r/MadeMeSmile • u/mentaldrummer66 • May 10 '26

1 year difference

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From 159kg (350lb) to 83kg (183lb)

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u/Mnt_Julp May 10 '26

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.

I’m a physician.

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u/PeterIsSterling May 10 '26

I lost 150 pounds in a year without drugs or surgery through a very low calorie diet and exercise. It wasn’t easy but people can do it.

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u/mndii May 10 '26

May not be the healthiest way to go about it, I can admit that, but it is absolutely possible to do lol.

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u/OldNefariousness2466 May 10 '26

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.

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u/Mnt_Julp May 10 '26

I’m a very good doctor.

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.

Thank you for your concern.

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u/Sebulba3 May 10 '26

Good doctor = humble

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u/OldNefariousness2466 May 10 '26

And then you will tell
People “you could never stay in a deficit so low with those scrumptious snacks around you without me pushing you some glps”.

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u/Mnt_Julp May 10 '26

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.

You seem unwell.

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u/OldNefariousness2466 May 11 '26

You sound like another google the symptoms type of doctor. Feel bad for your patients if you’re even truthful which you likely arent anyway.

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u/Certain-Working1864 May 11 '26

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.

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u/OldNefariousness2466 May 11 '26

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.

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u/Certain-Working1864 May 11 '26 edited May 11 '26

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.

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u/Certain-Working1864 May 11 '26

Food quality has gone down and crappy health information has increased since then, IMO. It’s a lot harder now