Is Semi-G gonna cause inequity in appearances? The off label use of Ozempic ethical issue no one mentions

[Anonymous]

Anonymous wrote:

Anonymous wrote:Most people don’t get weight loss results until they are at higher doses and that takes about 3 months. Nobody is taking this for 3 months to ‘lose 5 lbs fast’. They have phentermine for that,

Yes they are. Allegedly much safer than other alternatives.

I have 12 to lose. I went to a concierge endocrinologist who is prescribing lots and lots of Wegovy. She gave me a much different plan that is focusing on reducing my (measured by her) visceral fat and starting with a 10 pound loss while maintaining muscle mass.. If anyone is interested, I can start a new thread to discuss.

[Anonymous]

Anonymous wrote:

Anonymous wrote:The ozempic people are constipated and smell went so faintly like poop so it all evens out

Is this a thing? Do people on Sema-G smell?

They don't smell and it's not called 'Sema-G' troll.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:I could afford it but never would do it.

Why? What are your concerns?

DP. I'm normal BMI, but gained 12 pounds and want to quickly drop them. I'm concerned that all the data shows these a lifelong drugs. I'm concerned that I would totally screw up my metabolism and gain way more if I stopped even after short term use.

If I had diabetes, then I might be willing to be on drugs for life.

This is something I've thought about too. There's a handful of the people I know on GLP-1 meds for weight loss who have talked about having very little appetite and eating very few calories over the period of months, one person I know is going on two years. I do wonder about how that continued calorie deficit is affecting their metabolism.

you mean like dieting? that continued calorie deficit?

[Anonymous]

Anonymous wrote:

Anonymous wrote:It is no different, really, than Botox, fillers, etc. being seen as inequitable. I don’t think it’s right that vanity users are snapping it up and people in medical need can’t find it.

I wouldn’t use it unless doctor directed for a legitimate health issue. I think it’s ridiculous that people use it to lose 10-20 lbs. Morbidly obese, that type of thing, due to behaviors…sure, as long as therapy and a prescribed and monitored exercise regimen is also required. As a replacement for actual discipline and willpower? It’s over the top.

No one is saying it is "right" but it is the reality.

I say it's right. Your puritan hangups are yours, not mine. You want to see in people's appearance whether they are "good" and the idea that might be hogwash frightens you.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:I could afford it but never would do it.

Why? What are your concerns?

DP. I'm normal BMI, but gained 12 pounds and want to quickly drop them. I'm concerned that all the data shows these a lifelong drugs. I'm concerned that I would totally screw up my metabolism and gain way more if I stopped even after short term use.

If I had diabetes, then I might be willing to be on drugs for life.

This is something I've thought about too. There's a handful of the people I know on GLP-1 meds for weight loss who have talked about having very little appetite and eating very few calories over the period of months, one person I know is going on two years. I do wonder about how that continued calorie deficit is affecting their metabolism.

you mean like dieting? that continued calorie deficit?

DP. I think like extreme dieting. Similar to people back when liquid diets were popular and would take in maybe 500 calories a day, even in medically-supervised liquid diets.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:News flash: not everyone wants to look like that. They all look so weird and the other shoe is absolutely going to drop. Something about it just seems wrong.

Oh for Pete’s sake. You people are so sad.

Are you saying that all long-term side effects for this new use of this drug are already known?

Are you saying they exist and that they are adverse with absolutely no proof? What are the long-term effects of obesity? Lots of data on that.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:I could afford it but never would do it.

Why? What are your concerns?

DP. I'm normal BMI, but gained 12 pounds and want to quickly drop them. I'm concerned that all the data shows these a lifelong drugs. I'm concerned that I would totally screw up my metabolism and gain way more if I stopped even after short term use.

If I had diabetes, then I might be willing to be on drugs for life.

This is something I've thought about too. There's a handful of the people I know on GLP-1 meds for weight loss who have talked about having very little appetite and eating very few calories over the period of months, one person I know is going on two years. I do wonder about how that continued calorie deficit is affecting their metabolism.

you mean like dieting? that continued calorie deficit?

DP. I think like extreme dieting. Similar to people back when liquid diets were popular and would take in maybe 500 calories a day, even in medically-supervised liquid diets.

There's so much ignorance and misinformation on this thread. I'm on Wegovy. I meet with a nutritionist periodically, a coach twice a month, a doctor as needed. I eat 90 grams of protein a day and walk a few miles every day, and I'm on a strength training plan but with mixed consistency (hence the coach). I've lost 30 lbs in 9 months, which is a very modest 3 lbs a month and frankly slower than when I lost with WW in my 20s.

Can you get meds and then make poor nutritional choices? Sure, people can do a lot of things that aren't great. But if you listen to the PPs who are actually taking this, they are losing at similar slow rates and making positive changes.

Also, re: these people concerned with whether someone "needs" it -- I'm tall with a waist, so I don't fit DCUM's idea of what obese/overweight looks like. I'm sure one of the PPs would say it's vanity weight going by my appearance, but in fact I'm still 25 lbs away from a normal BMI. I have lost (and regained) 40-50 lbs several times using more traditional methods. Even before getting meds I didn't drink or eat fast food: we have chicken and salad every night and have done so for years. So maybe chill with the assumptions about who is obese and what willpower accomplishes.

[Anonymous]

I'm so tired of these daily threads about Ozempic. Just live your life and don't worry about what others are doing. It's none of your business.

[Anonymous]

Anonymous wrote:Is Ozempic/Semi-G gonna cause inequity in people from different classes appearances? In a few years are only the lower earners gonna have weight problems? I feel like everyone around me is getting thin and fast!

My neighbor with Medicaid gets Mounjaro for free. I saw her over the summer for the first time in months and couldn't believe how much weight she'd lost. She told me she started the shot after Thanksgiving in 2022. I told her I had just started but didn't know how long I could do it because my insurance wouldn't cover it and it was $350 OOP. I was on week 3 of my freebie month and thought I could swing $350/month for maybe 2 months.

My doctor fought with my insurance and finally got them to cover Ozempic. It doesn't work as great as Mounjaro for me but it's something.

If anyone suffers it will be the middle class like me - people whose insurance won't cover it and who can't afford to pay OOP each month.

My brother has his insurance through the ACA (well, through the virginia marketplace this year) and because he makes less than $40k/year, his monthly insurance cost is only $39/month. He has great insurance, too. I looked at the same plan for myself and it would cost me $422/month.

[Anonymous]

Anonymous wrote:

Anonymous wrote:This is already the case. Weight is associated directly with family income.

This.

And choice. Ya’ll ever watch the checkouts at Walmart in Maryland?

No one buys apples. There is plenty of 2 liter sodas and bags of chips being rung up.

Anymore bags of apples are cheaper than chips.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:I could afford it but never would do it.

Same.

Same. I’d never start taking it.

Why? Because I’m already taking a life-time medication and I’m not adding another. Not all bodies are supposed to be thin. I won’t take something to address an issue that can be changed with a lifestyle change. Maybe Oprah, Gail and all the others aren’t supposed to be a size 10?

Sometimes lifestyle changes are not enough, but taking that extra drug can buy you a lifetime.

I will have to take a cancer drug the rest of my life. If I needed to take another drug that reduce the likelihood I get type II diabetes or have a stroke, I would do it. Why leave that to willpower when the risk is so high?

Because most people see obesity as a moral failing and not a metabolic issue.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:I could afford it but never would do it.

Same.

Same. I’d never start taking it.

Why? Because I’m already taking a life-time medication and I’m not adding another. Not all bodies are supposed to be thin. I won’t take something to address an issue that can be changed with a lifestyle change. Maybe Oprah, Gail and all the others aren’t supposed to be a size 10?

Sometimes lifestyle changes are not enough, but taking that extra drug can buy you a lifetime.

I will have to take a cancer drug the rest of my life. If I needed to take another drug that reduce the likelihood I get type II diabetes or have a stroke, I would do it. Why leave that to willpower when the risk is so high?

Because most people see obesity as a moral failing and not a metabolic issue.

There will be fewer heavy-set people as Ozempic continues to exponentially increase in usage further creating stigmas.

[Anonymous]

Anonymous wrote:I'm so tired of these daily threads about Ozempic. Just live your life and don't worry about what others are doing. It's none of your business.

I am convinced the same group of posters is starting them and they are obsessed and miserable at the idea that weight can be managed through medical intervention.

[Anonymous]

Anonymous wrote:

Anonymous wrote:I could afford it but never would do it.

Why? What are your concerns?

Your mother

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:It is no different, really, than Botox, fillers, etc. being seen as inequitable. I don’t think it’s right that vanity users are snapping it up and people in medical need can’t find it.

I wouldn’t use it unless doctor directed for a legitimate health issue. I think it’s ridiculous that people use it to lose 10-20 lbs. Morbidly obese, that type of thing, due to behaviors…sure, as long as therapy and a prescribed and monitored exercise regimen is also required. As a replacement for actual discipline and willpower? It’s over the top.

No one is saying it is "right" but it is the reality.

I say it's right. Your puritan hangups are yours, not mine. You want to see in people's appearance whether they are "good" and the idea that might be hogwash frightens you.

You’re disgusting