Wednesday, February 14, 2018

Phentermine's Not Working Anymore

I guess it's real, and I have to acknowledge it: it seems the phentermine is not working anymore. I've been on it since late August (so over 5 months) and it was doing its job just fine (appetite suppression) all along. Even through January, which was a great month for me, losing 9 pounds... the most I'd lost in a month since that very first month on phentermine. But like I wrote last week, my appetite *has* been increasing... not in cravings, but in the amount of food it takes for me to feel "not hungry" and how long I can go between meals or snacks. I've been eating larger portions and more frequently and have had to put forth more effort to keep the calories low enough to keep losing. I guess what I'm saying is, I am doing a lot more of the work and phentermine is doing less.

This week it felt like it's stopped working completely. Like I am back to baseline in how hungry I feel and how much I want to eat. Well, maybe not *true* baseline, because my stomach feels like it has shrunk from months of eating smaller portions... and that's a good thing! I don't want to stretch it back out by overfilling it, either, so when I do eat, I stop short of feeling full. Just at or below satisfied... just enough that I am not hungry anymore.

Anyway, the last couple of days I even forgot to take my second half of phentermine because it has little to no effect anyway, whether I take it or not. It doesn't change my hunger level and doesn't give me any energy whatsoever. So I stopped it yesterday and am taking a break for a bit, or maybe permanently. I've read on the phentermine forums that it usually stops working after 3 months (so I am lucky!) and sometimes people will take a break from it for a month and then try it again if they still need to lose more weight and their rate of loss has slowed. I have an appointment with my endocrinologist soon, so I'll see what she thinks I should do. But for now, I'm off it.

I also am sitting at 205 pounds, still. That's nine days straight. I've been reading my old blog posts from back in 2010 when I was losing weight with Medifast. It was a real head game for me when I got close to that 199/200 pound barrier. There is something important... emotional... about crossing that threshold from the 200's into the "doesn't sound so huge" 100's. It messed with my head a bit back then, and it still seems like such a huge deal. I am getting close. I'm feeling the feelings surrounding this and not hiding from them. I look forward to getting out of the 200's again, even though my fear of going back up the scale is a *lot* more real to me this time around. After all that work and everything I experienced, I never would have believed I'd regain and get near 260 pounds again. But I did, so I know I could again. I pray not, and will work hard for it, but now I know that even if you think it could never happen, you might be surprised. But for now, I just need to get the weight off. Keeping it off is another battle.


Anonymous said...

You will get to the keeping it off phase in good time, and with more work. Do you have a goal weight in mind or a certain size?

Think of all the things you have learned while losing weight - not just recently, but in all your experience. You are an expert in your body and how it reacts to food, exercise, sleep, stress etc. You are also expressing your feelings, including fears.

So now it's time to shift your effort somewhat. Like you said, the Phentermine is no longer doing the work - you are - and you know how! And you know what can trip you up! So come up with a strategy for each pitfall, stick with food that works for you (keep tracking on IG) and take it one day at a time.

A lot of people are rooting for you and on this journey with you. Thanks for keeping it real.

Have a great Valentine's Day!

Lyn said...


Thank you so much. That means a lot to me!

I don't know about a goal weight. Of course, in my head I see 175 and think, I can get back there. I felt SO GOOD. That is the lowest weight I have been in... probably 20 years. But I also had a lot of anxiety at that weight about skin issues and stuff. And I also felt at that weight that I needed to lose more, for my knees' sake. So... I dunno, I am kind of winging it right now. Will see how I feel as I get there, plus what the doctors have to say.

Natalie said...

I think you're pretty lucky it worked for five months - I only got two... or so I thought. It didn't feel like it was working the third month but when I stopped I found it had made a difference after all because I went from tiny losses to a bit of a gain. My recent reboot only worked for one week.

As you said, the thing now is to keep going without the chemical help. You've got a smaller stomach so get full quicker than pre-phentermine, you are carrying less weight so it's less painful to exercise, hopefully you have some good habits to lean on. Good luck!

LHA said...

This was something you knew was coming, and I think you are going to be well equipped to handle the change. You were tracking your eating and noting what you were eating when you were losing weight on the med. You might not be quite as comfortable eating that way now, but it will be bearable and you will adjust, I just know it! Also, you are doing something these past few days that is hard to do. You are maintaining a large weight loss! Don't ever lose sight of how great an accomplishment that is. Your experience is going to help you through this transition and you have a lot of us out here cheering for you too!

Anonymous said...

You've been eating Keto desserts, why not do the whole program?

Lyn said...

Thanks all!


I've been losing fine on a more moderate carb level, so I don't see a reason to be more restrictive.

PamL said...

You can do it, Lyn. After all these months of eating less, you’ve been training yourself to do that.

I wanted to mention a podcast that someone mentioned here awhile ago. It’s called Half Size Me, and the lady who does it lost 170+ pounds. She does a great job interviewing all types of people. #312 is where she shares her story and it’s really interesting. Also what I find is that she has some very compelling ideas- like maybe sometimes we need to take a “maintenance break”- maintain for a period of time to figure out what our body needs to do that. I’ve done that for about 6 months (I have about 15 pounds left to lose) and I finally just now feel like ok, I’m ready to work hard at losing again. I’m not saying you should do that, I’m just mentioning it because sometimes I think we feel losing weight has to be “all or nothing”- either losing or gaining, but maybe there is some middle ground. Anyway, I thought you might like her podcast. Good luck!

Anonymous said...

The doctor switched me to an alternate diet pill that works entirely different so there is no built up tolerance. It isn't quite as energy inducing...but also doesn't interfere with sleep. It's called Tenuate.

Anonymous said...

If you keep eating as you have been, you should keep losing at a similar rate. Phentermine isn't a miracle drug that makes fat melt off; it's just an appetite suppressant. All it was doing was helping you eat less. You can do that on your own now, I am sure of it. (I know you know this, but others posting might not). DO NOT go and try to do a full Ketogenic diet! It will rock your balance that you worked so hard to reach. Just keep doing what you've been doing. I wish you all the success.

Anonymous said...

Re Exercise Is Stupid:

I can understand a college student falling under the spell of a charismatic professor, but as an adult you should be able to see the illogic in his disdain for exercisers. We aren't chasing down our dinner any more, or carrying our water from the well, but our bodies still need exercise to function well. It's such a shame that this person has caused you to live half your life shunning this beneficial activity.

Carole Medley said...

Go, Lynn. Use that extra-large intellect of yours to make the right choices. Easy for ME to tell you, right? But, seriously, wish you all the best in this endeavor. I owe you a good email, and I will do that soon. Love, Carole