On weight loss medication.

[lnr]

I wrote this on Bluesky last week, but wanted to save it in slightly longer form

On obesity and weight loss and medication

As a well off, educated, active person, who likes food including healthy things, but still has a lifelong struggle with my weight I do find even the best intentioned discussions around obesity hard. I'm currently heading towards a healthy weight/waist size using Wegovy, but that's a short term aid. What happens when I stop taking it? The advice from my practitioners is that obviously unless I keep up enough healthy changes I will gain weight, and I know that. But I don't know *how*. How to not eat when I'm hungry. How to never want to eat the foods that other normal people eat. I can book in some one-to-one sessions with a dietician and psychologist when I'm closer to trying to maintain my weight, but I honestly don't know how much it will help.

‪

The first time I lost a big chunk of weight I was *sure* I wasn't going to be one of those people who gain it all back again. But I found it so so hard to stay where I wanted to be that eventually I couldn't face trying any more. I do wonder if in future a very low dose of GLP1 agonists or similar will be a long term maintenance option for people like me. Its not an option now. When I hit a BMI of 23.5, or reach 2 years of taking them, I'll be cut off. Then we get to see what realistic help is available at that point. I don't want to have to battle my weight forever, and right now it's not a battle. But how do you even prepare for that?