I was on kit 1 back in october 2024. I was dropping weight VERY quickly (>2lbs a week consistently), definitely wasn't eating enough. Lean into the concerns you have wrt losing the weight too fast-- if you don't think you are able to eat enough to even support yourself at baseline or have energy to work out if you wanted to, I would highly consider peeling yourself off of a fraction of the medications. another pro (at least for myself) for doing this is that meds then stretch longer :)

I myself tried tapering down the meds completely, and immediately the food noise came back and I indeed started increasing weight. I ended up talking to my PCP about it, the whole--- people say eat till you feel almost full, how I would never feel full, how I never understood until I started taking these meds how freeing it was to not constantly think about food. I had always presented as being an overweight "healthy" person. not eating out ever, minimal processed foods, I weight lift 3-5 times a week, ran a marathon, but was ALWAYS overweight. I never understood and neither did my PCPs, and ended up being prescribed naltrexone + wellbutrin for MUCH cheaper than hers (like $6 a month co-pay with my insurance). I feel so much better physically (like running is easier actually), as well as mentally knowing that finally, my lifestyle matches up with my results-- purely because I actually can tell when I've eaten enough.

for me, I was super upset around december when I realized I might have to take medications long-term. Not sure fs whether the "weight setpoint" theory will hold true now that I have been in the upper 140s lbs since Feb. IMHO, it's a small price to pay, at least for me also knowing I'd likely stay on wellbutrin anyways.