Warning a long post
@Wendyworm, a few questions.
Are you speaking to your provider about your issues/concerns?
Are you seeing your gp re the pain you are feeling?
Where are you on your weightloss journey? Have you been overweight all your life, or was it post life events? Are we talking 3/4 stone or less OR 5 stone plus?
I heard a really interesting podcast by M Robbins with an American doctor, expert in obesity medicine, endocrinology and metabolic disorders. Highly recommended, also the recent Zoe podcast, both free to view/hear/read.
Obesity is a disease, for some lifelong, caused by a combination of 4 factors:
Lifestyle -diet, sedentaryism, exercise, stress, sleep etc
Hormones- PCOS, perimenopause, menopause..and many others
Ageing- muscle loss, reduced bmr/tdee but if no change in intake, weightgain
Obesogenic environment -industrialisation of food manufacture, processed foods, advertising, reduction in walking cycling activities of daily living
Addressing food intake alone doesnt even cover lifestyle. WLIs operate in a range of ways, some currently understood..others the scientists are only beginning to understand as this vast natural experiment occurs. So far most research has been related to diabetics and more recently the obese. But we dont have quality research on behaviour pist weight loss and maintenance..mainly because this is all so new (relatively speaking).
So what's the answer for you? I dont know but in the same way as the causes of obesity are multiple factors, successful maintenance will have multiple aspects and be individual to each of us. Undoubtedly watching intake, keeping up fibre and protein, and hydration, maintaining muscle mass, exercising and maximising tdee And for some keeping on a dose of wlis..but possibly titrated right down.
Meantime new wli products will continue to appear, prices will fall (bit it may take some time)
So it's a long game..watch this space..and if you havent speak with your gp/provider. Best of luck