To all of those who say "you just need better impulse control", piss off.
I have two friends who have lost 12 kg with Ozempic and 30 kg with Mounjaro, respectively. Both had starting weights over 110 kg. Both had good diets, exercised regularly. Tests showed good endurance and muscle mass.
I'm myself starting Mounjaro next week, starting at 105 kg.
The problem is *not* diet. It's the fucking hunger. If I eat my stomach full of fries and pizza and cheeseburgers - the epitome of "fat" food, then MAYBE I'll be without hunger for...two hours. Then the hunger comes back. I've stayed - note, *stayed* at the current weight by not eating at all until late evening, because then I can get some sleep with the hunger.
Diet doesn't help. Switching to veggies => fine, I'll eat 4 plates of veggies at a meal instead of the burger. Switching to keto diet => no help.
Getting exercise every day - no effect. Improves resiliency. I can easily bike around the city or jog for kilometers without a break. I can lift weights.
The hunger is *pain*.
We give medication for people suffering from chronic migraines.
We give morphine in palliative care to take the pain away.
We give insulin to diabetics.
We give statins to folks with high cholesterol.
Why the fuck shouldn't we medicate constant feeling of HUNGER?
GLP-1 medications do not "cause" weight loss. They remove the pain of overwhelming hunger. The weight loss happens as an effect to that cause.
There are studies that confirm this - if you are eating because of the feeling of hunger - your body signaling that you NEED food- GLP-1 medications help. If you are eating because of "feelings" - classic stereotypical example chomping chocolate ice cream after a bad breakup as "comfort food" and NOT as reaction to hunger, GLP-1 medication does not help. Because you are not eating because of hunger, so there is nothing to take away.
So all you holier-than-thou fucks who keep repeating "just have some self-control" - stick some thorns in your ass and don't take them out or treat the pain, and you are arriving at the same situation as those of us who just feel hungry ALL the fucking time except 15 minutes since previous meal.