02/26/2026
“the medication does all the work” — I hear this constantly. and every time, it worries me 🚨
here’s the thing. when someone tells me they have zero cravings, zero hunger, zero effort… that sounds like a win, right? but what I actually hear is: zero skills being built. zero practice managing real hunger. zero foundation for when things change. and things always change.
I’ve watched this play out hundreds of times.
patient comes in, everything’s going great, medication is handling it all. then the dose gets lowered. or insurance shifts. or there’s a supply issue. and suddenly they’re standing there with nothing — no habits, no strategies, no muscle memory for making good decisions around food. because the medication was doing 100% of the work, and when it left, 100% of their support left with it 💡
this is why the data shows most people regain after stopping. it’s not that the medication failed. it’s that nobody told them to build while they had the chance‼️
at the end of the day, the medication is a tool — not the fix. it takes the edge off hunger so you can actually practice managing it. it dulls the food chatter so you can develop real strategies. it makes things easier so you can do the hard work of building a foundation that lasts without it 💪
the honest question I ask every patient: “if your medication disappeared tomorrow, which of your current habits would survive?” if the answer makes you uncomfortable… that’s not failure. that’s your wake-up call. start building now while you have the support ✅
intermittent fasting. protein-first meals. craving management. movement you actually enjoy. these are the things that stay when the medication doesn’t.
⏰ the medication buys you time. spend it wisely.
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