Has anyone tried it out? There's currently a preventative healthcare initiative going on in my country where they start screening people over 40 for chronic or potentially chronic conditions.

I went for my initial checkup with the doc today and, being juuuuust below morbid obesity with a BMI of 34, asked her about semaglutide as an adjunct to exercise controlling calorie intake. She's referring me to a weight loss clinic at my local public hospital where I can be assessed for suitability (If I'm not mistaken the clinic has hepatologists and endocrinologists on staff along with allied healthcare workers such as physios and nutritionists). This is great because it costs a bomb if I have to go private. The only wrinkle is that I'm oddly enough not diabetic or pre-diabetic so whether or not I'll qualify for socialised semaglutide is unclear but we live in hope.

I was wondering if any of you had tried any of the variants of semaglutide for obesity and what your experiences have been like.

Platform: Android

What is your calorie counting/meal planning application of choice? Looking for something simple and hyper-focused on calorie counting, and I'm ok with a bit of macro tracking, however that's all I want it to do - no feature creep into other wellness/fitness goals and coaching, etc.

I'm fine with paying (as long as it's reasonable) for a simple application without a ton of ads that does this one thing really well.

Suggestions?

This is a thread for everyone to share their personal story. But I'll start with mine.

I was never an obese child. I was always borderline overweight, but I was never at risk for being unhealthy. At 15 I even managed to lose some weight when I did go into the overweight category. And then I graduated high school. I ended up gaining thirty pounds before starting college, and the weight just kept on piling up. Ending with me gaining over 120 pounds, and being over 300 pounds. I was 17 during this time period. I ended up losing quite a bit of weight, down to 218 during the summer following my first year. But I ended up gaining it back and could not go back down.

By the time I graduated college I was back up almost to my original weight. Unfortunately for me, I graduated in Spring of 2020. Right when the pandemic started. This just caused my weight to climb up even more. Even worse, I finally looked in the mirror and realized that my hair was thinning. This was an easier fix: Dutasteride. Got on that pill and that started growing my hair. You can read more about my struggle with that here. My eating was another ball game.

In late 2021, after being diagnosed with pre-diabetes, I decided to lose some weight. I did Keto, not because I felt like that was the only way to lose weight, but because I had read that was the best diet to reverse pre-diabetes. I did that for three months and it did indeed crushed my A1C number, and I lost a fair amount of weight. The problem was that when I got off the diet I gained a lot of weight back. Not all of it, but enough to make a difference. Keto was not a sustainable diet, but on top of that my thought process was "when this ends I'm gonna eat this I'm gonna eat that."

One day I take a pretty hardcore edible. Weed has an anxious effect on me and constantly makes me reflect on my own life and how unhappy I am with it. But this one time it made me realize how much of what was wrong with my life, or how much of what I did not like about my life was connected to my weight. And how many insecurities me being obese gave me. And how it was holding me back from doing what I wanted to do. It also made me realize why I used food as a coping mechanism, and it made me come to terms with the fact that on some level I had an addiction to food.

So that was actually very helpful, and I was able to move on, and actually commit. It helped me to recognize the signs of overeating, and made me pause whenever I would grab something to eat. I would eventually also start lifting weights and focusing on eating a lot of protein. And that helped me lose fat more than Keto ever did. Just the consistency of that was a lot better and honestly easier than the incredibly restrictive diet Keto is. I still struggle with food. I can't really eat chips, or popcorn, because I will finish the whole bag whether I want to or not. But it's gotten slightly easier, at the very least I've gotten better at trying to avoid things like that.

It's completely altered the way that I look. I just recently saw some family that hadn't seen me in a while, and they did not recognize me. My face is much more visible now. When I would get high I would look in the mirror and not recognize myself but now I do. Part of that problem is that I hadn't actually seen myself properly in a mirror since high school until this recent weight loss. So I was just completely delusional, by choice, about what I looked like. I look at old pictures and go "damn that's how I really was huh."

Now that I'm close to being the same weight I was back in high school, I feel more like me. I feel like I look more like how I perceived myself. I'm not scared to look in the mirror anymore. I'm not scared to take pictures anymore. I'm not scared to try on clothes anymore.

What's really been a trip is the fact that people find me attractive again. I don't want to sound conceited, but I am in fact not ugly. But my face was hidden under the weight. So for years nobody really found me attractive, and that's fair now that I've seen pictures of myself from that time (on top of me having no confidence back then). But now they do again. And it's going to take a little bit of getting used to, but damn it feels good. It feels good to finally date, to have the confidence to go out. It feels good for people to think that I'm 19 instead of thinking that I'm 30.

And I feel so much younger. I'm still in my early 20s, but before now I felt old. Like I felt like my body was falling apart. With how much my hips hurt, with how much my knees hurt, how slow I was. I remember when I was 20 my ankle hurt so much. There was like so much pressure on it and it would not pop. And then when I finally did pop it I had to continually pop it to feel relief. That's gone now. My joints pop a normal amount now rather than the excessive amount. I can crouch, I can get up from the floor, I can walk longer easily. Stuff that I should have been doing this entire time that felt almost impossible to do.

It's like I've been rejuvenated. Like I've been given a second chance to enjoy my youth.

And I really really don't want to mess it up again.

I've lost weight, and regained, and lost, and regained more. Every method, I tried it, succeeding for months until not succeeding anymore and quitting (and regaining). Finally, starting in 2014 at the age of 51, I lost weight and I've kept it off.

In total, I've lost 125 pounds since July 9th of 2014, down from 298 pounds (135 kg) pounds to 171 pounds (78 kg). I'm male, 5'11 (179cm). I had a semi-desk semi-field job during most of this time, working as a jack-of-all-trades "IT guy" for a hospitality company with spas and restaurants and hotels in my region.

Today in The Daily Stoic book, I read from Epictetus, “In this way you must understand how laughable it is to say, ‘Tell me what to do!’ What advice could I possibly give? No, a far better request is, ‘Train my mind to adapt to any circumstance’….In this way, if circumstances take you off script…you won’t be desperate for a new prompting.”

In weight loss, I think it's a given that the most important step is to start. But after that gets going, to stay started and to adapt as you learn more and figure things out. Don't quit, even after caving in to a big eating day or weekend. Shake off the mistake and keep going. Don't quit in a plateau. Don't quit thinking you don't need to diet anymore or that your diet is too weird or untenable or that your body just won't ever lose weight. Instead adapt and continue.

Ultimately, Epictetus is right that this becomes not a diet with weird rules and tight restrictions, but a way to gain the training about how and how much to eat as ourselves. Not following a script but gaining the skills and second nature habits of living a healthy lifestyle. Ultimately, we have to keep off the weight we lose and still be eating the foods we grew up with, the foods our family and friends share, what was and will likely still be our long-term forever diet -- but tuned and tweaked so that we keep off the weight. If we start on keto or IF or cabbage soup, at some point transition to your regular and normal foods and figure those out. Those foods and food situations are in our future, so that's the puzzle we truly need to solve.

Even if we calorie count (and I do), the calories are just our data -- they're helpful to see the way but calorie counting itself is not the way -- the things we do, perhaps measured by calories, is what causes weight loss/gain to happen. A focus must be on shaping the internal long-term habits -- Train my mind to adapt to any circumstance -- so that the natural thing to do when life gets rough and distracting is going to keep us from gaining weight. We don't just eat healthy and light out of intention but also out of thoughtless, automatic "in the zone" or "flow" habit.

I’m interested to see how many others in the tilde community are trying to actively lose weight, what methods you’re using, any big milestones you reached recently and/or your goals!

I’ll kick off: I lost 25kg in 2022, have been on a long maintenance break while I restarted running and getting into my exercise groove, and am now starting up again to lose another 15-20kg. Last year I was just calorie counting but became a little obsessive so this time around I’m trying intermittent fasting - I’m short and I don’t have many calories to play with so skipping a meal feels like the most doable!

I’m a recent joiner after discovering tildes on Reddit (frankly have found that place terrible for my mental health lately, so this API thing bringing about discussions of alternatives has been a godsend!) but one thing I did like on there is the motivation I’d find in knowing I wasn’t the only one on this journey. Perhaps others feel similar! (And if not, if I’ve committed some heinous social faux pas by posting, I can only apologise - this feels like such a nicely curated place that I’m nervous of spoiling it like some great oaf burping during dinner with the queen)

I know it's a big deal right now, but I don't know much about it.

I sort of stumbled into it by accident because I don't feel safe eating at work right now, so most days I don't have any food until I get home around 4:00 to 4:30 PM. I'm also usually wrapping up my evening and in bed by 9:00 PM, so I end up with a roughly five hour window in which to eat. Last weekend I tried to follow it even though I was home and found it surprisingly easy to just not eat until that time, even though it was safe for me to do so and food was available.

I was already calorie counting prior to this, but I noticed the shift to not eating at work accelerated my weight loss a little bit. It's also way easier to come in under my calorie count when I don't eat for most of the day.

Because it seems like this is working (though granted, I'm in the very early stages), and because I don't really have a choice in the matter given that I can't safely eat at work anyway, I'm interested in learning about the do's and don't's of intermittent fasting. As a beginner to this, what should I know? I am mostly interested in just making sure I'm not doing any damage to myself or creating any potential problems that I don't realize, so safety is my primary concern. Weight loss is a secondary focus, though less essential because I feel like I've got that down with calorie counting. Any insights or resources you know of would be appreciated.

My mom is almost 65 and she's pretty heavy. It has got to the point where it's affecting her life quality - she often has joint pain, heart problems, clogged arteries... She has to lose weight, basically. Problem is, I feel like she has no motivation to do so. She never even tried doing it. I researched a bit online, and it seems like older people have it harder to lose weight, not just mentally, but also physically because they have less muscle mass and stuff. Is there anyone more knowledgeable on this topic?