I used to exercise quite a bit before beginning the medication. The reason I started it was that I simply could not limit how much food I consumed, no matter what I tried. In one sense that reflected insufficient willpower, since flawless control would have let me manage my weight on my own. Yet self-control is not usually an issue for me. My habits of thought, the setting I live in, and my physical makeup together made it very hard to cut back. Berating myself over that fact never produced lasting change. Some users insist the medication altered how their bodies burn energy even though they kept eating the same amounts. Controlled studies showed only tiny effects on metabolism, so those claims probably reflect wishful thinking. The weight came off because intake dropped. One of the newer versions does seem to raise energy use a little, but pointing out past overeating to people who believe their metabolism shifted would not achieve anything useful. I would only be talking about my own earlier behavior anyway. Using the medication does not feel like taking a shortcut. Instead it shows I possessed enough resolve and awareness to begin something that improved my well-being. I avoid labeling ordinary struggles as addictions unless professionals would use that term. I have none. A fondness for sweets and various other habits exist, yet nothing that would require meetings for substance issues. I can state honestly that alcohol and controlled substances are not problems for me. Plenty of other difficulties appear in daily life, but addiction is not among them. Labeling a condition as an illness is required before insurance will pay, since a request for help with normal health plus a desire to shed a few pounds gets rejected. The same pattern holds for sexual performance; what once counted as ordinary aging now receives a diagnosis so the appropriate prescription can be authorized.