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Comment by FatherOfCurses | Hacker News Reader

People must be getting prescribed this medication in a vacuum without any corresponding nutritional guidance. I can't see any way of going back to my previous eating habits, mainly because I've really had my eyes opened to how mindless some of my eating was before.

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Just like any weight loss and gain, this is the sort of things that happens over years. You lose the weight, then five years later realize your weight has started creeping back up. Once you're heavy the battle never really ends.

It is no surprise given the issue at hand. I mean it is people who failed at dieting and managing weight using the methods shouted from rooftops for a century or more now. Doctor could say whatever and its clearly in one ear out the other. A lot of these patients are taking it as a silver bullet, a quick fix. If you have to actively manage your diet anyhow while on the drug, the whole issue around diets and exercise the drug attempts to surmount, one wonders at the purpose of the drug.

You're in the faux enlightenment that everybody gets during weight loss. Everybody I've ever known losing weight starts discovering the wonders of healthy eating and nutrition as they lose weight, vowing never again to go back to their old habits. Then they slip further down the line and 1-2 years they're back to their original weight, plus some.

Weight loss isn't the challenge. Maintaining it for the rest of your life is.

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