would you "let" your 18 year old go on Ozempic?

Anonymous
I say "let" in quotes as she is technically an adult but she is asking me for my opinion. We have a strong/great relationship.
She's about 5'4" and a size 8/10. So not heavy but not thin. BMI is right on the edge of overweight because of her height (25?)
She eats incredibly well and exercises 5 days a week (goes to they gym and walks/runs on the treadmill for several miles).

She really, really wants to go on Ozempic. She has the money and can get it from a licensed provider.
What says DCUM? This is a kid who has been plagued by her weight (it has frustrated her to no end) since she filled out at age 14 and all her friends stayed thin. Frankly, it seems to be her "set point". We (me, my mom, aunts) are just sturdier people. We are not built long and lean. We have to eat really well or we gain weight quickly.

I have never said anything about ANYTHING size/weight to her (I'm actually very proud of myself in this regard) so please keep this to my question and not some detour off onto how I am a terrible parent.

Thank you!
Anonymous
Is she a type 2 diabetic? Ozempic is a diabetes drug.

Wegovy is the same medicine for weight loss.
Anonymous
Yes, I would let her. Being overweight is an incredible burden and can impact her marriage prospects considerably.
Anonymous
Anonymous wrote:Is she a type 2 diabetic? Ozempic is a diabetes drug.

Wegovy is the same medicine for weight loss.




Distinction without difference.
Anonymous
Anonymous wrote:Yes, I would let her. Being overweight is an incredible burden and can impact her marriage prospects considerably.


Her bmi is normal. She isn’t overweight
Anonymous
no DM type 2.
she would be taking whatever semaglutide is used for weight loss.
Anonymous
I don't think she needs to be on it, she seems like she's at a healthy weight. Maybe suggest working with a personal trainer and nutritionist to increase her strength and build healthy eating habits?
Anonymous
Anonymous wrote:
Anonymous wrote:Yes, I would let her. Being overweight is an incredible burden and can impact her marriage prospects considerably.


Her bmi is normal. She isn’t overweight


BMI is 25 and change.
5'4" and high 140s weight.
Anonymous
Anonymous wrote:
Anonymous wrote:Is she a type 2 diabetic? Ozempic is a diabetes drug.

Wegovy is the same medicine for weight loss.




Distinction without difference.



Huge difference. We are talking about putting a 18 year old with a healthy not overweight or obese bmi on a medicine. If the purpose of the medicine is to lower her A1C or otherwise treat diabetes. Great! If the purpose is to lose weight for a not overweight person, it isn’t a great choice.
Anonymous
If she is a healthy eater and exercising 5 days a week and unable to lose weight, I would first see an endocrinologist and run very thorough blood tests to see if there is an underlying condition (hypothyroid, some form of PCOS, other hormonal issues) before I'd consider Ozempic.
Anonymous
How would she even qualify to get a script? I thought you had to be significantly overweight and/ or diabetic?

But to your point, no I wouldn’t. At this point in her life, her weight isn’t a medical problem. Her bone density is still forming until about 25. She is creating her bone density for life at the moment. It is imperative for her future health that she absorbs enough nutrition and gets enough calories between now and then. Get her to a dietitian than can help her tweak her diet, if she wants to lose a few pounds. But the difference between a size 8/10 and a size 4/6 is about 15 pounds. And 18 yr old without thyroid issues or pcos should be able to lose 15 pounds with cutting out snacks, late night eating, better food choices.
Anonymous
I have never said anything about ANYTHING size/weight to her (I'm actually very proud of myself in this regard)


Wow, round of applause. For 4 years you have said NOTHING about the perfectly normal weight of your teen. Queue the awards. What a saint you are for not making her feel like garbage for being a size 8/10.
Anonymous
I would hesitate as someone who did do Ozempic (I was overweight) and had side effects most would say are mild, but were not: Fatigue. I was tired from the moment I woke up to the moment I went to bed. Crushing fatigue that impacted my ability to function. I stopped and now I have SO much energy despite pretty lousy sleep. My vision was impacted. My BMs were always perfect and regular, and I had some constipation issues including hemorrhoids that caused me a pain worse than giving birth for 4 days. I would not recommend it for what is essentially annoying but weight she can deal with with diet, especially being so young.
Anonymous
At her height/weight, I’d consider weight loss drugs to be disordered behavior.
Anonymous
How would she get a prescription when she's not even overweight much less obese? I would strongly discourage my 18-year old daughter from doing this. She's trying to make her body something it is not. Is she going to stay on this medicine the rest of her life? As soon as she gets off of it and her appetite comes back, she will re-gain the weight. Not everyone has the genetics to be tall and thin. What matters is being healthy. If she is really exercising regularly and eating well (which means not only eating healthy foods, but eating reasonable portions), then she should be working on accepting her body type.
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