i think its more that people who dealt with food noise alongside a weight problem are just grateful a medication exists that changes how their brain and body respond. thats the overwhelmingly positive theme i keep seeing here. regarding stopping and restarting, the pattern that comes up most is pretty consistent: youll likely regain weight, food noise tends to return, and body composition often ends up carrying more fat than before. exceptions exist, especially among athletes focused on muscle. theres also a recent study worth mentioning, researchers found inconsistent use of some of these medications can meaningfully reduce how well they work over time. in the animal research, each stop and restart cycle meant less weight lost compared to the original response