I am the same way for several reasons and cannot handle counting or restricting everything I eat. I do better when I understand the basic nutrition in different foods and figure out what satisfies my specific cravings like crunchy or savory items. Tirzepatide quiets the noise enough for me to notice whether I am actually hungry or just thirsty. I have never found the physical fullness effect useful because it never stopped me from eating more if I wanted to. I assume I will need this or something similar for the rest of my life.
I should start by noting how unlucky I feel overall. I am short and grew up in a poor household where food was limited, so I learned to eat whatever was available even if I was not hungry. My father would take food from me and my sister, which meant we sometimes overate out of necessity. On top of that I have always had strong food noise, especially after having a child nearly five years ago. Before starting tirz I spent four years tracking every calorie because I knew the binges of two to three thousand extra calories were what kept me from losing. I am exhausted by that process and it triggers me, but now that the noise has quieted I can finally enjoy meals without it.