traveltech_sara said:

Phantom hunger vs real hunger on food noise: learning to distinguish between the two has been a revelation.

Rebound hunger after missed dose of food noise: I missed my injection by 3 days due to a shipping delay and the hunger came ROARING back. Like a switch flipped. It was eye-opening to feel the difference.

This experience actually reinforced my understanding of what the medication does — it's not just "suppressing appetite," it's normalizing dysregulated hunger signaling. When the drug wears off, you feel the full force of what it was managing.

Dr.MetabolicMD said:

Alcohol relationship change with food noise: I used to drink 2 glasses of wine most nights.

Thank you — that is the clearest version of this I have read, and I have read a lot of them. I will report back once I have actually tried it.

traveltech_sara said:

Phantom hunger vs real hunger on food noise: learning to distinguish between the two has been a revelation.

This is where I part company with the consensus forming above. I think the framing smuggles in the conclusion. Ask it the other way round and the obvious answer reverses, which usually means the question is doing the work.

Adding the numbers, since they settle part of this. If you are going to change something, change one thing and give it long enough to express itself. Four weeks is the usual minimum for anything pharmacological on this board, and two weeks of data has told you almost nothing.

Moderator note: a couple of off-topic posts removed. No action needed from anybody.