ozempic and appetite

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:My mom (age 70) is on ozempic for weight loss.

She is constantly going out for pizza and ice cream, and buying junk food for home. (More than once per week)

I thought ozempic reduces appetite? She is losing weight (5'5, 150 and dropping) but still eating this stuff.

As a registered dietitian who works with patients on GLP1s, this makes me crazy.

Is she getting no nutrition counseling at all?

Oh for pity's sake, she knows what a nutrient is and that ice cream and pizza have few which are nothing compared to the sugar and saturated fats she's consuming.

I respect what dieticians/nutritionists do, but you don't begin to touch on the baggage people are carrying that they are using addictive foods to self medicate away from thinking about or dealing with. OP's mother is not consuming junk to nourish her gut and brain, she's consuming junk for the dopamine rush and to try to fill the emptiness that really needs therapy of some kind whether CBT, DBT, etc.

DP but one touted benefit of GLP-1s is that they reduce "food noise" which therefore helps an individual make healthier choices. Maybe OP's mother needs to up her dosage or maybe she's just one of the people that doesn't get that benefit. In either case, mom would still benefit from nutritional counseling - the doctor that put her on these medicines should have told her that the best way to make them work is to eat a healthy diet and exercise. I'm on Zepbound. I see an NP and dietician every 2-4 weeks. I am making healthier choices and it's easy for me to say no to desserts and alcohols - in fact, my husband poured me half a beer today and I had no interest in finishing it. I'm able to say no to dessert when my kids have it, when usually I would have also dug into the ice cream. I think OP's mom is maybe going the online route to getting this medicine and not working with a good doctor or NP?

[Anonymous]

I respect what dieticians/nutritionists do, but you don't begin to touch on the baggage people are carrying that they are using addictive foods to self medicate away from thinking about or dealing with. OP's mother is not consuming junk to nourish her gut and brain, she's consuming junk for the dopamine rush and to try to fill the emptiness that really needs therapy of some kind whether CBT, DBT, etc.

?

We are talking about a 70 year old woman with a BMI of 25 (not even overweight, technically) who likes to go out for ice cream. I dont think you can diagnose her with psychological issues. She's probably just enjoying her life like a normal person.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:My mom (age 70) is on ozempic for weight loss.

She is constantly going out for pizza and ice cream, and buying junk food for home. (More than once per week)

I thought ozempic reduces appetite? She is losing weight (5'5, 150 and dropping) but still eating this stuff.

As a registered dietitian who works with patients on GLP1s, this makes me crazy.

Is she getting no nutrition counseling at all?

Oh for pity's sake, she knows what a nutrient is and that ice cream and pizza have few which are nothing compared to the sugar and saturated fats she's consuming.

I respect what dieticians/nutritionists do, but you don't begin to touch on the baggage people are carrying that they are using addictive foods to self medicate away from thinking about or dealing with. OP's mother is not consuming junk to nourish her gut and brain, she's consuming junk for the dopamine rush and to try to fill the emptiness that really needs therapy of some kind whether CBT, DBT, etc.

Isn't this the point of GLPs? That I can eat what I want and not gain weight? I'd rather be dead than no longer eat junk food. The GLPs make it possible for me to enjoy life without the consequences that come with being fat.

[Anonymous]

Anonymous wrote:

Anonymous wrote:Wow, I'm on a GLP-1 and yesterday I ate half a slice of pizza for lunch and half a wrap sandwich for dinner and the carbs made me gain two pounds. Literally I was 2lbs heavier this morning. Lucky mom!!

You are not unlucky and did not really gain 2 lbs of fat overnight.

People really have no idea how fat loss works. Losing fat and losing or gaining water weight/bloat are two different things. Not understanding weight fluctuations is why so many give up and declare that something doesn't work for them.

Yes, it probably water retention from salt in pizza and sandwich

[Anonymous]

150 is a good weight for a woman in her 70s. This is sad.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:My mom (age 70) is on ozempic for weight loss.

She is constantly going out for pizza and ice cream, and buying junk food for home. (More than once per week)

I thought ozempic reduces appetite? She is losing weight (5'5, 150 and dropping) but still eating this stuff.

As a registered dietitian who works with patients on GLP1s, this makes me crazy.

Is she getting no nutrition counseling at all?

Oh for pity's sake, she knows what a nutrient is and that ice cream and pizza have few which are nothing compared to the sugar and saturated fats she's consuming.

I respect what dieticians/nutritionists do, but you don't begin to touch on the baggage people are carrying that they are using addictive foods to self medicate away from thinking about or dealing with. OP's mother is not consuming junk to nourish her gut and brain, she's consuming junk for the dopamine rush and to try to fill the emptiness that really needs therapy of some kind whether CBT, DBT, etc.

Isn't this the point of GLPs? That I can eat what I want and not gain weight? I'd rather be dead than no longer eat junk food. The GLPs make it possible for me to enjoy life without the consequences that come with being fat.

Assuming this isn’t troll, We have now achieved idiocracy.

The point of GLP1s is to allow people with poor self control to eat garbage - just in lower quantities.

[Anonymous]

Anonymous wrote:

I respect what dieticians/nutritionists do, but you don't begin to touch on the baggage people are carrying that they are using addictive foods to self medicate away from thinking about or dealing with. OP's mother is not consuming junk to nourish her gut and brain, she's consuming junk for the dopamine rush and to try to fill the emptiness that really needs therapy of some kind whether CBT, DBT, etc.

?

We are talking about a 70 year old woman with a BMI of 25 (not even overweight, technically) who likes to go out for ice cream. I dont think you can diagnose her with psychological issues. She's probably just enjoying her life like a normal person.

+1

[Anonymous]

Anonymous wrote:I’ve been on GLP1s over a year.

I buy junk food more than I ever did because I can now trust myself with portion size. In my lifelong calorie restriction efforts pre GLP1, I would never dream of having my favorite cookies or ice cream in the house because I knew I wouldn’t stop at a couple spoonfuls. Now, I do. So it’s in the freezer for the first time in my life aside from when my parents stocked it.

This is me exactly. Even things like pizza, burgers and fries are in my diet bc I don’t binge them anymore. I can enjoy them and be totally satisfied with a small portion

[Anonymous]

Anonymous wrote:

Anonymous wrote:I’ve been on GLP1s over a year.

I buy junk food more than I ever did because I can now trust myself with portion size. In my lifelong calorie restriction efforts pre GLP1, I would never dream of having my favorite cookies or ice cream in the house because I knew I wouldn’t stop at a couple spoonfuls. Now, I do. So it’s in the freezer for the first time in my life aside from when my parents stocked it.

This is me exactly. Even things like pizza, burgers and fries are in my diet bc I don’t binge them anymore. I can enjoy them and be totally satisfied with a small portion

Because you will $hit your pants if you eat too much.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:I’ve been on GLP1s over a year.

I buy junk food more than I ever did because I can now trust myself with portion size. In my lifelong calorie restriction efforts pre GLP1, I would never dream of having my favorite cookies or ice cream in the house because I knew I wouldn’t stop at a couple spoonfuls. Now, I do. So it’s in the freezer for the first time in my life aside from when my parents stocked it.

This is me exactly. Even things like pizza, burgers and fries are in my diet bc I don’t binge them anymore. I can enjoy them and be totally satisfied with a small portion

Because you will $hit your pants if you eat too much.

Not true.

[Anonymous]

Anonymous wrote:Since she's losing weight, she's eating less. You can lose weight eating any kind of junk if you just eat very little.

But for her health, she's supposed to be getting a lot of protein, calcium, and water. Because when you eat a lot less but most of it is junk, you'll have health issues. (And I'm with PP, I can't tolerate fast food on glp-1.)

I don’t understand this or how anyone on glp-1s loses weight by eating junk foods (clearly there are more than one per this thread). I’m on Weight Watchers (have been on “maintenance” for several years), and on that program foods are assigned point values mainly based on their macros. Even small amounts of pizza and ice cream are enough points that if I consistently eat them, I exceed my daily allotted point value and start to gain weight. Eg, today I ate a plain yogurt with fruit for breakfast, a turkey sandwich for lunch, snacked on fruit and avocado, and had a big salad with grilled chicken sausage and roasted veggies for dinner. So no junk. This brought me close to my total point value for the day. We went out for ice cream for dessert and just a small cup of vanilla basically doubled my total points for the day.

All I can imagine is that glp-1’s do more than curb appetite, but also change one’s metabolism. And this is why people like me would love to go on a glp-1, even though I am “only” 130 lbs at 5’4”.

[Anonymous]

Anonymous wrote:

Anonymous wrote:Since she's losing weight, she's eating less. You can lose weight eating any kind of junk if you just eat very little.

But for her health, she's supposed to be getting a lot of protein, calcium, and water. Because when you eat a lot less but most of it is junk, you'll have health issues. (And I'm with PP, I can't tolerate fast food on glp-1.)

I don’t understand this or how anyone on glp-1s loses weight by eating junk foods (clearly there are more than one per this thread). I’m on Weight Watchers (have been on “maintenance” for several years), and on that program foods are assigned point values mainly based on their macros. Even small amounts of pizza and ice cream are enough points that if I consistently eat them, I exceed my daily allotted point value and start to gain weight. Eg, today I ate a plain yogurt with fruit for breakfast, a turkey sandwich for lunch, snacked on fruit and avocado, and had a big salad with grilled chicken sausage and roasted veggies for dinner. So no junk. This brought me close to my total point value for the day. We went out for ice cream for dessert and just a small cup of vanilla basically doubled my total points for the day.

All I can imagine is that glp-1’s do more than curb appetite, but also change one’s metabolism. And this is why people like me would love to go on a glp-1, even though I am “only” 130 lbs at 5’4”.

I’m not on a GLP1 or WW. But I am very aware of calorie intake. I don’t know what you mean by “small cup” of vanilla but 1/3 of a cup of ice cream is not calorically the same as all the other food you listed combined. For example Haagen Dasz is about 160 calories.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Since she's losing weight, she's eating less. You can lose weight eating any kind of junk if you just eat very little.

But for her health, she's supposed to be getting a lot of protein, calcium, and water. Because when you eat a lot less but most of it is junk, you'll have health issues. (And I'm with PP, I can't tolerate fast food on glp-1.)

I don’t understand this or how anyone on glp-1s loses weight by eating junk foods (clearly there are more than one per this thread). I’m on Weight Watchers (have been on “maintenance” for several years), and on that program foods are assigned point values mainly based on their macros. Even small amounts of pizza and ice cream are enough points that if I consistently eat them, I exceed my daily allotted point value and start to gain weight. Eg, today I ate a plain yogurt with fruit for breakfast, a turkey sandwich for lunch, snacked on fruit and avocado, and had a big salad with grilled chicken sausage and roasted veggies for dinner. So no junk. This brought me close to my total point value for the day. We went out for ice cream for dessert and just a small cup of vanilla basically doubled my total points for the day.

All I can imagine is that glp-1’s do more than curb appetite, but also change one’s metabolism. And this is why people like me would love to go on a glp-1, even though I am “only” 130 lbs at 5’4”.

I’m not on a GLP1 or WW. But I am very aware of calorie intake. I don’t know what you mean by “small cup” of vanilla but 1/3 of a cup of ice cream is not calorically the same as all the other food you listed combined. For example Haagen Dasz is about 160 calories.

I went out for ice cream - typically a small size at an ice cream is 5 oz or so, which would be 300 calories of Haagen Dasz vanilla. But WW points values are based on more than calories, they take into account fats, sugars, carbs, fiber etc and also some “grey area” factors such as likelihood to overeat that specific item (quick example of that is that fruit is zero points, but a fruit smoothie has some points), etc.

Ice cream was just an example anyway. And OP said that her mother is eating pizza and ice cream daily. Even in small quantities, I don’t understand how she’d lose weight with that diet unless the glp-1 is also boosting her metabolism or something along those lines. Which if it does, this is why I personally am so envious of those who can take them because all the food restricting and exercise in the world won’t achieve that piece.

[Anonymous]

Anonymous wrote:

Anonymous wrote:Since she's losing weight, she's eating less. You can lose weight eating any kind of junk if you just eat very little.

But for her health, she's supposed to be getting a lot of protein, calcium, and water. Because when you eat a lot less but most of it is junk, you'll have health issues. (And I'm with PP, I can't tolerate fast food on glp-1.)

I don’t understand this or how anyone on glp-1s loses weight by eating junk foods (clearly there are more than one per this thread). I’m on Weight Watchers (have been on “maintenance” for several years), and on that program foods are assigned point values mainly based on their macros. Even small amounts of pizza and ice cream are enough points that if I consistently eat them, I exceed my daily allotted point value and start to gain weight. Eg, today I ate a plain yogurt with fruit for breakfast, a turkey sandwich for lunch, snacked on fruit and avocado, and had a big salad with grilled chicken sausage and roasted veggies for dinner. So no junk. This brought me close to my total point value for the day. We went out for ice cream for dessert and just a small cup of vanilla basically doubled my total points for the day.

All I can imagine is that glp-1’s do more than curb appetite, but also change one’s metabolism. And this is why people like me would love to go on a glp-1, even though I am “only” 130 lbs at 5’4”.

Instead of a whole turkey sandwich I am full from, for example, one single fried chicken finger and a couple French fries. (That was my lunch several times when I went to Disney this summer.) My meal was objectively junk food but probably lower in calories than your sandwich.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:My mom (age 70) is on ozempic for weight loss.

She is constantly going out for pizza and ice cream, and buying junk food for home. (More than once per week)

I thought ozempic reduces appetite? She is losing weight (5'5, 150 and dropping) but still eating this stuff.

As a registered dietitian who works with patients on GLP1s, this makes me crazy.

Is she getting no nutrition counseling at all?

Oh for pity's sake, she knows what a nutrient is and that ice cream and pizza have few which are nothing compared to the sugar and saturated fats she's consuming.

I respect what dieticians/nutritionists do, but you don't begin to touch on the baggage people are carrying that they are using addictive foods to self medicate away from thinking about or dealing with. OP's mother is not consuming junk to nourish her gut and brain, she's consuming junk for the dopamine rush and to try to fill the emptiness that really needs therapy of some kind whether CBT, DBT, etc.

Isn't this the point of GLPs? That I can eat what I want and not gain weight? I'd rather be dead than no longer eat junk food. The GLPs make it possible for me to enjoy life without the consequences that come with being fat.

No that's not the point of GLP-1s. If you do this, you'll gain it all back when you stop. You need to consider these an aide to changing your lifestyle. Most people here don't do that, that's why everyone says people gain the weight back.