taking ozempic and not working

[Anonymous]

I disagree that OP can't focus on dating while also staying on the journey of losing weight. It does take time but she can also find a good guy who could be very supportive and understanding in this.

I don't like when people quickly jump and be against dating. OP is getting older and investing some time in dating is not bad since it would also make her feel safe with the right partner. what's wrong with it?

[Anonymous]

OP, I’m sorry for some of the responses you are getting which lack empathy. People who have not been in your shoes can be judgy. The PP who berated you and blamed you for your health issues was just being mean. PCOS is not brought on by any lifestyle behaviors but does lead to weight gain and increase the risk of T2 diabetes. It sounds like life is stressful right now and you’re on too low of a dose. I would ask your doctor about the dose and I would also follow the excellent advice of meeting with a RD. Finally, I encourage you to see a therapist to sort through the daily challenges you’re facing. It can help with weight loss. I’m an emotional eater and know that stress and loneliness contribute to my weight issues. Beyond that, what I found incredibly helpful in the past was recording what I ate. It really made me more self aware of how my frequent snacking was contributing. I’m struggling with my weight right now and I’m actually about to try tracking before I ask my doctor to try a GLP-1.

[Anonymous]

I’m on Wegovy and my stats were similar to yours but I’m in my 50’s. You’ve got to increase your dose, track everything you eat and stay within the calorie range you need to lose weight, do cardio and do strength training. Wegovy helped me with cravings and kept me from focusing on food. I lost 50 lbs in a year and I’ve got about 15 lbs to go.

[Anonymous]

.25 and .5mg doses are usually passed by within the first 2 months. You need to get to the 2.0mg mark.

Alternatively, talk to your doctor about switching to tirzepatide. Ozempic/semaglutide is the oldest of the GLP1s on the market and have less of the overall health benefits that tirzepatide does.

[Anonymous]

OP, I'm 45 with intense PCOS (inherited from both parents). Just completed 8 months on wegovy (4 months on highest dose) and haven't lost a single pound or felt any reduction in food noise. I have seen an improvement in A1C and can tell from my CGM that my blood sugar recovers from spikes more easily.

Now debating whether that positive effect is enough to stay on it. Digestive side effects have been occasional but are bad when they occur. I also can't eat any crucifers, which feels like a loss to my health. You aren't alone.

I'm planning to take a break for several months and then try a different med. PCOS is its own complex mess and people who aren't familiar with it will give you a lot of bad advice.

[Anonymous]

Anonymous wrote:

Anonymous wrote:I am almost 44F and on the big side of around 190+ lbs at 5'2.5". I have been on ozempic for more than a year but it is not working and I am not losing weight. I have a few other medical conditions such as Type 2, PCOS, thyroid and ADHD and I don't drink. I have a busy job and also started school recently but whatever I do, eat less or more, I just can't lose weight. I have increased ozempic dose as well but no help. Is it more from other hormonal or medical issues or stress?

OP, I'm going to be blunt. At your age, with your BMI and the health conditions that you list, you need to be prioritizing your health over this busy job and starting school. There is a host of things you haven't told us here that no doubt are contributing to your weight problem. I'm sorry, but no one "just can't lose weight" if they are going about it in a consistent and correct way.

Hello - just here to remind you that people need to work to eat. Going to school is part of being able to get a better job, so that can't be deprioritized. Not everyone can "prioritize their health over their job" especially now that the economy is stagnating.

OP, the truth is the 5 mg isn't a very high dose. You should increase your dosage if you haven't lost weight on a previous dose after 4 weeks. You have several does increases left on Ozempic.

If you step up to the max dosage on Ozempic and do not respond, you should switch to Zepbound - its active ingredient is different (GLP-1 + GIP). People have different reactions to different meds.

Meanwhile, check to make sure that your Type 2 is well-managed. Get your thyroid checked and medication adjusted if necessary. ADHD will make you focus and forget to eat - especially if you are on a stimulant medication as well. Stimulants depress appetite. If you decrease the amount of food you eat too much, your body will send famine signals to your brain which will turn down the metabolism despite medications. Try to eat a little something every few hours and get in a normal amount of calories. It's counterintuitive to eat more, eat better and eat regularly but many find that this is ultimately the key.

[Anonymous]

Anonymous wrote:OP, I'm 45 with intense PCOS (inherited from both parents). Just completed 8 months on wegovy (4 months on highest dose) and haven't lost a single pound or felt any reduction in food noise. I have seen an improvement in A1C and can tell from my CGM that my blood sugar recovers from spikes more easily.

Now debating whether that positive effect is enough to stay on it. Digestive side effects have been occasional but are bad when they occur. I also can't eat any crucifers, which feels like a loss to my health. You aren't alone.

I'm planning to take a break for several months and then try a different med. PCOS is its own complex mess and people who aren't familiar with it will give you a lot of bad advice.

PCOS with both parents? how is that possible?

[Anonymous]

should OP be dating when all this is going on with her? Excess weight, high debt, low income, going back to school and all that.

[Anonymous]

Who amis prescribing this to you and has allowed a year to pass in that low dose, and no weight loss?

I suggest seeing a different provider, who knows what they’re doing.

[Anonymous]

Anonymous wrote:Who amis prescribing this to you and has allowed a year to pass in that low dose, and no weight loss?

I suggest seeing a different provider, who knows what they’re doing.

Sorry, who *is* prescribing?

[Anonymous]

Seconding the recommendation for working with a registered dietitian. I'm lucky in that the practice I go to has me see a NP and a dietician in the same visit, so I have that guidance and a diet to adhere to. Highly recommend it - there are a lot of online providers now, too, and insurance covers them so you wouldn't even have to leave your house.

[Anonymous]

PCOS in both parents means the women on the dad’s side have it, and dad has metabolic syndrome. Large stomach, skin tags, diabetes, etc. That’s 95% of what pcos is. The cysts are a benign side effect. It’s a metabolic and endocrine disorder. And when mom is insulin resistant in the womb it adds another layer of metabolic dysfunction.

[Anonymous]

Anonymous wrote:PCOS in both parents means the women on the dad’s side have it, and dad has metabolic syndrome. Large stomach, skin tags, diabetes, etc. That’s 95% of what pcos is. The cysts are a benign side effect. It’s a metabolic and endocrine disorder. And when mom is insulin resistant in the womb it adds another layer of metabolic dysfunction.

Ok, so, what usually happens if you have PCOS? I know the hormones are all messed up but does that also affects your insulin and how your body process sugar because that would lead to weight gain.

[Anonymous]

Op needs to focus on her health rather than dating, work or school. There is nothing left to work for unless you have a good health.

[Anonymous]

OP you don't need to "do a lot."
You just need to
1) eat something for breakfast. People who skip breakfast eat more in a day than people who don't.
https://www.forhers.com/blog/glp-1-breakfast

2) get a right dose of GLP from your doctor.

End of story.