Hi, everyone! Long time lurker here who's been browsing this community for motivation for some time now, but I've only just started making tangible progress that I've stuck to since the year started (stats in flair). I posted previously but it was long and kind of went ignored so I tried to trim it down. I've never been able to stick to diets (CICO, fasting) and exercise (HIIT, daily walks) for more than a week or two, but this year has been different not because of a new year resolution but because of a new medication. I started taking Vyvanse on Jan 4th to help with clinically diagnosed adult ADHD and Binge Eating Disorder. I've lost 22 pounds already, which is mindblowing to me. (edit; I also officially left the Morbidly Obese BMI range earlier this month, which was a monumental breakthrough for me and has done so much for my motivation!)
I don't want to overhype it as a miracle pill, but I'd be lying if I didn't say it's really been working well for me. Along with massively helping with my ADHD symptoms, I do not constantly think about food, and easily lose interest in it if I'm full. When I do decide to get fast food on work days for convenience, it's easy to make sure I choose something nutritious, and the greasy, nasty food is unappealing. I also cut sodas and crave lots of veggies, and I've had motivation to do light exercise a few days a week. The minimum intake for men seems generally agreed upon to be 1500cal a day, so I've been going well below what MFP recommends, the minimum it allows being 2170cal for me right now (2lbs a week loss). I know it's a big deficit and quite far below BMR, but on this med I'm not sure I could make myself eat much more anyway, and I did manage to continue doing it when I had run out of it for a week. I also know that losing so much that fast can have much worse effects than just loose skin. So, to keep myself healthy, I make sure I meet all my nutrient needs almost every day, and I have not suffered from any symptoms of undereating. My stomach does not growl constantly or anything.
However, looking at posts on this sub, I begin to feel like I might be cheating and sabotaging my own efforts, and this won't be sustainable since I'm not doing it "right." While my med supply up through February 2022 is pretty much covered thanks to a manufacturer discount card, I don't necessarily think I'll be taking Vyvanse for the rest of my life. Assuming I stay at about the rate I have been, it seems I will reach my goal weight sometime around Feb of 22 as well. As such I'm fairly confident that I'll start maintenance while medicated, so hopefully even if I end up stopping taking Vyvanse as soon as next year, I can continue to eat at maintenance off of it, since that should be significantly less restrictive and my eating/exercise habits ingrained. I also actively do cognitive therapy to treat the root of my binging thoughts so I am not simply relying on the suppressed appetite from the pill to lose weight. Basically, I wanted to ask this wonderful community; does anyone have similar experiences to mine, and can anyone offer some guidance as to what to expect or look out for? Can I continue taking this med and eating 1500cal sustainably and safely as I expect, or is this simply too fast a loss and not enough intake? Also, am I basically cheating right now and risking a return to the restrict-binge cycle because I didn't do CICO or exercise solely through willpower like everyone else?
Thank you all so much 💛
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source https://www.reddit.com/r/loseit/comments/lnurjv/losing_quickly_sustainability_concerns/
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