@Andy McDermott I've dealt with weight gain from medications myself, and I know how frustrating it can be when a treatment helps one part of your life but creates problems elsewhere. One example: I took gabapentin off-label for anxiety for years, and the side effects were awful. I experienced substantial weight gain, brain fog, dizziness, and cognitive difficulties. It took me nearly a year to taper off the medication. Another example is my mood stabilizer. The one I take can cause low sodium, which has been an ongoing concern. But it's the last psychiatric medication standing after eliminating gabapentin and several others, and I consider that a win. Sometimes it really comes down to a risk-versus-benefit analysis. Eventually, I discovered tirzepatide, which made a tremendous difference in my ability to manage my weight, my longstanding binge eating disorder (BED), and the pain and inflammation associated with my osteoarthritis. This is one peptide I intend to remain on indefinitely. Medication-related weight gain isn't necessarily about diet or discipline. Some psychiatric medications can affect appetite, insulin sensitivity, and metabolic regulation. Gabapentin can also contribute to weight gain, although its mechanisms differ. Exercise and nutrition certainly matter, but they don't always overcome medication-related effects. There may be alternatives with fewer metabolic side effects, depending on which medications you're taking. I wouldn't recommend abruptly discontinuing anything, particularly psychiatric medications. A medication review that considers both your mental health and metabolic health may be more useful than simply pushing yourself harder in the gym. I certainly don't believe people should have to accept every adverse effect without exploring their options. And I wouldn't assume that your difficulty managing your weight means you lack discipline. Sometimes there's much more going on physiologically than people realize.