Just completed my first 100 hour water-only fast and very disappointed

How I wish there were a (cheap, safe) pill that would erase the cravings that make my weight-loss journey more difficult. I'm stuck after a good weight loss and I do want to lose more weight. (But I'm not ready to pay the money for one of the "shots" for weight loss). DW is doing the "shots" ($400/month) and they did w*rk very well for a while but now, she too is stuck at about the same BMI as I am.

I was alerted to the fact that Medicare will now pay for some of these drugs through a bridge program until 12/31/2027. You must meet the criteria. You can google for more info but here it is straight from Medicare's site:

 
Sometime this February I decided to lose 12 lbs because my blood pressure was not as controlled as I would like it to be. After being on blood pressure medication for about 18 years, I was taken off one of the two drugs in Nov 2025 and that was when my blood pressure went above where I would like. The spike was due to being taken off one of two drugs because of a bad cough (triggered by CoQ10 which I have since stopped). Fast forward, I am on a different blood pressure medication and it is now back under control now.

I have lost 7 pounds after about 5 months. Nothing drastic, other than portion control and no more snacking after dinner. Potato chips is my weakness. I have 5 more pounds to go and I hope to achieve that by end of the year. I get food noise most of the day. My BMI was at 22+ and now I am at 21.5. Losing 5 more pounds will get me to about 20.4. I was stuck at 6 lbs and the scale was not dropping for about a month. Two weeks ago I introduced agar agar jelly to my after meal snack. It has since dropped a pound and I will continue with this regimen. Agar agar has no calories and because when you boil it with water, it adds volume and fullness to the stomach. While it is has no taste, I add in a bit of flavor to make it a delcious dessert. My most recent experiment is to add (Fairlife) milk and a little bit of almond extract, plus a little bit of stevia. I used to have almond jelly while growing up, and with a can of logan (with syrup). I don't need the canned logan because of the extra carbs.

I got the idea of eating agar agar jelly because there was a recent article about how people take a bit of jelly powder and drink with water 30 minutes before meals to fill up the stomach before a meal.
 
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After decades of reading about dieting and weight loss, a few things have become clear.

As we age, our metabolism generally slows, we tend to become less active, and many of us gain weight more easily. That means eating less overall and making better food choices. Unfortunately, that's easier said than done, and there isn't a single solution that works for everyone.

Some advice has stood the test of time:

  • Forget about fad diets. Extreme approaches, including prolonged fasting and many trendy diets, may work temporarily for some people, but they are difficult to maintain.
  • The Mediterranean diet has consistently ranked among the healthiest eating patterns for decades. Of course, you can still overeat even healthy foods.
  • Reducing carbohydrates works well for many people, especially when replaced with more protein, which helps you stay full longer.
  • Smaller portions and cutting out junk food are excellent strategies, but many people struggle to stick with them over the long term.
I've been fortunate. My weight has remained about the same since my early 20s. Over the years I've naturally reduced my portion sizes and increased my protein intake.

My wife wasn't as lucky. Despite trying many different diets, she gradually gained about 30 pounds. About two years ago, our son, who isn't a physician but has spent years studying nutrition, designed a personalized eating plan for her. She has since lost 35 pounds and maintained that loss. The key was finding an approach that fit her body and one she could sustain.

The first thing he had her do was use an app to track everything she ate and drank. The results were surprising. Although she wasn't consuming many calories, bread had a significant effect on her weight, even a single slice.

He also had her add 25 grams of protein powder each day to help maintain and build muscle while increasing her overall protein intake to more than 100 grams per day.

Another major change was abandoning the "low-fat" mindset. She now eats whole milk, 5% Greek yogurt (such as Fage), vegetables, and lower-sugar fruits. Every morning she makes a very thick smoothie with whole milk, 5% Greek yogurt, and frozen fruit. She eats/drinks half for breakfast and saves the other half for lunch.

Dinner is usually a modest portion of fresh meat, fish, or chicken with baked zucchini and either sweet potatoes or regular potatoes.

For snacks she eats nuts: almonds, cashews, and others. Instead of eliminating sweets completely, she simply limits them to a very small piece, about one inch square for cakes. Chocolate portions are bigger at 2x2.

We also finish eating about four hours before bedtime.

Many of these changes have benefited me as well. I started using the same protein powder, and I no longer feel tired during my regular workouts. My muscle mass has returned to where it used to be. I also use 5% Greek yogurt from Aldi, which costs much less than the name brands.

During COVID, my wife began baking bread and never stopped. I love homemade bread, especially without preservatives. She bakes once a month; I slice each loaf, and we freeze it. Instead of eating two or three large slices, I now have just two small ones. I also enjoy cheese and don't hesitate to eat full-fat varieties.

Our son believes that animal protein is one of the most nutrient-dense foods available. He often points out that even inexpensive ground beef provides more high-quality protein and essential nutrients than many plant foods while also keeping you full longer.

Perhaps the biggest surprise is how little we think about food now. We no longer feel that we have to eat immediately when we're hungry. That's been a major change. I used to have breakfast by 8, max 9 a.m., every day; now I can comfortably wait until 11 without feeling deprived.

These changes aren't magic, and they won't work exactly the same for everyone. But they worked for us because they became a sustainable lifestyle rather than a temporary diet.

Knowing what to do is only the first step. The hard part, and the part that makes the difference, is sticking with it. My wife has stuck by it in the last 2 years and will keep it for years to come. She is very happy, and I'm too.
 
It may have been alluded to previously; I didn't read all of this, but I remember from my youth that muscle weighs more than fat. Consequently, with strength training incorporated, it is entirely possible to lose body fat without losing weight. What you should see, however, is a shift in the manner in which weight is being distributed onto the body.

This is why a pure focus on weight/bmi vs. body fat is not the whole equation. Body builders come up as obese on many measures that don't take fat and muscle into account. And of course we hopefully all know that a majority of weight loss when first on any "diet" is water/muscle and fat, it's not just the bad stuff, the body sheds good and bad together.

And women in particular lose muscle as we age, and have a far harder time maintaining and gaining it, particularly after menopause. It's quite common for the scale to read the same as it did when we were 30, but our clothes tell a different story. And we've been told for decades to eschew weights and not get "bulky", as if that can actually happen without ridiculous amount of intent and training.

Overall body composition is a better metric.

A) Would you like to weigh 10 lbs less?
or
B) Would you like to trade 10 lbs of fat for 10 lbs of muscle and weigh the same?

(i'm picking B!)
 
I was alerted to the fact that Medicare will now pay for some of these drugs through a bridge program until 12/31/2027. You must meet the criteria. You can google for more info but here it is straight from Medicare's site:

Thanks. I'm well below BMI 35, so likely I'll have to "do it myself" or pay the $400/month.

Still, these are great times to be w*rking toward a healthier weight. Good luck to all who fight the good fight to lose weight.
 
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