Dr.SurgeonPGH said:

Alcohol relationship change with food noise: I used to drink cocktails most nights.

That reframing is the part I needed. Taking it to my next appointment.

From the other side of the consultation, briefly.

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.

JenPlateau said:

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

Filing a mild objection. Mild because I might be wrong; an objection because nobody has addressed the case that does not fit. Not convinced. The evidence being cited is consistent with the conclusion and also consistent with two other conclusions nobody has ruled out.

One concrete data point for the thread. One habit that pays for itself: post the method alongside the number. A figure without its method cannot be checked, and an unchecked figure is how this community accumulates folklore.

Moderator note: leaving this open. It is being argued well and the disagreement is the useful part.