For years I thought I had to lose weight on "my own terms," have backbone. Losing weight through medication, I simply did not ponder that. Until I saw a program with Liesbeth van Rossum.
Fat is an organ, she explained, and in people who are very overweight (like me) this organ is diseased. The signals to the brain are disturbed. You can keep eating almost indefinitely, because there is hardly any feeling of satiety anymore and because of a strongly fluctuating sugar level you are often busy eating all day.
For me it was very recognizable: a daily battle with an often uncontrollable craving for then sweet and then savory. The realization that my fat is a sick organ and that the use of medication to improve it is really no different than for hypertension, heart disease or diabetes was a real aha moment for me.
The second aha moment was the realization that you don't lose weight from the medication itself (a persistent misconception it turns out). The medication "only" regulates the disturbed signaling function of the diseased fat. It makes you feel satiated (sooner) and it regulates sugar levels. And that helps you change your diet.
So losing weight is done by improving your diet (what you eat, when you eat and the amount) and of course by exercising regularly. So the medication is purely in support of changing your lifestyle. So you are definitely doing it on your own, but without your fat working against you.
I am aware that there is still uncertainty regarding the long-term effects. However, the idea is that the medication is only to be used for a limited period of time; enough time to get the huge influence of your diseased fat under control, maybe even make it "better," and at least be able to adjust your lifestyle and be able to master it well and keep it natural.
On top of that, of course, it is already known that the long-term effects of (severe) obesity are (can be) very serious. If only I could have seen this earlier!
I am now almost 3 months in and feel, despite the fact that I still have a lot of kilos to lose, already a different person. I grant this to everyone!
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