I hear the most ironic stuff on glp from the people I know on it. So doctor is obviously a reasonable person with an interest in making people healthy, not trying to set up glp addicts, and are encouraging better diet and increased exercise while eventually tapering and getting them off the glp entirely as the final end goal.

The whole time they are telling me this I can't help but wonder what the hell is the point of the glp1 here? You still have to improve diet and regularly exercise anyhow. So its like there is no point. Might as well just rip the bandaid off, diet and exercise, get there 6 months slower, while not taking the glp. Like wouldn't you want to actually increase muscle mass while burning fat?

> while eventually tapering and getting them off the glp entirely as the final end goal

It's an honourable goal but the evidence isn't great for that

> You still have to improve diet and regularly exercise anyhow

You don't have to. Should though.

When the drugs are working as intended, you'll lose weight without 'trying' to improve your diet, exercise will speed up the weight loss, but isn't strictly necessary for it to "work". Encouraged, sure, but you'll get weight loss from the appetite suppression alone.

The 'high protein' advice is because a lot of glp1 consumers had poor diets to begin with, and they're catabolic drugs. Combine that with reduced appetite and you're at risk of insufficient protein consumption to maintain whatever muscle mass you started with.

Because long-term calorie restriction is 100x harder than popping a pill and downing a protein-and-fiber shake, and you can't outrun a burger but you can outlift a calorie deficit, so lumping them all together under "improve diet and exercise somehow" is a nonsensical rhetorical flourish / troll move?

I lost weight the regular way. You don't understand how much will I expend to not continuously eat. The strategy I deploy: I never have ready-to-eat anything home, I cook everything just before I eat it, I chose ingredients based on their satiety index, I always have something to drink. I fast 5 days every year to 'reset' my grahlin levels (it still hurts, even if it's way less than it used to). I'm still at 26 BMI, so overweight (from 33 to 28 in 3 years, from 28 to 26 in 5).

I have a very good support system. Not to brag, but my parents are amazing, my family have a small amounts of doctors who helped me getting through it at first. My siblings are great too, and my SO support me despite my quirks. I love sailing, which is a great way to loose weight. And I'm a SWE, the easiest job there is when you're not bad at it, that makes good money without real responsibilities or stress. It was still fucking hard. If glp1 can help people less lucky than me, let them have it.