Hey all!

Background: So, diagnosed as t2 diabetes almost two years ago. Got put on metformin, insulin pen, and ozempic.

Once I went full dose with the ozempic, it almost killed me. Projectile vomiting in my sleep that would wake me up, not being able to keep down even water. I was miserable and almost had to go to the ER after the first full dose and had gotten severely dehydrated. I have never felt worse physically and mentally and thought this was what my whole diabetes journey would be like.

Since then, I had lost 40 lbs (with lots of yo-yoing), got my A1C under control, stopped using insulin within 6 months (swapped for jardiance and overall lower dose of meds. All thanks to manageable changes and exercise.

But my doctor has insisted I get back on something and I was prescribed monjauro. He said I could stay on the lowest dose (2.5) for as long as I was comfortable.

And it’s been… odd? I’m almost at 1 month now. The bad side effects have been really mild. Ocasional nausea but not throwing up once.

Here’s the problem: I can’t bring myself to eat. I can spend a whole day without eating and I’m struggling to get in healthy nutrient dense foods to compensate. I feel this is the radical opposite of where I was and I’m worried about getting malnourished and the impact on my metabolism. I try to do a veggie smoothie with protein powder - can’t finish half. Takes me three hours to get through a protein bar. I’m forcing down a mix of nuts to make sure I don’t starve myself. Two spoonfuls of reduced fat cottage cheese in the morning.

I suddenly don’t enjoy any of the foods I used to love. I have always eaten good healthy home made things, just in massive quantities. I love food, I love cooking, I love enjoying meals with people, baking, pickling, all of that.

This is really odd to me. I’ve struggled with disordered eating my entire life and I’m trying to embrace the change that this medication is providing, but I don’t want to shock and starve my body into weight loss because I know that is going to make things harder to manage in the long run.

Plus, I have not been eating enough to take my jardiance. Had to stop it because my blood sugar usually is under 130 after any of these small meals and it’s been dipping me into the 70s (where I start to feel bad).

I don’t have a scale at home (avoiding disorder) but I’ve dropped one dress size in a month. Everyone that’s seen me is stunned at how fast I’ve lost weight and I physically feel different. Yes it’s great - I’m just worried it’s too much to fast and wish there was a way to make this the slightest bit more gradual.

To people on these glp1 inhibitors: What are you eating to stay healthy and keep this weight loss sustainable?