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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.

Hold on... is this how "normal" people feel all the time?

216 replies

Wildewheat · 06/06/2025 23:55

I no longer think about food every minute of the day.

I eat a tiny cake then don't want any more.

I leave chocolate in the cupboard untouched for days or weeks - I don't want it.

I eat, notice I'm full then want to stop eating.

I only think about food when I'm hungry.

When I am hungry, I don't want junk food - I actually want "proper" food.

My mind is so quiet.

I've struggled with my weight since puberty. Feeling like this, I can totally see why so many people had no idea why it was so hard and why they'd say things like "just eat less and move more". They must have thought I was mad, just doing something that ruins my health for years when it's so easy not to.

This has also really annoyed me and I really wish I'd been able to experience this years ago. It also makes me wish I could explain how hard it is to people who've only felt this their whole lives.

OP posts:
FlightCommanderPRJohnson · 07/06/2025 08:13

I'm overweight - classic yo-yo dieter, I go in cycles of losing weight till I reach just about a healthy BMI, then getting frustrated because it plateaus, then putting weight on again. I've worked out that I gain on anything above about 1300 calories a day, and to lose I have to stay below 1000 calories a day. Whether I am in a losing phase or not, I have constant 'food noise'.

However, I've been married 20 years to a man who is chronically underweight - BMI of 16 - weight never seems to go up, he's in his 60s but hasn't 'filled out' like many men do in middle age. Naturally I've studied his behaviour around food with great interest. He doesn't seem to have very much 'food noise' at all, he won't consider food until he feels hungry, then just he eats what he likes. E.g. yesterday, he had about 7 shortbread biscuits for 'breakfast' and then nothing till dinner time (i.e. 8 hours later) when he had a Cornish pasty with a green salad, followed by three Cadbury's mini-rolls. Apart from the salad, I wouldn't think of eating any of that in a losing-weight phase as I'd see it as unhealthy/high calorie/high carb.

I do think metabolic rates play a significant part in whether you are overweight or not. How else would you explain the number of women who gain weight around menopause - they don't all suddenly start eating loads or stop exercising. That's why the eat less/move more brigade are so irritating - yes, you can 'eat less' but when your 'less' has to be under 800 calories that's bloody hard. It's a vicious circle because the less you eat, the louder your 'food noise' gets.

Frequency · 07/06/2025 08:16

buttercupcake · 07/06/2025 08:09

Dieting made me obsessed with food, and I often felt out of control around it.

I ditched the diets and started eating intuitively and this has been incredible for me. I only think about food when I’m hungry, have zero cravings and stop eating when I’m full. I’ve lost weight without even trying and have maintained it for years.

Definitely recommend giving it a try if injections aren’t for you.

I think intuitive eating can only work if you can afford and have the time to eat a diet of mainly whole, fresh foods. If I ate what I fancied, when I fancied it, I would live exclusively on fizzy rainbow belts and hot yum yums with salted caramel dip.

When we are constantly bombarded with pictures of sugar and fat by the media and food industry, very few people intuitively want an apple or a handful of raw nuts. Our bodies evolved to crave high-energy food, and nothing quite fits the bill like refined sugar and processed fats.

I disagree with diets entirely, including intuitive eating, and believe the only way out of the obesity epidemic is to go back to eating mostly unprocessed foods and to fit daily activity into our routines.

SuperTrooper14 · 07/06/2025 08:17

I honestly don’t get what people mean by food noise (and yes to it being the new furlough!). I say this as someone with a BMI of 30. Are you saying you think about food every waking second? Because who really does that? You’d never get anything done! You wouldn’t be able to do your job, get your kids to school, give them a bath, answer phone calls etc etc. If food noise is thinking ahead about what to eat next, then yes, that I get. Is it obsessive and constant enough to warrant medication? No. So I would love someone to really break down what food noise actually is.

LightningInABottle · 07/06/2025 08:26

SuperTrooper14 · 07/06/2025 08:17

I honestly don’t get what people mean by food noise (and yes to it being the new furlough!). I say this as someone with a BMI of 30. Are you saying you think about food every waking second? Because who really does that? You’d never get anything done! You wouldn’t be able to do your job, get your kids to school, give them a bath, answer phone calls etc etc. If food noise is thinking ahead about what to eat next, then yes, that I get. Is it obsessive and constant enough to warrant medication? No. So I would love someone to really break down what food noise actually is.

I think it's an undercurrent all the time that keeps a person on edge as they want to eat constantly. Not being able to resist food or stop eating even when full. Getting distracted by the thought of a particular food (usually something 'forbidden') and not being able to concentrate until you've gone and got it.

Keto/low-carb did this to me to the extent that I would wake up in the night and not be able to get back to sleep as I was so desperate to eat carbs. It was a ravenous hunger that wasn't quite like hunger in the sense that sometimes I was full and knew I was full, but the drive for carbs was relentless. I know some people swear by keto for silencing food noise but it amplified it by the factor of a million for me. I stuck to it for about a year the first time I tried it and four months the second time. On that second round, it was lockdown, and yes I was utterly obsessed and really did struggle to get anything else done at all as I could not stop thinking about food and it was an unending battle not to eat it.

I lost tons of weight both times and the bingeing afterwards was unreal.

That's my understanding of food noise, anyway, but it's not a term I would use mostly. I think sometimes when people say food noise, they mean normal hunger and I worry about the demonisation of a healthy appetite. What I'm describing is an unhealthy appetite, but I have encountered people celebrating an end to food noise on MJ that actually means total appetite suppression and that's not good either! So I find it to be a term that can be harmful, but in other cases really useful and helpful to people in identifying what's going on in their bodies.

lljkk · 07/06/2025 08:31

Most UK adults nowadays are overweight so "normal" = fat, BMI > or >>> 25.

fwiw, if by 'normal' OP meant a healthy BMI... I tick healthy BMI box. I had a lot of food noise when I was young but it faded after I did a lot of self-awareness work in my late teens and has just faded over the years in general. As I aged, I became fussy about wanting nice food because since I can't eat a lot, I want the food I can eat to be nice, I want a calm eating experience, I'll always prefer to wait until I can eat calmly & taste & enjoy the food rather than eat in a rush or eat high calorie things that fill me up too quickly.

The part about wanting 'real' not junk food... when you're hungry a lettuce leaf tastes divine. So wanting-real-not-junk could just be a side effect of not eating until you're actually hungry.

I hope you continue to be happy with your new mind place, OP.

Miyagi99 · 07/06/2025 08:35

I think about food if I’m bored or just pottering about at home, if I’m busy at work or out and about I don’t get time to think about it until I’m really hungry. I do drink a lot of water though which helps I think, at least 3 litres a day.

SuperTrooper14 · 07/06/2025 08:37

LightningInABottle · 07/06/2025 08:26

I think it's an undercurrent all the time that keeps a person on edge as they want to eat constantly. Not being able to resist food or stop eating even when full. Getting distracted by the thought of a particular food (usually something 'forbidden') and not being able to concentrate until you've gone and got it.

Keto/low-carb did this to me to the extent that I would wake up in the night and not be able to get back to sleep as I was so desperate to eat carbs. It was a ravenous hunger that wasn't quite like hunger in the sense that sometimes I was full and knew I was full, but the drive for carbs was relentless. I know some people swear by keto for silencing food noise but it amplified it by the factor of a million for me. I stuck to it for about a year the first time I tried it and four months the second time. On that second round, it was lockdown, and yes I was utterly obsessed and really did struggle to get anything else done at all as I could not stop thinking about food and it was an unending battle not to eat it.

I lost tons of weight both times and the bingeing afterwards was unreal.

That's my understanding of food noise, anyway, but it's not a term I would use mostly. I think sometimes when people say food noise, they mean normal hunger and I worry about the demonisation of a healthy appetite. What I'm describing is an unhealthy appetite, but I have encountered people celebrating an end to food noise on MJ that actually means total appetite suppression and that's not good either! So I find it to be a term that can be harmful, but in other cases really useful and helpful to people in identifying what's going on in their bodies.

Thank you! I get what you mean about undercurrent. I do experience that - but only when I’m on a diet. It’s restricted eating that causes it, not normal appetite! So I agree about the demonisation of healthy appetites and people using WLI for total suppression. Although I do suspect most users are yo-yo dieters. I’ve just embarked on a recovery programme for bulimia having suffered my entire adult life (which I finally decided to do, ironically, because I was frustrated at not being able to take WLI!) and I am eating timed meals and snacks every 2.45 hours. I have no “food noise” whatsoever because my body is being fuelled regularly. Go figure!

lljkk · 07/06/2025 08:37

ps: when I was in Overeaters Anon (1980s), no one used the phrase food noise, but we definitely talked about compulsive eating. The group think then was that most overeating happeneed to stuff down unhappy feelings. The feelings arose because of long established anxieties, insecurities, beliefs (false or true about ourselves), underlying fears or grudges, guilt we deserved or maybe didn't deserve at all, and wanting to avoid feeling stress about today;s challenges. Always about stuffing down feelings we didn't want to endure and didn't know how to deal with.

That's why something like CBT was useful because a lot of time feelings arise around of irrational beliefs. If you can change the beliefs by challenging them, then the feelings aren't such a rollercoaster & maybe get easier to deal with.

I didn't have CBT, I had a different path to recovery. Am grateful for that.

SuperTrooper14 · 07/06/2025 08:38

Miyagi99 · 07/06/2025 08:35

I think about food if I’m bored or just pottering about at home, if I’m busy at work or out and about I don’t get time to think about it until I’m really hungry. I do drink a lot of water though which helps I think, at least 3 litres a day.

That sounds like a normal appetite to me.

TerroristToddler · 07/06/2025 08:41

im a healthy BMI and honestly, no. I think about food a lot. I’d very much struggle to know there was choc or biscuits in the house without caving and eating them. I’d genuinely never stop eating a choc bar half way through - I don’t eat choc because im hungry after all, I eat it because I want that sugar sweet treat hit, so fullness isn’t anything to do with it.

I basically have to think about actively keeping portions smaller than I want, and trying to be stronger than my cravings every day!

and I still have about half a stone I should lose!

Miyagi99 · 07/06/2025 08:41

SuperTrooper14 · 07/06/2025 08:38

That sounds like a normal appetite to me.

I definitely overeat when I’m bored (or hungover), but like you say, pretty normal and I do try to control the overeating (not always successful) or offset it with being more active (generally successful).

lljkk · 07/06/2025 08:43

I have no “food noise” whatsoever because my body is being fuelled regularly. Go figure!

That makes perfect sense to me. I had to leave OA because of their insistence on narrow definitions of abstinence. I couldn't tolerate the anxiety that the Strict rules gave me, the strict rules set me up to 'fail' at absintence. My path to recovery meant giving myself permission to overeat but only after I tried one thing that might be about the problem that was actually upsetting me into wanting to binge. I was so out of touch with my underlying beliefs and feelings that I didn't know what had upset me or that I was even upset, I always had to guess at what might have upset me. This was experimental approach but luckily worked for me, began to give me more self-awareness, confidence and skills I needed to break the upset-must-eat-now compulsion.

Itsnotwhatitseemslike · 07/06/2025 08:46

Wildewheat · 07/06/2025 00:20

Wow - it sounds like a lot of people of a healthy weight struggle with constantly thinking about food too.

I hope in the near future we see medicines developed that help reduce it that that are less risky and therefore accessible to anyone who wants it.

If you move your body appropriately you think a lot less about food. Which is weird, but it is definitely a virtuous cycle. You also feel less cold. Humans are not designed for a sedentary life. Even just dancing round the kitchen, a few stretches, going up and down stairs or walking a bit.

And before anyone jumps on me, OBVIOUSLY this doesn’t apply to anyone physically unable to move due to disability etc.

LightningInABottle · 07/06/2025 08:46

SuperTrooper14 · 07/06/2025 08:37

Thank you! I get what you mean about undercurrent. I do experience that - but only when I’m on a diet. It’s restricted eating that causes it, not normal appetite! So I agree about the demonisation of healthy appetites and people using WLI for total suppression. Although I do suspect most users are yo-yo dieters. I’ve just embarked on a recovery programme for bulimia having suffered my entire adult life (which I finally decided to do, ironically, because I was frustrated at not being able to take WLI!) and I am eating timed meals and snacks every 2.45 hours. I have no “food noise” whatsoever because my body is being fuelled regularly. Go figure!

For me, I am convinced that food noise is intensified by restriction, yes and I am indeed a yo-yo dieter. I think with Mounjaro, I have no mental restriction going on - I'm not cutting out any food groups or calorie counting. I'm not fasting and I'm not ruling any food out. I have stayed at a low dose where I do not have extreme suppression - I'm hungry for meals and I am able to eat a fresh, healthy, balanced variety of foods. I feel fuelled and I feel peaceful. I didn't know that feeling before. So it has changed something physically within me that has then enabled a psychological change to take place as well.

I'm really sorry to hear about your bulimia and so glad that your treatment is going well. Regularly fuelling the body is so important and makes such a difference.

Mindyourfunkybusiness · 07/06/2025 08:48

I've never had weight issues but I am a major foodie. I think about food, plan food, plan dinners, plan cakes. A lot of it is also my enjoyment of cooking (then eating). My day to day life is very active at 22k steps a day up to 25k regularly so my body is screaming for food. I eat way above average because I'm active but the type of food is important - usually home made and fresh. I crave that sort of food the most! But honestly food constantly on my mind - and if coming up to my period it's very unreasonable 😂

SuperTrooper14 · 07/06/2025 08:54

lljkk · 07/06/2025 08:43

I have no “food noise” whatsoever because my body is being fuelled regularly. Go figure!

That makes perfect sense to me. I had to leave OA because of their insistence on narrow definitions of abstinence. I couldn't tolerate the anxiety that the Strict rules gave me, the strict rules set me up to 'fail' at absintence. My path to recovery meant giving myself permission to overeat but only after I tried one thing that might be about the problem that was actually upsetting me into wanting to binge. I was so out of touch with my underlying beliefs and feelings that I didn't know what had upset me or that I was even upset, I always had to guess at what might have upset me. This was experimental approach but luckily worked for me, began to give me more self-awareness, confidence and skills I needed to break the upset-must-eat-now compulsion.

Yes I can see why restrictive rules can backfire. What I am following is also a prescriptive way to eat and feels very alien to someone used to feast and famine but there’s also the most amazing freedom in setting the timer on my phone between eating. I have three meals and two snacks a day and yes I eat when I am not hungry. But this stage is all about re-nourishing my body after it’s been depleted for so long.

Anyhow, don’t mean to derail thread! Just curious about what food noise actually is.

FlightCommanderPRJohnson · 07/06/2025 08:54

Are you saying you think about food every waking second? Because who really does that? You’d never get anything done! You wouldn’t be able to do your job, get your kids to school, give them a bath, answer phone calls etc etc

It's more like food thoughts fill all the gaps. In my head, say, when I'm at work it would go something like this:

I've got a meeting at 10:30 so I'll work on that PowerPoint until then. When the meeting finishes, it will only be half an hour till lunchtime, I've got a tuna salad in the fridge - God, I'm hungry, I want to go and buy a sandwich and some crisps - no, I will wait and have my salad. Right, PowerPoint ... I need to make a chart on Excel to add to slide 7 ... ooh, the bloke next to me is eating a bacon sandwich, I'd give anything for a bacon sandwich with butter melting into the bread ... OK, got the figures in, here's the chart, let's paste it in ... I'm so hungry, shall I go and buy just a packet of crisps to keep myself going? I need to do some commentary for slide 8, let's dig out that email from BigBoss so I can make sure it's aligned ... what about eating my salad at my desk now? That would fill me up and maybe I won't want anything at lunchtime but I can always go to Tesco and get another salad there, that would be healthier than a sandwich from the canteen ... OK commentary, get typing - 'Figures in chart one show ...

SuperTrooper14 · 07/06/2025 09:29

FlightCommanderPRJohnson · 07/06/2025 08:54

Are you saying you think about food every waking second? Because who really does that? You’d never get anything done! You wouldn’t be able to do your job, get your kids to school, give them a bath, answer phone calls etc etc

It's more like food thoughts fill all the gaps. In my head, say, when I'm at work it would go something like this:

I've got a meeting at 10:30 so I'll work on that PowerPoint until then. When the meeting finishes, it will only be half an hour till lunchtime, I've got a tuna salad in the fridge - God, I'm hungry, I want to go and buy a sandwich and some crisps - no, I will wait and have my salad. Right, PowerPoint ... I need to make a chart on Excel to add to slide 7 ... ooh, the bloke next to me is eating a bacon sandwich, I'd give anything for a bacon sandwich with butter melting into the bread ... OK, got the figures in, here's the chart, let's paste it in ... I'm so hungry, shall I go and buy just a packet of crisps to keep myself going? I need to do some commentary for slide 8, let's dig out that email from BigBoss so I can make sure it's aligned ... what about eating my salad at my desk now? That would fill me up and maybe I won't want anything at lunchtime but I can always go to Tesco and get another salad there, that would be healthier than a sandwich from the canteen ... OK commentary, get typing - 'Figures in chart one show ...

So more like distracted thoughts than constant? Just wondering, is this a typical day when you're dieting or watching what you eat? Or just a typical day full stop?

Wildewheat · 07/06/2025 09:30

This has taken off more than I expected. Sorry I have a toddler so I won’t be able to reply a lot today. Just a few things so it doesn’t look like I dropped this thread and disappeared:

it wasn’t intended to be a goady thread which is why I posted on this board as I assumed people reading would either be on injections, formerly on injections or open to them being a good thing. Obviously didn’t think about traffic from active. I didn’t really intend it to become a debate about whether obese people are trying hard enough or whether slim people just have better willpower.

I was interested in if slim people who would never have considered themselves as having issues with food find they barely think about food.

We know that some people definitely feel this way - I know people in real life and there’s people who have posted here who say they only think about food when they get hungry.

I have been surprised how many healthy weight people also identify with food noise. It’s hard to compare thoughts with another person because we all experience thoughts differently. Talking about how we think is hard to explain. However I do believe from these posts that some people who have never been overweight do indeed think about food constantly in the way I always did.

I think it’s a real shame some people have to live with this forever. It’s really distressing and to me isn’t a pleasant relationship with food. I feel so much more content without this constant food noise and it’s why I hope more research is done and more medicine is developed.

If it’s possible not to have this battle day in day out in a safe way I assume the majority would prefer not to. I overate but I never really enjoyed food in the controlled content way I do right now.

A few mentions of ADHD and I do have ADHD. Interestingly while I do identify with comfort eating I have also felt it’s often more of a sensory/sensation seeking thing or at least it started like that. I remember reaching puberty and suddenly realising I could eat without being hungry and it gave me a sort of outlet for all the energy inside me. As I mentioned before, normally I don’t ever feel full unless I’ve binged and get physically uncomfortable. I noticed I often felt uncomfortable NOT having that excessively full feeling. Like the full feeling stopped me feeling empty or something.

Due to trauma in my childhood I also often had issues with not feeling feelings in my body properly - something I discovered in somatic therapy and it’s interesting that someone gave a really detailed answer about childhood factors in terms of why some people get it more than others.

It makes me wonder if people who are less in touch with their own body and feeling feelings as physical sensations maybe more likely to develop food issues in their youth.

I don’t doubt that a diet of sugar and processed foods makes a real difference but I’m surprised at how many people found that when they stopped eating junk food the cravings disappeared. I’ve done various versions of this temporarily over the years - from more extreme dieting to just following healthy meal plans with lots of veg etc. I’ve tried various calorie limits including much higher ones like 1800 calories and there’s times I’ve lasted months. Excruciating months. However for me the food noise genuinely never went away. After weeks or months of eating this way I was still thinking of chocolate constantly and eventually my willpower would collapse and I’d return to my old eating patterns.

Someone asked what food noise actually looks like and said that if it’s literally thinking about it every second of the day you wouldn’t be able to do anything. I disagree with this and would say that yes I do literally mean pretty much every single minute I’m awake. However I think you can have more than one thought at once and these thoughts are nagging background ones that I’m aware of but are not the only thing I’m consciously thinking of. So I can do my work and be thinking about a spreadsheet but I am also aware of the thoughts of foods. A bit like when you’re in pain enough that it’s constantly there and noticeable but you can still look after your kids. Like a toothache that’s there and very unpleasant but doesn’t mean you’re incapable of putting your attention on something else at the same time.

Or like how you might be in a busy pub and are aware of voices at tables around you to the point it can be unpleasant and distracting but you can still keep your attention on the person you’re with enough to follow what they’re saying.

But yes I think not having the food noise has made me better at my job and at being present with my family.

There are some people talking about just sometimes getting hungry or fancying junk food and needing to distract themselves which I don’t believe is the same thing as a lot of us are describing as constant food noise but I am not intending to get into a weird competition about how much we each individually struggle. There’s no way to actually compare the intensity or frequency of our thoughts and so I think taking peoples explanations at face value is the best way to approach these conversations.

I don’t really mind if people think it’s cheating or an easy way out to be on injections. I am trying to make healthy changes to my life while on them including therapy to deal with my unresolved issues and starting exercise that I actually enjoy (which has been hard to find!) so that it’s part of my life and a habit. it’s exceptionally easier to do this when I’m in control of my eating and I’m hoping that once these are habits it’ll be easier to maintain.

There is of course always the worry one day I will pile the weight back on but all we can do is the best we can to avoid that. I am open to maintenance doses and I am also hopeful about advancements in medicine over the next couple of decades. Although of course not relying on that.

The injections come with risks but I’m happy I’ve weighed them up (no pun intended) and made a decision I’m ok with. They’re not for everyone and that’s ok too.

OP posts:
crossstitchingnana · 07/06/2025 09:33

I’m like this, can leave chocolate and eat clean 95% of the time. I put it down to cutting right down on UPFs and alcohol. Hardly any sugar either. I think I have more stable blood sugar and better biome.

crossstitchingnana · 07/06/2025 09:34

Btw I used to crave food, binge and be obsessed. Not dieting was the other big change. I eat intuitively now.

FlightCommanderPRJohnson · 07/06/2025 09:35

SuperTrooper14 · 07/06/2025 09:29

So more like distracted thoughts than constant? Just wondering, is this a typical day when you're dieting or watching what you eat? Or just a typical day full stop?

It's fairly typical full stop. Even if I wasn't in a dieting phase, I wouldn't (usually but not never ever!) go and get a sandwich or whatever at 9:30am because I'd still feel I shouldn't, however I'd be constantly thinking 'shall I' and wondering what I could/should eat and what I could eat later to make up for being hungry now. The difference between dieting me and non-dieting me would be that when it came to lunchtime, I'd get the sandwich, crisps and probably a chocolate bar as well, whereas dieting me would have the salad as planned.

UpsideDownChairs · 07/06/2025 09:37

I've gone from being in a continuous state of 'I could eat' and basically never feeling full unless completely stuffed to being in a continuous state of 'meh' and actually feeling full when I've eaten an appropriate amount.

Not actually having to manually police everything I eat makes it so easy to lose weight. I put stuff on my plate, and my body tells me when it's had enough, rather than having to think - OK, so that's about 200cals, plus the 500 I had earlier, OK, so I should save another 600 for dinner, so I can have a little bit more but no snacks etc.

That's the massive difference for me. Being able to just let my body tell me when it's full is totally life-changing.

I hope that when I reach goal weight and start to taper down, that I will have the habit of knowing the right portion sizes so the manual managment will be more easy to cope with, but if that doesn't work, then i'll just maintenance dose for as long as I'm allowed to.

kalokagathos · 07/06/2025 09:41

I have food noise all the time when I work/ was at school. It’s distraction my mind organises cos it doesn’t want to engage in organised activities. But I hate being unfit, and ever since I was 14, so it’s a constant mental effort of self control of 30 years. Effort of not giving in. Not fun but I love my abs and flat tummy at 44. Mentally though, it’s a constant tension.

SuperTrooper14 · 07/06/2025 09:41

Someone asked what food noise actually looks like and said that if it’s literally thinking about it every second of the day you wouldn’t be able to do anything. I disagree with this and would say that yes I do literally mean pretty much every single minute I’m awake. However I think you can have more than one thought at once and these thoughts are nagging background ones that I’m aware of but are not the only thing I’m consciously thinking of. So I can do my work and be thinking about a spreadsheet but I am also aware of the thoughts of foods. A bit like when you’re in pain enough that it’s constantly there and noticeable but you can still look after your kids. Like a toothache that’s there and very unpleasant but doesn’t mean you’re incapable of putting your attention on something else at the same time.
Or like how you might be in a busy pub and are aware of voices at tables around you to the point it can be unpleasant and distracting but you can still keep your attention on the person you’re with enough to follow what they’re saying.

I asked about food noise. This is the best explanation I've ever read, especially the pub analogy. Thank you.