Trading comp for feeling like dog shit is a bad exchange. The most effective people I know live regimented lifestyles and they don’t work all the time because high value thinking gets attenuated very quickly when you aren’t sleeping. To each their own. |
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As someone who is taking a GLP-1 because I truly was obese (now I'm just overweight, woo), I take a lot of offense at some of what people are saying here. Most of us that are taking this medication for a real medical reason are doing it under medical supervision. I see a doctor or NP, as well as a dietician, monthly. I exercise and lift weights daily. I have completely overhauled my diet. This was a lifestyle change in addition to taking a MEDICATION. It is a MEDICINE. I'm so offended by you people who are out there saying I could have just eaten less, I'm just taking this for vanity, being skinny is so important to me. Nope, this is about my HEALTH. I am taking MEDICINE to IMPROVE MY HEALTH.
So many here think it's just about being thin. It's not, it's about being healthy. Taking this MEDICINE is no different than you taking Synthroid for your thyroid issues or prozac for your depression or Lexapro for your high anxiety. Or your little boy taking Adderall for his ADHD. I'm not here telling your son to just calm down, he doesn't need ADHD medicine, am I? |
Look at the first two pages on this diet forum. It’s overwhelmingly about GLP1. I think you underestimate how some folks really try and make this the baseline way to lose weight. |
Some of you show your ignorance. It would be good for you to learn more about receptor activity. |
1200 is terrible for weight loss. Also your window for muscle development is too narrow. Again some of you are really uneducated, geeze. |
Nonetheless, many people here are on GLPs and are perfectly happy with no mood issues whatsoever. Meanwhile, on this thread, the suggestion was given to regiment one's life much more, add 1+ hours of exercise per day and cut calories even more for a person who was already exercising plenty and eating only 1400 calories. Maybe you should be more worried about mental wellbeing of those who need to go to extreme lengths just to reach a healthy weight. |
and taking glps isn't extreme?! |
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Especially in older adults, there are some concerns regarding sarcopenia, and even dementia:
Are we trading an obesity epidemic for a frailty epidemic? Dr. Rostova: “We are certainly walking a tightrope. The cardiometabolic benefits of losing visceral fat are undeniable—we are reducing heart failure, liver disease, and systemic inflammation. However, the medical community initially viewed GLP-1s as a standalone cure. We now know they are merely a metabolic catalyst. If you prescribe these drugs without simultaneously prescribing physical movement, you are absolutely accelerating physical frailty, particularly in patients over 60.” https://harvardsciencereview.org/2026/02/23/the-glp-1-aftermath-what-the-science-says-about-muscle-loss-and-cellular-aging/ Long-Term Risk of Cognitive Impairment with GLP-1 Analogues in Older Adults with Type 2 Diabetes Mellitus Among older adults with type 2 diabetes, GLP-1 analogues were associated with an increased risk of cognitive impairment secondary to a larger, decreased risk of mortality. However, caution may be warranted in prescribing GLP-1 analogues to the oldest patients. https://www.aan.com/msa/Public/Events/AbstractDetails/65026 |
NP-It's one shot a week, tapering down over time to a very low dose. That's a lot less extreme than 3 hours of exercise a day (yes, someone recommended that) and massive calorie restriction. It's also a lot less extreme than all the meds one inevitably ends up having to take if staying obese for decades. |
Every discussion I've read on here about it revolves around *increasing the amount. Any talk of tapering is from the vanity microdosers. Most discuss it being a lifelong drug like insulin or high blood pressure medicine. None of ya'll wants to find out what happens when you stop. And no one wants to discuss the, as yet unidentified, long term impacts or the weird short term impacts such as side effects and improper emptying of the stomach and bowels. How are you going to fast/clear out for surgery or colonoscopy? |
This forum is a pretty poor source for information. Increasing the amount is called for when the weight loss halts or the hunger isn't well managed. If you're losing at an acceptable rate, you don't increase. After you reach your goal weight and are in maintenance, you should decrease by quite a bit. Also, the doctors know how to handle dealing with emptying the bowels before surgery or colonoscopy. That's really not a concern. FWIW, I tried calorie restriction and exercise for the last 3 or so years, but the weight kept creeping up. I tried IF. Still gained weight. I completely gave up alcohol (down from maybe 7 drinks per week). Still gained. 2 months into a GLP, and still on a "ramp up" dose, and I've already lost 10 lbs. I feel great, and my doctor is keeping me on the 0.5 mg dose since it's working. Maybe there are long term impacts that should concern me, but there are also pretty alarming long term impacts to being obese and prediabetic. |
Three people in my life know both that I'm on this and how many hours I work, and I'm married to one of them. You don't know who is on it and you don't know what obstacles anyone is dealing with. |
You only increase dose as you are starting and then continuing to lose weight. Once you are losing weight steadily, you do not keep going up in dose. You remain at that dose unti the goal is achieved, and then you lower the dose for maintenance. That is how it is typically done. Personally I have completely normal bowel movements every day as I did before. But plenty of people taking GLP1s are having surgery and colonoscopies every day and discuss these concerns with their doctors. |
No response from the PP. Draw your own conclusions about why they’re trying to scare us away from GLP1s. |
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i started medicare this year. Have sleep apnea but HATE the cpap.
for next annual will talk to doctor about zepbound. Seems it is covered by medicare for sleep apnea if BMI is over 30. I go between 29 and 31 so easy to make BMI just to be covered. curious of others on medicare have any experience with zepbound. |