"I No Longer Think GLP-1s Are the Answer — The drugs "work" but may be working against us long-term"

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:I am happy for people who are losing weight on meds.

However, although they are now thin, IMO they don’t look good. Their skin is gaunt and they look sickly. I understand it’s better than being overweight.

I also think there will be some bad side effects that are yet to be discovered.

Just because you think your friends/acquaintances who have lost a lot of weight look different does NOT mean they look gaunt and sickly. That's just your opinion because they look different.

Your nastiness doesn't look good on you, sweetie.

DP. I’ve always been thin but have not been pretty. I would have always chosen to pretty over thin. The amount of people picking their body over their face is baffling to me.

but pretty women are pretty whether they are young or old, thin or fat. on glp, they are still pretty, but have ozempic face.

sunken ozempic face is not pretty. you are not pretty when it's tough to look at your face.

There is no such thing as "ozempic face." Fat loss to your body includes fat loss to your face, which is aging. Naturally thin people tend to age worse too. Maybe that's why you're so mad? Always had that skinny woman face aging problem?

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:That argument (fat jealous hater) might have held water before but not now that it’s available to anyone.

If I was jealous I’d just order some.

Yet, here you are.

Wait you’re here too are you jealous too? This is an anonymous forum. I can comment on the irony of the “fat jelly haters” regardless of if I take GLP or not, can’t I? It’s just cognitive dissonance to proclaim anyone jealous of what’s now a commodity.

+1
I also comment on a bunch of other behaviors people have that I disagree with.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:I don't think I want to lose 20 pounds badly enough to risk chronic nausea or digestive issues or muscle issues.

So don’t, no one cares what you don’t want to do. But you’re also full of shit.

Gosh you care enough to call another human a piece of shit. That’s a lot of cares! You care!

Reading comprehension dear. I said you are FULL of shit. As in completely ignorant on the facts. Big difference.

Yep, still mean. Maybe another Ozempic side effect?

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote: So it is this awful cycle of you gain weight, you move less, you then spend more time eating to comfort yourself, by gaining weight you have more aches and pains like knee pain so you end up moving even less. You think about food all day and what you will have for your next meal. It really becomes a constant thought. Once you get used to eating more and moving less it just becomes ingrained that is your destiny.

GLP-1's break this cycle. It quiets the "food noise" that overweight /obese people have often ALL day. You eat and suddenly you feel full much sooner, you don't feel the need as often as before so instead of eating breakfast at 8, a snack at 10, lunch at 12 and a snack at 2, you eat skip breakfast/ eat tiny bit for breakfast and eat lunch at 12 and are fine until dinner. Once you start loosing weight you can try to exercise and it becomes easier as you loose weight.

Long-term the more practice you have with eating less and exercising more is only going to help a person.

It is hilarious "a practicing obesity medicine specialist" is against GLP-1's, cynically I think this is because he probably realizes that because so many people are successful on GLP-1's he is getting pushed out of his speciality.

If you are eating to comfort yourself you need to solve THAT problem. It’s a mental health problem and GLPs will help ONE symptom but it won’t cure you and you will always comfort eat

Nope that is the miracle of GLP-1's. You feel awful you constantly crave food and have no self-control so end up eating even more, hence the comfort eating. Then you take GLP-1's and realize - wait a second this is what it is like not to think about food or overeat. You realize it isn't a moral flaw, you are just wired differently. It isn't a mental health problem at all.

You will simply transfer your emotional and mental instability to something else equally destructive - you only solved the fat problem, not your personality problem

Or, maybe some of us just naturally do not produce enough GLP1. Maybe there is some environmental cause at the heart of the obesity epidemic that suppressed GLP1 in a significant portion of the population. And maybe fixing our insufficient GLP1 was the whole solution.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:It seems like he likes GLP-1s and his objections are not hard to overcome:

"Reasons for discontinuation include cost, side effects, and supply shortages. But one of the most common reasons is that patients simply don't want to take a weight loss medication indefinitely. Many believe they can "beat the system," use them briefly, change their lifestyle, and stop taking them without regaining weight."

So why not educate patients so they understand the importance to stick with the GLP-1s? There are many reasonable cost options out there. The support group I am in has a wide spectrum of income. With cost going down and the ease of newer pill meds, all the objections (aside from side effects, and a switch to a different specific med can help with that) for staying on meds go away.

It sounds like his experience is patients don't stay on the drugs. I assume he is warning them they need to stay on them, but people don't want to do that. And since the majority are not staying on them and instead are cycling on and off the drugs they are just spending a lot of money for no health benefits.

Most people (no matter how they lost weight) regain the weight eventually. The benefit of weight loss is still there for the patient though: the ability to move around in the world as a normal weight person, being able to hike, sit easily on an airplane, physically be more active with kids and grandkids, having fewer health issues while on the med, not feeling addicted to food...Personally I think this is absolutely priceless even if it is fleeting because it is such better quality of life. But do I think staying on the med is best? Yes. I think that should be the takeaway rather than "don't start it because you'll stop it" which is fatalistic and not solution-oriented especially when the main objection is cost.

Weight yo-yoing (weight cycling) is generally considered bad for you, linked to increased risks for heart disease, type 2 diabetes, higher body fat, slower metabolism, and poorer mental health due to repeated stress, muscle loss, and metabolic disruption, making future weight loss harder and increasing health problems.

It is bad for you. But you're not going to find many doctors advising their patients to stay fat and not try and lose weight, despite knowing that they are likely to regain the weight (again, regardless of how they did it).

GLP-1s are costing employers and taxpayers a.lot of money. That's fine if it has a health benefit. But if there is no added health benefit then it is a net negative for health and society.

There is a cost benefit to society in having fewer obese people. Not all employer plans cover it depending on specifics, and many people go out of pocket and get compounds anyway on their own dime.

Our public school system is millions of dollars in the hole due to GLP-1s. I am all for spending money to reduce obesity sustainably but not for medication assisted yo yo dieting.

There is no proven way to lose weight without a very high likelihood of yoyo weight.

So let's choose the option that's free and has the same result.

Go for it! I’m choosing the option that cost me 25 dollars a month and actually works , whereas the last 20 years of dirt and exercise and thinking of food constantly has not. For me. We both win!

Kind of. . . Your insurance won’t cover it for $25/mo to you once you lose enough weight that you are not at high risk. Then you yo yo and . . . well, you lose (not weight).

My insurance has not had any problem with me staying on it. My BMI has now been in normal range for over 6 months . Still 25 dollars a month. I know you don’t want this to work for me , and for others, for some strange reason, but believe it or not, I am taking a medication that has improved my health and I’m going to keep taking it. Even if you are jealous that you do not get to take it too, which is the only plausible reason you hate me taking it so much when it doesn’t affect you at all.

No, they hate you taking it because now they can't be "better" than you by being thinner. And you are getting thinner by "cheating". So they no longer stand out like they used to. That is behind all the anger, frustration and hate.

Tell yourself that, dear. We can buy it if we wanted to.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:It seems like he likes GLP-1s and his objections are not hard to overcome:

"Reasons for discontinuation include cost, side effects, and supply shortages. But one of the most common reasons is that patients simply don't want to take a weight loss medication indefinitely. Many believe they can "beat the system," use them briefly, change their lifestyle, and stop taking them without regaining weight."

So why not educate patients so they understand the importance to stick with the GLP-1s? There are many reasonable cost options out there. The support group I am in has a wide spectrum of income. With cost going down and the ease of newer pill meds, all the objections (aside from side effects, and a switch to a different specific med can help with that) for staying on meds go away.

It sounds like his experience is patients don't stay on the drugs. I assume he is warning them they need to stay on them, but people don't want to do that. And since the majority are not staying on them and instead are cycling on and off the drugs they are just spending a lot of money for no health benefits.

Most people (no matter how they lost weight) regain the weight eventually. The benefit of weight loss is still there for the patient though: the ability to move around in the world as a normal weight person, being able to hike, sit easily on an airplane, physically be more active with kids and grandkids, having fewer health issues while on the med, not feeling addicted to food...Personally I think this is absolutely priceless even if it is fleeting because it is such better quality of life. But do I think staying on the med is best? Yes. I think that should be the takeaway rather than "don't start it because you'll stop it" which is fatalistic and not solution-oriented especially when the main objection is cost.

Weight yo-yoing (weight cycling) is generally considered bad for you, linked to increased risks for heart disease, type 2 diabetes, higher body fat, slower metabolism, and poorer mental health due to repeated stress, muscle loss, and metabolic disruption, making future weight loss harder and increasing health problems.

It is bad for you. But you're not going to find many doctors advising their patients to stay fat and not try and lose weight, despite knowing that they are likely to regain the weight (again, regardless of how they did it).

GLP-1s are costing employers and taxpayers a.lot of money. That's fine if it has a health benefit. But if there is no added health benefit then it is a net negative for health and society.

There is a cost benefit to society in having fewer obese people. Not all employer plans cover it depending on specifics, and many people go out of pocket and get compounds anyway on their own dime.

Our public school system is millions of dollars in the hole due to GLP-1s. I am all for spending money to reduce obesity sustainably but not for medication assisted yo yo dieting.

There is no proven way to lose weight without a very high likelihood of yoyo weight.

So let's choose the option that's free and has the same result.

Go for it! I’m choosing the option that cost me 25 dollars a month and actually works , whereas the last 20 years of dirt and exercise and thinking of food constantly has not. For me. We both win!

Kind of. . . Your insurance won’t cover it for $25/mo to you once you lose enough weight that you are not at high risk. Then you yo yo and . . . well, you lose (not weight).

My insurance has not had any problem with me staying on it. My BMI has now been in normal range for over 6 months . Still 25 dollars a month. I know you don’t want this to work for me , and for others, for some strange reason, but believe it or not, I am taking a medication that has improved my health and I’m going to keep taking it. Even if you are jealous that you do not get to take it too, which is the only plausible reason you hate me taking it so much when it doesn’t affect you at all.

No, they hate you taking it because now they can't be "better" than you by being thinner. And you are getting thinner by "cheating". So they no longer stand out like they used to. That is behind all the anger, frustration and hate.

Tell yourself that, dear. We can buy it if we wanted to.

You're confused. No one thinks you're jealous we can source the drug. We think you're mad *we* are no longer jealous of *you.*

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote: So it is this awful cycle of you gain weight, you move less, you then spend more time eating to comfort yourself, by gaining weight you have more aches and pains like knee pain so you end up moving even less. You think about food all day and what you will have for your next meal. It really becomes a constant thought. Once you get used to eating more and moving less it just becomes ingrained that is your destiny.

GLP-1's break this cycle. It quiets the "food noise" that overweight /obese people have often ALL day. You eat and suddenly you feel full much sooner, you don't feel the need as often as before so instead of eating breakfast at 8, a snack at 10, lunch at 12 and a snack at 2, you eat skip breakfast/ eat tiny bit for breakfast and eat lunch at 12 and are fine until dinner. Once you start losing weight you can try to exercise and it becomes easier as you lose weight.

Long-term the more practice you have with eating less and exercising more is only going to help a person.

It is hilarious "a practicing obesity medicine specialist" is against GLP-1's, cynically I think this is because he probably realizes that because so many people are successful on GLP-1's he is getting pushed out of his speciality.

If you are eating to comfort yourself you need to solve THAT problem. It’s a mental health problem and GLPs will help ONE symptom but it won’t cure you and you will always comfort eat

Nope that is the miracle of GLP-1's. You feel awful you constantly crave food and have no self-control so end up eating even more, hence the comfort eating. Then you take GLP-1's and realize - wait a second this is what it is like not to think about food or overeat. You realize it isn't a moral flaw, you are just wired differently. It isn't a mental health problem at all.

Plus you get into good habits. I don't know why people aren't studying this part more as lots of study has gone into how long it takes to establish a good habit or a bad habit.

If a drug helps you implement a good habit (i.e., portion size; times of day to eat, refraining from alcohol, etc.) you can still keep these habits after dropping the drug.

Presumably these folks weren’t born with their bad habits- their parents likely didn’t over feed them or give them alcohol- they found their way into those patterns over time. I believe they’ll just fall back into their patterns over time- but they could probably just go back on the drug again then. Has it really solved anything then if Americans just lose and gain doesn’t history show that that makes our metabolisms slower? I don’t know the answers I’m just shocked at the amount of women I know who have taken it to go from thin/normal/strong to waif like and rail thin in my affluent largely white suburb. It’s really surprised me. I don’t judge any choices anyone makes with their bodies and support people taking it if it makes them happy - don’t take my questions as me being a “hater”.

That is not a supported presumption. Overweight is genetic. I was always a chubby kid, as were most of my female relatives.

Sure. And what exactly is wrong with being healthy and chubby? I have freckles that are genetic - I used to hate them, but I realized I should just rock my natural self!! Not everyone is meant to be the same. You are just paying to support your own insecurity. Maybe look a bit deeper to see if you can like yourself for you?

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote: So it is this awful cycle of you gain weight, you move less, you then spend more time eating to comfort yourself, by gaining weight you have more aches and pains like knee pain so you end up moving even less. You think about food all day and what you will have for your next meal. It really becomes a constant thought. Once you get used to eating more and moving less it just becomes ingrained that is your destiny.

GLP-1's break this cycle. It quiets the "food noise" that overweight /obese people have often ALL day. You eat and suddenly you feel full much sooner, you don't feel the need as often as before so instead of eating breakfast at 8, a snack at 10, lunch at 12 and a snack at 2, you eat skip breakfast/ eat tiny bit for breakfast and eat lunch at 12 and are fine until dinner. Once you start loosing weight you can try to exercise and it becomes easier as you loose weight.

Long-term the more practice you have with eating less and exercising more is only going to help a person.

It is hilarious "a practicing obesity medicine specialist" is against GLP-1's, cynically I think this is because he probably realizes that because so many people are successful on GLP-1's he is getting pushed out of his speciality.

If you are eating to comfort yourself you need to solve THAT problem. It’s a mental health problem and GLPs will help ONE symptom but it won’t cure you and you will always comfort eat

Nope that is the miracle of GLP-1's. You feel awful you constantly crave food and have no self-control so end up eating even more, hence the comfort eating. Then you take GLP-1's and realize - wait a second this is what it is like not to think about food or overeat. You realize it isn't a moral flaw, you are just wired differently. It isn't a mental health problem at all.

You will simply transfer your emotional and mental instability to something else equally destructive - you only solved the fat problem, not your personality problem

Or, maybe some of us just naturally do not produce enough GLP1. Maybe there is some environmental cause at the heart of the obesity epidemic that suppressed GLP1 in a significant portion of the population. And maybe fixing our insufficient GLP1 was the whole solution.

There is zero evidence to support your nonsense. There is lots of evidence to support emotional overeating.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote: So it is this awful cycle of you gain weight, you move less, you then spend more time eating to comfort yourself, by gaining weight you have more aches and pains like knee pain so you end up moving even less. You think about food all day and what you will have for your next meal. It really becomes a constant thought. Once you get used to eating more and moving less it just becomes ingrained that is your destiny.

GLP-1's break this cycle. It quiets the "food noise" that overweight /obese people have often ALL day. You eat and suddenly you feel full much sooner, you don't feel the need as often as before so instead of eating breakfast at 8, a snack at 10, lunch at 12 and a snack at 2, you eat skip breakfast/ eat tiny bit for breakfast and eat lunch at 12 and are fine until dinner. Once you start losing weight you can try to exercise and it becomes easier as you lose weight.

Long-term the more practice you have with eating less and exercising more is only going to help a person.

It is hilarious "a practicing obesity medicine specialist" is against GLP-1's, cynically I think this is because he probably realizes that because so many people are successful on GLP-1's he is getting pushed out of his speciality.

If you are eating to comfort yourself you need to solve THAT problem. It’s a mental health problem and GLPs will help ONE symptom but it won’t cure you and you will always comfort eat

Nope that is the miracle of GLP-1's. You feel awful you constantly crave food and have no self-control so end up eating even more, hence the comfort eating. Then you take GLP-1's and realize - wait a second this is what it is like not to think about food or overeat. You realize it isn't a moral flaw, you are just wired differently. It isn't a mental health problem at all.

Plus you get into good habits. I don't know why people aren't studying this part more as lots of study has gone into how long it takes to establish a good habit or a bad habit.

If a drug helps you implement a good habit (i.e., portion size; times of day to eat, refraining from alcohol, etc.) you can still keep these habits after dropping the drug.

Presumably these folks weren’t born with their bad habits- their parents likely didn’t over feed them or give them alcohol- they found their way into those patterns over time. I believe they’ll just fall back into their patterns over time- but they could probably just go back on the drug again then. Has it really solved anything then if Americans just lose and gain doesn’t history show that that makes our metabolisms slower? I don’t know the answers I’m just shocked at the amount of women I know who have taken it to go from thin/normal/strong to waif like and rail thin in my affluent largely white suburb. It’s really surprised me. I don’t judge any choices anyone makes with their bodies and support people taking it if it makes them happy - don’t take my questions as me being a “hater”.

That is not a supported presumption. Overweight is genetic. I was always a chubby kid, as were most of my female relatives.

Sure. And what exactly is wrong with being healthy and chubby? I have freckles that are genetic - I used to hate them, but I realized I should just rock my natural self!! Not everyone is meant to be the same. You are just paying to support your own insecurity. Maybe look a bit deeper to see if you can like yourself for you?

All my aunts also have T2D. It's not a good thing to be chubby. And it's a MISERABLE thing to spend your whole life carefully counting calories to remain merely chubby (normal obese instead of morbidly obese).

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:It seems like he likes GLP-1s and his objections are not hard to overcome:

"Reasons for discontinuation include cost, side effects, and supply shortages. But one of the most common reasons is that patients simply don't want to take a weight loss medication indefinitely. Many believe they can "beat the system," use them briefly, change their lifestyle, and stop taking them without regaining weight."

So why not educate patients so they understand the importance to stick with the GLP-1s? There are many reasonable cost options out there. The support group I am in has a wide spectrum of income. With cost going down and the ease of newer pill meds, all the objections (aside from side effects, and a switch to a different specific med can help with that) for staying on meds go away.

It sounds like his experience is patients don't stay on the drugs. I assume he is warning them they need to stay on them, but people don't want to do that. And since the majority are not staying on them and instead are cycling on and off the drugs they are just spending a lot of money for no health benefits.

Most people (no matter how they lost weight) regain the weight eventually. The benefit of weight loss is still there for the patient though: the ability to move around in the world as a normal weight person, being able to hike, sit easily on an airplane, physically be more active with kids and grandkids, having fewer health issues while on the med, not feeling addicted to food...Personally I think this is absolutely priceless even if it is fleeting because it is such better quality of life. But do I think staying on the med is best? Yes. I think that should be the takeaway rather than "don't start it because you'll stop it" which is fatalistic and not solution-oriented especially when the main objection is cost.

Weight yo-yoing (weight cycling) is generally considered bad for you, linked to increased risks for heart disease, type 2 diabetes, higher body fat, slower metabolism, and poorer mental health due to repeated stress, muscle loss, and metabolic disruption, making future weight loss harder and increasing health problems.

It is bad for you. But you're not going to find many doctors advising their patients to stay fat and not try and lose weight, despite knowing that they are likely to regain the weight (again, regardless of how they did it).

GLP-1s are costing employers and taxpayers a.lot of money. That's fine if it has a health benefit. But if there is no added health benefit then it is a net negative for health and society.

There is a cost benefit to society in having fewer obese people. Not all employer plans cover it depending on specifics, and many people go out of pocket and get compounds anyway on their own dime.

Our public school system is millions of dollars in the hole due to GLP-1s. I am all for spending money to reduce obesity sustainably but not for medication assisted yo yo dieting.

There is no proven way to lose weight without a very high likelihood of yoyo weight.

So let's choose the option that's free and has the same result.

Go for it! I’m choosing the option that cost me 25 dollars a month and actually works , whereas the last 20 years of dirt and exercise and thinking of food constantly has not. For me. We both win!

Kind of. . . Your insurance won’t cover it for $25/mo to you once you lose enough weight that you are not at high risk. Then you yo yo and . . . well, you lose (not weight).

My insurance has not had any problem with me staying on it. My BMI has now been in normal range for over 6 months . Still 25 dollars a month. I know you don’t want this to work for me , and for others, for some strange reason, but believe it or not, I am taking a medication that has improved my health and I’m going to keep taking it. Even if you are jealous that you do not get to take it too, which is the only plausible reason you hate me taking it so much when it doesn’t affect you at all.

No, they hate you taking it because now they can't be "better" than you by being thinner. And you are getting thinner by "cheating". So they no longer stand out like they used to. That is behind all the anger, frustration and hate.

Tell yourself that, dear. We can buy it if we wanted to.

You're confused. No one thinks you're jealous we can source the drug. We think you're mad *we* are no longer jealous of *you.*

But you are still jealous!! That’s why you are still mean! You still wear your insecurity on your sleeve.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote: So it is this awful cycle of you gain weight, you move less, you then spend more time eating to comfort yourself, by gaining weight you have more aches and pains like knee pain so you end up moving even less. You think about food all day and what you will have for your next meal. It really becomes a constant thought. Once you get used to eating more and moving less it just becomes ingrained that is your destiny.

GLP-1's break this cycle. It quiets the "food noise" that overweight /obese people have often ALL day. You eat and suddenly you feel full much sooner, you don't feel the need as often as before so instead of eating breakfast at 8, a snack at 10, lunch at 12 and a snack at 2, you eat skip breakfast/ eat tiny bit for breakfast and eat lunch at 12 and are fine until dinner. Once you start loosing weight you can try to exercise and it becomes easier as you loose weight.

Long-term the more practice you have with eating less and exercising more is only going to help a person.

It is hilarious "a practicing obesity medicine specialist" is against GLP-1's, cynically I think this is because he probably realizes that because so many people are successful on GLP-1's he is getting pushed out of his speciality.

If you are eating to comfort yourself you need to solve THAT problem. It’s a mental health problem and GLPs will help ONE symptom but it won’t cure you and you will always comfort eat

Nope that is the miracle of GLP-1's. You feel awful you constantly crave food and have no self-control so end up eating even more, hence the comfort eating. Then you take GLP-1's and realize - wait a second this is what it is like not to think about food or overeat. You realize it isn't a moral flaw, you are just wired differently. It isn't a mental health problem at all.

You will simply transfer your emotional and mental instability to something else equally destructive - you only solved the fat problem, not your personality problem

Or, maybe some of us just naturally do not produce enough GLP1. Maybe there is some environmental cause at the heart of the obesity epidemic that suppressed GLP1 in a significant portion of the population. And maybe fixing our insufficient GLP1 was the whole solution.

There is zero evidence to support your nonsense. There is lots of evidence to support emotional overeating.

I am quite sure you didn't even attempt to see if you're right about that. You should ask yourself why.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:It seems like he likes GLP-1s and his objections are not hard to overcome:

"Reasons for discontinuation include cost, side effects, and supply shortages. But one of the most common reasons is that patients simply don't want to take a weight loss medication indefinitely. Many believe they can "beat the system," use them briefly, change their lifestyle, and stop taking them without regaining weight."

So why not educate patients so they understand the importance to stick with the GLP-1s? There are many reasonable cost options out there. The support group I am in has a wide spectrum of income. With cost going down and the ease of newer pill meds, all the objections (aside from side effects, and a switch to a different specific med can help with that) for staying on meds go away.

It sounds like his experience is patients don't stay on the drugs. I assume he is warning them they need to stay on them, but people don't want to do that. And since the majority are not staying on them and instead are cycling on and off the drugs they are just spending a lot of money for no health benefits.

Most people (no matter how they lost weight) regain the weight eventually. The benefit of weight loss is still there for the patient though: the ability to move around in the world as a normal weight person, being able to hike, sit easily on an airplane, physically be more active with kids and grandkids, having fewer health issues while on the med, not feeling addicted to food...Personally I think this is absolutely priceless even if it is fleeting because it is such better quality of life. But do I think staying on the med is best? Yes. I think that should be the takeaway rather than "don't start it because you'll stop it" which is fatalistic and not solution-oriented especially when the main objection is cost.

Weight yo-yoing (weight cycling) is generally considered bad for you, linked to increased risks for heart disease, type 2 diabetes, higher body fat, slower metabolism, and poorer mental health due to repeated stress, muscle loss, and metabolic disruption, making future weight loss harder and increasing health problems.

It is bad for you. But you're not going to find many doctors advising their patients to stay fat and not try and lose weight, despite knowing that they are likely to regain the weight (again, regardless of how they did it).

GLP-1s are costing employers and taxpayers a.lot of money. That's fine if it has a health benefit. But if there is no added health benefit then it is a net negative for health and society.

There is a cost benefit to society in having fewer obese people. Not all employer plans cover it depending on specifics, and many people go out of pocket and get compounds anyway on their own dime.

Our public school system is millions of dollars in the hole due to GLP-1s. I am all for spending money to reduce obesity sustainably but not for medication assisted yo yo dieting.

There is no proven way to lose weight without a very high likelihood of yoyo weight.

So let's choose the option that's free and has the same result.

Go for it! I’m choosing the option that cost me 25 dollars a month and actually works , whereas the last 20 years of dirt and exercise and thinking of food constantly has not. For me. We both win!

Kind of. . . Your insurance won’t cover it for $25/mo to you once you lose enough weight that you are not at high risk. Then you yo yo and . . . well, you lose (not weight).

My insurance has not had any problem with me staying on it. My BMI has now been in normal range for over 6 months . Still 25 dollars a month. I know you don’t want this to work for me , and for others, for some strange reason, but believe it or not, I am taking a medication that has improved my health and I’m going to keep taking it. Even if you are jealous that you do not get to take it too, which is the only plausible reason you hate me taking it so much when it doesn’t affect you at all.

No, they hate you taking it because now they can't be "better" than you by being thinner. And you are getting thinner by "cheating". So they no longer stand out like they used to. That is behind all the anger, frustration and hate.

Tell yourself that, dear. We can buy it if we wanted to.

You're confused. No one thinks you're jealous we can source the drug. We think you're mad *we* are no longer jealous of *you.*

But you are still jealous!! That’s why you are still mean! You still wear your insecurity on your sleeve.

Why would I be jealous now? I'm not being mean (there is more than one poster in this thread) but I do think people are being willfully ignorant in here about obesity. I don't have any emotional problems. I don't have any mental health challenges. I just lacked a properly calibrated appetite. Now it's fixed and I'm being attacked by people who are bizarrely mad that I was able to fix a lifelong health challenge. Bizarre.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote: So it is this awful cycle of you gain weight, you move less, you then spend more time eating to comfort yourself, by gaining weight you have more aches and pains like knee pain so you end up moving even less. You think about food all day and what you will have for your next meal. It really becomes a constant thought. Once you get used to eating more and moving less it just becomes ingrained that is your destiny.

GLP-1's break this cycle. It quiets the "food noise" that overweight /obese people have often ALL day. You eat and suddenly you feel full much sooner, you don't feel the need as often as before so instead of eating breakfast at 8, a snack at 10, lunch at 12 and a snack at 2, you eat skip breakfast/ eat tiny bit for breakfast and eat lunch at 12 and are fine until dinner. Once you start losing weight you can try to exercise and it becomes easier as you lose weight.

Long-term the more practice you have with eating less and exercising more is only going to help a person.

It is hilarious "a practicing obesity medicine specialist" is against GLP-1's, cynically I think this is because he probably realizes that because so many people are successful on GLP-1's he is getting pushed out of his speciality.

If you are eating to comfort yourself you need to solve THAT problem. It’s a mental health problem and GLPs will help ONE symptom but it won’t cure you and you will always comfort eat

Nope that is the miracle of GLP-1's. You feel awful you constantly crave food and have no self-control so end up eating even more, hence the comfort eating. Then you take GLP-1's and realize - wait a second this is what it is like not to think about food or overeat. You realize it isn't a moral flaw, you are just wired differently. It isn't a mental health problem at all.

Plus you get into good habits. I don't know why people aren't studying this part more as lots of study has gone into how long it takes to establish a good habit or a bad habit.

If a drug helps you implement a good habit (i.e., portion size; times of day to eat, refraining from alcohol, etc.) you can still keep these habits after dropping the drug.

Presumably these folks weren’t born with their bad habits- their parents likely didn’t over feed them or give them alcohol- they found their way into those patterns over time. I believe they’ll just fall back into their patterns over time- but they could probably just go back on the drug again then. Has it really solved anything then if Americans just lose and gain doesn’t history show that that makes our metabolisms slower? I don’t know the answers I’m just shocked at the amount of women I know who have taken it to go from thin/normal/strong to waif like and rail thin in my affluent largely white suburb. It’s really surprised me. I don’t judge any choices anyone makes with their bodies and support people taking it if it makes them happy - don’t take my questions as me being a “hater”.

That is not a supported presumption. Overweight is genetic. I was always a chubby kid, as were most of my female relatives.

Sure. And what exactly is wrong with being healthy and chubby? I have freckles that are genetic - I used to hate them, but I realized I should just rock my natural self!! Not everyone is meant to be the same. You are just paying to support your own insecurity. Maybe look a bit deeper to see if you can like yourself for you?

All my aunts also have T2D. It's not a good thing to be chubby. And it's a MISERABLE thing to spend your whole life carefully counting calories to remain merely chubby (normal obese instead of morbidly obese).

Type 2 diabetes is an eating disorder not a natural overweight disorder. It was historically called the “disease of the corpulent”. Your family has passed down their mental health problems and had basically self medicated with food and taught subsequent members to do the same. It’s a form of generational trauma.

[Anonymous]

I’ve been thin my whole life, but now at 60, those extra 15 lbs from menopause are still around. I avoid overeating, but do not restrict myself…life is way behind me. I’m happy they have developed a drug to help those who are obese and need it. Diet and exercise don’t always work.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote: So it is this awful cycle of you gain weight, you move less, you then spend more time eating to comfort yourself, by gaining weight you have more aches and pains like knee pain so you end up moving even less. You think about food all day and what you will have for your next meal. It really becomes a constant thought. Once you get used to eating more and moving less it just becomes ingrained that is your destiny.

GLP-1's break this cycle. It quiets the "food noise" that overweight /obese people have often ALL day. You eat and suddenly you feel full much sooner, you don't feel the need as often as before so instead of eating breakfast at 8, a snack at 10, lunch at 12 and a snack at 2, you eat skip breakfast/ eat tiny bit for breakfast and eat lunch at 12 and are fine until dinner. Once you start losing weight you can try to exercise and it becomes easier as you lose weight.

Long-term the more practice you have with eating less and exercising more is only going to help a person.

It is hilarious "a practicing obesity medicine specialist" is against GLP-1's, cynically I think this is because he probably realizes that because so many people are successful on GLP-1's he is getting pushed out of his speciality.

If you are eating to comfort yourself you need to solve THAT problem. It’s a mental health problem and GLPs will help ONE symptom but it won’t cure you and you will always comfort eat

Nope that is the miracle of GLP-1's. You feel awful you constantly crave food and have no self-control so end up eating even more, hence the comfort eating. Then you take GLP-1's and realize - wait a second this is what it is like not to think about food or overeat. You realize it isn't a moral flaw, you are just wired differently. It isn't a mental health problem at all.

Plus you get into good habits. I don't know why people aren't studying this part more as lots of study has gone into how long it takes to establish a good habit or a bad habit.

If a drug helps you implement a good habit (i.e., portion size; times of day to eat, refraining from alcohol, etc.) you can still keep these habits after dropping the drug.

Presumably these folks weren’t born with their bad habits- their parents likely didn’t over feed them or give them alcohol- they found their way into those patterns over time. I believe they’ll just fall back into their patterns over time- but they could probably just go back on the drug again then. Has it really solved anything then if Americans just lose and gain doesn’t history show that that makes our metabolisms slower? I don’t know the answers I’m just shocked at the amount of women I know who have taken it to go from thin/normal/strong to waif like and rail thin in my affluent largely white suburb. It’s really surprised me. I don’t judge any choices anyone makes with their bodies and support people taking it if it makes them happy - don’t take my questions as me being a “hater”.

That is not a supported presumption. Overweight is genetic. I was always a chubby kid, as were most of my female relatives.

Sure. And what exactly is wrong with being healthy and chubby? I have freckles that are genetic - I used to hate them, but I realized I should just rock my natural self!! Not everyone is meant to be the same. You are just paying to support your own insecurity. Maybe look a bit deeper to see if you can like yourself for you?

All my aunts also have T2D. It's not a good thing to be chubby. And it's a MISERABLE thing to spend your whole life carefully counting calories to remain merely chubby (normal obese instead of morbidly obese).

Type 2 diabetes is an eating disorder not a natural overweight disorder. It was historically called the “disease of the corpulent”. Your family has passed down their mental health problems and had basically self medicated with food and taught subsequent members to do the same. It’s a form of generational trauma.

Wrong. I have several family members with type 2 diabetes who were never obese or even overweight. Your medical education falls far short of your desire to pontificate.