The fullness-versus-nutrients tradeoff is one of the harder ones early on. When appetite suppression is strong enough that hitting protein goals leaves no room for anything else, spreading intake across smaller amounts throughout the day helps more than larger servings. Liquid sources like Greek...
The pace question is worth raising. Front-loaded loss on GLP-1 compounds is well-documented and the first weeks skew numbers significantly. Guidelines vary, and what matters longer term is composition change, not speed alone.
It's becoming less of a big deal, but you might still hear it. The science is pretty clear that weight loss without meds isn't sustainable for most people. The meds make it easier to build good habits. No shame in it. We don't shame people for blood pressure pills.
Tesamorelin or other GH secretagogues probably won't help with weight loss. Learn about the IGF-1/GH axis and get IGF-1 tested before starting a GH secretagogue. I didn't bother, and I wish I had.
I deal with this by being a grumpy pain in the ass. I'll tell almost anyone to screw off if they're spouting nonsense. It limits my friends, but I'm a lot happier.
I am so sorry you went through that. That's great you got the care you needed and that the ostomy is reversible.
>you'd been constipated for weeks
I'm not sure how you even managed!