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Am I Essentially Doomed To Weight Loss/Diabetes Medicine?
Posted on 5/21/26 at 9:32 pm
Posted on 5/21/26 at 9:32 pm
Pretty tough day for me here emotionally. Over the last year, due to stress around my dad and his health, and then eventually my dad passing away two months ago, I've put on the weight.
For about the last 5 years I've been overweight. I'm 5'7" and up until 5 years ago weighed around 160-165. Now I'm at 195 and the heaviest I've ever been. BMI is around 29.50. I've gained that 30 lbs over the last 2 years, especially the last year. The last two times I've had blood tests, my A1C has been pre-diabetic at 6.3, only 0.2 from being declared diabetic. Family history as well, as my dad was diabetic and did pass away from kidney failure due to diabetes.
I go to a PCP where there is the main doctor and then 2 doctors and 3 nurse practitioners under him. Normally I see the main doctor, however I was referred to one of the other doctors who specializes in weight loss. The weight loss doctor all but said I'm essentially destined for Mounjaro, as they advised it will allow me to lose weight as well as control Type 2 diabetes that at this point I probably have. She said at this point, even if I had a really healthy diet, my body is essentially working against me and essentially is trying to gain weight, not lose it.
It's just a gut punch, as the doctor said I would be on it the rest of my life. I asked about getting the weight down with it and then going off the medication, but she essentially said all the weight would come back if I go off it. Another reason I'm hesitant to even start.
For others in this situation, is there any hope of using Mounjaro or a GLP-1 to get the weight down and the go off of it? Are there any other ways to essentially reset my body to start burning fat again and lose the weight through diet or exercise? Or do I just give in and accept being on this type of medication the rest of my life?
For about the last 5 years I've been overweight. I'm 5'7" and up until 5 years ago weighed around 160-165. Now I'm at 195 and the heaviest I've ever been. BMI is around 29.50. I've gained that 30 lbs over the last 2 years, especially the last year. The last two times I've had blood tests, my A1C has been pre-diabetic at 6.3, only 0.2 from being declared diabetic. Family history as well, as my dad was diabetic and did pass away from kidney failure due to diabetes.
I go to a PCP where there is the main doctor and then 2 doctors and 3 nurse practitioners under him. Normally I see the main doctor, however I was referred to one of the other doctors who specializes in weight loss. The weight loss doctor all but said I'm essentially destined for Mounjaro, as they advised it will allow me to lose weight as well as control Type 2 diabetes that at this point I probably have. She said at this point, even if I had a really healthy diet, my body is essentially working against me and essentially is trying to gain weight, not lose it.
It's just a gut punch, as the doctor said I would be on it the rest of my life. I asked about getting the weight down with it and then going off the medication, but she essentially said all the weight would come back if I go off it. Another reason I'm hesitant to even start.
For others in this situation, is there any hope of using Mounjaro or a GLP-1 to get the weight down and the go off of it? Are there any other ways to essentially reset my body to start burning fat again and lose the weight through diet or exercise? Or do I just give in and accept being on this type of medication the rest of my life?
This post was edited on 5/21/26 at 9:40 pm
Posted on 5/21/26 at 9:33 pm to TheMagicMan
Had a friend make life changes as he was on 7 different medications. A couple months ago he called me crying because his doctor took him off every one of them. It is possible
Posted on 5/21/26 at 9:35 pm to jmarto1
quote:
Had a friend make life changes as he was on 7 different medications. A couple months ago he called me crying because his doctor took him off every one of them. It is possible
Do you know what changes he made? I'm really in the same boat as I take an antihistamine for allergies, two nasal sprays for sinus and allergy issues, 1 medication for GERD, 1 medication for high blood pressure and 1 medication for asthma. I even told the doctor today that the last thing I want is another forever medicine.
Posted on 5/21/26 at 9:35 pm to TheMagicMan
Don’t listen to the doctor. Get on a healthy diet, and get on a running program. Come this fall join a group to train for a marathon.
It’s solve a lot of your issues.
It’s solve a lot of your issues.
Posted on 5/21/26 at 9:36 pm to TheMagicMan
The data suggests the weight is regained in the aggregate because many if not most people fail make and adhere to serious diet and lifestyle changes.
Effectively, what are you willing to permanently give up to get off and stay off the medications
Effectively, what are you willing to permanently give up to get off and stay off the medications
Posted on 5/21/26 at 9:38 pm to cgrand
quote:
you could eat less
Right now during the week I try to not even eat before Noon. I'm trying intermittent fasting, only eating between Noon and 8:00 p.m.
The issue for me isn't necessarily overeating I think. And I don't drink coffee, I don't eat sweets and I've really cut down on alcohol consumption. I've eliminated beer almost entirely, with the exception of vacations and the occasional social gathering where other people are drinking. Even then I'm trying to go more towards red wine.
The issue for me I think is snacking and having those cravings. That's what I can't seem to get under control. Anything over the counter that genuinely cuts down on cravings? Any good meal replacement shakes that actually make you feel full?
Posted on 5/21/26 at 9:39 pm to TheMagicMan
Get off the sugar. Trust me
Posted on 5/21/26 at 9:40 pm to TheMagicMan
quote:
I even told the doctor today that the last thing I want is another forever medicine.
You have two options.
1) Try it, succeed and be pleasantly surprised.
2) Forego it and as the years pile on, so do the medications to deal with the outcomes of being obese.
Worst case scenario of trying it is you'll be on it longer than you want- but all or nearly all- of your problems improve.
Posted on 5/21/26 at 9:41 pm to TheMagicMan
quote:
intermittent fasting
Big mistake.
Posted on 5/21/26 at 9:41 pm to TheMagicMan
quote:
any other ways to essentially reset my body to start burning fat
Keto and cardio. Lots of info out there, you can do it.
Posted on 5/21/26 at 9:42 pm to TheMagicMan
You need to make life changes, not take medicine. If you don't change your habits it will always come back
Posted on 5/21/26 at 9:43 pm to TheMagicMan
quote:
She said at this point, even if I had a really healthy diet, my body is essentially working against me and essentially is trying to gain weight, not lose it.
Well if that doesn’t sound like someone trying to sell you something.
Regardless, a healthy diet would be nothing but beneficial. Don’t let them talk you out of making an effort to get into better shape. Rome was not built in a day. Just like it took two years to gain 30 lbs it will take time to drop it.
Don’t give up.
Posted on 5/21/26 at 9:47 pm to escatawpabuckeye
quote:
The data suggests the weight is regained in the aggregate because many if not most people fail make and adhere to serious diet and lifestyle changes.
Effectively, what are you willing to permanently give up to get off and stay off the medications
That makes sense. In terms of what I'm willing to give up, a fair amount. And I know that most people fail because they don't change their diets.
Honestly, I was guilty of that. I used to exercise a fair amount. Part of me thought I could outrun a bad diet, but now I've realized the hard way you can't.
I'm a foodie and do enjoy southern food, seafood and Italian food in particular (I have Italian heritage on my dad's side).
But I would be willing to give up sweets and all desserts, including pies and ice cream. I would be willing to give up most fast food (it's too expensive anyway and I've already tried to cut back significantly).
I would be willing to give up alcohol on a regular basis, while still having some alcohol on vacations and for special occasions. I would be willing to give up caffeine for the most part. I would be willing to give up most red meat and focus more on grilled chicken and seafood. I would still want it occasionally, but not a lot.
I wouldn't be perfect by any means, but I feel like I could get to the point where I could follow what some call the 80/20 rule for diet. Essentially eating healthy for the most part, but maybe giving yourself 1 - 2 cheat meals a week.
My doctor even said, if you want the occasional snack, do it, just pair it with something healthy, like protein to offset the sugar spike.
Posted on 5/21/26 at 9:47 pm to TheMagicMan
quote:
For about the last 5 years I've been overweight. I'm 5'7" and up until 5 years ago weighed around 160-165. Now I'm at 195 and the heaviest I've ever been.
How old are you and do you work out. A lot of factors to consider here.
Posted on 5/21/26 at 9:48 pm to Tiger Ryno
quote:
Big mistake.
Care to elaborate? I could understand the morning part, but I know most people do not recommend eating after a certain period in the evening.
Posted on 5/21/26 at 9:52 pm to ultratiger89
quote:
How old are you and do you work out. A lot of factors to consider here.
I'm 42 and up until late last year, I did work out a fair amount. Would go to the gym 4 days a week and had a workout set up by one of the trainers for each day. Typically on one of the other days I would at least try to get a good jog or power walk in.
I suffered an ankle injury last December. Was in physical therapy for it in January, February and April. I had to take off March as that is when my dad passed away.
After this weekend (I'll be away on a trip), I'm going to start getting back into the gym 4 days a week.
The only problem now, when it comes to cardio, is that I suffer from shin splints. It gets really painful really quickly for me on the treadmill. I might try to supplement with swimming as well as using the rower instead of the treadmill.
Posted on 5/21/26 at 9:56 pm to TheMagicMan
quote:
last 5 years I've been overweight. I'm 5'7" and up until 5 years ago weighed around 160-165. Now I'm at 195 and the heaviest I've ever been
quote:
Am I Essentially Doomed To Weight Loss/Diabetes Medicine?
What the frick is wrong with you?
You can lose 30 pounds in 4-5 months easily if you just diet and exercise. You’re only 195
This post pisses me off, victim mentality
Posted on 5/21/26 at 9:57 pm to TheMagicMan
Im 43 and went from 180+ back down to 160-165. Also had a hernia surgery in October in this past year.
Eating a lot less and eating better certainly helped. Admittedly nicotine pouches have also helped me as it is an appetite suppressant.
Eating a lot less and eating better certainly helped. Admittedly nicotine pouches have also helped me as it is an appetite suppressant.
Posted on 5/21/26 at 10:00 pm to TheMagicMan
Try 95/5. Or even 99/1.
This whole giving yourself permission to cheat thing is why people fail. You can’t splurge on crap twenty percent of the time and expect it to be good enough.
Or just stay on the meds. No shame in that.
But now that you’ve gotten yourself in this mess it will take serious discipline to get yourself out. Honestly
This whole giving yourself permission to cheat thing is why people fail. You can’t splurge on crap twenty percent of the time and expect it to be good enough.
Or just stay on the meds. No shame in that.
But now that you’ve gotten yourself in this mess it will take serious discipline to get yourself out. Honestly
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