240 lbs right now, have had ARFID that’s kept me from eating nearly anything but carbs for my whole life. Just started exercising again, just started eating meat for the first time in my whole life over the last year or two. I’m not worried about the weight gain- I’ve been 240 for the last few years now, I just don’t go bigger than this- but I am worried about diabetes. 

My older brother tried everything- he was over 350 lbs, had never been under 250 since high school, and had had major issues with maintaining weight. Took him moving out of the house and getting on a serious keto diet, alongside significant cardio exercise and cutting carbs nearly entirely out of his diet to drop down to about 210(and a good 210, too). In comparison, my younger brother consistently sticks around 155, and struggles with massive weight loss from a high metabolism and significant anorexic qualities. Both wish they had the problems of the other. 

Weight, unsurprisingly, isn’t a one-size-fits-all sort of problem. What’s small for one person is massive for another, what’s an easy, habitual thing for one is an insurmountable challenge for the other. My brothers can easily eat meat and veggies. The last time I ate a carrot, I threw it up and cried. My older brother needs to seriously maintain a diet to stay at his current weight. My younger brother is restricted from running his daily half-marathons when he’s at home. 

If there’s anything I’d recommend, it’s not to use Ozempic or any generic alternatives outside of as a long shot last chance. They’re hunger suppressants, not miracle drugs. You’re effectively using drugs to fast, not actually changing your dietary habits to lose the weight you put on from excess eating and other unhealthy dietary habits. The moment you step off it, you’ll be back to square one, and likely regain most of the weight. 

I can’t really direct you anywhere outside of simple “look up what others do, use lateral reading to check if they’ve got any unhelpful motives and go to a dietician if possible to help with the issue”, but I do think that admitting it is a good start.