The food comfort loss is the psychological adjustment that gets less discussion than the appetite suppression - when eating served a functional role for stress or boredom, losing that pull is its own adjustment. The craving pattern that remains is usually lower-intensity: enough to notice but not enough to override the way it used to. The shock of realizing how much previous eating was functional rather than hunger comes from the medication making that visible. Diet quality still matters for body composition and how you feel, even when the calorie equation is handling most of the work.