Quick question for the group — i literally cannot eat more than.

I searched before posting (promise!) but the threads I found were from 2024 and things seem to have changed since then.

My situation: I'm switching medications and this came up during my last appointment. My nurse mentioned it but did not go into detail.

Would love to hear from people who've actually dealt with this. What worked? What didn't? What do you wish someone had told you?

Thanks everyone — this forum has been invaluable for me.

Good question. For I literally cannot eat more than 3, here is what the evidence says:

• The clinical trial data (SELECT program) supports this approach
• Real-world results from this community generally confirm the trial findings
• Individual variation is real — give it at least 8 weeks before judging

Happy to go deeper on any of these points if helpful.

PharmacoVig_BOS said:

For I literally cannot eat more than 3, here is what the evidence says:The clinical trial data (SELE

Completely agree with PharmacoVig_BOS. I would add that I literally cannot eat more also has implications for body composition that sometimes get overlooked in these discussions.

In my case, following a similar approach led to fewer side effects compared to what I was doing before.

Agreed. My doctor said the same thing about I literally cannot.

As a healthcare provider, I want to add some clinical context to this discussion on I literally cannot eat more than 3 bites.

Building on what quinn_sf said — the evidence base here is well-established. The key publications to reference are from the SURMOUNT program[1].

Key clinical points:

1. Efficacy is dose-dependent and typically requires 4-5 weeks to reach steady state
2. Side effect profile is predictable and usually manageable with standard protocols
3. Monitoring should include baseline labs and follow-up at 3-month intervals
4. Patient education significantly improves outcomes and adherence

Standard disclaimer: this is educational, not individualized medical advice.