I have struggled with binge eating and obesity since experiencing complicated trauma throughout my childhood and adolescence. I have been to therapy, seen a dietician, and tried many weight loss medications and diets over the years. I have lost and regained weight more times than I can count. I went on to further my education and am becoming a therapist myself because i thought becoming an expert would enanle me to get out of these cycles. Sure, ive learned alot but the physical aspect of hunger is hard. Also, I am pre-diabetic. The hunger urges and feelings associated with low blood sugar (even though I never read low) always do me in and I end up failing. Unfortunately, even pre-diabetic and with a BMI of 43, my insurance wouldn't cover gastric bypass. I lost, gained back, and lost again the same 30ish lbs multiple times over the past 5 years. After this last loss, I could feel myself wanting to quit and getting into a dark place of thinking, I'm never going to be able to maintain, so whats the point? Against my dietician's advice, I chose to try semaglutide through a local clinic at $500/month, out of pocket because, again, my insurance wouldn't cover it. After 7 months, I am down 43 lbs and am the lowest weight I've been since I had my 3rd child 13 years ago. More importantly, it has given me freedom from the constant obsessing over counting calories, macros, picking my diet plan, and weighing myself. I have never in my life felt "normal" around food before this. For the first time in my life I can walk away from food and not care. The weight loss has been very slow, which hurts given the cost of the medication. But, I truly feel free on it, and i feel like i can't put a price tag on that. While it has been "life changing" it only does part of the job. I've had to choose to exercise, make healthy food choices, and be more overall active and health conscious. This just made it possible to start and maintain those habits. In the beginning months, I had some nausea, but I could live with it because I before I would often restrict and then binge until i was sick, so the type of nausea didn't make much of a difference. The worst part has been the constipation. I've had chronic bloat and diarrhea since I was a child. I thought constipation would be a reprieve, but really just a different variety of evil. I'm on maintenance now, so a shot every 2 weeks instead of weekly. I can tell when it wears off because my bowel habits go back to (my) normal and I'm hungrier. I have to work to keep the habits I've established. I also chose to switch to a whole food plant based diet a month ago which keeps me away from trigger foods (like cakes, donuts, muffins, and fast food.) I think this is also helping me to continue to lose .25-.5 lb/wk. Overall, I would recommend this to people who've struggled like I have. I'm 5'5". My highest weight was 263. Starting on this med was 236. Currently 193.Read More Read Less