I just wanted to edit this as it sounds confusing. I don’t want to be 12-15lb lighter than my lightest weight. I’m saying I would be happy being 12-15lb lighter than I am now. |
It’s a fair point and something I reflected on for ~6 months while considering taking them. I’ve also been thinking about the mechanisms of action. I get that most people just don’t eat when they’re on them, but I’ve been very intentional about getting adequate nutrition. I’m eating on average 300 calories less per day than when I wasn’t on them. By that math I should be losing 1 pound about every 11 days. But I’m losing ~1.5 per week which makes me wonder if there’s some metabolic or biochemical process that’s broken in me that this is somehow repairing. My doctor reflected on this too saying she had many folks (mostly women) who are having similar experiences. Her hypotheses were about chronic dieting causing damage or possibly food supply issues. All of my labs in terms of hormones, insulin resistance, thyroid, etc were good, so there’s no obvious explanation. The thing that pushed me over the edge to do it was that my labs were starting to deteriorate a bit. My LDL was too high and HDL was too low even with typical lifestyle modifications and they have been creeping in the wrong direction. |
I’m technically 14lbs overweight per BMI and though I feel strong I definitely don’t look how I’d like to. I wish I was immune to societal influence but frankly it’s very real and very strong. While I’ve always been overweight (or barely in the normal range), I notice people respond to me differently than when I was smaller. I’m happily married so it isn’t that. But doctors, people at work, just out in the world. You don’t have to scroll very far here to see many people think not trim = lazy, undisciplined, and sloppy. |
You need excess calories to put on weight. It doesn't just come on out of thin air. |
Are you suggesting that person would be healthier while overweight? Are you also suggesting that the body is right and medicine is wrong? Do you take that position for any other medical condition? So freakin' bizarre to me. |
What determines the number that is excess? And before you answer, know that I already know the answer. It doesn't seem you do. |
There is no question that the risk benefit profile is favorable in overweight and obese people. What is not clear is if that holds true for vain people just wanting to lose ten pounds. “Lack of evidence is not evidence of lack.” |
Dp. It’s possible. There is an elite athlete in my family who has always been considered “overweight” if you just take into account her height and weight. She is super tall, solid muscle and dominates in her sport. If she lost any weight, it would affect her performance. So maybe it’s time to reevaluate what “overweight” actually means. I’m sure there are some beautiful, strong women on this thread who are taking this medication because society has made them feel like they have to. Not because they actually need to. |
Well this would be a useful response if we were talking about “considered” overweight according to a chart and the not common use case you mention, which is literally of a fit person who is NOT overweight. And you don’t get off the hook by white-knighting thing and virtue signaling about the true fact that society puts undue pressure on women regarding appearance, because we are talking about HEALTH and LONGEVITY, not appearance. So I will ask again? Are you suggesting a truly overweight person would be healthier not taking GLPs and losing? Do you genuinely believe the body is right to be overweight and the doctors, and all the data they use are wrong? |
NP. Given the context of most of the posts on this forum and the OP, “truly overweight” is doing a lot of work in your question. |
You seem to be posing a false dichotomy: be overweight or take GLP-1s. There are alternatives to GLP-1s like changing one's diet or exercising more. I do know overweight people who'd rather give the alternatives a fair shot before considering the GLP-1 route. The situation could be more dire for the truly obese for whom GLP-1s could be a better route than more drastic approaches like bariatric surgery. I have nothing to say about normal weight people who use GLP-1s other than I truly do not understand it anymore than I understand non-ADHD individuals taking Adderall. |
No it not a false dichotomy. We are talking about people who have been prescribed a medication for a medical problem. Most have likely “given the alternatives a shot”. The fact that you think they don’t know about that and haven’t tried because of laziness reflects poorly on you and your character. You responded (assuming you are the same poster) to someone who literally said they have been working out 5 days a week for years and weight loss stalled until zepbound. You actually suggested the person might be healthier staying overweight! I try to refrain from using pejoratives to describe comments but that one really tests my resolve. Not only have these drugs helped millions lose weight, they have reduced the number of surgeries substantially and that number continues to fall. https://news.harvard.edu/gazette/story/2024/10/weight-loss-surgery-down-25-percent-as-anti-obesity-drug-use-soars/ You ignore the medical research on these drugs which is easily found and has been linked multiple times in this very thread. If you take any medications, ever, then you are a hypocrite as well. You really should stop posting on this topic until you do some research. You’re kinda dangerous. |
PP. I was actually an NP--this was my first post on this thread. So only the comment beginning false dichotomy is attributable to me. We must know different people. I know people who are overweight because they haven't been paying much attention to their increasing weight and actually have never tried to diet in any serious way nor gone on an ambitious exercise regimes. For these people--and I repeat this is about those with BMIs in the overweight category, NOT obese BMIs--it actually makes common sense to first try a change in eating habits and getting more exercise before leaping to GLP-1s, a medication that likely would have to be taken for life. For this group of people, the group my post clearly addressed, it is a false dichotomy to say they have a choice only of taking GLP-1s or being overweight. Millions of overweight people for many, many years before GLP-1s were able to lose weight through diet and exercise. For those who have tried and failed multiple times, GLP-1s are now available as an option. But promoting these medications as a first choice for this group is a bit odd. It is a totally different story for the BMI obese as I said in my post. |
I think chemicals in our foods definitely helped get us here. I posted on another thread that going off processed food has been a game changer for me. Food noise went away except for when I am getting hungry for a meal and it's much easier to eat in my weight-loss range. The problem is it is crazy time consuming and hard to sustain when life is busier. I have friends on GLPs and it has been incredible. They went on when they moved toward obesity at a doctor's recommendation. I am slightly overweight and now finally losing. I have not asked about it because some of the the rarer and more serious side effects are things that run in my family (without the medication) so I just don't want to go there unless I must, but I do think the drugs seem pretty amazing. |
I started with microdosing since I had a similar amount to lose. So injection is .15 as opposed to the lowest prescription dose of .25. It works without a lot of the digestive upset. Maybe a little at first but I’ve adjusted. I also don’t lose weight quite as quickly but am down 12 pounds in about as many weeks. I will add it has almost eliminated my peri symptoms including night sweats which has been a bonus. But hair loss is real. Not overwhelming but definitely happening. |