PharmacoVig_BOS said:On a suppressed appetite the winning strategy is protein density per unit of volume, not per calorie.
I will push back on the powder-first advice. It works and it also trains people out of eating food, and when the drug stops the habits are what remain. Getting protein from meals is slower and holds up better afterwards.
Worth separating that from mood and mental health, which this thread keeps folding into the same question. They behave differently and the advice does not transfer.
The figures, for anyone assembling their own picture. One practical note: write down what you did and when, before you need it. Reconstructing a timeline from memory three months later is how people end up unable to answer the one question that would have resolved it.
DataDave said:I will push back on the powder-first advice.
There is a second half to this that has not been said yet. The mental-health dimension is under-measured in the trial literature and the reports here are consistent enough to take seriously. On the positive side: reduced anxiety around food, better self-image, more confidence. On the difficult side: grief for the years lost, identity disruption, relationships built around eating, and the loss of food as a coping mechanism with nothing put in its place. Rarer but real: anhedonia and emotional flatness. Regulators have started asking for validated patient-reported outcomes in this class; the existing data gap is not evidence of absence.
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Browse GL BiochemFollowing on from pat_auckland — and this may be the naive question:
How people are hitting a protein target on a genuinely suppressed appetite, because volume is the binding constraint rather than willingness?
Reporting back.
Update: two thirds of the target before midday. Same total, same appetite, and I am hitting it most days now.