GLP1 Up & Down
Maybe ask them about Contrave it's a pill. I've been on Lomaira and Topiramate for over a year and at first they worked really well, but lately they haven't been as helpful so when I go in November I'm going to ask about Contrave. I will say I have lost 35 lbs and kept it off, but seem to be stuck.
I'll second the recommendation to ask them about Contrave or the generic form which is Bupropion and Naltrexone. In the first 24 hours it was like a switch was flipped in my brain that shut off the food noise, improved my mood and my outlook on life to include feeling hope again after so many years living with regain. It does have a lot of unpleasant but temporary side effects, I gritted my teeth and am now down 51 pounds since May. This was the first time I really logged like you are doing and am counting macros.
Hope you'll get some help at the clinic to find something else to try that will work for you. Please come back and let us know what you decide to do.



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