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Subject: =?UTF-8?q?The_Last_Time_It_=E2=80=9CWorked=E2=80=9D_Before_GLP-1?=
From: Dave Knapp from On The Pen <onthepen@substack.com>
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View this post on the web at https://onthepen.substack.com/p/the-last-time-=
it-worked-before-glp

I=E2=80=99ve battled obesity my entire adult life. Not in a casual way, and=
 not in a =E2=80=9CI should probably lose a few pounds=E2=80=9D kind of way=
, but in a way where it becomes part of how you think, how you plan your da=
y, and how the world and people around you start to see you and treat you.
I remember the last time my weight was finally getting under control in a m=
eaningful way, before GLP-1. I was eating 1200 to 1400 calories a day on a =
hospital sanctioned program. This was not me guessing or experimenting. It =
was structured, clinical, and designed to work if you followed it exactly. =
Even then I wanted to share about it, if that meant it was going to be help=
ful for others battling obesity too. In fact here is one of my earliest You=
Tube videos:
It was working. The scale was finally moving in a way it had not in years, =
and that feeling is hard to explain unless you have lived it. It feels like=
 relief, like maybe you have finally figured something out that has been ou=
t of reach for a long time.
But there was a cost to it that I did not fully acknowledge at the time. Th=
e program food met modest protein requirements, but it was highly processed=
 and never really felt like I ate a meal. I had headaches almost every day.=
 I felt sluggish, constantly aware of hunger and saying =E2=80=9Cno=E2=80=
=9D, and just off in a way that is difficult to describe but easy to recogn=
ize when you are in it.
Still, it was working, so I stayed with it. When something finally works to=
 get weight off, you do not question it, you hold onto it. You know what I =
mean?
Then finally life stepped in. I was on a work trip, halfway across the coun=
try, when I got the call that something was wrong with my wife, who was sev=
en months pregnant. It was serious enough that there was no hesitation. I g=
ot on a flight in the middle of the night and went home. I say =E2=80=9Cfin=
ally=E2=80=9D because it seems like every weigh loss story has a =E2=80=9Cf=
inally=E2=80=9D=E2=80=A6 This is the part right before the wheels come off.
My wife ended up in the hospital for a full week, passing kidney stones one=
 after another. I stayed with her the entire time. Inducing early labor was=
 the big concern, so it was a terrifying time for us. The hospital was abou=
t an hour and a half from home, which meant there was no routine anymore, n=
o structure, no =E2=80=9Cfuelings=E2=80=9D (which was the feel-good label a=
ttached to these protein-laced mutant foods) and no way to maintain what I =
had been doing.
The hospital cafeteria might as well have been a fast food restaurant or kw=
ik-E-mart. There was very little there that fit the program I had been foll=
owing, and no realistic way to stay on track in a consistent way. So I ate =
what was available, because that is what the situation required and where m=
y focus needed to be.=20
I still have pictures in my camera roll from that hospital stay. I still re=
member feeling almost incredulous at the options that were available.
And just like that, it started to slip. All at once, the train was off the =
tracks. Not because I stopped caring, and not because I suddenly lost disci=
pline, but because the system I was using had no flexibility when life chan=
ged.
That is what fighting obesity is like for so many people. You can follow th=
e plan exactly and do everything right, and for a while it might even work,=
 but if it only works under perfect conditions, it is incredibly difficult =
to hold onto when real life inevitably steps in.
That is why GLP-1 feels different. For the first time, it is not about forc=
ing your entire life to fit a fragile system. It creates space. It gives yo=
u margin. It allows you to live your life and still maintain some control o=
ver your body.
If you have ever found yourself doing everything right and still watching i=
t slip away the moment life got complicated, then you already understand wh=
y that matters.
What is the moment where things fell apart for you, even when you were doin=
g everything right?

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description,
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}
@media screen and (max-width: 650px) {
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}
@media (max-width: 420px) {
  .typography .markup .install-substack-app-embed img.install-substack-app-=
embed-img,
  .typography.editor .markup .install-substack-app-embed img.install-substa=
ck-app-embed-img {
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}
@media (max-width: 420px) {
  .typography .markup .install-substack-app-embed .install-substack-app-emb=
ed-text,
  .typography.editor .markup .install-substack-app-embed .install-substack-=
app-embed-text {
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    width: auto;
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}
@media (max-width: 420px) {
  .typography .markup .install-substack-app-embed .install-substack-app-emb=
ed-link,
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app-embed-link {
    display: flex;
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}
@media screen and (min-width: 481px) {
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}
@media screen and (min-width: 481px) {
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    height: 38px;
    line-height: 38px;
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}
@media screen and (max-width: 480px) {
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    height: 8px;
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}
@media screen and (max-width: 480px) {
  .share-button-container a.share.first img {
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}
@media screen and (min-width: 481px) {
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}
@media screen and (min-width: 541px) {
  .settings-add-pub-modal-wrapper .container .add-recommending-pub-modal-co=
ntainer {
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}
@media screen and (min-width: 541px) {
  .settings-add-pub-modal-wrapper .container .add-recommending-pub-modal-co=
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}
@media screen and (max-width: 650px) {
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}
@media screen and (max-width: 768px) {
  .post {
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}
@media screen and (max-width: 650px) {
  .post .post-header .post-label {
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}
@media screen and (max-width: 650px) {
  .post .post-header .meta-author-wrap.alternative-meta .meta-right-column =
=2Epost-meta {
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}
@media screen and (max-width: 650px) {
  .post .footer-facepile-container {
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    display: flex;
    align-items: center;
    justify-content: flex-start;
    width: 100%;
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}
@media screen and (max-width: 650px) {
  .post .post-footer.use-separators {
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}
@media screen and (max-width: 650px) {
  .post .post-footer.next-prev {
    height: 64px;
    justify-content: space-between;
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}
@media screen and (max-width: 650px) {
  .post-contributor-footer .post-contributor-bio-table {
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  .post-contributor-footer .post-contributor-bio-table-row {
    display: flex;
    flex-direction: row;
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  .post-contributor-footer .post-contributor-bio-userhead-cell,
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  .post-contributor-footer .post-contributor-bio-body-cell {
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  .post-contributor-footer .post-contributor-bio-body-table {
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  .post-contributor-footer .post-contributor-bio-body-table-row {
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  .post-contributor-footer .post-contributor-bio-copy-cell,
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  .post-contributor-footer .post-contributor-bio-copy-cell {
    margin: 0 0 16px 0;
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  .post-contributor-footer .post-contributor-bio-controls-cell {
    width: auto;
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  .post-contributor-footer .post-contributor-bio-controls {
    margin: auto;
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  .post-contributor-footer .post-contributor-bio-controls .button.primary {
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  .post-contributor-footer .post-contributor-bio-text {
    font-size: 14px;
  }
}
@media screen and (min-width: 768px) {
  .post-silhouette {
    padding: 32px 0;
  }
}
@media screen and (max-width: 650px) {
  .post-silhouette .post-silhouette-title {
    margin-top: 10.44225025px;
    height: 120px;
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}
@media screen and (max-width: 650px) {
  .post-silhouette .post-silhouette-meta {
    width: 75%;
  }
}
@media screen and (max-width: 650px) {
  .post-silhouette .post-silhouette-meta.with-byline-image {
    margin: 20px 0;
  }
}
@media screen and (max-width: 650px) {
  .use-theme-bg .post-meta.alternative-meta .post-meta-item,
  .post-meta.alternative-meta .post-meta-item {
    padding-right: 16px;
  }
}
@media screen and (max-width: 370px) {
  .use-theme-bg .post-meta.alternative-meta .post-meta-item,
  .post-meta.alternative-meta .post-meta-item {
    font-size: 14px;
  }
}
@media screen and (max-width: 650px) {
  .use-theme-bg .post-meta.alternative-meta .post-meta-item.guest-author-pu=
blication,
  .post-meta.alternative-meta .post-meta-item.guest-author-publication {
    display: none;
  }
}
@media screen and (max-width: 370px) {
  .post-meta .post-meta-item .post-meta-button {
    height: 36px !important;
    /* important to override in-line height style on emails */
  }
  .post-meta .post-meta-item .post-meta-button .meta-button-label {
    display: none;
  }
  .post-meta .post-meta-item .post-meta-button > svg {
    margin-right: 0;
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}
@media screen and (max-width: 370px) {
  .post-meta .post-meta-item {
    font-size: 12px;
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}
@media screen and (max-width: 650px) {
  .post .floating-subscribe-button {
    bottom: 20px;
    right: 20px;
  }
}
@media (max-width: 1024px) {
  body .pullquote-align-left,
  body .pullquote-align-right,
  body .pullquote-align-wide,
  body .pullquote-align-center {
    float: none;
    margin: 0 auto;
    width: 100%;
    max-width: 100%;
  }
}
@media all and (-ms-high-contrast: none), (-ms-high-contrast: active) {
  body .markup table.image-wrapper img,
  body .markup table.kindle-wrapper img {
    max-width: 550px;
  }
}
@media (min-width: 1024px) {
  body:not(:has(#toc)) .captioned-image-container figure:has(> a.image2-off=
set-left) {
    margin-left: var(--image-offset-margin);
  }
  body:not(:has(#toc)) .captioned-image-container figure:has(> a.image2-off=
set-right) {
    margin-right: var(--image-offset-margin);
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}
@media (min-width: 1300px) {
  body .captioned-image-container figure:has(> a.image2-offset-left) {
    margin-left: var(--image-offset-margin);
  }
  body .captioned-image-container figure:has(> a.image2-offset-right) {
    margin-right: var(--image-offset-margin);
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}
@media (max-width: 1024px) {
  body {
    /* Disable offset on mobile/tablet */
  }
  body .captioned-image-container figure:has(> a.image2-align-left),
  body .captioned-image-container figure:has(> a.image2-align-right) {
    float: none;
    margin: 1em auto;
    max-width: 100%;
    width: auto;
    padding: 0;
  }
  body .captioned-image-container figure:has(> a.image2-align-left.thefp),
  body .captioned-image-container figure:has(> a.image2-align-right.thefp) =
{
    margin: 1em auto;
  }
  body .captioned-image-container figure:has(> a.image2-offset-left),
  body .captioned-image-container figure:has(> a.image2-offset-right) {
    margin: 1em auto;
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  body .captioned-image-container figure:has(> a.image2-align-left) .image2=
-inset,
  body .captioned-image-container figure:has(> a.image2-align-right) .image=
2-inset {
    display: block;
    justify-content: initial;
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}
@media (max-width: 768px) {
  body .markup div.sponsorship-campaign-embed {
    margin-top: 24px;
    margin-bottom: 24px;
  }
  body .markup div.sponsorship-campaign-embed:first-child {
    margin-top: 0px;
  }
}
@media screen and (max-width: 650px) {
  body .markup div.youtube-overlay,
  body .markup div.vimeo-overlay {
    display: none !important;
  }
}
@media screen and (max-width: 370px) {
  body .markup div.tiktok-wrap {
    width: calc(95vw - 32px);
    height: calc((95vw - 32px - 2px) / 0.485714);
  }
}
@media screen and (max-width: 650px) {
  body .markup div.embedded-publication-wrap .embedded-publication.show-sub=
scribe {
    padding: 24px;
  }
}
@media screen and (max-width: 650px) {
  body .markup div.subscription-widget-wrap .subscription-widget.show-subsc=
ribe,
  body .markup div.subscription-widget-wrap-editor .subscription-widget.sho=
w-subscribe,
  body .markup div.captioned-button-wrap .subscription-widget.show-subscrib=
e {
    padding: 0px 24px;
  }
}
@media screen and (max-width: 650px) {
  body .markup div.subscription-widget-wrap .subscription-widget.show-subsc=
ribe .subscription-widget-subscribe .button,
  body .markup div.subscription-widget-wrap-editor .subscription-widget.sho=
w-subscribe .subscription-widget-subscribe .button,
  body .markup div.captioned-button-wrap .subscription-widget.show-subscrib=
e .subscription-widget-subscribe .button {
    padding: 10px 12px;
    min-width: 110px;
  }
}
@media (max-width: 650px) {
  body .markup .twitter-embed,
  body .markup .tweet {
    padding: 12px;
  }
}
@media (max-width: 650px) {
  body .markup .twitter-embed .tweet-text,
  body .markup .tweet .tweet-text {
    font-size: 14px;
    line-height: 20px;
  }
}
@media (max-width: 650px) {
  body .markup .twitter-embed .tweet-photos-container.two,
  body .markup .tweet .tweet-photos-container.two,
  body .markup .twitter-embed .tweet-photos-container.three,
  body .markup .tweet .tweet-photos-container.three,
  body .markup .twitter-embed .tweet-photos-container.four,
  body .markup .tweet .tweet-photos-container.four {
    height: 200px;
  }
}
@media (max-width: 650px) {
  body .markup .twitter-embed a.expanded-link .expanded-link-img,
  body .markup .tweet a.expanded-link .expanded-link-img {
    max-height: 180px;
  }
}
@media (max-width: 650px) {
  body .markup .twitter-embed a.expanded-link .expanded-link-description,
  body .markup .tweet a.expanded-link .expanded-link-description {
    display: none;
  }
}
@media screen and (max-width: 650px) {
  body .markup .apple-podcast-container {
    width: unset;
  }
}
@media (max-width: 420px) {
  body .markup .install-substack-app-embed img.install-substack-app-embed-i=
mg {
    margin: 0 auto 16px auto;
  }
}
@media (max-width: 420px) {
  body .markup .install-substack-app-embed .install-substack-app-embed-text=
 {
    margin: 0 0 12px 0;
    max-width: 100%;
    width: auto;
    text-align: center;
  }
}
@media (max-width: 420px) {
  body .markup .install-substack-app-embed .install-substack-app-embed-link=
 {
    display: flex;
    justify-content: center;
  }
}
@media screen and (min-width: 500px) {
  body .header a.logo {
    width: 42px;
    height: 42px;
    border-radius: 12px;
  }
}
@media screen and (max-width: 420px) {
  body .subscription-receipt table:first-of-type .subscription-amount .subs=
cription-discount {
    width: 72px !important;
  }
}
@media screen and (min-width: 481px) {
  body .share-button-container {
    height: auto;
  }
}
@media screen and (max-width: 480px) {
  body .share-button-container .separator {
    display: block !important;
    margin: 0 !important;
    height: 8px !important;
    border-left: none !important;
  }
}
@media screen and (max-width: 650px) {
  .digest .item .post-meta-item.audience {
    display: none;
  }
}
@media screen and (min-width: 500px) {
  .digest-publication .logo img {
    width: 42px;
    height: 42px;
    border-radius: 8px;
  }
}
@media screen and (max-width: 650px) {
  .comments-page .container .comment-list .collapsed-reply {
    margin-left: calc(10 + 32px - 24px);
  }
}
@media screen and (max-width: 650px) {
  .comment > .comment-list {
    padding-left: 24px;
  }
}
@media screen and (max-width: 650px) {
  .finish-magic-login-modal .modal-content .container {
    padding: 24px 0;
  }
}
@media (max-width: 650px) {
  .reader2-text-b3 {
    line-height: 24px;
  }
}
@media screen and (max-width: 650px) {
  .reader2-text-h4 {
    line-height: 24px;
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}
@media screen and (min-width: 541px) {
  .user-profile-modal {
    padding-left: 12px;
    padding-right: 12px;
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}
@media screen and (max-width: 650px) {
  .subscribe-widget form.form .sideBySideWrap button.rightButton {
    padding: 10px 12px;
  }
}
@media screen and (min-width: 541px) {
  .pub-icon:hover .logo-hover,
  .feed-item-icon:hover .logo-hover {
    display: block;
  }
}
@media screen and (max-width: 650px) {
  .post-ufi.single-full-width-button .post-ufi-button-wrapper {
    width: 100%;
    padding: 16px;
  }
  .post-ufi.single-full-width-button .post-ufi-button-wrapper:empty {
    display: none;
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  .post-ufi.single-full-width-button .post-ufi-button {
    width: 100%;
    justify-content: center;
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}
@media screen and (max-width: 768px) {
  .file-embed-wrapper {
    padding: 0;
  }
}
@media screen and (max-width: 768px) {
  .file-embed-wrapper-editor {
    padding: 0;
  }
}
@media screen and (max-width: 768px) {
  .file-embed-wrapper-editor:active {
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}
@media only screen and (max-width: 650px) {
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}
@media only screen and (min-width: 630px) {
  .file-embed-button.narrow,
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}
@media screen and (min-width: 541px) {
  .audio-player-wrapper .audio-player {
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}
@media screen and (max-width: 650px) {
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}
@media screen and (max-width: 650px) {
  .audio-player-wrapper .audio-player .audio-player-progress .audio-player-=
progress-bar .audio-player-progress-bar-popup {
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}
@media screen and (max-width: 650px) {
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}
@media screen and (max-width: 650px) {
  .audio-player-wrapper-fancy .audio-player .audio-player-progress .audio-p=
layer-progress-bar .audio-player-progress-bar-popup {
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}
@media (min-width: 250px) {
  .audio-player-wrapper-fancy .audio-player {
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  .audio-player-wrapper-fancy .audio-player .btn-group {
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  .audio-player-wrapper-fancy .audio-player .btn-group .button:last-of-type=
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}
@media (min-width: 300px) {
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}
@media (min-width: 350px) {
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  .audio-player-wrapper-fancy .audio-player .audio-player-title {
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  .audio-player-wrapper-fancy .audio-player .audio-player-hero-image-contai=
ner {
    padding-top: 15%;
    width: 15%;
    display: block;
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e {
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  .audio-player-wrapper-fancy .audio-player .audio-player-substack-logo {
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}
@media (min-width: 350px) {
  .audio-player-wrapper-fancy .audio-player .audio-player-hero-image-contai=
ner {
    padding-top: 25%;
    width: 25%;
    display: block;
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  .audio-player-wrapper-fancy .audio-player .btn-group .button:first-of-typ=
e {
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}
@media (min-width: 400px) {
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ner {
    padding-top: 40%;
    width: 40%;
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}
@media (max-width: 400px) {
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    margin-top: 12px;
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  .audio-player-wrapper-fancy .audio-player .btn-group .button {
    font-size: 13px;
    padding: 6px 12px;
    height: auto;
    margin-top: 10px;
  }
}
@media (min-width: 600px) {
  .audio-player-wrapper-fancy .audio-player .audio-player-hero-image-contai=
ner {
    padding-top: 55%;
    width: 55%;
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}
@media (max-width: 650px) {
  .poll-editor-modal {
    min-width: calc(100% - 20px);
  }
}
@media (max-width: 750px) {
  .poll-embed .poll-anchor-target .poll-anchor-copy-button {
    left: 8px;
    top: 45px;
  }
}
@media not all and (min-resolution: 0.001dpcm) {
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    p a:not(.primary.button),
    .post p:not(.button-wrapper) a:not(.primary.button),
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      text-decoration: none;
    }
    p a:not(.primary.button):hover,
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    .thread-head .markup p:not(.button-wrapper) a:not(.primary.button):hove=
r {
      text-decoration: underline;
    }
  }
}</style></head><body class=3D"email-body" style=3D"font-kerning: auto;--im=
age-offset-margin: -120px;"><img src=3D"https://eotrx.substackcdn.com/o/425=
4c725778b727a/p.gif?token=3DeyJtIjoiPDIwMjYwNDExMTg1NjU4LjMuM2Y5YTQ2NGNlYzI=
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icHViLTAiLCJzdWIiOiJlbyJ9.lmlqv4aTUx3UXjdcKlUf79eyPBWaI50Sm6jrvGLZ_Us" alt=
=3D"" width=3D"1" height=3D"1" border=3D"0" style=3D"height:1px !important;=
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adding-top:0 !important;padding-bottom:0 !important;padding-right:0 !import=
ant;padding-left:0 !important;"/><div class=3D"preview" style=3D"display:no=
ne;font-size:1px;color:#333333;line-height:1px;max-height:0px;max-width:0px=
;opacity:0;overflow:hidden;">Do you remember your last time?</div><div clas=
s=3D"preview" style=3D"display:none;font-size:1px;color:#333333;line-height=
:1px;max-height:0px;max-width:0px;opacity:0;overflow:hidden;">&#847; &nbsp;=
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ev7WYfHhUenEtdi_Da5cMqXFuaJ_7YQI" style=3D"color: rgb(54,55,55);text-decora=
tion: none;">The Last Time It &#8220;Worked&#8221; Before GLP-1</a></h1><h3=
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ght: 500;text-transform: uppercase;letter-spacing: .2px;text-decoration: no=
ne" href=3D"https://substack.com/@onthepen">On The Pen GLP-1 News</a></div>=
</td></tr></tbody></table></td></tr><tr><td><table role=3D"presentation" wi=
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ial,sans-serif,'Apple Color Emoji','Segoe UI Emoji','Segoe UI Symbol';font-=
weight: 500;text-transform: uppercase;letter-spacing: .2px;"><time datetime=
=3D"2026-04-11T18:56:57.898Z">Apr 11</time></div></td></tr></tbody></table>=
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/div></div><div class=3D"post typography" dir=3D"auto" style=3D"--image-off=
set-margin: -120px;padding: 32px 0 0 0;font-size: 16px;line-height: 26px;">=
<div class=3D"body markup" dir=3D"auto" style=3D"text-align: initial;font-s=
ize: 16px;line-height: 26px;width: 100%;word-break: break-word;margin-botto=
m: 16px;font-family: 'SF Pro Display', -apple-system, system-ui, BlinkMacSy=
stemFont, 'Inter', 'Segoe UI', Roboto, Helvetica, Arial, sans-serif, 'Apple=
 Color Emoji', 'Segoe UI Emoji', 'Segoe UI Symbol';font-weight: 400;"><p st=
yle=3D"margin: 0 0 20px 0;color: rgb(54,55,55);line-height: 26px;font-size:=
 16px;margin-top: 0;">I&#8217;ve battled obesity my entire adult life. Not =
in a casual way, and not in a &#8220;I should probably lose a few pounds&#8=
221; kind of way, but in a way where it becomes part of how you think, how =
you plan your day, and how the world and people around you start to see you=
 and treat you.</p><p style=3D"margin: 0 0 20px 0;color: rgb(54,55,55);line=
-height: 26px;font-size: 16px;">I remember the last time my weight was fina=
lly getting under control in a meaningful way, before GLP-1. I was eating 1=
200 to 1400 calories a day on a hospital sanctioned program. This was not m=
e guessing or experimenting. It was structured, clinical, and designed to w=
ork if you followed it exactly. Even then I wanted to share about it, if th=
at meant it was going to be helpful for others battling obesity too. In fac=
t here is one of my earliest YouTube videos:</p><a class=3D"youtube-wrap" h=
ref=3D"https://substack.com/redirect/8cb9da9a-d298-4495-8b60-da5e5b03d8c1?j=
=3DeyJ1IjoiNGl3b2U2In0.sVDxRtmZ85v8kfdamY0krRXGMy3p768BWtuZifRB-Zs" target=
=3D"_blank" data-component-name=3D"Youtube2ToDOMStatic" style=3D"display: b=
lock;margin: 32px 0;"><img src=3D"https://substackcdn.com/image/youtube/w_7=
28,c_limit/l_youtube_play_qyqt8q,w_120/WHyBvELhiog" style=3D"border: none !=
important;vertical-align: middle;-ms-interpolation-mode: bicubic;max-width:=
 100%;height: auto;margin: 0 auto;display: block;width: 100%;"></a><p style=
=3D"margin: 0 0 20px 0;color: rgb(54,55,55);line-height: 26px;font-size: 16=
px;">It was working. The scale was finally moving in a way it had not in ye=
ars, and that feeling is hard to explain unless you have lived it. It feels=
 like relief, like maybe you have finally figured something out that has be=
en out of reach for a long time.</p><p style=3D"margin: 0 0 20px 0;color: r=
gb(54,55,55);line-height: 26px;font-size: 16px;">But there was a cost to it=
 that I did not fully acknowledge at the time. The program food met modest =
protein requirements, but it was highly processed and never really felt lik=
e I ate a meal. I had headaches almost every day. I felt sluggish, constant=
ly aware of hunger and saying &#8220;no&#8221;, and just off in a way that =
is difficult to describe but easy to recognize when you are in it.</p><p st=
yle=3D"margin: 0 0 20px 0;color: rgb(54,55,55);line-height: 26px;font-size:=
 16px;">Still, it was working, so I stayed with it. When something finally =
works to get weight off, you do not question it, you hold onto it. You know=
 what I mean?</p><p class=3D"button-wrapper" data-attrs=3D"{&quot;url&quot;=
:&quot;https://substack.com/app-link/post?publication_id=3D4808993&post_id=
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wiaWF0IjoxNzc1OTMzODM0LCJleHAiOjE3Nzg1MjU4MzQsImlzcyI6InB1Yi00ODA4OTkzIiwic=
3ViIjoicG9zdC1yZWFjdGlvbiJ9.-4Zi1Nx-Rl-ev7WYfHhUenEtdi_Da5cMqXFuaJ_7YQI&r=
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ursor: pointer;border: none;border-radius: 8px;font-size: 14px;line-height:=
 20px;font-weight: 600;text-align: center;margin: 0;opacity: 1;outline: non=
e;white-space: nowrap;color: #ffffff !important;text-decoration: none !impo=
rtant;background-color: #f34dc9;padding: 12px 20px;height: auto;"><span sty=
le=3D"color: #ffffff;text-decoration: none;">Leave a comment</span></a></p>=
<p style=3D"margin: 0 0 20px 0;color: rgb(54,55,55);line-height: 26px;font-=
size: 16px;">Then finally life stepped in. I was on a work trip, halfway ac=
ross the country, when I got the call that something was wrong with my wife=
, who was seven months pregnant. It was serious enough that there was no he=
sitation. I got on a flight in the middle of the night and went home. I say=
 &#8220;finally&#8221; because it seems like every weigh loss story has a &=
#8220;finally&#8221;&#8230; This is the part right before the wheels come o=
ff.</p><p style=3D"margin: 0 0 20px 0;color: rgb(54,55,55);line-height: 26p=
x;font-size: 16px;">My wife ended up in the hospital for a full week, passi=
ng kidney stones one after another. I stayed with her the entire time. Indu=
cing early labor was the big concern, so it was a terrifying time for us. T=
he hospital was about an hour and a half from home, which meant there was n=
o routine anymore, no structure, no &#8220;fuelings&#8221; (which was the f=
eel-good label attached to these protein-laced mutant foods) and no way to =
maintain what I had been doing.</p><p style=3D"margin: 0 0 20px 0;color: rg=
b(54,55,55);line-height: 26px;font-size: 16px;">The hospital cafeteria migh=
t as well have been a fast food restaurant or kwik-E-mart. There was very l=
ittle there that fit the program I had been following, and no realistic way=
 to stay on track in a consistent way. So I ate what was available, because=
 that is what the situation required and where my focus needed to be. </p><=
p style=3D"margin: 0 0 20px 0;color: rgb(54,55,55);line-height: 26px;font-s=
ize: 16px;"><em>I still have pictures in my camera roll from that hospital =
stay. I still remember feeling almost incredulous at the options that were =
available.</em></p><div class=3D"static-he6Urp gallery-Phxj1j" data-compone=
nt-name=3D"ImageGalleryStatic" style=3D"-webkit-margin-end: 0;-webkit-margi=
n-start: 0;cursor: grab;width: 100%;margin-inline: 0;position: relative;fon=
t-size: 16px;line-height: 26px;margin: 32px0;"><img src=3D"https://substack=
cdn.com/image/fetch/$s_!EvOA!,w_1456,c_limit,f_auto,q_auto:good,fl_progress=
ive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fima=
ges%2F441f9244-2258-4e9e-9ed4-d43aaa842e14_1456x1210.png" alt=3D"" style=3D=
"border: none !important;vertical-align: middle;display: block;-ms-interpol=
ation-mode: bicubic;max-width: 100%;height: auto;margin: 0 auto;"></div><p =
style=3D"margin: 0 0 20px 0;color: rgb(54,55,55);line-height: 26px;font-siz=
e: 16px;"></p><p style=3D"margin: 0 0 20px 0;color: rgb(54,55,55);line-heig=
ht: 26px;font-size: 16px;">And just like that, it started to slip. All at o=
nce, the train was off the tracks. Not because I stopped caring, and not be=
cause I suddenly lost discipline, but because the system I was using had no=
 flexibility when life changed.</p><p style=3D"margin: 0 0 20px 0;color: rg=
b(54,55,55);line-height: 26px;font-size: 16px;">That is what fighting obesi=
ty is like for so many people. You can follow the plan exactly and do every=
thing right, and for a while it might even work, but if it only works under=
 perfect conditions, it is incredibly difficult to hold onto when real life=
 inevitably steps in.</p><p style=3D"margin: 0 0 20px 0;color: rgb(54,55,55=
);line-height: 26px;font-size: 16px;">That is why GLP-1 feels different. Fo=
r the first time, it is not about forcing your entire life to fit a fragile=
 system. It creates space. It gives you margin. It allows you to live your =
life and still maintain some control over your body.</p><p style=3D"margin:=
 0 0 20px 0;color: rgb(54,55,55);line-height: 26px;font-size: 16px;">If you=
 have ever found yourself doing everything right and still watching it slip=
 away the moment life got complicated, then you already understand why that=
 matters.</p><p style=3D"margin: 0 0 20px 0;color: rgb(54,55,55);line-heigh=
t: 26px;font-size: 16px;">What is the moment where things fell apart for yo=
u, even when you were doing everything right?</p><div class=3D"captioned-im=
age-container-static" style=3D"font-size: 16px;line-height: 26px;margin: 32=
px auto;"><figure style=3D"width: 100%;margin: 0 auto;"><table class=3D"ima=
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Y0krRXGMy3p768BWtuZifRB-Zs" rel=3D"" style=3D"position: relative;flex-direc=
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image" data-attrs=3D"{&quot;src&quot;:&quot;https://substack-post-media.s3.=
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