Metabolic Adaptation Works Against You As calories drop: Thyroid signaling can downregulate Energy expenditure decreases Fat oxidation becomes less efficient This is why many patients feel: Cold Tired Weak Stuck despite continued dieting GLP-1 drugs suppress appetite they dont protect metabolism
These psychological dimensions are real, common, and worth discussing with a provider or mental health professional
The licensed indication for weight management includes: Body mass index (BMI) 30 kg/m , or 27 kg/m with weight-related comorbidities (such as hypertension, dyslipidaemia, obstructive sleep apnoea, or cardiovascular disease) Use as an adjunct to reduced-calorie diet and increased physical activity However, NHS access may be more restrictive than the licensed indication, typically requiring assessment through specialist weight management services and meeting specific NICE criteria
also chicken or fish along with tofu need to be considered
The goal should be to lose weight in a way that supports your health, preserves lean muscle, and helps you maintain your progress over time
This image provided by Novo Nordisk in January 2023, shows packaging for the companys Wegovy drug