people who have to take last-measure medication usually don't stop eating when they are full. i know, it's weird to tell someone who doesn't stop eating when they're full, how to still maintain weight if they... don't stop eating when they're full. i'm a weird guy with all these offtopic anecdotes.

and yes, a doctor will not tell you diet tricks. if you are asking your doctor for diet tricks, we need to step back a minute. when you're done grocery shopping at jiffy lube, drive home, sit down, and carefully read this link.

this is what a doctor is. a doctor will give you general health guidelines, but knows very little about diets. https://en.wikipedia.org/wiki/Physician

And again, you are being far too presumptuous about OP’s interventions. And I certainly don’t know what this business about ADD appointments at the florist or grocery shopping at Jiffy Lube you’re talking about is.

so, would you say a solution to the problem that lets you eat as much as you want, so you don't have to use your willpower, be an appropriate solution to suggest? There is a difference between taking last-resort medication for the rest of your life, and eating apples.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5764193/ (2019)

  Substantial weight loss is possible across a range of treatment modalities, but long-term sustenance of lost weight is much more challenging, and weight regain is typical1–3. In a meta-analysis of 29 long-term weight loss studies, more than half of the lost weight was regained within two years, and by five years more than 80% of lost weight was regained (Figure 1)4. Indeed, previous failed attempts at achieving durable weight loss may have contributed to the recent decrease in the percentage of people with obesity who are trying to lose weight5 and many now believe that weight loss is a futile endeavor6.

I had to reconfigure my entire life around it. I kept barely enough food in the house to meet my calorie target for the week. I once fell asleep while driving home from work and ran off the road because my blood sugar was so low. I spent 9 hours a week doing intense exercise and pretty much any time I wasn't doing that or working I was just sleeping. I basically had to have no social life, because socialization around here pretty much mandates large quantities of food.

Is something physically wrong with me? Probably, but good luck getting an American doctor to give a flying fuck. My thyroid stopped working when I was a child and it went undiagnosed for two years because doctors just keep telling my mother I was lazy. Ultimately a toll booth attendant diagnosed it because her dog had similar symptoms and my mother had to go full Karen to get the simple blood test to happen. American physicians are fucking useless.

Even treated, to this day I have to eat well under the caloric requirement that I "should" be eating and constantly feel like shit in order to lose weight, which makes me perform worse at work and apparently require 3-4 hours extra sleep every day.

I can guarantee you "willpower" people aren't doing that. Your body isn't fucked up and constantly demanding more calories than you need, so it comes easy to you and you probably just take any excuse to feel like you are better than other people.

It is people like you who are the absolute worst to deal with. You take a specific example which probably does not not apply to your body, completely and completely twisted what was said so you can both be a victim and feel superior.

I specifically stated a diet that for a person who is working out a couple of hours per week, there is a way to constantly eat and minimize the caloric intake despite large amounts of food. I did not remotely suggest stuffing your face all day is a willpower-based solution to a thyroid problem.

I'm 5'11. In my early 30s, I was a 31 waist, 170lb, benched a full set of 400lb, ran cross country, and had 6% body fat. In my late 30s, I was a 34 waist with high blood pressure. I made the change in my diet, and a few years later, I'm a 31 waist, 170lb, normal blood pressure, and 10% bodyfat, and I eat as much as I feel like, just not whatever I feel like.

This is a solution for maintaining a healthy weight in an active lifestyle, that uses zero willpower, because my willpower is bad. This is not a solution for someone with a thyroid problem who needs to lose almost the weight of my whole body.

I don't know what it is with you and this other guy. You read very simple basic text, and you reply to something you've completely made up. It's like your brain paints a virtual world for yourself where you can feel constantly offended. No one's out to get you. No one's making fun of you. People are talking about something that clearly wasn't for you, so you inject yourself into the conversation so you can feel attacked. Stop that.

They talk about how if you want success, you need to treat it like the air you breathe, that once you want something as bad as you want to breathe, then you'll finally get there.

Huge respect for your personal transformation, and the insane willpower you channeled to lose 3 inches of your waistline over the course of a few years.

I tried this a few years before going with my "apple diet." It works, but my bloodwork after a few years said I need to stop. There is a catch. The first year, you Cannot pass gas. That clumped oil that comes out, comes out very easily, and unfortunately Alli makes you gassy too. This side-effect goes away in about a year if you power through it.

Not a dietician or a doctor, but perhaps your mounjaro treatment can be cycled with Alli (cheap, OTC) every few years to save some cash. Invest in a large bottle of Dawn dishsoap. Put it in a spray bottle and spray the bowl after you do your stuff. You'll have to, just trust me.