But_first_coffee 's dagbok, 28 apr 23

I have friends who have taken Mounjaro. They have al lost weight but one had some pretty bad side effects from it. As for being hungry all the time, welcome to that club! All I think about when I eat is what I'm going to eat next...I do find that what I eat can make a difference. I try to eat protein when I'm really hungry as it does satisfy me most times  

Thanks for your response. I don't know a single person that is using it but I have read about some of the side effects. I am strongly leaning towards trying it. I can always come off it if I don't do well. I'd just love to talk to someone who actually is using it.  

Hey there, without being able to see your food diary there's not much I can do to help except try to cover some bases: set your macros for 75%fat, 20% protein and 5% carbohydrate. Next step is to handle the way doctors will tell you to lower your carb intake... and eat fats... but you know... 'healthy fats'. They want you to eat breast meat of chicken without skin, they want you to drink skim milk without fat... The doctors aren't really catching up with the science. If you don't want to eat carbohydrates and you need 1200 cals a day to survive (picking a number out of the air) then a large part of those calories is going to have to come from fat. Have a look at my diet calendar. I track net carbs, not carbs, as there's no reason to add indigestible fibre into my totals as I cannot digest it. Net carbs attempt at 20 a day, protein attempt at 75g a day, all the rest is fat calories. Eating fat suppresses ghrelin and promotes leptin. It turns off the fat storage hormone and turns on the fat release hormone. How does it do this? By a process called ketosis. If you can limit carbs hard enough, your body will operate in ketosis. Just like any system, your body has three way redundancy in getting energy so that you don't die if any one source is unavailable. Fat: Via the lymphatic system, driven around in vehicles called cholesterol, taken to cells where the fats are stored and the cholesterol used for repair or sent back to the mothership to collect more fat. Carbohydrate/sugar: so called because carbohydrates immediately break down into simple sugars in your body. Low GI, high GI, natural, processed... all do the same thing. Enters the blood stream triggering insulin, the fat storage hormone which takes it out of the blood. Too much sugar in the blood is toxic. Protein: Your body can use a percentage of your body weight in protein every day. Any less than that and your body will recycle unwanted protein for repairs/maintenance. Any more than that and your body will transform the protein into carbohydrate. Which is then either used or stored just as all other carbohydrates are used/stored. So anyway this means that your only reasonable resource for not dying of starvation is fat. And what I have found on high fat (keto) is that I have no hunger. Ketosis stops hunger, and keeps the gates open to the food stores in my body. This means I constantly have as much energy as I need, there's no blockage between me needing it and me getting it. The fuel burns slow and long, and reliable. The energy is enormous. It's like meth or coke or something. Unbelievable energy. And I lose maybe 200g a day. give or take some water/food in digestive system/inflammation here and there. No Hunger Lose Weight No suffering. xx All of your meds are part of a decline process. Medical professionals see so many patients who don't want to control the problem via diet, they don't really expect anyone to, don't update their understanding, and just become pill pushers. If you want to go down hill, take the easy road. But if you want to go uphill, you have to suffer and climb. Up to you. 

I eat lots of carbs and I'm rarely hungry. Fruit and vegetables keep me feeling full, along with proteins. I do CICO, with no forbidden foods. On a really hungry day, I'll make a big pot of vegetable soup with lots of cabbage, carrots, onions, bell pepper, zucchini, tomatoes, potatoes and whatever else I have around. I can eat as much as I want without going over my daily allowance. Apples, watermelon, cantaloupe, oranges, berries, mango and other fruit in the morning with low fat yogurt or cottage cheese starts my day and keeps me satiated until noon. I very rarely have an urge to snack during the day. I also eat rice, potatoes and other starchy foods regularly, just in moderation. I chose this way of eating because I wanted something I could live with for the rest of my life. During the worst of covid, I maintained for two years, and I know that I will never regain the weight I have lost. 

Hi! I'm also a type 2 diabetic. I have been for many years. I take 2 types of insulin and 2 oral meds to help control my blood sugars. I once weighed 550 pounds was in a wheelchair and just about bed bound. I couldn't drive because I wouldn't fit behind the wheel and barely fit in passenger side. I took 4-5 insulin injections and oral meds to try to control the diabetes, it wasn't working. I was on the fast track to die. So I had bariactric surgery in 2010. I lost about 250 pounds. My A1C was 6.8! But I didn't lose what I'd hoped for. I worked the life style of a bariactric person but I could NOT get my weight to budge. I felt like I failed but of course my surgeon said I was successful. I maintained that weight for about 5 years. I'm currently gaining and my A1C was 7.8 and am trying to control it with many meds. A1C has come down to 7.2. I'm at the end of the rope, for many reasons. I have to try losing weight again. Anyway, sorry for throwing all that at you, I'm currently taking Ozempic 1X a week. It hasn't helped me lose weight, sorry to be a downer. Maybe I'm not on enough or not taking enough doses. I have heard of many successful people though. It is just a tool for you, like bariactric surgery, you still need to eat healthy and move. I wish you the success with this. Try it you never know. GOOD LUCK and STAY POSITIVE. 

Sage advice from Shirlfleur! I do the same CICO and no forbidden foods. It's something that has always worked for me and luckily I LOVE fruit and veg, so like Shirl it's maintainable for me. 

Any of the GLP1 receptors help moderate the food noise by adjusting a biochemical signal in the body. Despite what is out there in the media in terms of rapid weight loss, the reality is that it can cause nausea which then leads to basically a starvation mode of dieting. On the other hand, if used prudently as a tool to learn better habits for the long term it can be very effective. For more information you might want to read the postings in a Reddit Ozempic subgroup. I've been seriously considering talking to my doctor about it as food noise for me never stops (a lifelong thing) and controling it is a daily batlle. My thoughts are why suffer when there is another tool in the toolkit that might help once and for all. Still means that the work to modify lifestyle through exercise and better food choices needs to be done or it will all come piling back on. 

Y'all I seriously love reading every one of these responses. Very thoughtful and informative. So first off, I'm definitely not trying to lose super fast. A pound a week is perfectly acceptable. @Bubbles McBubbles, I love your username :) that is the best explanation of keto I've heard. However, I've had a double bypass and my cardiologist will crap himself if I eat that much fat! So although it makes sense, right now I've been told it's not a good idea for someone with coronary artery disease. I do keep my carbs below 100 because that's important with my diabetes. @shirfleur 1 I'm basically doing CICO too. I do watch my sugar intake though and try to eat mostly lean protein and fruit and veg but potatoes and pasta are going to happen. LOL in moderation of course. @Jo43613 I hear ya! I've lost 60 lbs. twice! Can't seem to keep it off though. Yes, surgery and meds are just a tool. I'm sorry the meds haven't helped you. During my research I've read that different doses and different ones work for people. Maybe it's a dosing issue or you need a different one. Maybe it won't work for me, but at this point I think I'm willing to try. @Annisworking on it, that's exactly what I'm wanting, not FAST, just stopping the food noise! I didn't even think to check reddit, I love reddit. So thank you all for your thoughts on it. I do think I'm going to give it a try.  

Butfirstcoffee, I wish you every success. :) You're a lovely person and I like you and I am grateful for your positive way of speaking to me. The latest understanding that I have received is that LDL cholesterol is made up of two kinds: functional and broken. Functional is carrying fat and is light and fluffy. It's a floaty truck carrying fat around. But it can get bashed into in the blood stream by sugar and bits break off it. When bits break off it, it has no fat to keep it light, so it becomes a very small hard thing that pelts through the blood bashing the walls of the blood vessels and causing cracks. Then cholesterol, a repair product, races to the cracks attempting to plug them. So right now my doctor is complaining that I have high cholesterol and high blood lipids. My cunning plan is to lie like crazy that I'm going to start eating monounsaturated fats (but I'm not, I'm going to eat as much saturated fat as I can get my hands on) and next 3 mth blood test, I will perform the experiment. As my sugars have gone so low, hopefully I am not damaging my LDL cholesterol. Which will lower the amount of LDL cholesterol I have roaming around because the broken stuff is gone. I'll update via my journals when I know the outcome. :D Staying in ketosis is partly about weight loss, partly about diabetes, but also partly about reversing damage caused by inflammation caused by sugar. it's all a big experiment and it takes a lot of courage to do the opposite of what I'm told. But ever the scientist... here I am, investigating. :)  

@Bubbles McBubbles I am following you and excited to see your results. Both my father and older brother passed at 49 from heart disease and my mom at 59. I had a double bypass at 49. My middle brother has already had stent surgery twice. For me I know it's also about genetics. My parents would have probably survived longer had statins and stents been available. I know the cholesterol link is precarious you know eat eggs don't eat eggs eat eggs. I trust my cardiologist and it seems pretty up to date. Maybe at some point keto will be proven to be an effective way to eat with this disease. For now I feel like he knows best what I need to do. But I'm always researching and open to new ideas. 🙂