My hunger response is all messed up; exceedingly slow to satiation, hungry almost immediately after. I'm basically always hungry even sometimes getting hunger pangs that are physically painful and come with nausea; not eating for even around like 12-16 hours would sometimes cause me to gag and to feel like I needed to throw up. Changing some dietary things has helped, but I'm still almost always hungry and never stay full long.

Even as little as a year ago, I could put away a large pizza, some ice cream, a meal from McD's, and more in one day and still be hungry. I probably still could if not for ending up needing to cut gluten (one of the things that seems to have helped). By BMI I'm right on the border between overweight and obese and dropping (I will probably be just 'overweight' in mid-Feb 2025 or so).