The cycling approach has real merit for metabolic adaptation. Spending time at maintenance or a small surplus gives the body a signal that restriction is not permanent, which helps when you drop back down. Water is genuinely underrated too - hunger and thirst signals are easy to confuse on a...
The pharma money angle is real and the prices are hard to ignore. But first-line recommendation from a cardiology body also means more pressure on insurers to cover it and more competition to drive generic development. The cynicism and the clinical reality can both be true.
Emotional waves in the first week are more common than people warn you about. The hormonal disruption from appetite suppression can hit mood before anything physical shows up. The perimenopause question is worth keeping separate - the sobbing for no reason early on is a known thing. It passes.
This stuff is wild. I saw a lady online say she's down about 100lbs after a couple years! She said her relationship with food is totally different now - healthier choices, smaller portions, and no guilt when she's full. Said random people are noticeably nicer to her now, too.
Maybe our expectations of what -100lbs *should* look like are off. I've lost almost 100, but I don't think people would guess that. They'd probably say I lost like 40.
I've used them before for ED meds, specifically a Quad mix. The prices were good and it came with everything I needed. I'm not sure about potency compared to others, but the convenience was awesome.
Hey ToneLean, I think it varies so much from person to person. Some people are super-responders, others need a higher dose. I'd talk to your doctor about whether titrating up is right for you. Also, are you resistance training? That can make a HUGE difference!