I’ve done it the other way round.
First I joined an online programme supporting intermittent and longer fasting, which recommends a diet not dissimilar to what is recommended when on WLI: real food rather than UPF’s, adequate protein…. and also low carb. Through that, I discovered that my physical hunger sensations are greatly influenced by WHAT I eat. Simply put: stick to real food and eat fewer carbs, I am much less hungry.
Second, that program included a significant amount of work on mindset and stress management. That helped me change some of my justifications for overeating, such as it’s my/your birthday, it will make me feel better, it’s not fair if I can’t have it, one won’t hurt, I have to have it because there’s nothing else etc. These things are not true, they were just things I was telling myself, and now I tell myself something different. And the stress management is good for reducing chronically raised cortisol, which also stokes appetite, and it gives me alternatives to food when I’m stressed or upset.
With all the above I lost well over 5 stone, and reached a weight I hadn’t seen for 30 years. But then I got back into binge eating again, and before you knew it I had gained over a stone. Terrified, I went to Overeaters Anonymous. Now that is tough work, but is providing me with a toolkit and a source of power which, so long as I use it, enables me to stay away from the sort of eating which is about dealing with emotions, or responding to strong physical urges which arise from crap food. That enabled me to lose about half of the regain, but then I went into a cycle of more-or-less stability. I was just under the threshold for obesity, plus or minus a few pounds, rarely deviating by more than that, and then not for long. But not getting any lower, for about 8 months.
So now I’m on Mounjaro, aiming to get down to the top of the healthy range. It does reduce appetite, and has also made it easy to let go of the feeling that I “have to” have 2 squares of dark chocolate and a handful of nuts (which sometimes became 3) to finish a meal. Now I can have just the chocolate, or just the nuts, or nothing some days. Is that “have to” feeling emotional eating? Possibly, but it’s not on the scale I knew before.
So, in short, I don’t believe MJ is the answer to emotional eating, but it can reduce it, or perhaps reveal it. If someone came to MJ without having done the prior work on mindset and emotions, MJ will buy them some time and peace. They would be well advised to use that to do the work, if they ever want to be able to reduce their dose, or stop altogether.