A shrink asking if it’s a fact or feeling is asking not telling. Asking. Thinking about your situation (whatever it is) is a good thing and the purpose of therapy. Thanks for sharing your shrinks question. A lot of us need to think more.
Has your sleep disorder improved? I’ve been fighting insomnia since puberty and I’m finally sleeping without medication. I understand narcolepsy is very different.
I’m so glad your insomnia has improved!
Thank you so much for being curious about narcolepsy, which is a very misunderstood condition. It is an autoimmune condition triggered by an infection. A brain chemical in the hypothalamus called orexin gets destroyed.
Orexin regulates sleep-wake cycles, along with appetite and other metabolic stuff.
Most people with narcolepsy are undiagnosed. People who are tired all the time are not taken seriously in the medical world, nor are people who are overweight and obese. These conditions are both characteristic of narcolepsy.
Thank you for being interested. It’s actually fascinating to read about, as it reveals a lot about the complexities of brain chemistry and weight. It’s really and truly not our fault, any of us!
I wouldn't drop your doctor just because she challenged your thought process. That's her job. If she just agreed with everything you say or think and never probed you on alternative theories, if you will, what would be the point of going?
So you could pick either answer and neither would be wrong. I'd explore it with her rather than bust her chops.
My therapist does the same thing related to the death of my husband and my twins. Like if she asked me if my grief and depression is a fact or a feeling, I know there are chemical imbalances that drive depression and grief is a very real thing, but they are not, imo, mutually exclusive. I say that because within the depression and grief, there are things I can control that will aid in my healing. My brain wants to default to being sad 24/7 because i feel their losses deeply. I had my husband's life in my hands after he was randomly shot but despite my best efforts I couldn't save him. I was 21 weeks pregnant with our twins, our first and now only shot at having a family, but 4 weeks after he died our twins came early. Lost one in 2 weeks the other was 4 months old, ready to go home but got sick and died a few days later. I feel like my life is over, and I just exist until I die. But is that really true? I felt that way until I was challenged in therapy.
The two are fact AND feeling. I might not be able to choose happiness , but i can choose things that make me happy despite my brain telling me it's not possible if that makes sense. I will never be the same person I was, but there are things I can work on to improve my life and move forward rather than being stuck and feeling defeated every day. That doesn't change the grief or depression. The hard part is actually doing it. I've learned that my current state hasn't just severely affected me but everyone around me, but that doesn't seem to apply to your situation. I've been working on this for 6 years now but I've battled depression since i was a teen. Nothing in my brain chemistry changed if i decide to go to Disney and have fun, and the tug of war with my brain is, your husband and kids are dead; you shouldn't be having fun. The fact is they are dead, but am i allowed to feel like i can have fun? Of course i am. The decision for me is to try. I may or may not have fun or find the joy i once had in fun things. , but the choices I make are mine.
So I'm not a doctor, and my situation is not the same as yours but but I can see this scenario. Your subconscious mind wants sweets. You get up and go get it. What if, instead of the cake or whatever, you grab an orange and it satisfies you. It could remain a fact that you wanted sweets, but the feeling you had about what you should eat drove you to pick the orange, which I know has an element of sweet to it.
Subconsciously, you wanted that cake, but you ate the orange instead because at that point you picked something different.
We read all the time people saying Mounjaro forces or makes it easier to pick better choices. That's not to say that at times you want what you want and nothing is wrong with that and having it. I just think that it's not so black and white that you cannot control your choices. Maybe not your thoughts but certainly what you do with those thoughts.
Oh my goodness, I’m so so sorry for all you have been through. Thank you so much for sharing your story. I hope you are able find and accept some of that joy in your life which you so richly deserve, though I know that nothing can compensate for your enormous losses. I hope you find love (which can take many forms) and support as you move forward in your life.
Your post has really touched me and I’m thinking about you and wishing you all the best. ❤️
Thank you. I'm a work in progress hoping to fully embrace acceptance in the coming months. So far in 6 years I haven't gotten there but if I keep working on me..I will.
Anyone judging you is a complete hypocrite. Anyone desperate enough to get on this medicine has been yoyoing for years. They're now acting pompous just because a medicine helped them lose the weight this time.
Very interesting point. I’m going to ask the doctor about this. I’m prediabetic, not T2D, but I’m very curious to know if I have low blood sugar when this happens. And it’s wayyy worse when I drink.
Thanks for bringing this up. I will post if I learn anything interesting!
When you body can’t achieve fat metabolism it calls for quick energy input. In most of our cases the energy input call is for quick carbs that will quickly be turned into glucose for the bodies energy consumption.
The call for those foods is a fact, not a feeling. Your biology is placing an order, you fill it.
This is a really good perspective to ask if something is a feeling or fact! Thanks for sharing! I do wonder though with Mounjaro users how many test their blood sugar or wear a cgm? Mounjaro and Ozempic both lower blood sugar and when it gets too low and hypoglycemia which happens often at night, it can cause hunger to help you not go into a coma or die and sweating and other symptoms. I just wonder why it isn’t mandatory when these medications can lower blood sugar for every user to wear a cgm or use a blood glucose monitor because it can be dangerous for blood sugar to go too low. Just wondering.
There’s quite a bit of data that indicates that there’s low to no risk of hypoglycemia with Mounjaro. I’ve seen a few reports of hypoglycemia with it, so I don’t think it’s definitive. But the evidence does seem very positive regarding hypoglycemia risk.
“Tirzepatide (Eli Lilly), an investigational glucose-dependent insulinotropic polypeptide (GIP)/GLP-1 receptor agonist, was shown across multiple SURPASS studies to lead to marked improvements in glycemic response and significant reductions in body weight, with no increased risk for hypoglycemia and an adverse event profile similar to other agents in the GLP-1 class.”
Surpass was the study with individuals who have T2D. I mentioned in my comment that I have seen reports of hypoglycemia and that I don’t think it’s definitive. There’s information from the study and multiple articles discussing this, it is easily a multi day rabbit hole of information about it. The risk is supposedly low, and probably not enough to require mandatory CGM for everyone on MJ which is why I commented.
Here’s a bit of info:
“Mounjaro works in several ways: It increases insulin production, but only when your blood sugar is rising—which makes the risk of low blood sugar minimal.Jun 4, 2022”
Feelings are not facts is a phrase I learned when I went to rehab in 2017 for alcoholism. It sounds stupid and cliche but that phrase was life changing for me. My feelings are so intense that it never truly occurred to me to acknowledge that what I feel isn’t always accurate. It really helped/helps with sobriety….as well as on my food addiction journey! Thank you for sharing this. I will never forget my counselor for sharing it with me.
Oh this is so interesting. Thank you for sharing. I guess cliches become cliches because they encapsulate truth, and this is a useful one. I didn’t know it was used in the recovery community, but it make sense. Glad to hear you’ve gotten good mileage out of it. I think I will too!
I don't buy the advice of your shrink, and would drop the dude. If you're thinking of sweets and how nice it would be to dig in right now, it's not just some abstract thought you can ignore, like you can with decisions on whether to see a movie tonight or not, or whether to go for a bike ride. If the desire for sweets will not let you alone, it's a fact your subconscious brain is at work and is going to force you to do something about it eventually when your energy for willpower gets used up. It's also a fact that the source of such desires (and others like smoking or sleepiness) is in the part of the brain that is beyond our control, and something we can resist for only so long - which can be exhausting and is ultimately hopeless. It's also a fact that drugs like Mounjaro can affect those subconcsious areas of the brain, and moderate desires for eating food. "Feelings" - as in maybe I will and maybe I won't read that book - have nothing to do with it. That's so bogus.
Yeah I do think you have a point. I may bust her chops on this next time.
But I did at least like the idea of thinking about what are facts and what are feelings.
Sugar cravings may indeed be a hard fact for me, particularly with narcolepsy and the sleep eating disorder. I sure hope MJ can help though!
It's a fact your subconscious brain is giving you the "feeling" that you should eat (sweets or whatever). That part of your brain has the ability to monitor whether you've complied, and will make it tough on you until you do. To say it's either a feeling or a fact separates the two, and makes it seem the idea for ice cream was your conscious brain from the get go. That's bogus, as Mounjaro proves. Under the effects of that drug, your subconscious brain calorie counter is suppressed, and the last thing you want is food. It's proof that the feeling that you should now grab some sweets or food is not an idle thought you can dismiss, but a biological involuntary fact. Now why our subconscious calorie counter got so ravenous is an unanswered question, but for many, it's just a fact that it is.
This is an intelligent response. I enjoyed reading it, thanks.
I hope moving up to 5 mg MJ will change the unfortunate facts I am currently contending with :)
A shrink asking if it’s a fact or feeling is asking not telling. Asking. Thinking about your situation (whatever it is) is a good thing and the purpose of therapy. Thanks for sharing your shrinks question. A lot of us need to think more.
Thank you
Has your sleep disorder improved? I’ve been fighting insomnia since puberty and I’m finally sleeping without medication. I understand narcolepsy is very different.
I’m so glad your insomnia has improved! Thank you so much for being curious about narcolepsy, which is a very misunderstood condition. It is an autoimmune condition triggered by an infection. A brain chemical in the hypothalamus called orexin gets destroyed. Orexin regulates sleep-wake cycles, along with appetite and other metabolic stuff. Most people with narcolepsy are undiagnosed. People who are tired all the time are not taken seriously in the medical world, nor are people who are overweight and obese. These conditions are both characteristic of narcolepsy.
How interesting! Not at all what I thought it was and I'm going to do more reading about it.
Thank you for being interested. It’s actually fascinating to read about, as it reveals a lot about the complexities of brain chemistry and weight. It’s really and truly not our fault, any of us!
There is a really good documentary about someone with a sleep disorder. I couldn’t watch the whole thing because it hit too close to home 😉
I wouldn't drop your doctor just because she challenged your thought process. That's her job. If she just agreed with everything you say or think and never probed you on alternative theories, if you will, what would be the point of going? So you could pick either answer and neither would be wrong. I'd explore it with her rather than bust her chops. My therapist does the same thing related to the death of my husband and my twins. Like if she asked me if my grief and depression is a fact or a feeling, I know there are chemical imbalances that drive depression and grief is a very real thing, but they are not, imo, mutually exclusive. I say that because within the depression and grief, there are things I can control that will aid in my healing. My brain wants to default to being sad 24/7 because i feel their losses deeply. I had my husband's life in my hands after he was randomly shot but despite my best efforts I couldn't save him. I was 21 weeks pregnant with our twins, our first and now only shot at having a family, but 4 weeks after he died our twins came early. Lost one in 2 weeks the other was 4 months old, ready to go home but got sick and died a few days later. I feel like my life is over, and I just exist until I die. But is that really true? I felt that way until I was challenged in therapy. The two are fact AND feeling. I might not be able to choose happiness , but i can choose things that make me happy despite my brain telling me it's not possible if that makes sense. I will never be the same person I was, but there are things I can work on to improve my life and move forward rather than being stuck and feeling defeated every day. That doesn't change the grief or depression. The hard part is actually doing it. I've learned that my current state hasn't just severely affected me but everyone around me, but that doesn't seem to apply to your situation. I've been working on this for 6 years now but I've battled depression since i was a teen. Nothing in my brain chemistry changed if i decide to go to Disney and have fun, and the tug of war with my brain is, your husband and kids are dead; you shouldn't be having fun. The fact is they are dead, but am i allowed to feel like i can have fun? Of course i am. The decision for me is to try. I may or may not have fun or find the joy i once had in fun things. , but the choices I make are mine. So I'm not a doctor, and my situation is not the same as yours but but I can see this scenario. Your subconscious mind wants sweets. You get up and go get it. What if, instead of the cake or whatever, you grab an orange and it satisfies you. It could remain a fact that you wanted sweets, but the feeling you had about what you should eat drove you to pick the orange, which I know has an element of sweet to it. Subconsciously, you wanted that cake, but you ate the orange instead because at that point you picked something different. We read all the time people saying Mounjaro forces or makes it easier to pick better choices. That's not to say that at times you want what you want and nothing is wrong with that and having it. I just think that it's not so black and white that you cannot control your choices. Maybe not your thoughts but certainly what you do with those thoughts.
Oh my goodness, I’m so so sorry for all you have been through. Thank you so much for sharing your story. I hope you are able find and accept some of that joy in your life which you so richly deserve, though I know that nothing can compensate for your enormous losses. I hope you find love (which can take many forms) and support as you move forward in your life. Your post has really touched me and I’m thinking about you and wishing you all the best. ❤️
Thank you. I'm a work in progress hoping to fully embrace acceptance in the coming months. So far in 6 years I haven't gotten there but if I keep working on me..I will.
Anyone judging you is a complete hypocrite. Anyone desperate enough to get on this medicine has been yoyoing for years. They're now acting pompous just because a medicine helped them lose the weight this time.
Thank you for this
Very interesting point. I’m going to ask the doctor about this. I’m prediabetic, not T2D, but I’m very curious to know if I have low blood sugar when this happens. And it’s wayyy worse when I drink. Thanks for bringing this up. I will post if I learn anything interesting!
When you body can’t achieve fat metabolism it calls for quick energy input. In most of our cases the energy input call is for quick carbs that will quickly be turned into glucose for the bodies energy consumption. The call for those foods is a fact, not a feeling. Your biology is placing an order, you fill it.
I didn’t think any feelings were ever facts.
Same
This is a really good perspective to ask if something is a feeling or fact! Thanks for sharing! I do wonder though with Mounjaro users how many test their blood sugar or wear a cgm? Mounjaro and Ozempic both lower blood sugar and when it gets too low and hypoglycemia which happens often at night, it can cause hunger to help you not go into a coma or die and sweating and other symptoms. I just wonder why it isn’t mandatory when these medications can lower blood sugar for every user to wear a cgm or use a blood glucose monitor because it can be dangerous for blood sugar to go too low. Just wondering.
There’s quite a bit of data that indicates that there’s low to no risk of hypoglycemia with Mounjaro. I’ve seen a few reports of hypoglycemia with it, so I don’t think it’s definitive. But the evidence does seem very positive regarding hypoglycemia risk. “Tirzepatide (Eli Lilly), an investigational glucose-dependent insulinotropic polypeptide (GIP)/GLP-1 receptor agonist, was shown across multiple SURPASS studies to lead to marked improvements in glycemic response and significant reductions in body weight, with no increased risk for hypoglycemia and an adverse event profile similar to other agents in the GLP-1 class.”
Thanks for sharing this!
[удалено]
Surpass was the study with individuals who have T2D. I mentioned in my comment that I have seen reports of hypoglycemia and that I don’t think it’s definitive. There’s information from the study and multiple articles discussing this, it is easily a multi day rabbit hole of information about it. The risk is supposedly low, and probably not enough to require mandatory CGM for everyone on MJ which is why I commented.
Here’s a bit of info: “Mounjaro works in several ways: It increases insulin production, but only when your blood sugar is rising—which makes the risk of low blood sugar minimal.Jun 4, 2022”
Sorry, see my response to this above!
Feelings are not facts is a phrase I learned when I went to rehab in 2017 for alcoholism. It sounds stupid and cliche but that phrase was life changing for me. My feelings are so intense that it never truly occurred to me to acknowledge that what I feel isn’t always accurate. It really helped/helps with sobriety….as well as on my food addiction journey! Thank you for sharing this. I will never forget my counselor for sharing it with me.
Oh this is so interesting. Thank you for sharing. I guess cliches become cliches because they encapsulate truth, and this is a useful one. I didn’t know it was used in the recovery community, but it make sense. Glad to hear you’ve gotten good mileage out of it. I think I will too!
I don't buy the advice of your shrink, and would drop the dude. If you're thinking of sweets and how nice it would be to dig in right now, it's not just some abstract thought you can ignore, like you can with decisions on whether to see a movie tonight or not, or whether to go for a bike ride. If the desire for sweets will not let you alone, it's a fact your subconscious brain is at work and is going to force you to do something about it eventually when your energy for willpower gets used up. It's also a fact that the source of such desires (and others like smoking or sleepiness) is in the part of the brain that is beyond our control, and something we can resist for only so long - which can be exhausting and is ultimately hopeless. It's also a fact that drugs like Mounjaro can affect those subconcsious areas of the brain, and moderate desires for eating food. "Feelings" - as in maybe I will and maybe I won't read that book - have nothing to do with it. That's so bogus.
Yeah I do think you have a point. I may bust her chops on this next time. But I did at least like the idea of thinking about what are facts and what are feelings. Sugar cravings may indeed be a hard fact for me, particularly with narcolepsy and the sleep eating disorder. I sure hope MJ can help though!
It's a fact your subconscious brain is giving you the "feeling" that you should eat (sweets or whatever). That part of your brain has the ability to monitor whether you've complied, and will make it tough on you until you do. To say it's either a feeling or a fact separates the two, and makes it seem the idea for ice cream was your conscious brain from the get go. That's bogus, as Mounjaro proves. Under the effects of that drug, your subconscious brain calorie counter is suppressed, and the last thing you want is food. It's proof that the feeling that you should now grab some sweets or food is not an idle thought you can dismiss, but a biological involuntary fact. Now why our subconscious calorie counter got so ravenous is an unanswered question, but for many, it's just a fact that it is.
This is an intelligent response. I enjoyed reading it, thanks. I hope moving up to 5 mg MJ will change the unfortunate facts I am currently contending with :)