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re: Am I Essentially Doomed To Weight Loss/Diabetes Medicine?

Posted on 5/21/26 at 10:00 pm to
Posted by TheMagicMan
Member since May 2026
44 posts
Posted on 5/21/26 at 10:00 pm to
quote:

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.


Weird question to ask, but would it be good to use nicotine pouches for an appetite suppressant, even though I don't smoke? I honestly think that's my biggest challenge, is suppressing my appetite and urges. I've tried some meal replacement shakes and even apple cider vinegar, but none of that really worked for me.
Posted by TheMagicMan
Member since May 2026
44 posts
Posted on 5/21/26 at 10:01 pm to
quote:

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


No victim mentality here. I know I got myself in this mess and only I can get myself out of it.
Posted by CaptainsWafer
TD Platinum Member
Member since Feb 2006
59323 posts
Posted on 5/21/26 at 10:04 pm to
I wouldn’t think substituting one bad habit for another is a great idea. I dipped for a long time and quit in 2019, never smoked. I picked up the pouches when I felt like my right nut was going to explode before my hernia surgery.

The pouches can make your blood pressure go up too.


Have you tried chewing gum when you get hungry?
This post was edited on 5/21/26 at 10:05 pm
Posted by BawtHouse
Member since Dec 2021
447 posts
Posted on 5/21/26 at 10:04 pm to
Seek the guidance of a doctor that specializes in obesity and has a good track record in treating the disease. PCPs tend to have very broad knowledge bases. They are not specialized though. If you were diagnosed with heart disease, would you seek the guidance of a cardiologist? Of course. Would you start taking heart medicine and say “I plan to stop taking the heart meds once they prove to be effective?” Of course not. This isn’t that different.

The answer is to do all of the things. Healthy diet(not fad diets, starving yourself, etc). Nutrient rich balanced diet is THE optimal approach. Exercise regularly. Get help from a specialist.
Posted by Arthur Bach
Member since Jul 2016
3194 posts
Posted on 5/21/26 at 10:11 pm to
Get on an SGLT-2 and get your diet and exercise in order

Half of all diabetes patients die from kidney and heart issues.

Take care of yourself.
Posted by Redlos
Baton Rouge
Member since Jul 2005
1178 posts
Posted on 5/21/26 at 10:18 pm to
Type 2 Diabetes is a lifestyle issue, eat right, exercise and cut out carbs/sugar. Suggest reading The Diabetes Code and fasting. All this worked for me, medicine is a last resort…it’s not easy to make the lifestyle changes, especially if you have diabetes in your family history but it can be reversed.
Posted by TheMagicMan
Member since May 2026
44 posts
Posted on 5/21/26 at 10:19 pm to
quote:

Get on an SGLT-2 and get your diet and exercise in order

Half of all diabetes patients die from kidney and heart issues.

Take care of yourself.


Trust me, I know. My dad just passed away due to kidney failure. He had no quality of life the last 2 years, either going to doctors appointments or going to dialysis. Eventually elected to go into hospice and off dialysis, died about 1 1/2 months later. Not the future I want for me and probably the thing that woke me up.
This post was edited on 5/21/26 at 10:20 pm
Posted by CharlesUFarley
Daphne, AL
Member since Jan 2022
1110 posts
Posted on 5/21/26 at 10:19 pm to
Look into Keto or low carb. This approach to eating tends to make your appetite mechanism work better. IF you stick to it, you don't get hungry as often and your hunger is less acute: you know you need to eat, but you can wait, it's not so urgent that you can't wait to get the right food.

However, you will absolutely miss a lot of really good food. If you stick to it, food noise is low. If you occasionally cheat, food noise will overwhelm you.

One thing to remember: in all those years of medical school, a doctor gets bout 40 hours of instruction on nutrition, and it is based on science from the 1950's.

Side note: Two of my sisters had thyroid cancer. I can't take the GLP-1's. I have under active thyroid, so I am facing a tremendous headwind. You may be lucky you have that option.
Posted by LemmyLives
Texas
Member since Mar 2019
16189 posts
Posted on 5/21/26 at 10:31 pm to
quote:

suffered an ankle injury last December. Was in physical therapy for it in January, February and April.

There are EPL players that get tackled that come back from ankle injuries faster than that. Four months? I've torn my hamstring and come back faster.

All kidding aside, the weight is not the problem. You have emotional issues which you need to work on. GLP, or anything else, will not fix your sorrow, or your (shin splints is code for I'm weak or run improperly).

The work you put in is not to fix your weight. The work you put in is so that you feel a sense of accomplishment. You have shame about the weight, but take pride in, "I showed up, and I didn't have to." Change the mindset.

If you do a rower right, you can make yourself puke in under 5-10 minutes, which is why I like it. No boring 50 minute jogs for Lemmy. Let's get it over with. Your shoes or your stride are probably wrong, but you're paying a trainer that apparently doesn't notice either of those problems. Tell him you want 10m of sled work instead of 20m of treadmill BS.

Don't focus on the weight. Focus on how happy working out makes you feel. Profit. It works. It's better to be a bit heavy and active than it is to be skinny fat and sedentary. Used 12lb dumbbells this month? 15lb next month, F yeah!
Posted by SuperSaint
Sorting Out OT BS Since '2007'
Member since Sep 2007
150404 posts
Posted on 5/21/26 at 10:33 pm to
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.
Posted by LemmyLives
Texas
Member since Mar 2019
16189 posts
Posted on 5/21/26 at 10:44 pm to
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.

Part of my college experience was in athletic training. This was the era of "what size zero are you" for women. It was my first out of body experience where I nuked the bitch from orbit that minimized exercise, it was all about calorie restriction, rice cakes, and all that shite.

Nutritionists are usually total freaks. Ask more questions, and change doctors if you're getting bullshite answers.

I'll explain it to you this way:
Me, preparing for powerlifting competitions. Doctor 1: If benching hurts you, stop doing it for six months, here's a shot so it won't feel bad. (18 months wasted repeating this.) A year later: doctor 2: Yeah, the shot won't fix anything, but if I do a SLAP repair in two weeks, you do rehab, you'll be back on the bench in 90 days at your old weight. Over a year of my lifting life wasted because I didn't push back on a doctor.
Posted by TheMagicMan
Member since May 2026
44 posts
Posted on 5/21/26 at 10:47 pm to
quote:

There are EPL players that get tackled that come back from ankle injuries faster than that. Four months? I've torn my hamstring and come back faster.

All kidding aside, the weight is not the problem. You have emotional issues which you need to work on. GLP, or anything else, will not fix your sorrow, or your (shin splints is code for I'm weak or run improperly).

The work you put in is not to fix your weight. The work you put in is so that you feel a sense of accomplishment. You have shame about the weight, but take pride in, "I showed up, and I didn't have to." Change the mindset.

If you do a rower right, you can make yourself puke in under 5-10 minutes, which is why I like it. No boring 50 minute jogs for Lemmy. Let's get it over with. Your shoes or your stride are probably wrong, but you're paying a trainer that apparently doesn't notice either of those problems. Tell him you want 10m of sled work instead of 20m of treadmill BS.

Don't focus on the weight. Focus on how happy working out makes you feel. Profit. It works. It's better to be a bit heavy and active than it is to be skinny fat and sedentary. Used 12lb dumbbells this month? 15lb next month, F yeah!


Nice job ignoring the fact that my dad died during that period. It wasn't supposed to be 4 months. It was supposed to be 2 1/2 months. But yes I had to take 1 1/2 months off due to my dad. Yes those EPL players recover quicker. They are in better shape and probably focused 5 days a week on recovery. I was going to physical therapy twice a week.

I mean, I like to think I run correctly on a treadmill. I even bought brand new running shoes last November, so it shouldn't be the shoes themselves. I don't deny I don't have endurance. But it's not emotional when your legs hurt badly. About a month ago I was running outside and the shin splints flared up. It was so bad I almost wasn't able to get home, but I limped home. That's not emotional.

And yes I've done the rower previously. I know exactly that throwing up/puking or at least the feeling of it after 5 - 10 minutes. I think I'm going to focus on the rower for now, as it least then I can get the cardio in.

I go to a gym, so the trainer just reviews what you are wanting to work on, what your goals are, and develops a training plan around that. It's not their fault, they are part of the gym, I don't pay them anything. But you are right, I probably need to ask if they can look at my stride and seeing what I am doing wrong.

Thank you for the sled workout idea, I will also bring that up. Like you said, that's less impact, so it might be better with building up strength in my ankle. And like you said, better than the treadmill. Besides the shin splints, I just find treadmill time boring.

And I agree, I do like the feeling after a good workout. I'm definitely looking forward to getting back in there.
This post was edited on 5/21/26 at 10:48 pm
Posted by Jake88
Member since Apr 2005
80023 posts
Posted on 5/21/26 at 10:48 pm to
So youve only been really heavy for 2 years? Sounds like you should dedicate yourself for 6 months to losing it on your own.
Posted by TbrudLSU
Houma
Member since Oct 2012
29 posts
Posted on 5/21/26 at 10:49 pm to
Bruh not the end of the world, I have been diabetic for years, recently found Berberine, pure berberine from carrot patch in Thibodaux. Changed my life I no longer take any medicine and cut out sugar. A1C at 5.6 for 6 mths now. There is hope
Posted by TigerGman
Center of the Universe
Member since Sep 2006
14048 posts
Posted on 5/21/26 at 10:50 pm to
quote:

Or do I just give in and accept being on this type of medication the rest of my life?


What's the problem with staying on it? These are miraculous drugs. You lose tons of weight & are never hungry so you don't feel deprived. They reduce the risk of heart attack, stroke, diabetes, and inflammation by at least a third even you DON'T lose weight.

You'll feel so good you'll live in the gym and get in great physical muscular shape too. Even at my age I'm down 55 pounds and counting in less than a ear and have way more muscle than I ever han even when I got on work out kicks
Posted by Everyday Is Saturday
Member since Dec 2025
1605 posts
Posted on 5/21/26 at 10:51 pm to
Sorry for your loss (Dad). Tough stuff.

I am of mindset to use meds as very last resort. I’m not a Dr.

Have found success in the following formula:
- Sleep well (foundation of it all)
- Eat right foods at right time of day
- Move most days of week (your fav movement, whatever that is)
- Get sunlight
- Stay hydrated

These things are no longer “actions to get weight loss”. Rather, this is now the lifestyle I enjoy. This mindset change is the secret sauce for me.

If wish to drop 10lbs in few weeks, cut out alcohol. Another 10, cut the processed foods crap. Replace with fish/chicken, fresh fruits and vegetables, water for sugar drinks, and dairy sparingly.

Don’t deprive yourself. Splurge on your favs now and again. Cheat meals matter. Just flip from always / often to exception.

My bio numbers have always been pretty solid when following this lifestyle.

Know not easy and know what I do is not one size fits all. Sharing in spirit that actions before meds might be worth the shot (pun an accident).

Good luck!

This post was edited on 5/21/26 at 10:57 pm
Posted by jmarto1
Houma, LA/ Las Vegas, NV
Member since Mar 2008
38730 posts
Posted on 5/21/26 at 10:53 pm to
I can talk to him and see. I know he drinks a lot less and is in the gym a few times a week
Posted by toratiger
susukino
Member since Aug 2008
3568 posts
Posted on 5/21/26 at 10:53 pm to
quote:

you could eat less



and move more
Posted by TheMagicMan
Member since May 2026
44 posts
Posted on 5/21/26 at 10:54 pm to
quote:

What's the problem with staying on it? These are miraculous drugs. You lose tons of weight & are never hungry so you don't feel deprived. They reduce the risk of heart attack, stroke, diabetes, and inflammation by at least a third even you DON'T lose weight.

You'll feel so good you'll live in the gym and get in great physical muscular shape too. Even at my age I'm down 55 pounds and counting in less than a ear and have way more muscle than I ever han even when I got on work out kicks


The problem isn't so much the drug itself. Sure, my current company has really good insurance. And they'll pay the for the vast majority of the GLP-1's, especially if it's established I'm diabetic. I think if I'm diabetic they pay for the entire cost. Even if I'm not diabetic and we establish it's just for weight loss, my insurance would pay for most of it, minus a copay.

But if I get laid off at any point then I'm f*cked. And we've all seen the economy the last 1 - 2 years. Even my Company has had layoffs this year. Nothing near my department, but I'm not going to lie that AI doesn't scare me.

If I get laid off, even if it's 10 or 15 years down the road, what do I do then? The GLP-1's are absolutely unaffordable if you have bad insurance or no insurance at all.

Plus do we really know the long term effects of GLP-1's? I already take a lot of medications, I think the idea of taking another one is just frustrating.
This post was edited on 5/21/26 at 10:55 pm
Posted by TheMagicMan
Member since May 2026
44 posts
Posted on 5/21/26 at 11:01 pm to
quote:


Sorry for your loss (Dad). Tough stuff.

I am of mindset to use meds as very last resort. I’m not a Dr.

Have found success in the following formula:
- Sleep well (foundation of it all)
- Eat right foods at right time of day
- Move most days of week (your fav movement, whatever that is)
- Get sunlight
- Stay hydrated

These things are no longer “actions to get weight loss”. Rather, this is now the lifestyle I enjoy. This mindset change is the secret sauce for me.

If wish to drop 10lbs in few weeks, cut out alcohol. Another 10, cut the processed foods crap. Replace with fish/chicken, fresh fruits and vegetables, water for sugar drinks, and dairy sparingly.

Don’t deprive yourself. Splurge on your favs now and again. Cheat meals matter. Just flip from always / often to exception.

My bio numbers have always been pretty solid when following this lifestyle.

Know not easy and know what I do is not one size fits all. Sharing in spirit that actions before meds might be worth the shot (pun an accident).

Good luck!


I'm the same way, which I think is causing a lot of my issues regarding this. I'm genuinely a meds as a last resort type of person. Unless there's pain, then give me whatever meds you have for it.

Your mindset aspect I think is a big part and is something I need to do. I know for me I do enjoy certain foods that aren't the greatest. Fad diets and strict diets that restrict everything I think ultimately would fail for me. I don't mind 90% or even 95% of my meals being super healthy, if not a little boring. But like you said, I still want to have 1 - 2 meals a week that I really enjoy. Like you said, it's about changing it from often to exception. And I think that's the big change I need to make.I genuinely appreciate your advice.
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