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I count calories with sema to hit my macros. You can eat 800 kcal and be totally full on this stuff. To do it well you need real control of meals-mostly home cooking. Eating out once messes with tracking, though I still do it just rarely. The win is learning simple filling meals that work.

Was 56 with crazy joint pain, inflammation, digestion mess, couldn't drop 40 lbs even at 1200 cals. Started this med to get active again and it cleared up almost everything. No more inflammation, pain gone, working out and yoga regular now. Hair came back, skin better. Food noise finally quiet.