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Has anyone had any experience with phentermine to try to kick start weight loss again after regain? I’ve read a lot about it online (Reddit, where else!) but I’m specially looking for opinions from people who have had WLS.

My doctor told me that the key takeaway is that it is an appetite suppressant, and that is how it works. I questioned how effective it would be for me, given that I’ve had a sleeve and essentially have no hunger hormone left in my body — I really haven’t felt “hunger pangs” since my sleeve. She said it should still work for me as it works on the metabolism, etc, in additional to being a suppressant.

Had anyone tried this medication AFTER having a sleeve (along with diet + exercise)? If so, how did it work for you? Thanks!

For reference — SW 292, LW post-op 199, CW 261.

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I tried it BEFORE the sleeve but I do recall it giving me more energy as well as no appetite.

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Appetite and hunger are two different things, so the fact that you have no hunger pangs since surgery isn’t really relevant. Phentermine suppresses appetite, not hunger—not real hunger. It will help control your head hunger, which is good.

I haven’t taken it since surgery, but when I took it pre-op, I gained all the weight I lost on it right back shortly after stopping.

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On 08/16/2021 at 21:26, FutureSkyDiver said:



Appetite and hunger are two different things, so the fact that you have no hunger pangs since surgery isn’t really relevant. Phentermine suppresses appetite, not hunger—not real hunger. It will help control your head hunger, which is good.





I haven’t taken it since surgery, but when I took it pre-op, I gained all the weight I lost on it right back shortly after stopping.


Thank you for your response and the info!

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I took phentermine a few times. If you stick with it and your doctor is willing to prescribe it for more than a few months, it might be helpful. TBH, I only lost about 10 lbs on phentermine, I lost 20 lbs using HCG, but it's costly. I guess it depends on how much you need to lose, how active you are, and how disciplined your diet is. I will say phentermine and HCG for me was amazing, but again, HCG is very expensive.

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      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
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