Excellent NYT piece about shaming people to take Ozempic, etc for weight loss

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Yes, some people are furious at the discovery that they aren’t thin because of their moral superiority. It is a blow to their sense of self.

They still haven’t truly accepted this. The drugs work by reducing disproportionate hunger that thinner people do not have. But they really believe it’s doing something else as some sort of cheat code.

It’s not that thinner people aren’t hungry, they just resist the hunger. I have nothing against people using Ozempic and don’t judge them for it, but doesn’t this just prove that it IS about willpower? There’s all this justification that has been used that obesity is due to genetics or hormones or some type of disorder, but a drug that is able to reduce hunger has basically cured all these issues. The problem all along, it seems, is that some people can’t resist the urge to eat. I do think a lot has to do with the American diet (e.g., eating a lot of simple carbs and not enough protein causes insulin crashes that makes people eat more, not enough protein and fiber to suppress hunger), but ultimately it’s all within a person’s control.

I agree, mostly. I think the majority of people fall on the bell curve of they need to (and it is within their capabilities) exercise some amount of discipline with both their diet and activity level to be at a heathy weight. But then on either side, there are people that just cannot have that control/discipline over what/how much they are eating and then those that it takes zero amount of effort and discipline to be a heathy weight. But most people fall somewhere in between the two extremes.

Either way- I’m glad there is an option for people that are unsuccessful at getting to or maintaining a heathy weight- whatever their reason is. It in no way takes away my sense of well being or accomplishment for staying in shape by eating well and exercising. That is my preferred option

So you are completing ignoring the metabolic components of obesity, insulin resistance, metabolic disorders, endocrine disorders? That there are mechanism we don't understand and that people react differently and more importantly, women- especially women- are less likely to be treated for any hormonal insufficiencies unless they cause death and even then, it takes 10-30 years to be diagnosed?
Again you talk about a spectrum of discipline but cant see to fathom that a level of X might be within the average/norm but person A can exist optimally with X and person B could be the complete opposite.

Majority of people aren’t born or develop a metabolic disorder that makes them guaranteed to be obese. Most people become obese over time, due to poor lifestyle and diet and as the pounds/excess fat accumulate the metabolic problems happen. 70% if the population doesn’t have a metabolic problem, they have an eating and lifestyle problem

Whether they were born with the metabolic problem or not, they still have a metabolic problem now that almost always requires medical intervention (surgery or medication) to be reversed. The obesity might have started with a lifestyle problem, or a drug induced weight gain problem, or a binge eating problem, or childhood trauma/neglect problem, or plain old crappy genetics problem, but that doesn’t mean that it’s not a metabolic disorder that should be treated.

The fact is that only 30% of people can exist in today’s food environment and remain a healthy weight. On a public health level we should try to prevent people from becoming obese in the first place, but the people who already are deserve access to treatment for it without shame or stigma.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Yes, some people are furious at the discovery that they aren’t thin because of their moral superiority. It is a blow to their sense of self.

Agree! I didn’t read the article but I am thrilled for all the people getting skinny from taking Ozempic! It brings me joy that naturally thin people are irritated over this.

I'm not irritated by it at all! On the contrary, good for whomever takes these meds and loses weight and then gets healthy. It's a huge burden taken off of our already broken and expensive healthcare system.

Well, I’m glad people can avoid heath care complications associated with obesity for their own sake of quality of life. But let’s not pretend putting all the overweight people on a drug that costs $1000/month that they need to take the rest of their life is somehow cutting healthcare cost

Don't know who is paying $1K a month but my step daughter has hers completely covered, she's with Kaiser. She however actually needs to lose about 60lbs, so maybe it's all in how the doctor justifies the need? There are a lot of people on this class of medications, with the vast vast majority not being able to afford the $1K a month you're talking about, or even $100 a month.

And thus driving insurance rates up for all. Just bc you aren’t personally paying out of pocket at the pharmacy counter doesn’t mean its cost was somehow reduce. We all will pay

You mean the way obesity is currently doing?

[Anonymous]

Anonymous wrote:

Anonymous wrote:I’m not shaming anyone for taking these drugs! I’m just worried that we don’t know enough about the side effects long term.

Suuuuureeeee.

*furrows brow in phen-fen*

[Anonymous]

Anonymous wrote:

Anonymous wrote:I’m not shaming anyone for taking these drugs! I’m just worried that we don’t know enough about the side effects long term.

They have been on the market for many years for diabetics. They’re pretty well understood at this point.

That’s the problem - for diabetes or serious obesity, yeah, the risk of long term side effects may be comparatively less important. The worry is when people start taking them to get down to a BMI of 19. And also the rebound for people who cannot tolerate them.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Yes, some people are furious at the discovery that they aren’t thin because of their moral superiority. It is a blow to their sense of self.

Agree! I didn’t read the article but I am thrilled for all the people getting skinny from taking Ozempic! It brings me joy that naturally thin people are irritated over this.

I'm not irritated by it at all! On the contrary, good for whomever takes these meds and loses weight and then gets healthy. It's a huge burden taken off of our already broken and expensive healthcare system.

Well, I’m glad people can avoid heath care complications associated with obesity for their own sake of quality of life. But let’s not pretend putting all the overweight people on a drug that costs $1000/month that they need to take the rest of their life is somehow cutting healthcare cost

$1,000 /month is outrageous. Big Pharma is ruthless.

Funny how Feds keep allowing more and more ultra-processed “food” for Americans to eat. The FDA is not protecting us from the countless addictive chemicals pumped into our food supply. What’s that all about??

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:I’m not shaming anyone for taking these drugs! I’m just worried that we don’t know enough about the side effects long term.

They have been on the market for many years for diabetics. They’re pretty well understood at this point.

That’s the problem - for diabetes or serious obesity, yeah, the risk of long term side effects may be comparatively less important. The worry is when people start taking them to get down to a BMI of 19. And also the rebound for people who cannot tolerate them.

Okay. What long term side effects in the population are you referring to that are comparatively less important? Specifically

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:I’m not shaming anyone for taking these drugs! I’m just worried that we don’t know enough about the side effects long term.

Suuuuureeeee.

*furrows brow in phen-fen*

true feelings revealed in two posts

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Yes, some people are furious at the discovery that they aren’t thin because of their moral superiority. It is a blow to their sense of self.

They still haven’t truly accepted this. The drugs work by reducing disproportionate hunger that thinner people do not have. But they really believe it’s doing something else as some sort of cheat code.

It’s not that thinner people aren’t hungry, they just resist the hunger. I have nothing against people using Ozempic and don’t judge them for it, but doesn’t this just prove that it IS about willpower? There’s all this justification that has been used that obesity is due to genetics or hormones or some type of disorder, but a drug that is able to reduce hunger has basically cured all these issues. The problem all along, it seems, is that some people can’t resist the urge to eat. I do think a lot has to do with the American diet (e.g., eating a lot of simple carbs and not enough protein causes insulin crashes that makes people eat more, not enough protein and fiber to suppress hunger), but ultimately it’s all within a person’s control.

I agree, mostly. I think the majority of people fall on the bell curve of they need to (and it is within their capabilities) exercise some amount of discipline with both their diet and activity level to be at a heathy weight. But then on either side, there are people that just cannot have that control/discipline over what/how much they are eating and then those that it takes zero amount of effort and discipline to be a heathy weight. But most people fall somewhere in between the two extremes.

Either way- I’m glad there is an option for people that are unsuccessful at getting to or maintaining a heathy weight- whatever their reason is. It in no way takes away my sense of well being or accomplishment for staying in shape by eating well and exercising. That is my preferred option

You think most people have access to healthy food?

The group of people that have access to these drugs absolutely have access to nutrition rich whole healthy foods.

You assume everyone who can afford it now were raise UMC with healthy food?

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Yes, some people are furious at the discovery that they aren’t thin because of their moral superiority. It is a blow to their sense of self.

They still haven’t truly accepted this. The drugs work by reducing disproportionate hunger that thinner people do not have. But they really believe it’s doing something else as some sort of cheat code.

It’s not that thinner people aren’t hungry, they just resist the hunger. I have nothing against people using Ozempic and don’t judge them for it, but doesn’t this just prove that it IS about willpower? There’s all this justification that has been used that obesity is due to genetics or hormones or some type of disorder, but a drug that is able to reduce hunger has basically cured all these issues. The problem all along, it seems, is that some people can’t resist the urge to eat. I do think a lot has to do with the American diet (e.g., eating a lot of simple carbs and not enough protein causes insulin crashes that makes people eat more, not enough protein and fiber to suppress hunger), but ultimately it’s all within a person’s control.

I agree, mostly. I think the majority of people fall on the bell curve of they need to (and it is within their capabilities) exercise some amount of discipline with both their diet and activity level to be at a heathy weight. But then on either side, there are people that just cannot have that control/discipline over what/how much they are eating and then those that it takes zero amount of effort and discipline to be a heathy weight. But most people fall somewhere in between the two extremes.

Either way- I’m glad there is an option for people that are unsuccessful at getting to or maintaining a heathy weight- whatever their reason is. It in no way takes away my sense of well being or accomplishment for staying in shape by eating well and exercising. That is my preferred option

You think most people have access to healthy food?

The group of people that have access to these drugs absolutely have access to nutrition rich whole healthy foods.

Nutrition-rich whole healthy foods will still cause obesity in those disposed to obesity.

Yes, if they eat massive quantities. The original post to which I responded was “You think most people have access to healthy food?”

The answer remains the same. “ The group of people that have access to these drugs absolutely have access to nutrition rich whole healthy foods. ”

But of course, everybody with weight issues has some exotic metabolic disorder that requires big pharma drugs at $1000/month to solve.

Or maybe we can try and make this discussion even more complicated with crazy stories of the mythical physics problem of eating 1000 calories a day and maintaining a BMI of 35.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Yes, some people are furious at the discovery that they aren’t thin because of their moral superiority. It is a blow to their sense of self.

They still haven’t truly accepted this. The drugs work by reducing disproportionate hunger that thinner people do not have. But they really believe it’s doing something else as some sort of cheat code.

It’s not that thinner people aren’t hungry, they just resist the hunger. I have nothing against people using Ozempic and don’t judge them for it, but doesn’t this just prove that it IS about willpower? There’s all this justification that has been used that obesity is due to genetics or hormones or some type of disorder, but a drug that is able to reduce hunger has basically cured all these issues. The problem all along, it seems, is that some people can’t resist the urge to eat. I do think a lot has to do with the American diet (e.g., eating a lot of simple carbs and not enough protein causes insulin crashes that makes people eat more, not enough protein and fiber to suppress hunger), but ultimately it’s all within a person’s control.

I agree, mostly. I think the majority of people fall on the bell curve of they need to (and it is within their capabilities) exercise some amount of discipline with both their diet and activity level to be at a heathy weight. But then on either side, there are people that just cannot have that control/discipline over what/how much they are eating and then those that it takes zero amount of effort and discipline to be a heathy weight. But most people fall somewhere in between the two extremes.

Either way- I’m glad there is an option for people that are unsuccessful at getting to or maintaining a heathy weight- whatever their reason is. It in no way takes away my sense of well being or accomplishment for staying in shape by eating well and exercising. That is my preferred option

So you are completing ignoring the metabolic components of obesity, insulin resistance, metabolic disorders, endocrine disorders? That there are mechanism we don't understand and that people react differently and more importantly, women- especially women- are less likely to be treated for any hormonal insufficiencies unless they cause death and even then, it takes 10-30 years to be diagnosed?
Again you talk about a spectrum of discipline but cant see to fathom that a level of X might be within the average/norm but person A can exist optimally with X and person B could be the complete opposite.

Majority of people aren’t born or develop a metabolic disorder that makes them guaranteed to be obese. Most people become obese over time, due to poor lifestyle and diet and as the pounds/excess fat accumulate the metabolic problems happen. 70% if the population doesn’t have a metabolic problem, they have an eating and lifestyle problem

PCOS and/or hypothyroid are from: lifestyle, diet, or excess fat? Really?

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Yes, some people are furious at the discovery that they aren’t thin because of their moral superiority. It is a blow to their sense of self.

They still haven’t truly accepted this. The drugs work by reducing disproportionate hunger that thinner people do not have. But they really believe it’s doing something else as some sort of cheat code.

It’s not that thinner people aren’t hungry, they just resist the hunger. I have nothing against people using Ozempic and don’t judge them for it, but doesn’t this just prove that it IS about willpower? There’s all this justification that has been used that obesity is due to genetics or hormones or some type of disorder, but a drug that is able to reduce hunger has basically cured all these issues. The problem all along, it seems, is that some people can’t resist the urge to eat. I do think a lot has to do with the American diet (e.g., eating a lot of simple carbs and not enough protein causes insulin crashes that makes people eat more, not enough protein and fiber to suppress hunger), but ultimately it’s all within a person’s control.

I agree, mostly. I think the majority of people fall on the bell curve of they need to (and it is within their capabilities) exercise some amount of discipline with both their diet and activity level to be at a heathy weight. But then on either side, there are people that just cannot have that control/discipline over what/how much they are eating and then those that it takes zero amount of effort and discipline to be a heathy weight. But most people fall somewhere in between the two extremes.

Either way- I’m glad there is an option for people that are unsuccessful at getting to or maintaining a heathy weight- whatever their reason is. It in no way takes away my sense of well being or accomplishment for staying in shape by eating well and exercising. That is my preferred option

You think most people have access to healthy food?

The group of people that have access to these drugs absolutely have access to nutrition rich whole healthy foods.

Nutrition-rich whole healthy foods will still cause obesity in those disposed to obesity.

Yes, if they eat massive quantities. The original post to which I responded was “You think most people have access to healthy food?”

The answer remains the same. “ The group of people that have access to these drugs absolutely have access to nutrition rich whole healthy foods. ”

But of course, everybody with weight issues has some exotic metabolic disorder that requires big pharma drugs at $1000/month to solve.

Or maybe we can try and make this discussion even more complicated with crazy stories of the mythical physics problem of eating 1000 calories a day and maintaining a BMI of 35.

No one other than your nasty self has said anything of the sort. Please just sit down and shut the F up already. You are skinny, you are better than us. Feel better now?

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:I’m not shaming anyone for taking these drugs! I’m just worried that we don’t know enough about the side effects long term.

They have been on the market for many years for diabetics. They’re pretty well understood at this point.

That’s the problem - for diabetes or serious obesity, yeah, the risk of long term side effects may be comparatively less important. The worry is when people start taking them to get down to a BMI of 19. And also the rebound for people who cannot tolerate them.

Okay. What long term side effects in the population are you referring to that are comparatively less important? Specifically

It’s a risk-benefit calculation obviously.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:I’m not shaming anyone for taking these drugs! I’m just worried that we don’t know enough about the side effects long term.

Suuuuureeeee.

*furrows brow in phen-fen*

true feelings revealed in two posts

What true feelings was I hiding? There’s a long history of weight loss drugs and interventions that turn out to be harmful. That’s a pretty transparent take.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Yes, some people are furious at the discovery that they aren’t thin because of their moral superiority. It is a blow to their sense of self.

They still haven’t truly accepted this. The drugs work by reducing disproportionate hunger that thinner people do not have. But they really believe it’s doing something else as some sort of cheat code.

It’s not that thinner people aren’t hungry, they just resist the hunger. I have nothing against people using Ozempic and don’t judge them for it, but doesn’t this just prove that it IS about willpower? There’s all this justification that has been used that obesity is due to genetics or hormones or some type of disorder, but a drug that is able to reduce hunger has basically cured all these issues. The problem all along, it seems, is that some people can’t resist the urge to eat. I do think a lot has to do with the American diet (e.g., eating a lot of simple carbs and not enough protein causes insulin crashes that makes people eat more, not enough protein and fiber to suppress hunger), but ultimately it’s all within a person’s control.

I agree, mostly. I think the majority of people fall on the bell curve of they need to (and it is within their capabilities) exercise some amount of discipline with both their diet and activity level to be at a heathy weight. But then on either side, there are people that just cannot have that control/discipline over what/how much they are eating and then those that it takes zero amount of effort and discipline to be a heathy weight. But most people fall somewhere in between the two extremes.

Either way- I’m glad there is an option for people that are unsuccessful at getting to or maintaining a heathy weight- whatever their reason is. It in no way takes away my sense of well being or accomplishment for staying in shape by eating well and exercising. That is my preferred option

You think most people have access to healthy food?

The group of people that have access to these drugs absolutely have access to nutrition rich whole healthy foods.

Nutrition-rich whole healthy foods will still cause obesity in those disposed to obesity.

Yes, if they eat massive quantities. The original post to which I responded was “You think most people have access to healthy food?”

The answer remains the same. “ The group of people that have access to these drugs absolutely have access to nutrition rich whole healthy foods. ”

But of course, everybody with weight issues has some exotic metabolic disorder that requires big pharma drugs at $1000/month to solve.

Or maybe we can try and make this discussion even more complicated with crazy stories of the mythical physics problem of eating 1000 calories a day and maintaining a BMI of 35.

They arent exotic, they are run-of-the-mill. So people who can eat 3000kcal and never gain weight don't exist and people who eat 1000kcal and gain weight don't either right? You are talking about millions of people. Even if 3% of the population is either of those then that's 10million people. And those are the extremes. ADD in hormones, UPFs, etc. and you've got real issues for the other 96% too!

[Anonymous]

I’m surprised no one here has drawn the analogy to adhd meds. Loooootttsss of people hate on people who take stimulants for not just having the will power to organize their lives. But the medical community is pretty clear that it’s a neuro condition that often requires medication. Pretty similar situation.