wulf00777
Explorer
I appreciate the detailed response. Currently I'm on 4mg tirz, so increasing the dose is an option, but truthfully, as long as I keep dropping weight at 800 calories, I feel fine throughout the day and have no hunger. So I'm sticking with it. Over the past few years, I've done 36-hour fasts multiple times, plus many more 24-hour fasts. Now I'm introducing a few days at 1000-1200 calories, but those additional calories have to come from healthy fats only—olive oil, avocado, or a handful of nuts. I've read that this approach can help boost metabolism without causing weight gain. If I continue losing with the added calories, I'll increase them further and keep pushing my intake up. The main reason I'm in a hurry is because of serious foot problems (metatarsalgia) and severe knee arthritis. I can barely do any cardio, but I attempt many other activities like lifting weights, swimming, using the sauna, and walking whenever possible. My whole family wonders why I eat less than they do yet I weigh 280lbs. My weight now matches what it was at 16, and I've pretty much stayed there my entire life.lessthanhalf said:
800 calories really isn't that drastic. A large body of research exists on VLCDs—very low calorie diets—where people take in roughly 400 calories daily, occasionally for extended stretches lasting close to a year. Before GLP medications existed, this was how individuals with severe obesity attempted weight loss without surgery. Protein typically makes up the bulk of those calories.
At that level of intake, electrolyte disturbances become a real possibility, and tiredness tends to be worse, so having a doctor monitor things somewhat seems wise.
Taking in so few calories and only barely losing weight would be unusual—unless substantial weight has already come off, or a low intake has been maintained for a long time, causing metabolic adaptation to drag energy expenditure down considerably. Being very small could also explain it. In my own case, expenditure fell by half going from 145kg to 75 kg. Early on, 1600-1800 kcal/day produced 6kg of loss per month; once I reached 75kg, the loss halted and that same intake became what was needed just to maintain. Still, 1600-1800 is far easier to sustain than 800, and prior to starting GLP's, sticking to it was genuinely difficult and meant being hungry almost constantly. Regaining the weight would also put me at serious health risk. From your remark that 800 calories beats being dead, I gather you may face something similar.
On the idea of taking breaks, I'd have to push back. No evidence supports tolerance developing to the long-term weight loss effects of GLP drugs, with perhaps 1 exception: a recent animal study where mice given GLP's intermittently lost much less weight. That's a single study, not replicated, not in humans—but the effect was quite strong and unexpected. Some people here have also reported struggling to lose weight after restarting GLP's. Often that's simply because they've already shed a good amount of weight, and at that point the drugs work to block regain rather than drive further loss—effectively a stall. If the stop-start effect were genuine, though, it wouldn't be doing you any favors.
Are you currently on 15mg of tirz? Higher doses offer metabolic benefits that could boost weight loss or let you eat more while losing at the same pace, if you haven't gone that high yet. Reta is also worth a look—its glucagon agonism adds another 1 to 200 kcal/day of energy expenditure, and every bit counts. Much depends on what you've already tried and your side effects, though.
I also believe there's now sufficient evidence showing that cycling is actually harmful and that changing to a different glp1 can cost you several months of progress. My goal is to gradually reach 12.5mg and then add Reta or cagri if necessary.