Noom?

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How accurate are Noom’s weight loss plans? According to Noom my most realistic goal is 160 because I have good eating habits (no sodas, very limited sugars) but it asked me if I’ve ever been on medications. I’ve been on various meds that have caused weight gain and have damaged my metabolism.

My doctor and dietician told me that 150 to 185 pounds is my most realistic goal due to those factors as well. I exercise too. My problem is severe body image and perfectionism. All I want is to be 90 to 140 so I can make my family happy.

I don't know if what I have to say will help or not, because I understand that as you say, you have extreme body image issues, so it can be hard to change your perspective. Just from what you said, though, I wanted to offer a couple of encouraging words. One, you mention you want to be a lower weight than what has been recommended (by your doctor, at least) because you want your family to be happy. I relate to this because I have spent most of my life living in that same shadow (not looking the way my family wants me to). This was true even when I was extremely athletic. When I was 14 I was in what is likely the best shape I'll ever be in my life, as I was on an extremely intensive swim team program (I hated it haha but I showed promise so I had to try it for 1 year) - anyway, at the time I was already a few years past finishing puberty and am shorter and very muscular. Despite how athletic I was, I started getting comments from parents and grandparents alike about how they were concerned I would end up being fat, and would have family openly encourage me to diet at that age.

I say all that to emphasize: There are a lot of people who may make you feel like you're unhealthy, or not good enough, and some of that can be purely based on how you look. I have body image issues too, but I have difficulty with eating to relieve anxiety and the two don't work together well haha. Regardless, I had to learn to separate out from my own self-image whether my family will be happy with how I look or not. I know they're likely concerned about your health, just as with my own family, I think there's some concern about my health too. However, you are ultimately the only person who can analyze how you feel in your body/with your habits, and whether that feels healthy to you.

I apologize for not answering your question, this just really hit home with me so I wanted to say that. Regardless, if the "Noom" plan's recommendation fits within what your doctor has told you is a healthy range, I would say it's good. Perhaps once you've achieved whatever goal is within that range then you can re-evaluate from there?