I would avoid all pharmaceutical products. They may seem like viable options, but increased physical activity, ketogenic, meat-only diet; eggs/protein work far better. I only eat eggs because I don't like meat. Then, walk/hike, jog/run, climb, swim, move, move, move. Get mad and work out, the drugs never end up worth it. Vanity and appearance aren't all they're cracked up to be, just get healthy/healthier and you'll feel more energetic, enthusiastic and this brings more natural activity and you don't have to try as hard. Good luck with any of your decisions, fitness can't be understated.

The biggest red flag from this drug was the super high quality pamphlet that was made that the doctor showed me about it. If you have to try that damn hard to push a new experimental medication with no long-term effects, then you are questionable at best.

The mechanism of action of this drug is to interact with specific receptors.... the problem is that these same receptors exist in several other organs in the body... and we do not know what the long-term effects of this is.

But if you want to gamble with your health on a relatively experimental injection that was released last fall even after the bullshit that was the past 3+ years, then all power to you. Understand that pancreatitis is a side effect.

If you want to reliably lose hundreds of pounds, eat low-glycemic-and-insulin-responsive foods in place of your high equivalents.

This will stabilize your insulin resistance enough to enable enhanced satiety and reduction in hunger intensity and frequency.

From there, challenge yourself to minimize eating frequency, this will also improve your insulin sensitivity. This, in turn, allows you to further reduce your daily meals/snack events, I am down to 1-2 a day from 6+.

From there, challenge yourself to eat dinner early and have breakfast late. This is what I did to enable a 14 hour time restricted eating regimen. This will ALSO improve your insulin sensitivity as evidenced by further reduction of hunger frequency and intensity and expansion of satiety. Eventually, this will enable you to push your dinner and breakfasts a lot better. I am now at 22 hours TRE.

Thus, I have engaged in a three-pronged approach toward maximizing insulin sensitivity that will stabilize hunger and satiety and give rise to counter regulatory hormones that excell in energy withdrawal and utilization from stored (endogenous) sources. This in turn eliminates the body's compensatory mechanisms to satisfy low-energy status by exogenous means (intense hunger, cravings) or by lowering metabolic rate.

Pair all this with a viable exercise regimen to further stimulate the GLUT 4 protein to uptake glucose into the cells from the blood, and you can expect to lose anywhere from 2-4 pounds without any pushback from hunger, overeating, etc.