Oh, I totally hear you. And agree that it would not be a huge lift for an NP or PA or even MSW to lead an effort to provide guidance to folks about how to modify lifestyle to help the drugs work better. Gradually increase walking, focus on protein/fiber, encourage liquids but try to keep them separate from meals, etc. But no one is going to make money off providing that service, and if you can't figure out how to make a profit from it, it's not happening unless someone in government mandates it.

One of the reasons I found time-restricted eating so helpful is that my on/off switch doesn't have an in-between. Not just for food -- pretty much for everything behavioral. I'll work until I drop, and then I'll relax entirely. My husband is great about staying balanced, but I'm not. Prior to these drugs, my best weight loss experience was with a medically-supervised liquid product that allowed me to cut out all solid food. Just being able to say "no" to food was SO much easier than making individual, sensible decisions about it. I was on something like 500 calories a day, and could go to restaurants with people and not be tempted. The switch was just set to "off". If I could have stayed on it forever, I would have done so. It would be so much easier if food pills were real.

I'm not sure there is a consistent trigger for the sneezing. But..."The vagus nerve is responsible for the regulation of internal organ functions, such as digestion, heart rate, and respiratory rate, as well as vasomotor activity, and certain reflex actions, such as coughing, sneezing, swallowing, and vomiting" (https://pmc.ncbi.nlm.nih.gov/articles/PMC5859128/). In my case, I'm guessing it's something my central nervous system just "learned" how to do when it detected upcoming nausea. The nausea most commonly happens when I eat soft things made with flour, like bread or pancakes (toast and crackers are fine -- go figure), but it sometimes gets triggered by, say, brussel sprouts. At this point, when my system is feeling particularly sensitive, I can scan a menu and instantly feel whether anything on it is going to trigger the reaction -- I can literally pick out the individual items that I'm going to be able to eat more than a few bites of just by reading the menu. Most of my carbs at home are now cooked groats, which are non-triggering for me, as high fiber as it gets, healthy, and you can do a surprising variety of tasty things with.

My husband can eat, like, six potato chips. It's unnatural. Once I open the bag, I'm just cooked. We do keep his snacks in a separate location, so I'm not staring at them when he's not eating them. But I think he eats for flavor, and I'm eating out of habit and craving and soothing behavior. It helps to have something else to do with my hands that's mindless -- I live with a glass of (unsweetened) tea next to me most of the time, and I play solitaire with physical cards whenever I'm in front of a screen. I've recently learned how to spin with a drop spindle, for the same purpose.