Getting on GLP-1 after doctor says no

[Anonymous]

Anonymous wrote:Your doc needs to monitor liver function when on these meds. Also if you have side effects it’s a conversation that you would want to have openly.

Stop making things up. This is incorrect info.

[Anonymous]

Anonymous wrote:

Anonymous wrote:Your doc needs to monitor liver function when on these meds. Also if you have side effects it’s a conversation that you would want to have openly.

Stop making things up. This is incorrect info.

DP. My doctor monitors for liver function. Your online “doctor” doesn’t?

[Anonymous]

Anonymous wrote:

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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.

Getting a second opinion is not “against medical advice.” But you know this.

[Anonymous]

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.

This message brought to you by United Heakthcare.

[Anonymous]

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.

This message brought to you by United Heakthcare.

oh, ffs, you are not going to die if your @$$ remains 3 inches larger than you prefer because you can't reign in your consumption of extraneous calories.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:You do not need her permission. Your primary care doctor is not a god or your boss. I would disclose it because it is good for your doctor to have all of the info, but I would also switch docs if she gave me a hard time.

But as a society, we choose drugs that have a professional gatekeeper for a reason.

It is not candy.

And when I am not being treated as I deem to be correct, I go elsewhere. Last year, my child had pneumonia. Was given an antibiotic and it recovered almost immediately after taking it. Fever was gone in 36 hours. So obviously bacterial. I became sick right after. Was sick for 10 days. Finally saw my dr. Refused to give me an antibiotic. Stayed sick for 3 more days. Did an online thing for an antibiotic. Felt better within 24 hours. Doctors do not always get it right.

So save money and treat yourself.

Good luck with that.

(You do understand your approach borders on RFK’s though. Experts be damned, this is what I think.)

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:You do not need her permission. Your primary care doctor is not a god or your boss. I would disclose it because it is good for your doctor to have all of the info, but I would also switch docs if she gave me a hard time.

But as a society, we choose drugs that have a professional gatekeeper for a reason.

It is not candy.

And when I am not being treated as I deem to be correct, I go elsewhere. Last year, my child had pneumonia. Was given an antibiotic and it recovered almost immediately after taking it. Fever was gone in 36 hours. So obviously bacterial. I became sick right after. Was sick for 10 days. Finally saw my dr. Refused to give me an antibiotic. Stayed sick for 3 more days. Did an online thing for an antibiotic. Felt better within 24 hours. Doctors do not always get it right.

So save money and treat yourself.

Good luck with that.

(You do understand your approach borders on RFK’s though. Experts be damned, this is what I think.)

Np- online consults are usually the same cost, with actual doctors. This person saw a doctor virtually. After 10 days of same symptom as a dc with pneumonia, it’s strange the original doc would not prescribe something. Nothing at all RFK-like about seeing a second doctor…

[Anonymous]

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.

This message brought to you by United Heakthcare.

oh, ffs, you are not going to die if your @$$ remains 3 inches larger than you prefer because you can't reign in your consumption of extraneous calories.

LOL the United Healthcare shill is spinning out.

And we pay insurance big bucks to cover healthcare, not just prevent us from dying tomorrow.

[Anonymous]

This is OP. I appreciate all perspectives here.

I want to add that the reason my doctor thinks it’s important for me to lose some weight is because I have high blood pressure and have been taking BP medication for the past 5 years to manage it. She thinks if I can get the weight off it will naturally lower my BP and maybe I can come off the medication, or at least not need to increase the dosage as I age.

I have lost some weight before but I always gain it back because I have to eat very little or I can’t maintain it. I am too hungry so I eat more and gain it back. It’s literally the definition of yo-yo dieting.

So my thought is that I can either try something different to see if it helps, or not lose the weight and keep it off long term and deal with my high BP.

[Anonymous]

Anonymous wrote:This is OP. I appreciate all perspectives here.

I want to add that the reason my doctor thinks it’s important for me to lose some weight is because I have high blood pressure and have been taking BP medication for the past 5 years to manage it. She thinks if I can get the weight off it will naturally lower my BP and maybe I can come off the medication, or at least not need to increase the dosage as I age.

I have lost some weight before but I always gain it back because I have to eat very little or I can’t maintain it. I am too hungry so I eat more and gain it back. It’s literally the definition of yo-yo dieting.

So my thought is that I can either try something different to see if it helps, or not lose the weight and keep it off long term and deal with my high BP.

Before glps, people went to med spas for B12 injections to lose weight. There must be some options between continuing to yoyo and taking a lifelong unstudied (in your population) drug against your doctor's advice.

[Anonymous]

Anonymous wrote:This is OP. I appreciate all perspectives here.

I want to add that the reason my doctor thinks it’s important for me to lose some weight is because I have high blood pressure and have been taking BP medication for the past 5 years to manage it. She thinks if I can get the weight off it will naturally lower my BP and maybe I can come off the medication, or at least not need to increase the dosage as I age.

I have lost some weight before but I always gain it back because I have to eat very little or I can’t maintain it. I am too hungry so I eat more and gain it back. It’s literally the definition of yo-yo dieting.

So my thought is that I can either try something different to see if it helps, or not lose the weight and keep it off long term and deal with my high BP.

Thanks for the update OP. And to me, it seems like GLP should be the FIRST option for docs to get their high BP, high cholesterol, high diabetes risk patients down, not the LAST.

I'm stymied by this, truly. It's like docs don't believe that this could make so many people better. But I guess healthier population, less money for them and insurance? I'm looking forward to a healthier overall population and lower premiums but I'm sure that will never happen.

[Anonymous]

If it's important for you to lose weight because you are both overweight and have a commorbidity, it doesn't make a lot of sense for your doctor to steer you away from GLP-1s at all. That's especially true if you've tried to lose for a while.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:You do not need her permission. Your primary care doctor is not a god or your boss. I would disclose it because it is good for your doctor to have all of the info, but I would also switch docs if she gave me a hard time.

But as a society, we choose drugs that have a professional gatekeeper for a reason.

It is not candy.

And when I am not being treated as I deem to be correct, I go elsewhere. Last year, my child had pneumonia. Was given an antibiotic and it recovered almost immediately after taking it. Fever was gone in 36 hours. So obviously bacterial. I became sick right after. Was sick for 10 days. Finally saw my dr. Refused to give me an antibiotic. Stayed sick for 3 more days. Did an online thing for an antibiotic. Felt better within 24 hours. Doctors do not always get it right.

So save money and treat yourself.

Good luck with that.

(You do understand your approach borders on RFK’s though. Experts be damned, this is what I think.)

What do you mean? I had to spend extra money because the first doctor was a doofus. Luckily the second dr agreed quickly it was likely bacterial and gave me the antibiotic. And then I recovered very quickly.