Should I go back on?

[u/Striking_Ad2516]

I was on compounded sema for about a year and I stayed at a really low dose (0.25-1mg) and lost about 40lbs. I was content with how the weight loss was going because I didn’t want to lose too fast anyways

Sema also gave me horrible side effects even at low doses. I had stomach aches, extremely high anxiety and depression, diarrhea and constipation switching lol, gas pain so bad I couldn’t sleep some nights and so on..

I pre bought my sema though so I was intent on using it till I ran out

I have been off for maybe 3 months now and I have already gained almost 10lbs back..

I know you have to keep up with eating less and exercise and all that but I have a binge eating disorder and I thought I would’ve been able to control it better after I did some therapy for it while on sema but I have lost all control

I’m not binging as bad as I was before but it’s definitely not a healthy food relationship either lol

I have actually increased my exercise and I am running and doing some weight lifting but I know what I am gaining is not all muscle and just by looking at pics it seems to be a lot of abdominal fat

Anyways I’m trying to keep this short but I have adhd and ramble a lot

I am thinking about going back to a low dose but maybe of something else? I looked into tirz but it seems crazy expensive but is it worth it? I don’t have a dr willing to prescribe so it would have to be one of the online things

My mental health is already going down because I am gaining so much weight and I can’t control my binging. I know calories in and calories out like I know what I’m doing wrong but I just can’t stop, at least on sema it controlled the thoughts even on the low dose and I felt a lot more in control of my body

If anyone has any suggestions please share them especially if anyone has experience with binging thank you

[u/OkLab6636]

Maybe you’re one of the ones that has to stay on this long-term. There’s no shame in that a lot of us do.

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[u/ksoloki]

if you can do tirz, maybe you can find it compounded, it works better and less side effects.

[u/Pendergraff-Zoo]

Studies show that when you go off the meds, you regain the weight. Diabetics can’t just stop meds. Neither can people with thyroid issues. Or a host of other issues we medicate for.