Longtime readers are not unfamiliar with my health struggles and that obesity has been one of the conditions I’ve battled since I was young. I’ve been big for most of my life. And while a lot of my adult life has been spent trying to learn to love myself in the body I am in, extraneous circumstances (a much needed organ transplant) means that I need to shed weight and shed weight quick. Hence the GLP-1. For those unfamiliar, that’s the class of medication that houses Ozempic and Zepbound and have been used for everything from controlling blood sugar. Improving kidney function and most importantly: weight loss.
Now, we aren’t here to bash your favorite celebrity for “selling out” or about the Ozempic craze that has every influencer looking gaunt. This is purely an exploration of one patient (me) and their experience on this medication. My goal? Just providing some documentation for someone else who may be getting on these meds and needs a little emotional support. I didn’t think this process would be lonely or need extra support but this weight loss journey has been full of surprises.
- This Shit Isn’t Magic – Big shocker, I know. I’ve seen other people lost 20 lbs in a month on this medication and it turns out it’s true what they say: every body is different. So while I’ve lost weight slowly and surely, I by no means have dropped weight in a rapid way. Personally, I like letting my wardrobe adjust as my body adjusts and taking the time to figure out what dose is working and what isn’t.
- Fewer Meals Doesn’t Mean Better Choices – Eating less does help lose weight by contributing to a calorie deficit. One problem: eating less doesn’t mean that the food options are always better. I do notice that I tolerate heavy and greasy foods much worse than I used to but because my appetite is diminished, I find that I’m not always make the best choice if it means encouraging myself to eat something that isn’t a handful of rice cakes. That’s discipline, a thing I noticeably lack and I am working on it. But in my experience, it’s actually been easier to reach for the chicken nuggets if it means eating something that was once alive instead of going to bed having eaten nothing.
- Food Noise is Real and it’s Hell – It isn’t that I thought food noise was fake as much as I didn’t think how much it affected me. Before, I was always thinking about my next meal. I’d eat breakfast in the office and immediately be thinking about what to order for lunch. I was always snacking and wanting something to eat. I also tended to eat when I was bored or understimulated. Turns out ADHD makes you even more at risk for overwhelming food noise.
- Food Without Dopamine – One big thing I’ve noticed is how kind of mechanical eating has become. It’s all about fuel rather than pleasure. I took pride in being a hedonist, a bon viveur , someone who enjoyed food with gusto but now my appetite just can’t keep up. It feels a little dystopian sometimes but I savor the bites that truly give me a crumb of enjoyment while also stomaching another mandatory hard boiled egg to get some protein in my system.
This is an ongoing thing, a lifestyle change, or at least that’s what every medical professional I’ve spoken to says. There will be good days and bad days. But overall, I’m encouraged by my progress and trying to savor every moment. Remember, this is just one person’s experience and to always consult a real doctor about this.






