@projfan
For me it is the snacks. I am an emotional snacker and when upset, stressed, or worried I tend to snack as a treat to feel better. Problem is one of my most liked snacks are mixed nuts. Now they are suppose to be good for you but are high calorie. 1/4 of a cub is 180 caloried. A 1/4 cup of nuts does not even fill up your hand.
My meals are pretty much normal size, and I am not a big sugar person. I also exercise about 12 hours a week. So not a lazy person or couch potato (I almost put the "E" on end like Quale).
Over the last 5 years I have become a care giver for my wife. She developed type one diabetes about 5 years ago caused by damage to her vagus nerve during stomach surgery (3 of them). Then she had back fusion surgery, sinus surgery. So was really getting depressed and of course snacking.
Then just as things were getting better in 2023 diangosed with prostate cancer. Got that successfully treated and then in 2024 got COVID for first time that went into severe sinus infection, then bronchial infection. Kept me down for 3 months.
Then just as feeling better my wife's diabetes caused damage to a nerve in her left eye and she developed double vision. Has to have surgery but we can't get her A1C under control to have it. We got prescription for prism glasses (supposed to correct double vision) but did not work. So she has been wearing a patch over one eye now for about 6 months.
So even if I wanted to have surgery (and I don't) just would be impossible to fit in being a care giver. Sorry for the long post sometimes feels good to speak out.
I don't want anyone reading my post to hesitate to do what is best for you because I had a severe reaction to the 2.4 level dose of WEGOVY. I know a lot of people that did have same reaction and went back to the 1.75 dose level and they are doing fine losing lots of weight.
Great medication for those wanting to lose weight. I think the new pill form will even be better.
Wow. Sounds like both you and your wife have a lot to deal with as you try to fit a life around it all, and I totally get the snack urge. These are great -- I discovered a while back that I have hypoglycemia at night (due to the GLP-1 RAs, actually), and they nudge me over the line if I take them just before bed: https://topseedz.com/.
I take your point about the surgery and caregiving. When my husband had his stroke, and several years later had a difficult heart surgery experience, I would not have been open to such a commitment, either. It sounds like you've got the discipline to realign your diet, but only if you can find some sort of alternative self-indulgence, because we all need something that falls into that category. It's why I restrict my Forged in Fire and British Baking Show watching to when I use the exercise bike, which I otherwise find intolerably boring.
Just dug into JAMA, and was surprised to find essentially nothing on GLP-1 RA non-responders. One would think there would be motivation to study this group, but apparently when you can't meet demand for your products, you really aren't spending money to figure out how to jack the numbers up.
If you want to track upcoming options in the GLP-1 RA realm, check this out: https://www.primetherapeutics.com/w/prime-therapeutics-launches-new-publication-glp-1-pipeline-update. Clearly, for many people the oral drugs will be a game-changer.