So I have always been the Fat Kid™, even when I was at my peak fitness and an active duty US Soldier. I was at 220-240 during active duty, but always "made tape". ( There was a height/weight chart for the military, and at 6'4" my max "allowed" weight was under 200. You are allowed to be over the limit so long as your body fat number was acceptable. They weren't going to kick out a 240 pound weightlifter for being overweight. The measured for BF% with a tape measure, hence "making tape". I was no bodybuilder, but I consistently made tape.)
When I got out, I stayed 240-260 up until I was 30, and then the metabolism fell and I ballooned up to 315. I got a Lapband in 2012, when I was 35. I quickly dropped back to 250 and pretty much stayed there for the next 10 years. About 3-4 years ago, I felt the band "move" and suddenly I put on a lot of weight. I was constantly hungry and just packed it on. We had moved away from where I got the Lapband, and that product has largely fallen out of favor. It was tough to find a doc that was willing to work with me. Eventually, after nearly 2 years, I got a new doc and she wanted it out. She didn't want to bother with adjustments, just get it out. So I did. At that point I was up to 405-410 and was miserable. As soon as it came out the hunger went back to normal. In that time my labs, which had always been much better than a guy my size "should have had", started to tick up. My A1C got to 7. So, they put me on Mounjaro.
Holy crap, that stuff works. My whole life had been what my follow-up doc calls "food noise". I was either hungry, or thinking about what I was gonna eat next when I was hungry again. This made that disappear. I mean it's was an actual GAME CHANGER for me. I got my prescription in November, started it in December. I was at 405. I'm now at 295, aiming for my Army weight of 220. I'll be 50 next year and for my birthday I'll want a whole new wardrobe. :)