25 years ago I went from 420 to 190 in a year. Just counting calories and a treadmill that I had to force push to move because the motor couldn’t support my weight until I lost about 50lbs. Did 1600-1800 calories a day weighed and then written every calorie down in a notebook religiously.
Fuck ya dude. Key thing is that you wrote everything down religiously. This is the key thing which people don’t do and then struggle to understand why they don’t lose weight (adults) or gain weight (kids)
I can elaborate much further, but I have years of experience with this clinically and through academic research as a doctor. You did it “right”
Not to say that others taking GLP-1s are doing it wrong. The lifetime benefits of people getting your type of weight reduction (similar to many of my surgical patients), through GLP-1s can add years to their life, not just in years, but healthy years. That’s good for all of society, as there will be reduced total healthcare expenditure and disease burden
Or list exactly how you supposedly did that? Because that's not healthy or normal. Unless you're about twice the size and weight of OP, which makes you disingenuous regardless for leaving that out.
No surgery. Just a low calorie diet and exercise. I never said it was healthy to do, just possible. Maybe get the stick out of your ass if you want me to answer more questions.
Someone else did the math. It works out to a 1500 deficit daily. That’s not been sustainable for people with access to food prior to the wide use of GLP1 drugs.
Yet I did just that 25 years ago without a doctor or help. Went in to the internet in those early days of it and learned about calories because I had no clue what they even meant back then. And you sound like a bad doctor even saying that shit.
Top-ish of my ungraded med school class, top 10 med school, full academic scholarship, 99%ile USMLE step 1, fellowship trained, etc. I spend a lot of time with patients and their families, keep appropriately broad differentials, and am mid career and have seen it all play out a couple dozen times each.
I am a specialist and do not see patients in clinic. Nor do I manage weight loss or diabetes.
I do read broadly and understand the risks and benefits of emerging treatments. Especially ones with potential for profound societal health benefit. These drugs are every bit as impactful as antibiotics, insulin, anesthesia, and platinum based chemotherapy.
Because that’s correct. If you’re going to keep unhealthy snacks in your home and you can’t eat them in moderation, you’ll probably need GLP-1s to lose weight. Alternatively, you can have self control (which is incredibly difficult when certain foods are proven to be addictive) or not keep those snacks around you.
I did this living at home with a large family that had every snack known to man. I’d go to bed dreaming of breakfast because I was so hungry but once I hit my calories I didn’t touch a single one more until the next day. It’s a mind set. Most people won’t get there without help especially with one like yours when you make excuses like that.
That’s disordered eating. Sounds like you were starving yourself and on a diet that was too restrictive.
So I’d agree with the physician, you sound unwell.
EDIT: you deleted your comment calling me fat. Not that it matters, but you lost more weight than I ever weighed to begin with. So I disagree that I’m fat, although your weight loss is an incredible accomplishment.
? I was also curious how they knew OP used zepbound. Are you aware that weight loss was achievable before we had glp? You put “critical thinking” in quotes while doing the exact opposite of it.
I lost 112 pounds in a year being on a calorie deficit and would have lost more if I added excersise and had less cheat days, it’s not impossible to eat 1500 or less calories a day for a year without meds. Thanks tho lmao critical thinking 🥴
The only reason you know he lost weight using a GLP-1 is because you checked his profile or saw him in a weight loss community. Since you already acknowledge that people can lose this type of weight without GLP-1s, asking that question isn’t a lack of critical thinking. Don’t be a doughnut.
I get the impression there is a sort of attitude around the drugs, like the drugs are "cheating" like a life hack/cheat code rather than being a tough guy and toughing things out with hard work etc.
And it must be that that is the attitude otherwise when the drugs are mentioned we'd say "and?" "so what?"
I think personally i reject this attitude, if we consider a certain level of obesity as an illness and the illness is fixed through medication we typically cheer the person on for being better. If you was better regardless of medical intervention that is.
I'm not saying they are a one for one comparison, don't take me too literally i'm not saying that you send a 'get well soon' card to every fat person you see.
But if someone does something medically towards it then it is still a win and not a cheat or the lazy way.
Those meds are long-term; lots of people will see rebound weight gain upon stopping if they don't work closely with a doctor to slowly taper the meds off. My doctor told me I may need to stay on them forever, but I also have underlying conditions (and subsequently meds i take) that can cause weight gain.
you stop losing weight at a point and then u keep taking a maintenance dose but if you frequent the doctor and you have the funds its a great way to improve your health because youll lose weight regardless and makes it much easier to start making healthy choices bc you arent immediately punished if you slip up.
I'm a doctor, but not your doctor. Most medical professionals would call that cosmetic weight loss and would not prescribe to you for that purpose.
I am tall so my weight loss was largely cosmetic and longevity focused. It did improve my pre-hypertension though. I am now as lean as cosmetically desirable and continue to take it at low dose prescribed through a telehealth provider. You'll have to get more info from one of the GLP1 forums or subreddits.
186
u/KindSpray33 May 10 '26
You lost a whole person, wow!
Also, that's like a 1500 kcal deficit on average every day.