Answering the narrow version, because the broad one does not have a single answer. Training does two things here and only one of them is on the scale. It protects lean mass — which is the reason to do it — and it contributes modestly to the deficit, which is the reason people start and then quit when the arithmetic disappoints them. In a deep deficit, resistance work is the priority and high-volume cardio competes with recovery.
My mood has been flatter since about month four and I genuinely cannot work out whether that is the drug, the deficit, or the fact that I no longer have my main coping mechanism.
The question I want answered is how people separated a drug effect from the ordinary consequences of a large deficit and disrupted sleep, because I cannot.
If the honest answer is that nobody knows, that is a useful answer and I would rather have it.
TrialNerd_Beth said:Training does two things here and only one of them is on the scale.
Agreed, with the caveat that "exercise" for someone with mobility limitations is a different set of options, and the standard advice is written as though everyone can walk for an hour.
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Shop Reference StandardsJenMemphis said:My mood has been flatter since about month four and I genuinely cannot work out whether that is the drug, the deficit, or the fact that I no longer…
Second this.
Clinical perspective, offered as context rather than as advice.
Before/after narrative for mental health — one year in:
Before (277 lbs): Winded climbing stairs, chronic back pain, pre-diabetic, on 3 medications, dreaded mirrors, avoided photos, social anxiety about my weight.
After (192 lbs): Run 3 miles regularly, pain-free, A1C normal, down to 1 medication, bought a swimsuit for the first time in a decade, actually enjoy being photographed.
Total weight lost: 77 lbs. Total life gained: immeasurable. This isn't just about weight — it's about reclaiming your identity.