Crushed it! BMI back in the healthy range!

Hong Kong Yanpep International
protein shakes saved my life on this stuff. with appetite down and digestion slower, i couldn't hit my protein targets otherwise. morning coffee shake (~50g), mid-day sippy (~50g), evening 'wizard brew' with collagen, magnesium, creatine (~15g). gets me to about 115g a day without forcing whole meals.
 
message your doc and say you're barely eating—ask for a refill at 2.5 for another month. right now it's mechanical eating. even when you don't want it, even when it tastes off. calorie-dense stuff like shakes or peanut butter. not as nutritious but you gotta get it in any way you can.
 
Back in the healthy BMI range with the approach you described is the version that tends to hold. The meds-plus-choices combination is the reason outcomes from this method differ from just-the-diet attempts.
 
the eat-something-even-if-small point is especially important for people who are still training through the appetite suppression - the suppression can feel like a green light to skip meals but the active body needs caloric support even when the hunger signal is gone. soup and shake formats work well here because they hit protein and calorie targets without the volume and texture demands that solid food makes during high-suppression periods
 
The 'soul destroying' cycling description is one of the most clinically honest things in these forums. The yo-yo pattern has a metabolic footprint that makes each subsequent attempt harder at the biological level, not just the psychological one. Having pharmacological support that addresses the set point rather than just the willpower piece is genuinely different from what most people had available before.
 
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