15 lbs overweight, holistic doctor wants me to try weight loss injections

[Anonymous]

My happy weight I’ve been for more than a decade is 126 lbs. I’m 5’4. I went on an SSRI and gained 15 lbs. I’m now 141lbs. I get in about 10k steps a day, eat a clean diet and watch calories (low carb mediterranean with mostly fish and chicken and veggies, water or plain iced tea only, drink very moderately, lift 3-4x a week, and do a daily pilates class and my weight has not budged a single pound I’m also hypothyroid and hashimotos and medicated for that. My holistic doctor actually wants me to try weight loss injections for a few months to get off the 15 lbs and maintain since there’s really nothing I can do with my diet and fitness to improve. I’m 45. Any advice on this? I do qualify and it’s from a compounded pharmacy.

[Anonymous]

What drug?

[Anonymous]

it’s a semiglutide that’s compounded, super low dose .125. I wouldn’t qualify for any of he name brand stuff because my bmi is under 25.

[Anonymous]

it’s about $300 a month

[Anonymous]

Is there any way you can stop taking the SSRI? And pick up more exercise? Something more intense than walking, something that makes you sweat? Numerous studies have shown that exercise, especially high intensity exercise, is as or more effective than meditation for mild to moderate anxiety and depression.

https://www.health.harvard.edu/mind-and-mood/exercise-is-an-all-natural-treatment-to-fight-depression#:~:text=Exercise%20is%20as%20effective%20as%20antidepressants%20in%20some%20cases.&text=However%2C%20pills%20aren't%20the,severe%20depression%2C%22%20says%20Dr.

https://www.medicalnewstoday.com/articles/is-exercise-more-effective-than-medication-for-depression-and-anxiety

Even if you can’t, take a spin class and you could kill two birds with one stone…

[Anonymous]

Anonymous wrote:Is there any way you can stop taking the SSRI? And pick up more exercise? Something more intense than walking, something that makes you sweat? Numerous studies have shown that exercise, especially high intensity exercise, is as or more effective than meditation for mild to moderate anxiety and depression.

https://www.health.harvard.edu/mind-and-mood/exercise-is-an-all-natural-treatment-to-fight-depression#:~:text=Exercise%20is%20as%20effective%20as%20antidepressants%20in%20some%20cases.&text=However%2C%20pills%20aren't%20the,severe%20depression%2C%22%20says%20Dr.

https://www.medicalnewstoday.com/articles/is-exercise-more-effective-than-medication-for-depression-and-anxiety

Even if you can’t, take a spin class and you could kill two birds with one stone…

Yes, I did go off of it 6 months ago and no weight change.
I do weight lifting 3/4x a week for 45 min a sessioj with a trainer and daily pilates in a studio because I enjoy it. I don’t really think my fitness could improve. Before I picked up lifting I was actually spinning 3/4 days a week and switched to lifting because it’s supposed to be more effective than cardio.

[Anonymous]

There’s probably more you can do on the fitness side and you could probably reduce calories too. I’d cut alcohol out completely for a month, cut any processed white carbs and add in HIIT runs 3x week (keep your strength training). There’s no way I would take semiglutide in your situation. Also, your current weight is fine. This might be your perimenopausal happy weight.

[Anonymous]

Anonymous wrote:

Anonymous wrote:Is there any way you can stop taking the SSRI? And pick up more exercise? Something more intense than walking, something that makes you sweat? Numerous studies have shown that exercise, especially high intensity exercise, is as or more effective than meditation for mild to moderate anxiety and depression.

https://www.health.harvard.edu/mind-and-mood/exercise-is-an-all-natural-treatment-to-fight-depression#:~:text=Exercise%20is%20as%20effective%20as%20antidepressants%20in%20some%20cases.&text=However%2C%20pills%20aren't%20the,severe%20depression%2C%22%20says%20Dr.

https://www.medicalnewstoday.com/articles/is-exercise-more-effective-than-medication-for-depression-and-anxiety

Even if you can’t, take a spin class and you could kill two birds with one stone…

Yes, I did go off of it 6 months ago and no weight change.
I do weight lifting 3/4x a week for 45 min a sessioj with a trainer and daily pilates in a studio because I enjoy it. I don’t really think my fitness could improve. Before I picked up lifting I was actually spinning 3/4 days a week and switched to lifting because it’s supposed to be more effective than cardio.

Six months is nothing, please give it more time. If it were me, I would not take weight loss drugs, in your position. I would keep doing what you’re doing (and mix it up by adding an occasional spin/cardio class in with the weight lifting, variety isn’t just the spice of life.) Be patient. The weight will come off. Do not mess your metabolism up even more with more drugs.

[Anonymous]

Agree that it might be your perimenopausal happy weight. I’m just like you— my weight is also stuck at 141. If I try to get it down, my body will just make me eat to get it back to 141. That’s where it wants to be now, and I’d never take a drug to manipulate that.

[Anonymous]

Anonymous wrote:There’s probably more you can do on the fitness side and you could probably reduce calories too. I’d cut alcohol out completely for a month, cut any processed white carbs and add in HIIT runs 3x week (keep your strength training). There’s no way I would take semiglutide in your situation. Also, your current weight is fine. This might be your perimenopausal happy weight.

+1 you’re really not doing much exercise. Get your heart rate up.

[Anonymous]

Anonymous wrote:There’s probably more you can do on the fitness side and you could probably reduce calories too. I’d cut alcohol out completely for a month, cut any processed white carbs and add in HIIT runs 3x week (keep your strength training). There’s no way I would take semiglutide in your situation. Also, your current weight is fine. This might be your perimenopausal happy weight.

I also agree with this. Those drugs have risks that are worth it for people at a legitimately unhealthy weight, but you're talking about fifteen vanity pounds.

You should also ensure you are eating enough healthy fats; hopefully your fish is frequently alaskan salmon or other fatty fish, and you're eating a lot of olive oil and avocados. If cutting out alcohol seems too hard I would read The Naked Mind or something like that.

[Anonymous]

I question the competency of any doctor who wpuld recommended compounded SG in uour situation.

[Anonymous]

Anonymous wrote:I question the competency of any doctor who wpuld recommended compounded SG in uour situation.

Ditto. I wouldn’t ever return to a doc who suggested the compounded SG— many of which are not SG at all and been found to be dangerous. And for 15 lbs? Are they getting kickbacks for sending people to this compounder?
My first priority would be finding a new doctor.

[Anonymous]

OP you’re paying for a rich lady fun doctor and they’re doing their job, which is to offer you stuff.

Is this the standard of care? No, obviously not. Will you die? No. So just decide if you want to pay for semaglutide or not.

[Anonymous]

Anonymous wrote:

Anonymous wrote:I question the competency of any doctor who wpuld recommended compounded SG in uour situation.

Ditto. I wouldn’t ever return to a doc who suggested the compounded SG— many of which are not SG at all and been found to be dangerous. And for 15 lbs? Are they getting kickbacks for sending people to this compounder?
My first priority would be finding a new doctor.

+2