I have an ileostomy (like a colostomy). When I first got it, I could only eat small amounts of food. I lost 60 lbs. If was wondeful. I'd eat small meals forever and reach my healthy weight.

Well, a few months later my body could easily tolerate more. And I ate more. Gradually at first then more. It wasn't more than six months before I was back to my weight before the operation.

A few months of imposed restriction did not alter a lifetime of habit.

I thought this was something I did wrong and researched it. Turns out it's how the majority of people behave.

[–] GoofSchmoofer@lemmy.world 2 points 11 months ago (1 children)

Yep. If you are not willing to make the changes to your habits around eating and exercise as well as work on your mental well being then you will not see the long term changes you are looking for.

I think for many people it's no so much that they want to regain the weight, it's just they don't know how to make the changes that they need to make to lose the weight and keep it off. And I think the biggest change that people need to make is looking at their mental health and how that is contributing to their long term weight gain.

[–] grabyourmotherskeys@lemmy.world 1 points 11 months ago

You are correct and I'm not aware of anyone I know on the drugs receiving this type of therapy. This is in stark contrast to gastric bypass surgery where in Canada you wait a year, receive counseling before and after the surgery and people still often end up back where they started a couple years later despite it probably being much harder on them physically than cessation of a drug. You can see why I am concerned.