The long and short of it is that you need to continue to take the drug for the rest of your life if you want to maintain the weight loss. Many say the weight plus more returns if you stop and don't permanently change the way you eat.
As a nutritionist, I'm wondering if one can take this drug long-term and still be able to get adequate nourishment. The reason that people lose so much weight is that they are not hungry. Some barely eat and their doctor has to tell them they need to eat. Over time, I would imagine malnourishment might become an issue.
While I'm sure at least some of those inspired to go this route may have been overeating, whether or not they were eating for nutrient density or simply eating empty calories would depend on the individual.
As a petite woman with a very slow metabolism, I've always found it necessary to eat a nutrient-dense diet with the fewest calories I can. I'm not starving myself at all - I just am not hungry and my body doesn't need many calories but it still needs nutrients to maintain healthy levels. It's a challenge for sure. I can't imagine that most are as diligent nutritionally with caloric restriction as I am.
While supplements can help, there is simply no substitute for whole food and a balanced diet.
As a food scientist, I know for sure that we do not know and certainly cannot measure the interactions of nutrients in food that nature provides us. We can't even measure the components of foods we know exist.
I wish there was a magic solution to weight control for many of us who may struggle with it. So far, no magic exists. The risk of not accepting my healthy self for some generated image of perfection is just not worth it in my book. I will tell you if and when I find the magic. In the meantime, I chose to enjoy my healthy life as it is.
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