It’s been awhile since I’ve posted. I’ve felt pretty lost and frustrated and hopeless over the last couple of years. After losing weight while I had some digestive issues (I think the fear of the unknown, the surgery, and the future zapped my appetite), and then gaining it ALL back, despite my fiercest efforts, after getting well and my appetite coming back in the strongest way, I wasn’t sure what was next. Then two things happened.
First, Ozempic (and Wegovy, and the like).
Second, I discovered Stephan Guyenet.
Obviously, all of the success with semaglutide drugs is hard to ignore. People who have struggled their entire lives, hungry, shamed, dismissed and overweight, are suddenly figuring out what life is like when you feel full as you eat, and aren’t hungry all the time, especially while trying to lose or after losing weight. And doctors have mostly said good things, with the biggest criticism that the drugs won’t be prescribed chronically, or insurance will try to block it. I have my upcoming annual appointment this month, and it’s top of my list. So much so, if my doctor won’t prescribe, I’m willing to change doctors to someone who will. My heels are in the ground because of Guyenet.
I have heard about Guyenet over the years, but haven’t bought his book. However, I’ve read a lot of his stuff, and have spent the past couple of months listening to podcasts he’s been a guest on. And the information he shares makes me feel “seen” more than anything I’ve ever read about food.
I have willpower. I am ambitious. I don’t have food issues. I am just too hungry to lose weight and keep it off. Guyenet says that, basically, when you start to lose weight or have lost weight, your brain freaks out and won’t let you rest, overwhelming you with hunger, until you gain it back. This is exactly what I experienced in 2022 after losing weight in 2020 and 2021, while sick. The hunger was so bad, I couldn’t focus at work, I couldn’t sleep, and I called my mom literally crying because I didn’t want to gain the weight back but was so hungry all the time. Eventually, I ate. And once I gained 40 pounds, I just gave up, and gained the other 20. Where I finally wasn’t constantly hungry.
To be clear, my BMI is in the obese range. Surely, a sixty pound difference says as much, but the weight I’m at is NOT a healthy weight, but it seems to be what my brain thinks I should weight.
Guyenet also talks about how obesity impacts your body’s ability to either make or acknowledge leptin, I can’t remember which. So this causes you to overeat if you aren’t careful, and gain (albeit, much, much more slowly than when you’re below your set weight).
He also talks about how when you’re at a deficit and have lost or are losing, it’s only your brain that thinks you’re starving. You aren’t actually starving. But, eventually, your body will compensate and even lower your metabolic rate so you burn fewer calories. He also talks about making sure you’re avoiding food triggers (I am good at this, I live alone and don’t buy junk), and trying to avoid eating a variety of foods that will keep you interested in taking more and more bites.
This concept of wanting to go back for more is an interesting one. Either you have a plate with a lot of variety or it’s very eatable, even after you’ve had enough. Think Thanksgiving for variety, where you might get bored with one food and move to the next and next until you’re over-stuffed. The only reason I don’t get miserable like most of my family is I like three things, put those on my plate, eat, and then wait a few hours for dessert. The food is delicious, but I don’t have mine or ten items to keep my interest piqued. Or, consider how most restaurants have a protein, starch, veggies, a variety of textures and flavors, and it’s full of umami and fat and salt, which makes it so interesting, you keep wanting more. On food competition shows, the judges will always reference how “this dish made me want to keep co,one back for one more bite,” or “each bite was something new, it was so interesting and crave-able.”
So what’s the trick? One option is fully bland food, which I know from experience will make me toss it and run out for a pizza or fast food. Learning to cook in my twenties was how I was able to eat healthier. The food had to be good or I’d get frustrated and just eat what was easy. So, I know bland isn’t the answer.
But is less varied the answer? Nothing fully off limits, but instead of a protein and a starch and veggies and a salad, would it benefit me to have a protein and one side? No matter what that protein or side is. Or to make a soup and just have a bowl of it, and make sure the bowl is full of things like beans and potatoes and protein (satiating foods)? Without filling it full of a bunch of umami and fat and salt. Still tasty, but not so crave-able. Delicious and filling and fulfilling.
The only problem now is the constant hunger. There’s a nice part of me that knows, “It’s just in your head” but it is distracting and overwhelming and it feels not sustainable. Which is why I wish I could get my hands on SOMETHING that will take the edge off. My issue isn’t comfort, stress or other emotional eating, or cravings, or even that I love junk food. My issue is plain and simple, hunger. And if I could take the edge off of that, I think the weight would melt off.
The only issue is sustainability. If semaglutide helps with hunger, my doctor or insurance cutting off access will mean I’ll lose, lose access, and regain. There doesn’t seem to be any long-term solution, yet. And insurance companies are profit-driven. They’re not there to help, they’re there to make a profit. And many doctors still seem to think it’s an issue of willpower. I can overcome the doctor. Can I overcome the insurance?
I’ve literally felt like I’m starving for over a month. I’m basically at the same weight because it’s hard to not just make another protein shake, or a bit more chicken and veggies, or whatever it is, because I’m so hungry. My concentration and focus sucks. I’m tired and light headed. And have lost no pounds. I’m basically maybe 100 calories below maintenance so it’ll take me a month to lose a pound. That’s not sustainable. All of this stress for a pound per month? And then I’ll just be hungry until I gain it back.
I’ve struggled my whole life with my weight. Shouldn’t I get to play on “easy” for awhile?