The key questions are how overweight you are and whether you've lost weight before only to regain it. With significant obesity, especially when paired with health issues like diabetes, prediabetes, high blood pressure, high lipids, heart disease or osteoarthritis, there are strong reasons to stay on it long term for the ongoing health gains from both the drug and the weight loss. The hard truth is that most people who lose weight by any means regain it once they stop whatever produced the loss, including these GLP drugs. GLP drugs remain the most effective way yet to keep weight off long term aside from bariatric surgery. Sticking to a calorie-restricted diet for maintenance is tough because weight loss increases hunger and lowers the calories you burn at rest, so you must eat below average to hold the loss, which is difficult. GLP drugs ease that, particularly over time. I think in 5 or 10 years once
So I'm a bit older and started reta to kick off my weight loss with a plan for a 3-6 month run before quitting and just holding a lower daily calorie intake than before. I get it's going to be tough but think it's possible. Still, I have no idea what happens after stopping reta. Is it way harder than I'm thinking? Food noise was never that strong except on weekends, and reta has really helped there. Also, are reta and these other weight loss drugs intended for long-term or even lifelong use? I can't picture the answer being yes to permanent, but maybe doctors prescribe 1-3 or even 5 years on them?