to get a referral to a Diatician who offer mental health help for this sort of thing.

Lalalalala

You know that overeating is not always down to mental health or emotional issues? And that dieticians don't offer mental health services? And that even years of therapy don't always lead to long term behaviour change even if it can be accessed/afforded?

Also - actually they do. They allow mental space and clarity by removing the urgent hunger and food preoccupation.

The title of the thread says nothing about maintenance – it's about piling the weight back on. So obviously that is going to be of interest to everyone, not just those taking WLI. People are allowed to have an opinion on what is a very divisive topic. Plus MN put it in Trending for traffic.

Oh give over with your over simplification of a complex issue. I have non-purging bulimia. It's a chronic illness that makes me compulsively eat and my BMI is in the obese bracket. How exactly is saying no and playing golf going to help me?

I'm so sorry. I think, if obesity is a clinical condition requiring lifelong medication, it should be available on NHS prescription. Does that make sense?

If it's just related to my mental health why was I very slim my whole life until I happened to have a baby and then menopause soon after? What a coincidence it all just changed at the same time as those hormonal changes.

And obesity is classified as a medical condition by the NHS, NHS England (yes I know they are going), the Kings Fund and numerous other bodies. And by every doctor I know. And of course in many other countries eg by the HSE, the AMA etc etc...

Yes, I understand that, thank you.

Right. Well it will be eventually.

Good 🥰

Wow I never thought of that!

Again.

I was on Ozempic and the Wegovy on and off for 3yrs. Lost loads of weight, went from a 16 back to an 8.

Yes, the appetite comes back once you stop using it, but thats what a healthy diet, life style and lets be honest self control is for.

I can’t decide if you are a troll or an idiot.

I was a size 6-8 for many years I was the person that slipped back into their size 8 jeans a day after giving birth. I never had an issue with my weight.
I worked out, went for 10k runs for fun.

I was diagnosed with an underactive thyroid gland, my Mum suddenly become ill, needing round the clock care, I was working full time, with a husband running his own business, 4 kids. I cared for my Mum in the evenings so my Dad got a break.
My MIL then died and 6 months later my Mum, then 2 of my children developed life changing illnesses. One was in hospital for 6 months. I was still working full time in a stressful job all through this, exercise really was not at the top of my list.

Then peri hit me, as well as anxiety and probably depression. I could not shift the weight and I mean I did everything the longer I stayed over weight the less I could actually do, nothing would shift the weight starving myself, exercise and guess what not did playing fucking golf.

Tell me where my use of Mounrajo is cheating, I was diagnosed with insulin resistance and it’s the only thing that is working for me now in my late 40’s.

I had over 40 years of being skinny and becoming fat was not a choice.

I suggest you cycle out of this thread with your bull 💩

Please don't misquote me. I didn't say anything about cheating. That's something you said, not me . . .

That's tough @TheSpoonyNavyReader
(You're looking fab now!)

You are saying it’s just a case of being out of the house not eating your know exactly what you are implying.

So tell me what I should have done in my situation, I am all ears.

@TheSpoonyNavyReader i don't think you even need to rise to the bait.

I apologise if I'm repeating others here as not had time to read the full thread but, as a retired clinician who replaced food noise with MJ noise, I do have a few thoughts on this.

Any diet has a risk of regaining when stopping because the body adapts, even bariatric patients often regain weight. Bariatric surgery is deemed successful if the patient loses 50% of their excess weight and keeps it off so a gastric bypass patient who comes down from 25st to 10st but then regains to 17st is still clinically classed as a success and yet very few of us would feel a success if we regained half of our weight loss. We have to be realistic and accept some weight gain may be inevitable while doing our best to minimise it

I agree that using MJ to suppress appetite but not changing how we eat is a risky strategy and dietary, activity and mental changes will help longer term. Stopping MJ abruptly is also risky as the body may respond better to a gradual taper. I saw an article somewhere about one provider who recommended monthly reduction to the dose that is half of the "best" dose, i.e. where you lost most weight, felt healthy, etc so someone who felt great and lost best on 10mg, even if they had gone higher than that over time, would reduce by one dose a month to 5mg. They then suggested staying there for 6 months to allow the body to adjust physiologically while learning your own new "normal" and balancing life vs weight, etc before deciding whether to stay there, titrate down further or stop, etc.

My only other comment would be that I wonder if we may see different maintenance results in the trials to real life as we have a far wider range of people using it in different ways. I know it is anecdote rather than data but, of the people I know who have reached goal and reduced or stopped MJ, there seems to be a higher success rate than in the trials but only time will tell...

As for advice to the OP, nothing that hasn't been said already. Establish what calories are needed, track them, drink fluids and keep moving until you see what is practical in your life. At least you know MJ is there as an option if needed now.
Good luck