I do wish people would stop peddling this nonsense about ‘learning better food habits’ ‘reprogramming you brain regarding your attitude to food’ .. WLI do NOT play any part in neurological pathways or changing the way you think !!
it’s just yet another myth to beat you with when you inevitably fail !!
READ some proper peer reviewed studies so that you understand how these drugs work and then you will understand that it isn’t some magic fucking woo that turns off the ‘food noise’ . It’s a drug that affects you physiologically . IT DOES NOT RETRAIN YOUR BRAIN.
It affects the appetite centres in your brain making you feel fuller for longer.
It slows gut emptying . You feel fuller longer and satisfied after a small meal.
It controls blood sugar . (Particularly important if you are/have been obese as most people in this category are insulin resistant from years of yoyo dieting. ) This prevents the peaks and troughs of blood sugar which makes the overwhelming need to eat particularly hard to ignore.
Above all - the lack of that urgent need to fill your face - gives you the breathing space to make those health choices. If you are starving you will reach for the first thing you see Which is likely to be something processed or ready made. Which is normally not the best choice. If you are taking MJ you don’t feel this urgency and are much more likely to plan a nutritious small protein/fibre dense meal.
Given ALL the above. How can anyone truly believe that they can take these drugs to lose weight and NOT put it back on without it. You would need super human willpower ! Nothing to do with not having ‘failed to learn new habits’ .
If you take blood pressure medication to control your bp, you would not expect to control it through ‘will power’ if you stop taking it. WLI are no different. It’s illogical to assume otherwise.
Read the SUMMOUNT 4 trial papers. The actual evidence into how it works and maintaining that loss once a healthy weight is achieved. It’s pretty clear that the vast majority of those that stop the drug put a minimum of 75% of the loss back on within 2 years. With a low continuing dose being the only way to maintain the loss long term. There will of course be some phenomenal individuals with iron will power who can buck this statistic but as you can see from the trials these folk are pretty rare at 1:500. Which coincidentally is the same ratio for obese women who diet to healthy and maintain it for 5 years with diet and exercise alone.
The science is available to read on line. People need to read it and understand that they will almost certainly need to commit to the drug long term and view it as an investment in their health. As taking it , succeeding and stopping it will almost always be a literal waste of money in the long term.
I lost 9 st April 24-Jan 25 and maintain on 5mg since titrating down to 5 in May 26 and keep within 2kg +/- for a year . Never needed to get into Macros/TDEE or ridiculous amounts of exercise. I ride and Kayak a couple of times a week and do Tai Chi in the morning for 20 mins.