You absolutely can eat past what the medication compensates for, no question there. And for a lot of people the effects seem to fade over time. The shift tends to move from relying entirely on the medication to do the heavy lifting, appetite suppression, quiet food thoughts, even mild aversion, toward doing most of that legwork yourself, tracking intake, exercising, staying below maintenance.
Which raises the question, why even keep taking it if I'm doing all the heavy lifting myself? Isn't the whole point that it's meant to do the work for you?
Depends entirely on how your body responds to and works alongside it.
In the most recent long-term maintenance trial, roughly one in twelve people who kept running an elevated amount specifically to lose weight ended up putting half of it back on regardless.
My own theory: adapt at one level and eventually you'll adapt at the next couple levels up too.
So what happens once you hit that ceiling? Well. That's exactly where I'm sitting right now.
What I can say with confidence is that hunger shows up constantly. Can eat sizable portions without issue. Fullness cues are basically gone too. No noticeable delay in how fast my stomach empties anymore.
But.
The medication's clearly still doing something. Has to be. Every previous weight-loss attempt and every attempt to hold onto that loss eventually failed for me. Longest stretch I ever maintained was seven years. Genuinely thought I'd cracked the code back then. But biology ultimately drives behavior. Right now, I'm still holdin