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Wellness Wednesday for January 22, 2025

The Wednesday Wellness threads are meant to encourage users to ask for and provide advice and motivation to improve their lives. It isn't intended as a 'containment thread' and any content which could go here could instead be posted in its own thread. You could post:

  • Requests for advice and / or encouragement. On basically any topic and for any scale of problem.

  • Updates to let us know how you are doing. This provides valuable feedback on past advice / encouragement and will hopefully make people feel a little more motivated to follow through. If you want to be reminded to post your update, see the post titled 'update reminders', below.

  • Advice. This can be in response to a request for advice or just something that you think could be generally useful for many people here.

  • Encouragement. Probably best directed at specific users, but if you feel like just encouraging people in general I don't think anyone is going to object. I don't think I really need to say this, but just to be clear; encouragement should have a generally positive tone and not shame people (if people feel that shame might be an effective tool for motivating people, please discuss this so we can form a group consensus on how to use it rather than just trying it).

Jump in the discussion.

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I've finally had some success with my latest attempt at a keto diet (I've been on it maybe 4 times over my lifetime), largely due to properly using high quality electrolytes to overcome fatigue, extending the intermittent fasting period (thanks to Dr Boz), and maxxing leafy green vegetables within the carb limit. I've dropped 6kg in 3 weeks, but I expect that rate to slow down.

Does anyone have keto tips or tweaks that managed to break periods of stagnation or otherwise make good progress? I'm staying away from alcohol this time.

Mission Zero brand tortillas are very good and only have 25 calories each with zero net carbs I think.

I'm considering whether to try semaglutide. I live in Switzerland; I'm sure I won't get a prescription. However, a relative who takes it is visiting and can get me some. I'm hoping for Rybelsus; the pill form.

I've struggled with eating since I was about 9. The culture at home when it came to food was not great; I would describe it as somewhat competitive, kind of seeing who could eat the most the fastest. When I was 24 I finally managed to lose weight, but in the last few years it's been getting up a bit. BMI is now 25.5, not terrible, but definitely affecting my daily life. I always crave food, usually sweet food, and find myself snacking constantly if my willpower is down. I used to be able to keep somewhat of a lid on it by doing a lot of hiking uphill, but since the birth of my son I get almost no exercise.

I've never had any adverse reactions to medication before. Should I go for it?

I've done it. At first started with semaglutide. Semaglutide is good, but has more side effects than others.

I lost about 30 pounds on semaglutide, but needed to lose another 20 to be healthy. After a year of semaglutide, I swapped to tirzepatide, and finally broke through the weight barrier and am now approaching the weight I was a decade ago.

Go for it. I buy from grey market because it's so expensive in the United States, though sites come and go and it can be difficult to find a new one when the old one shuts down.

I'd advocate for it. If you experience unpleasant side effects, you should be able to stop, and even then, the most common ones like bloating pass with time as your body adjusts.

The main issue is that you need to be on it for the longterm or nigh indefinitely to keep off the weight. I'm not sure if your relative will be able to share their supply with you for that long, but I presume there must be online pharmacies or prescription mills that might help (no judgment involved, I think that's a useful service when there's too much red tape around).

I'd give it a go. Research the side effects, talk to your relative about it and stop if you have a bad reaction. I'd say try to at least get some exercise in, but child rearing can be difficult.

Have you tried replacing sugary food with food with artificial sweeteners? An uphill treadmill is another thing you can try, I would walk around a lot when my son had colics.

Have you tried replacing sugary food with food with artificial sweeteners

Yes, I now have a Coke Zero addiction. Sugar-free chocolate is available, but still fairly high-calorie. I don't have any really unhealthy foods available at home; there my main problem is that I just keep eating. 2nd portions, a bit more rice, whatever is available. I also grew up with very strong morals around food waste. My wife is happy to let stuff go to waste, so I'm left finishing a lot of soon-to-expire things by myself.

I've read about how Semaglutide reduces "food noise". Really, that would be heaven. I think about food way too much, and to turn off those constant cravings would be a boon.

My experience is that it doesn't reduce the desire to eat. You're still gonna have cravings, at least I do (for sweets especially). What it does do is make you get full much faster. So, it might be helpful for you given that you have issues with overeating regular food.

I guess you could try it, then. The alternative is not having food in the house.