4 ms·

I'm on semaglutide. Was on Saxenda, because I couldn't get access to Wegovy at the lowest dosage. But now I'm on Wegovy, for half a week so far. I was retchi

I'm on semaglutide. Was on Saxenda, because I couldn't get access to Wegovy at the lowest dosage. But now I'm on Wegovy, for half a week so far. I was retching horribly one night at 2 am, but didn't throw up. I've felt clammy and dizzy a few times. (Possibly hypoglycemic?) I honestly feel like it's changing how I feel about food. I don't want to eat empty carbs, anywhere near as much. Because I feel like they make me feel sick. I'm eager to have more, smaller meals. I'm eager to have protein. I had previously done a keto diet, except maybe I wasn't really in ketosis? It was medically supervised, doing New Direction complete meal replacements. I lost a bunch of weight, but... gained it back. So now semaglutide. Dr urging surgery as a possibility. I'm eager to not do surgery. Fingers crossed for Wegovy.

dmix 4y ago
> I don't want to eat empty carbs, anywhere near as much. Because I feel like they make me feel sick. I did a keto diet obsessively for a while and I still have a psychological revulsion to drinking coke or eating cake even a year later. Those sorts of things are long term wins.
- VikingCoder 4y ago
  When I was trying to slowly increase my calories again, coming off of low-calorie keto, I definitely wanted coke and cake. I'm happy for you, but I didn't get that benefit you got.
  - dmix 4y ago
    Oh yeah, I wasn't really expecting it to be a general rule. I just built up "carbs = evil" so much in my head I developed a physical distaste for it, but I doubt most other people would.
- standardUser 4y ago
  I had the opposite outcome, several months of keto left me avoiding meat and cheese for a long time.
  - VikingCoder 4y ago
    My keto diet was chocolate protein shakes, protein bars, and powdered soups. New Direction it's called. 3 meals, 2 snacks a day. 128 oz of water a day. It worked great as a way to lose weight. And for people who need to lose weight to prepare for surgery, I still think it's a neat program. But I was just not equipped to survive returning to normal foods. And stress.
- drowsspa 4y ago
  I wish I got to this stage where people lose their cravings. While I'm at home I can control my diet pretty well, but as soon as there's junk food in front of me I look like a pig. And I've lost like 30 pounds, to put it into perspective.
  - tptacek 4y ago
    As a data point: under carb restriction and fasting, I won't think about food at all until I happen to eat some threshold number of carbs, or I get actual hunger (shaking, weakness, headache --- usually around 20 hours in). Once I cross that carb threshold, I'll be snacky until I go to sleep. People have different metabolic situations, but if you haven't tried fasting+restriction, it's pretty interesting.
    - dmix 4y ago
      > Once I cross that carb threshold, I'll be snacky until I go to sleep. This is where I struggled with OMAD. It's easy to not eat up to the first meal. But not snacking after dinner takes some real heart.
      - tptacek 4y ago
        The solution, of course, is to never eat. (More seriously: if I'm careful about macros with, like, a late lunch, I'm usually good for the rest of the day. If I make an omelette at 3-4PM, I'm probably not eating another meal that day.)
        dmix 4y ago
        Hmm, yeah, I guess I should really measure my after-dinner spurts to really gauge it. When I went hardcore and used https://www.carbmanager.com/ https://www.carbmanager.com/ (I'm pretty new to this) I was surprised by the average carb/etc intake, both lows and highs. I'm a strong believer in being able to eat enough to become satiated without overdoing the negative macros. So it's mostly a matter of finding the right stuff to eat in those moments.
- cmrdporcupine 4y ago
  Wait til someone you love develops anorexia or a similar eating disorder (they may already have and you may not know it), and then you will think of "psychological revulsion to X food" in an entirely different light. Be careful. You'd be amazed at what harm the brain can do to the body.

dmix 4y ago

> I don't want to eat empty carbs, anywhere near as much. Because I feel like they make me feel sick. I did a keto diet obsessively for a while and I still have a psychological revulsion to drinking coke or eating cake even a year later. Those sorts of things are long term wins.

VikingCoder 4y ago
When I was trying to slowly increase my calories again, coming off of low-calorie keto, I definitely wanted coke and cake. I'm happy for you, but I didn't get that benefit you got.
- dmix 4y ago
  Oh yeah, I wasn't really expecting it to be a general rule. I just built up "carbs = evil" so much in my head I developed a physical distaste for it, but I doubt most other people would.
standardUser 4y ago
I had the opposite outcome, several months of keto left me avoiding meat and cheese for a long time.
- VikingCoder 4y ago
  My keto diet was chocolate protein shakes, protein bars, and powdered soups. New Direction it's called. 3 meals, 2 snacks a day. 128 oz of water a day. It worked great as a way to lose weight. And for people who need to lose weight to prepare for surgery, I still think it's a neat program. But I was just not equipped to survive returning to normal foods. And stress.
drowsspa 4y ago
I wish I got to this stage where people lose their cravings. While I'm at home I can control my diet pretty well, but as soon as there's junk food in front of me I look like a pig. And I've lost like 30 pounds, to put it into perspective.
- tptacek 4y ago
  As a data point: under carb restriction and fasting, I won't think about food at all until I happen to eat some threshold number of carbs, or I get actual hunger (shaking, weakness, headache --- usually around 20 hours in). Once I cross that carb threshold, I'll be snacky until I go to sleep. People have different metabolic situations, but if you haven't tried fasting+restriction, it's pretty interesting.
  - dmix 4y ago
    > Once I cross that carb threshold, I'll be snacky until I go to sleep. This is where I struggled with OMAD. It's easy to not eat up to the first meal. But not snacking after dinner takes some real heart.
    - tptacek 4y ago
      The solution, of course, is to never eat. (More seriously: if I'm careful about macros with, like, a late lunch, I'm usually good for the rest of the day. If I make an omelette at 3-4PM, I'm probably not eating another meal that day.)
      - dmix 4y ago
        Hmm, yeah, I guess I should really measure my after-dinner spurts to really gauge it. When I went hardcore and used https://www.carbmanager.com/ https://www.carbmanager.com/ (I'm pretty new to this) I was surprised by the average carb/etc intake, both lows and highs. I'm a strong believer in being able to eat enough to become satiated without overdoing the negative macros. So it's mostly a matter of finding the right stuff to eat in those moments.
cmrdporcupine 4y ago
Wait til someone you love develops anorexia or a similar eating disorder (they may already have and you may not know it), and then you will think of "psychological revulsion to X food" in an entirely different light. Be careful. You'd be amazed at what harm the brain can do to the body.