Getting on GLP-1 after doctor says no

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Seeking out weight loss drugs after your doctor advised against it is disordered. If you truly believe you need these drugs and that your doctor is incompetent, get a second opinion or change doctors. The fact that you posed this question here and the chorus of similarly disordered people are guiding you to their suppliers betrays your and their disorders. This smacks of eating disorders, body dysmorphia as well as addictive behavior.

Wanting to be a normal weight is not "disordered" or "body dysmorphia" when your doctor tells you you should be a normal weight and is just unwilling to use available treatments to help a patient achieve recommended goals. A second opinion probably would yield the same exact frustrating result because GPs are not incompetent so much as following their mindset which is old school and basic when it comes to weight management, and aligned with broad recommendations rather than the patient in front of them.

I'm a registered dietitian and I see this very often. The issue is the definition of "normal weight." And yes, most often, as I get to know the patient, other factors begin to present that raise the issue of body dysmorphia, disordered eating (past or current), OCD, ADHD and other presentations of disordered thinking.

The definition was presented by the doctor who told op she was overweight. It was not in her head. It's not disordered to think that if your doctor tells you you are overweight and need to lose weight you are in fact overweight.

+1 Right?!?!

Being overweight by 10-20 pounds is not the same as being obese or being overweight and having diabetes, high bp, high cholesterol. The doctor told you that you are overweight and should work to lose the weight. She didn't say, "you're fat, good luck with that." Most likely, she recommended a mediterranean or heart smart, plant based diet along with exercise. That's not as easy as jabbing a needle into your stomach and it takes longer, which is why you are recoiling and looking for another means of getting the drug.

Oh F off
So you’re fine with it for obese people but not those of us working our asses off who still can’t lose the rest?
-not op

People famously underestimate how much they actually eat. If you are eating at a deficit consistently, you will lose weight.My concern is the otherwise healthy, slightly overweight people messing it up for those who truly need it for health reasons. You people caused a shortage and my bil had no access to Ozempic, which he took for diabetes.

There was NEVER a shortage for diabetics. They always got priority in every pharmacy during a brief shortage. Furthermore, there certainly isn't a shortage now and OP isn't going to get Ozempic without a script. So please save us your fake, ignorant outrage because it was never about that. It's litteraly NONE of your business why people go on these meds. It's between them and their doctors.

That’s the point of this entire thread. OP does not want to tell her doctor that does not think that she qualifies for this medicine. She wants to get the medicine without her doctors permission against medical advice.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:She probably knows the realty that for 15lbs you will use it to lose weight but are unlikely to rally stay on it for life which means you will just quickly regain the weight the minute you go off. Because if you can not lose the weight through diet and exercise you will not maintain it that way and need to be on these medications for LIFE.

Especially for 15 pounds. You can lose that over a few months with small dietary changes. Why take the nuclear option for 15 pounds? That doesn't bode well for future weight management if you have to stop the glp or if it becomes ineffective for you.

Why do you refuse to actually listen to the OP telling you, that no, she can't lose 15lbs "over a few months with small dietary changes." Only what you know and believe is gospel.

You're probably a 25 year old male who has zero experience being in a middle-aged female body. And yet, you are the weight loss authority.

Does anyone really need to lose 15 lbs for health reasons? At that level it’s mostly just vanity.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:She probably knows the realty that for 15lbs you will use it to lose weight but are unlikely to rally stay on it for life which means you will just quickly regain the weight the minute you go off. Because if you can not lose the weight through diet and exercise you will not maintain it that way and need to be on these medications for LIFE.

Especially for 15 pounds. You can lose that over a few months with small dietary changes. Why take the nuclear option for 15 pounds? That doesn't bode well for future weight management if you have to stop the glp or if it becomes ineffective for you.

Why do you refuse to actually listen to the OP telling you, that no, she can't lose 15lbs "over a few months with small dietary changes." Only what you know and believe is gospel.

You're probably a 25 year old male who has zero experience being in a middle-aged female body. And yet, you are the weight loss authority.

Does anyone really need to lose 15 lbs for health reasons? At that level it’s mostly just vanity.

Her doctor told her to lose weight, one would assume the doctor is not saying that for vanity.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:She probably knows the realty that for 15lbs you will use it to lose weight but are unlikely to rally stay on it for life which means you will just quickly regain the weight the minute you go off. Because if you can not lose the weight through diet and exercise you will not maintain it that way and need to be on these medications for LIFE.

Especially for 15 pounds. You can lose that over a few months with small dietary changes. Why take the nuclear option for 15 pounds? That doesn't bode well for future weight management if you have to stop the glp or if it becomes ineffective for you.

Why do you refuse to actually listen to the OP telling you, that no, she can't lose 15lbs "over a few months with small dietary changes." Only what you know and believe is gospel.

You're probably a 25 year old male who has zero experience being in a middle-aged female body. And yet, you are the weight loss authority.

Does anyone really need to lose 15 lbs for health reasons? At that level it’s mostly just vanity.

Her doctor told her to lose weight, one would assume the doctor is not saying that for vanity.

Meh, doctors have skinny bias, too. Being told offhandedly that it “would be good to lose some weight” is not the same as saying it’s medically urgent that they lose that weight. OP would have to be 5’ 0” for 15 pounds to be a statistically significant amount of weight to lose.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:She probably knows the realty that for 15lbs you will use it to lose weight but are unlikely to rally stay on it for life which means you will just quickly regain the weight the minute you go off. Because if you can not lose the weight through diet and exercise you will not maintain it that way and need to be on these medications for LIFE.

Especially for 15 pounds. You can lose that over a few months with small dietary changes. Why take the nuclear option for 15 pounds? That doesn't bode well for future weight management if you have to stop the glp or if it becomes ineffective for you.

Why do you refuse to actually listen to the OP telling you, that no, she can't lose 15lbs "over a few months with small dietary changes." Only what you know and believe is gospel.

You're probably a 25 year old male who has zero experience being in a middle-aged female body. And yet, you are the weight loss authority.

Does anyone really need to lose 15 lbs for health reasons? At that level it’s mostly just vanity.

Her doctor told her to lose weight, one would assume the doctor is not saying that for vanity.

It is to prevent preventable disease.

[Anonymous]

Very easy to get online and never told anyone

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Seeking out weight loss drugs after your doctor advised against it is disordered. If you truly believe you need these drugs and that your doctor is incompetent, get a second opinion or change doctors. The fact that you posed this question here and the chorus of similarly disordered people are guiding you to their suppliers betrays your and their disorders. This smacks of eating disorders, body dysmorphia as well as addictive behavior.

Wanting to be a normal weight is not "disordered" or "body dysmorphia" when your doctor tells you you should be a normal weight and is just unwilling to use available treatments to help a patient achieve recommended goals. A second opinion probably would yield the same exact frustrating result because GPs are not incompetent so much as following their mindset which is old school and basic when it comes to weight management, and aligned with broad recommendations rather than the patient in front of them.

I'm a registered dietitian and I see this very often. The issue is the definition of "normal weight." And yes, most often, as I get to know the patient, other factors begin to present that raise the issue of body dysmorphia, disordered eating (past or current), OCD, ADHD and other presentations of disordered thinking.

The definition was presented by the doctor who told op she was overweight. It was not in her head. It's not disordered to think that if your doctor tells you you are overweight and need to lose weight you are in fact overweight.

+1 Right?!?!

Being overweight by 10-20 pounds is not the same as being obese or being overweight and having diabetes, high bp, high cholesterol. The doctor told you that you are overweight and should work to lose the weight. She didn't say, "you're fat, good luck with that." Most likely, she recommended a mediterranean or heart smart, plant based diet along with exercise. That's not as easy as jabbing a needle into your stomach and it takes longer, which is why you are recoiling and looking for another means of getting the drug.

Oh F off
So you’re fine with it for obese people but not those of us working our asses off who still can’t lose the rest?
-not op

People famously underestimate how much they actually eat. If you are eating at a deficit consistently, you will lose weight.My concern is the otherwise healthy, slightly overweight people messing it up for those who truly need it for health reasons. You people caused a shortage and my bil had no access to Ozempic, which he took for diabetes.

GLP-1s make this, the most difficult part of weight loss, feel easier to do consistently day in and day out. And they do improve health for overweight people as well. As for shortages, we're well beyond that at this point in terms of availability, and insurance won't reimburse for people who do not qualify like your BIL does. A lot of the objections feel like judgement and thinness gatekeeping rather than true concern.

There is no skinny girl Illuminati. To go against your doctor's advice and then not seek a second opinion, since you believe your doctor is wrong, betrays the disorder you are suffering. You know that no ethical doctor will prescribe these drugs for 20 pounds.

+1

People with eating disorders are going to abuse these drugs.

[Anonymous]

Losing even 5 pounds on your own, the good old fashioned way: eating less and exercising, does wonders for your overall sense of well being. So what if it takes 3 weeks or 3 months to do it. In that time, you change your habits and set a course to lose the additional 10-20 pounds. That is what is meant by lifestyle changes. It is worth it, just take it 5 pounds at a time.

[Anonymous]

Why don’t you just eat less and consume smaller portions? That’s what GLPs make you do and you can absolutely do it on your own.

[Anonymous]

Anonymous wrote:Why don’t you just eat less and consume smaller portions? That’s what GLPs make you do and you can absolutely do it on your own.

Oh FFS. 🙄🙄🙄🙄🙄

[Anonymous]

Anonymous wrote:Very easy to get online and never told anyone

You really should be taking the medicine under the supervision of a doctor for your own safety and you should consider telling your emergency contact. The risk of aspirating if you are given anesthesia is very real and you want doctors to know that you’re on it if you are brought into the hospital in an emergency.

[Anonymous]

Anonymous wrote:

Anonymous wrote:Why don’t you just eat less and consume smaller portions? That’s what GLPs make you do and you can absolutely do it on your own.

Oh FFS. 🙄🙄🙄🙄🙄

It's because you are an emotional eater that you can't eat less without drugs. You are drugging yourself with food. Therapy or facing what hurts you on your own are too expensive and time consuming. Plus, you have to change. Why not just shoot up some glps? So much easier, albeit more expensive. So what if you vomit for 2 hours straight the day you inject (this happens to my friend every Tuesday)? As long as you don't aspirate your vomit, it will be ok.

[Anonymous]

You don’t meet the criteria for receiving this drug.

Your doctor is being more responsible than those who will give it to anyone who asks.

It is a drug that effects many organ systems and no one even knows exactly how it works.

Either eat less and exercise more or make peace with the fact that you are getting older. That is normal and will not stop because you take a pill.

[Anonymous]

Anonymous wrote:The rate of pancreatitis with GLP-1 receptor agonists is generally low, with studies showing rates of approximately 0.4% to 2.2%, and some large clinical trials find the incidence to be similar to placebo groups. While early reports suggested a higher risk, more recent, larger studies have shown a low rate and some evidence suggests GLP-1s may even lower the risk of recurrence in patients with a history of pancreatitis. The risk is slightly increased with certain factors like a history of type 2 diabetes, and some real-world data have shown a higher association compared to other drug classes, though the absolute risk remains low.

It is also associated with thyroid cancer.

[Anonymous]

Anonymous wrote:Any private dr on the internet can prescribe it if you pay for it

What does that tell you about their motivation and ethics?