this post was submitted on 30 Jun 2025
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I understand it’s being misused by people who don’t need it, particularly in the entertainment industry. But I’m almost 400 lbs and my eating is worse than it’s ever been and I’m just in desperate need to rid myself of this obsession with always eating more no matter what. Does anyone here have any experience with it? I’ve heard it just works by making you nauseous but I’ve read elsewhere that that’s just a common side effect. At this point I’m nauseous most of the time anyway.

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[–] [email protected] 3 points 1 day ago (3 children)

It works by just making you less hungry. You eat a normal amount of food and then you're full. It's really that simple. I thought it would make me not enjoy food- couldn't have been more wrong. Maybe if your main enjoyment of food is like eating 3 costco cheese pizzas- sure you can't do that, but tasty food is just as good as before.

The biggest thing for me is that I dont have to FUCKING think about food so much. I have ADHD and a little bit of hunger is extremely distracting and derailing which has caused a lot of weight gain. Now I don't care if I'm a little hungry. Now I can notice I'm a bit hungry, and just ignore it and go to bed, and I won't feel like shit from not eating.

god that sounds wonderful

[–] [email protected] 3 points 1 day ago (2 children)

It really really is. It's the best thing about all of it.

After I gained weight my hunger started to really bother me more- I think it's hunger hormones from all the extra fat cells- my stomach would hurt bad, headaches would happen easily, I would get nausea from hunger, and so on. Now I feel so resilient.

If you end up with worse side effects than me, I would definitely recommend treating them aggressively. Fiber supplements, nausea pills, diet changes to reduce gas, etc. Most of the bad side effects people get are actually like... Pretty normal basic OTC stomach upset kind of stuff.

I also had a weird side effect for like 3 days after one of the dose increases, where my skin was sort of sensitive in an annoying way, kinda like having a sunburn. Never came back though.

[–] [email protected] 3 points 1 day ago (1 children)

putting it on the pile of things that might someday get me to go through the hassle of getting a new PCP. real race between that and somebody from a better country helping me do some visa fraud.

[–] [email protected] 3 points 1 day ago

Yeah it's pretty cheap in other countries. They made a sleep apnea version as a pretty transparent workaround to force insurance to cover it for people without diabetes. The manufacturer coupons also really help. Insurance can be very fucking annoying about it but so far they have paid for it. At one point they fucked me and delayed it several days and I had to pay full price and get reimbursed via check a few weeks later.