Will Ozempic and other drugs like it eliminate obesity?

[Anonymous]

For those who are confused.

The current message is “Eating healthy food and exercising make you healthy and leads to weight loss. If it doesn’t, you’re doing it wrong and need to try harder.”

The better message, and what we’re thankfully moving toward, is “Eating healthy food and exercising are great for your mobility and mental, cardiovascular and metabolic health. Keep doing it, even if it doesn’t lead to weight loss or maintenance. We have other tools that are better for weight loss if that’s what your goal is.”

No one is saying “Eating healthy food and exercising is stupid and pointless since it doesn’t help you lose weight long term. Try Ozempic instead.”

[Anonymous]

Anonymous wrote:

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Anonymous wrote:I don’t have any problems with people taking a long term drug to get healthy. Plenty of people are on long-term statins, thyroid meds, mental health meds, BP meds, etc. why not these drugs? It’s not a moral failing to have thyroid problems or depression is it? Now that we have these drugs, however, is there any excuse for the obese to not take the drugs and give them a try? What if they’re happy at their size 28 and choose not to take the drug?

Then they don’t have to take it, obviously. Not sure what you’re suggesting.

That there are morbidly obese people who like being that way. Smug about their Instagram worthy lifestyle and not seeing that they even need to lose weight much less get on a drug that gets rid of their appetite.

They…don’t need to lose weight if they don’t want to. You’re just mad about people being fat on Instagram now?

It’s the body positivity they’re trying to market. Like they want people to know how beautiful and fun it is to be super morbidly obese. For the vast majority of people, morality does not come into play and these drugs are the only thing that has made a dent in weight loss goals. I celebrate that. But for a number of people, they glorify their fatness. Wouldn’t change a thing.

Still don’t get your point. Good for them for embracing their body as it is. No one looks at happy fat people on Instagram and thinks “wowie, I’d sure like to be a big fat fatty, it looks soooo fun”

[Anonymous]

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Anonymous wrote:The amount of people who are normal weight but simply can’t grapple and have such a problem with those of us taking these drugs is astounding.

I don't have a problem with people taking the drugs who need them.

I am concerned with the idea that we should encourage people to eat whatever and however much they want[b] (because there is "no evidence" that telling them to eat healthy and exercise does any good). Then, when they eat their way to obesity, "don't worry, there's a drug for that."

Are the people encouraging this in the room right now?

Literally no one is saying this or doing this. You have completely made that up. You know there are benefits to health-seeking behaviors like eating a nutritious varied diet with limited processed foods and exercising even if they don’t lead to permanent weight loss, right?

Yes, but encouraging people to exercise personal accountability by eating healthy foods for their health is seen as "fat shaming" on this board, bizarrely.

It really not. So stop tripping. Everything is a tool. Nobody is saying that folks shouldn't eat healthy foods or exercise even while taking these meds. If you eat badly while taking these meds, they won't work. So stop being ridiculous.

I'm not talking about while taking the meds. I have no experience with the meds and what you can/can't do while taking them. [b]I'm talking about encouraging healthy eating and exercise BEFORE people reach the point of needing the meds.

I'm glad you agree it shouldn't be perceived as fat shaming. I think it is just simple health and common sense. I don't know why it is so controversial here.

You must be 50 years older than me because my entire life I’ve been absolutely bombarded with public health messages about eating and exercise, from school to parents to public health PSAs. I knew how to count calories as a kid and how many calories were in the school lunch items.

I don't know, I'm in my 40s, also grew up with all the public health advice and exercise, *followed the advice*, and I'm still average weight now deep into peri-menopause, so....? What I'm hearing is that we should no longer tell people this advice because it makes them feel bad when it doesn't result in their weight loss, and instead we should just be happy they can now take drugs. Which is great that there are now drugs, but on the other hand, we should not give up encouraging people to take personal responsibility for healthy lifestyle habits. Which yes, also includes other things like sleep, reducing stress, minimizing alcohol, etc.

I did too and I’m 39. I also have a split family of some obese, some normal weight. The obese family members ate terribly as long as I can remember. Now in their older age they are all on diets. The normal weight people ate much less in volume, were more active, and ate healthier foods. They talked about calories and portions. I remember learning to read nutrition labels and what a portion size looks like in health class in middle school. I am a heathy weight but I have a huge appetite. I would love to eat dessert every night and probably seconds of it. I would love to eat several slices of pizza when we order it, but I have 2 instead. If my pants get tight, I start scaling back how much I’m eating. People need to be empowered that regardless of “genetics” they DO have the power and control to not become obese if they stick to a heathy diet (both in volume and quality) and lifestyle. I do believe they’re or outliers that are just not capable of having moderate intake and for them I am glad there are drugs that can help with that. But
I don’t believe that is most people

[Anonymous]

No because the drug makes you feel full BUT plenty of people will continue to eat when they are full. That's how they become obese. These kind of drugs don't overcome impulse.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:The amount of people who are normal weight but simply can’t grapple and have such a problem with those of us taking these drugs is astounding.

I don't have a problem with people taking the drugs who need them.

I am concerned with the [b]idea that we should encourage people to eat whatever and however much they want[b] (because there is "no evidence" that telling them to eat healthy and exercise does any good). Then, when they eat their way to obesity, "don't worry, there's a drug for that."

Are the people encouraging this in the room right now?

Literally no one is saying this or doing this. You have completely made that up. You know there are benefits to health-seeking behaviors like eating a nutritious varied diet with limited processed foods and exercising even if they don’t lead to permanent weight loss, right?

People are literally saying there is no use to telling people to eat healthy foods and exercise because studies show it doesn't work for weight loss.

Fully agree we need to keep pushing the message to eat healthy and exercise for both health and weight management. Sure, once you are too obese it might not work and then you need drugs. But before that point, we should encourage it.

NP. I agree with you. In fact, my dd got confused with her messaging at school. We're normal weight and haven't talked about weight at home. We only stress vegetables and nutrition, so the kids know why they need to eat vegetables. DD is 6 and didn't get why people are fat or what leads to being fat, so she straight up asked us. She'd asked her teacher and her teacher said some people are born like that, which dd was upset about and wanted to know if she was born like that. DD also thought wrongly that people were fat from not eating vegetables.

I think weight gain is very complex, especially as you get older and hormones mess with your weight, but for kids it should be simple: calories in vs calories out.

[Anonymous]

Anonymous wrote:No because the drug makes you feel full BUT plenty of people will continue to eat when they are full. That's how they become obese. These kind of drugs don't overcome impulse.

They do though. I have struggled severely with binge eating my entire life. Eating way past the point of fullness to even pain sometimes. Ozempic has eliminated it. The desire to overeat is just extinguished. Most people report the same.

It’s even being looked at as a treatment for alcohol use disorder as it reduces cravings for alcohol.

[Anonymous]

Anonymous wrote:

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Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:The amount of people who are normal weight but simply can’t grapple and have such a problem with those of us taking these drugs is astounding.

I don't have a problem with people taking the drugs who need them.

I am concerned with the idea that we should encourage people to eat whatever and however much they want[b] (because there is "no evidence" that telling them to eat healthy and exercise does any good). Then, when they eat their way to obesity, "don't worry, there's a drug for that."

Are the people encouraging this in the room right now?

Literally no one is saying this or doing this. You have completely made that up. You know there are benefits to health-seeking behaviors like eating a nutritious varied diet with limited processed foods and exercising even if they don’t lead to permanent weight loss, right?

Yes, but encouraging people to exercise personal accountability by eating healthy foods for their health is seen as "fat shaming" on this board, bizarrely.

It really not. So stop tripping. Everything is a tool. Nobody is saying that folks shouldn't eat healthy foods or exercise even while taking these meds. If you eat badly while taking these meds, they won't work. So stop being ridiculous.

I'm not talking about while taking the meds. I have no experience with the meds and what you can/can't do while taking them. [b]I'm talking about encouraging healthy eating and exercise BEFORE people reach the point of needing the meds.

I'm glad you agree it shouldn't be perceived as fat shaming. I think it is just simple health and common sense. I don't know why it is so controversial here.

You must be 50 years older than me because my entire life I’ve been absolutely bombarded with public health messages about eating and exercise, from school to parents to public health PSAs. I knew how to count calories as a kid and how many calories were in the school lunch items.

I don't know, I'm in my 40s, also grew up with all the public health advice and exercise, *followed the advice*, and I'm still average weight now deep into peri-menopause, so....? What I'm hearing is that we should no longer tell people this advice because it makes them feel bad when it doesn't result in their weight loss, and instead we should just be happy they can now take drugs. Which is great that there are now drugs, but on the other hand, we should not give up encouraging people to take personal responsibility for healthy lifestyle habits. Which yes, also includes other things like sleep, reducing stress, minimizing alcohol, etc.

I did too and I’m 39. I also have a split family of some obese, some normal weight. The obese family members ate terribly as long as I can remember. Now in their older age they are all on diets. The normal weight people ate much less in volume, were more active, and ate healthier foods. They talked about calories and portions. I remember learning to read nutrition labels and what a portion size looks like in health class in middle school. I am a heathy weight but I have a huge appetite. I would love to eat dessert every night and probably seconds of it. I would love to eat several slices of pizza when we order it, but I have 2 instead. If my pants get tight, I start scaling back how much I’m eating. People need to be empowered that regardless of “genetics” they DO have the power and control to not become obese if they stick to a heathy diet (both in volume and quality) and lifestyle. I do believe they’re or outliers that are just not capable of having moderate intake and for them I am glad there are drugs that can help with that. But
I don’t believe that is most people

I think you derive joy and a sense of moral superiority from tracking your weight and food, and that’s why you’re so unwilling to accept that the cause of obesity isn’t a moral failing. It would require you to let go of the idea that the source of our healthy weight is your piousness.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:The amount of people who are normal weight but simply can’t grapple and have such a problem with those of us taking these drugs is astounding.

I don't have a problem with people taking the drugs who need them.

I am concerned with the idea that we should encourage people to eat whatever and however much they want[b] (because there is "no evidence" that telling them to eat healthy and exercise does any good). Then, when they eat their way to obesity, "don't worry, there's a drug for that."

Are the people encouraging this in the room right now?

Literally no one is saying this or doing this. You have completely made that up. You know there are benefits to health-seeking behaviors like eating a nutritious varied diet with limited processed foods and exercising even if they don’t lead to permanent weight loss, right?

Yes, but encouraging people to exercise personal accountability by eating healthy foods for their health is seen as "fat shaming" on this board, bizarrely.

It really not. So stop tripping. Everything is a tool. Nobody is saying that folks shouldn't eat healthy foods or exercise even while taking these meds. If you eat badly while taking these meds, they won't work. So stop being ridiculous.

I'm not talking about while taking the meds. I have no experience with the meds and what you can/can't do while taking them. [b]I'm talking about encouraging healthy eating and exercise BEFORE people reach the point of needing the meds.

I'm glad you agree it shouldn't be perceived as fat shaming. I think it is just simple health and common sense. I don't know why it is so controversial here.

You must be 50 years older than me because my entire life I’ve been absolutely bombarded with public health messages about eating and exercise, from school to parents to public health PSAs. I knew how to count calories as a kid and how many calories were in the school lunch items.

I don't know, I'm in my 40s, also grew up with all the public health advice and exercise, *followed the advice*, and I'm still average weight now deep into peri-menopause, so....? What I'm hearing is that we should no longer tell people this advice because it makes them feel bad when it doesn't result in their weight loss, and instead we should just be happy they can now take drugs. Which is great that there are now drugs, but on the other hand, we should not give up encouraging people to take personal responsibility for healthy lifestyle habits. Which yes, also includes other things like sleep, reducing stress, minimizing alcohol, etc.

I did too and I’m 39. I also have a split family of some obese, some normal weight. The obese family members ate terribly as long as I can remember. Now in their older age they are all on diets. The normal weight people ate much less in volume, were more active, and ate healthier foods. They talked about calories and portions. I remember learning to read nutrition labels and what a portion size looks like in health class in middle school. I am a heathy weight but I have a huge appetite. I would love to eat dessert every night and probably seconds of it. I would love to eat several slices of pizza when we order it, but I have 2 instead. If my pants get tight, I start scaling back how much I’m eating. People need to be empowered that regardless of “genetics” they DO have the power and control to not become obese if they stick to a heathy diet (both in volume and quality) and lifestyle. I do believe they’re or outliers that are just not capable of having moderate intake and for them I am glad there are drugs that can help with that. But
I don’t believe that is most people

I think you derive joy and a sense of moral superiority from tracking your weight and food, and that’s why you’re so unwilling to accept that the cause of obesity isn’t a moral failing. It would require you to let go of the idea that the source of our healthy weight is your piousness.

I'm not PP, but give me a break. She is giving a practical example of how people in her own family, with similar genes, have different lifestyle behaviors that made them obese. Showing that lifestyle habits do have an impact on weight. It is just crazy to deny this. Over a lifetime of these habits, that can make the difference between obese or not.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:The amount of people who are normal weight but simply can’t grapple and have such a problem with those of us taking these drugs is astounding.

I don't have a problem with people taking the drugs who need them.

I am concerned with the idea that we should encourage people to eat whatever and however much they want[b] (because there is "no evidence" that telling them to eat healthy and exercise does any good). Then, when they eat their way to obesity, "don't worry, there's a drug for that."

Are the people encouraging this in the room right now?

Literally no one is saying this or doing this. You have completely made that up. You know there are benefits to health-seeking behaviors like eating a nutritious varied diet with limited processed foods and exercising even if they don’t lead to permanent weight loss, right?

Yes, but encouraging people to exercise personal accountability by eating healthy foods for their health is seen as "fat shaming" on this board, bizarrely.

It really not. So stop tripping. Everything is a tool. Nobody is saying that folks shouldn't eat healthy foods or exercise even while taking these meds. If you eat badly while taking these meds, they won't work. So stop being ridiculous.

I'm not talking about while taking the meds. I have no experience with the meds and what you can/can't do while taking them. [b]I'm talking about encouraging healthy eating and exercise BEFORE people reach the point of needing the meds.

I'm glad you agree it shouldn't be perceived as fat shaming. I think it is just simple health and common sense. I don't know why it is so controversial here.

You must be 50 years older than me because my entire life I’ve been absolutely bombarded with public health messages about eating and exercise, from school to parents to public health PSAs. I knew how to count calories as a kid and how many calories were in the school lunch items.

I don't know, I'm in my 40s, also grew up with all the public health advice and exercise, *followed the advice*, and I'm still average weight now deep into peri-menopause, so....? What I'm hearing is that we should no longer tell people this advice because it makes them feel bad when it doesn't result in their weight loss, and instead we should just be happy they can now take drugs. Which is great that there are now drugs, but on the other hand, we should not give up encouraging people to take personal responsibility for healthy lifestyle habits. Which yes, also includes other things like sleep, reducing stress, minimizing alcohol, etc.

I also followed the advice and I was almost always obese. I don’t eat to feeling full, but clearly I eat more than I should to maintain a normal weight. I just don’t get that cue that I’m full at the right time. Even when I follow ALL the advice to drink water, put down my fork, etc. The only thing that works is neurotic, obsessive food weighing and tracking, which I did through my teens and 20s but could not keep up with.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:The amount of people who are normal weight but simply can’t grapple and have such a problem with those of us taking these drugs is astounding.

I don't have a problem with people taking the drugs who need them.

I am concerned with the [b]idea that we should encourage people to eat whatever and however much they want[b] (because there is "no evidence" that telling them to eat healthy and exercise does any good). Then, when they eat their way to obesity, "don't worry, there's a drug for that."

Are the people encouraging this in the room right now?

Literally no one is saying this or doing this. You have completely made that up. You know there are benefits to health-seeking behaviors like eating a nutritious varied diet with limited processed foods and exercising even if they don’t lead to permanent weight loss, right?

Yes, but encouraging people to exercise personal accountability by eating healthy foods for their health is seen as "fat shaming" on this board, bizarrely.

I am a fat person on Ozempic. I don't like being fat and I don't accuse others of fat shaming. However, I am surprised that people still think they are telling me something new when they talk about healthy eating etc. I've heard it all before, I lost weight countless times, I worked with numerous trainers, I very well aware of how much calories various foods have. I am sure some young people don't know that stuff but everyone over 25 who has struggled with weight pretty much all info they will ever need.

[Anonymous]

Anonymous wrote:No because the drug makes you feel full BUT plenty of people will continue to eat when they are full. That's how they become obese. These kind of drugs don't overcome impulse.

Good Lord. You clearly haven’t read literally any of the studies and don’t understand the science of these drugs whatsoever. They absolutely control the impulse to eat. That is why they work.

The ignorance on this thread is astonishing.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:The amount of people who are normal weight but simply can’t grapple and have such a problem with those of us taking these drugs is astounding.

I don't have a problem with people taking the drugs who need them.

I am concerned with the [b]idea that we should encourage people to eat whatever and however much they want[b] (because there is "no evidence" that telling them to eat healthy and exercise does any good). Then, when they eat their way to obesity, "don't worry, there's a drug for that."

Are the people encouraging this in the room right now?

Literally no one is saying this or doing this. You have completely made that up. You know there are benefits to health-seeking behaviors like eating a nutritious varied diet with limited processed foods and exercising even if they don’t lead to permanent weight loss, right?

Yes, but encouraging people to exercise personal accountability by eating healthy foods for their health is seen as "fat shaming" on this board, bizarrely.

I am a fat person on Ozempic. I don't like being fat and I don't accuse others of fat shaming. However, I am surprised that people still think they are telling me something new when they talk about healthy eating etc. I've heard it all before, I lost weight countless times, I worked with numerous trainers, I very well aware of how much calories various foods have. I am sure some young people don't know that stuff but everyone over 25 who has struggled with weight pretty much all info they will ever need.

They are just deeply mentally disordered. The impact of Ozempic is forcing them to reckon with their own serious mental health problems, and they don’t like it.

[Anonymous]

Anonymous wrote:No because the drug makes you feel full BUT plenty of people will continue to eat when they are full. That's how they become obese. These kind of drugs don't overcome impulse.

Wrong. You don't understand how insulin response is related to impulse and cravings. Food noise is shut off. Get rid of the noise, get rid of the impulse.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:The amount of people who are normal weight but simply can’t grapple and have such a problem with those of us taking these drugs is astounding.

I don't have a problem with people taking the drugs who need them.

I am concerned with the [b]idea that we should encourage people to eat whatever and however much they want[b] (because there is "no evidence" that telling them to eat healthy and exercise does any good). Then, when they eat their way to obesity, "don't worry, there's a drug for that."

Are the people encouraging this in the room right now?

Literally no one is saying this or doing this. You have completely made that up. You know there are benefits to health-seeking behaviors like eating a nutritious varied diet with limited processed foods and exercising even if they don’t lead to permanent weight loss, right?

Yes, but encouraging people to exercise personal accountability by eating healthy foods for their health is seen as "fat shaming" on this board, bizarrely.

I am a fat person on Ozempic. I don't like being fat and I don't accuse others of fat shaming. However, I am surprised that people still think they are telling me something new when they talk about healthy eating etc. I've heard it all before, I lost weight countless times, I worked with numerous trainers, I very well aware of how much calories various foods have. I am sure some young people don't know that stuff but everyone over 25 who has struggled with weight pretty much all info they will ever need.

Yep. I guarantee I know more about nutrition than 90% of the population. I have done it ALL. My metabolism sucks, I've been overweight since I was a healthy, active 12 year old. Yes I am capable of being thinner than I am currently, but for me and my body it's practically a full time job to keep my diet as rigid as it needs to be. Who gaf if some medicine makes that job a little easier for me?

If someone is taking ozempic and also eating a terrible diet and not exercising, they will suffer health consequences. That is also true about someone who is naturally thin who does those things. And believe me, plenty of naturally thin people eat like garbage - I'm married to one. These are separate issues.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:The amount of people who are normal weight but simply can’t grapple and have such a problem with those of us taking these drugs is astounding.

I don't have a problem with people taking the drugs who need them.

I am concerned with the [b]idea that we should encourage people to eat whatever and however much they want[b] (because there is "no evidence" that telling them to eat healthy and exercise does any good). Then, when they eat their way to obesity, "don't worry, there's a drug for that."

Are the people encouraging this in the room right now?

Literally no one is saying this or doing this. You have completely made that up. You know there are benefits to health-seeking behaviors like eating a nutritious varied diet with limited processed foods and exercising even if they don’t lead to permanent weight loss, right?

Yes, but encouraging people to exercise personal accountability by eating healthy foods for their health is seen as "fat shaming" on this board, bizarrely.

I am a fat person on Ozempic. I don't like being fat and I don't accuse others of fat shaming. However, I am surprised that people still think they are telling me something new when they talk about healthy eating etc. I've heard it all before, I lost weight countless times, I worked with numerous trainers, I very well aware of how much calories various foods have. I am sure some young people don't know that stuff but everyone over 25 who has struggled with weight pretty much all info they will ever need.

Yep. I guarantee I know more about nutrition than 90% of the population. I have done it ALL. My metabolism sucks, I've been overweight since I was a healthy, active 12 year old. Yes I am capable of being thinner than I am currently, but for me and my body it's practically a full time job to keep my diet as rigid as it needs to be. Who gaf if some medicine makes that job a little easier for me?

If someone is taking ozempic and also eating a terrible diet and not exercising, they will suffer health consequences. That is also true about someone who is naturally thin who does those things. And believe me, plenty of naturally thin people eat like garbage - I'm married to one. These are separate issues.

So that is great, you both are examples of people who are benefitting from the drug and need it because diet and exercise have not worked.

But that doesn't change the fact that diet and exercise do work for some people to lose weight. And they are good for you for other health reasons, as stated above. So the message should still be diet and exercise, and if that doesn't work, look into drugs or surgery as a last resort.