15 lbs overweight, holistic doctor wants me to try weight loss injections

[Anonymous]

Anonymous wrote:I question the competency of any doctor who wpuld recommended compounded SG in uour situation.

+1 this sound seriously nuts to me, personally. Weight is often going to change in your 40s. Bodies change and 15 lbs is within a normal range for a shift, as another person said sometimes your happy weight shifts through life.

Weight is also not as good of an indicator of health or morbidity as people think, at least not in the range you’re talking. Exercise is actually a much greater predictor. You’ve got that going well.

I would ditch this doc and keep doing what you’re doing.

[Anonymous]

Anonymous wrote:

Anonymous wrote:I don't think the risks are worth it in your cast, OP.

I'd cut booze completely.

I'd cut any processed food and grains (good for Hashis and weight loss), stick to beef, chicken, fish, eggs, non-starchy veg and some non-tropical fruit.

I'd layer in intermittent fasting, which can help with both weight loss and inflammation/autoimmune. Get coaching from experts, Dr. Jason Fung's team.

https://www.thefastingmethod.com/coaching/
https://www.youtube.com/watch?v=R8CdI_kUD74

I 16:8 already and my drinks are maybe 1 glass of wine a week so I d6on’t see a big difference from that?

It seems that 16/8 is not therapeutically strong enough for weight loss or lowering inflammation to benefit your autoimmune conditions or you would not be posting. Way cheaper to work with an expert and experienced team re: IF and autoimmune + weight loss, with no risk of permanent GI issues, and with likely benefit to your autoimmune issues as a first step?

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Is there any way you can stop taking the SSRI? And pick up more exercise? Something more intense than walking, something that makes you sweat? Numerous studies have shown that exercise, especially high intensity exercise, is as or more effective than meditation for mild to moderate anxiety and depression.

https://www.health.harvard.edu/mind-and-mood/exercise-is-an-all-natural-treatment-to-fight-depression#:~:text=Exercise%20is%20as%20effective%20as%20antidepressants%20in%20some%20cases.&text=However%2C%20pills%20aren't%20the,severe%20depression%2C%22%20says%20Dr.

https://www.medicalnewstoday.com/articles/is-exercise-more-effective-than-medication-for-depression-and-anxiety

Even if you can’t, take a spin class and you could kill two birds with one stone…

Yes, I did go off of it 6 months ago and no weight change.
I do weight lifting 3/4x a week for 45 min a sessioj with a trainer and daily pilates in a studio because I enjoy it. I don’t really think my fitness could improve. Before I picked up lifting I was actually spinning 3/4 days a week and switched to lifting because it’s supposed to be more effective than cardio.

What about intermittent fasting?

IF is great for autoimmune conditions too, win/win.

for post-menopausal women yes but not for women of childbearing age it is not. look, women with periods arent tested on for lots of stuff. they just started using menstrual blood last year for testing menstrual products. most medications and treatments are tested on childbearing women.
And the added complication here is that she is hypothyroid with hashimotos

"Other hormones may also be impacted by fasting. Thyroid hormones, which regulate metabolism and energy, may decrease during extended fasts, according to animal studies.

Some human studies have also shown changes in thyroid hormones. Still, many practitioners question whether this is actually a concern as thyroid hormones appear to return to normal once subjects start eating again. More research specifically on fasting and the thyroid is needed.

Like estrogen, progesterone production can also drop due to alterations in the HPO-axis and GnRH, throwing off overall hormone balance.."

That is why I suggested OP work with Fung's team, who are very experienced, and not just wing it.

[Anonymous]

I wish you could just enjoy your healthy life.

It sounds like you are a healthy weight, eat healthy, exercise healthy and I bet you also look healthy and great.

You are very fortunate. Try to just be happy.

[Anonymous]

What is a holistic doctor? What are their credentials?

[Anonymous]

Anonymous wrote:

Anonymous wrote:I say go ahead and try it. I have gained about 100lbs over the last 10 years thanks to psych meds. It's not pretty. Stop it while you can.

Don't take meds to combat the side effect of meds.

This. I mean where does it stop? I assume you need to stay on the original meds? So, losing 15 on a weight loss drug is great. But if you’re not going off the original meds, won’t it just come right back?

[Anonymous]

Anonymous wrote:

Anonymous wrote:I have been on semaglutide for a year and lost about 40 lbs. But I was clinically overweight and with high A1C. Your BMI is well within normal ranges and you are exercising and overall sound very healthy. If you are truly eating clean and minimal calories you will literally need to starve yourself to lose the weight. Semaglutides aren't magic, they just make you eat less. Sounds like you don't have room to eat/drink less or exercise more so I doubt it will be very effective and may cause you some health issues if you end up cutting your calories too much.

Ignore the people telling you to exercise more - it sounds like you are already exercising 2 hours a day and walking 4-5 miles a day. How do you find time to work?

I don’t work. My exercise pilates class is my social activity with friends and my walk/jog is with my dog. My A1C is 5.1 non fasting. I really don’t know what the issue is with my weight not moving. As you can see, weight loss is tricky and people have different ideas. Many people are not reading the post seeing Im lifting, doing cardio and eating clean.

You have plateaued. I get it. You haven’t lost any weight at all after starting a heavy exercise regime and eating right. Just keep doing it. Eventually, the weight will come off. I’m in my late 40s and had a similar experience. I could not lose the ten pounds I’d gained from pregnancy. I exercised and ate well, but got nothing. It took two freaking years, TWO, before I lost a pound. Five years later, all the extra weight is off. It takes longer in our 40s, but it will happen, you have to keep going. Do not take drugs!

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:I don't think the risks are worth it in your cast, OP.

I'd cut booze completely.

I'd cut any processed food and grains (good for Hashis and weight loss), stick to beef, chicken, fish, eggs, non-starchy veg and some non-tropical fruit.

I'd layer in intermittent fasting, which can help with both weight loss and inflammation/autoimmune. Get coaching from experts, Dr. Jason Fung's team.

https://www.thefastingmethod.com/coaching/
https://www.youtube.com/watch?v=R8CdI_kUD74

I 16:8 already and my drinks are maybe 1 glass of wine a week so I don’t see a big difference from that?

I found my health drastically improved with cutting it completely even though I wasn't drinking much. Alcohol takes longer than I thought to completely get out of your system so if you drink even just once a week, it's actually there all the time.

Where are you getting this from? Alcohol clears the system pretty fast. I swear this is one of the worst places to get health and fitness advice.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:For 15 pounds? No.

Put that money into a personal trainer.

This. For $300 you can get a personal trainer 2-3 times a month. Lift Heavy.

Did you miss that part? I’m doing that 3x a week w a personal trainer.

But what is your walking pace. Big difference between ambling and power walking.

And between light weights and heavy weights. I'm skeptical OP is actually challenging herself in terms of fitness.

Agreed. She is doing a lot, but perhaps not exerting herself. I do 1/3 of what she does and easily maintain my weight, despite age and questionable food choices. I walk briskly for 3 miles every day and that is the extent of my exercise.

And that’s exactly why I need this and you don’t. That’s the point.
For legs I do 50 lbs and arms I do 30 lbs (15lb dumbbells and 25 pound dumbells)

[Anonymous]

OP your A1C sounds like you may have some insulin resistance, which comes from SSRIs. Are you still on the SSRI? if so, maybe try metformin first (I’m not a doctor btw). If off the SSRI, keep up your routine but it will take time to reverse insulin resistance. Eventually it will work. No reason to take SG and it might set you back.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:I have been on semaglutide for a year and lost about 40 lbs. But I was clinically overweight and with high A1C. Your BMI is well within normal ranges and you are exercising and overall sound very healthy. If you are truly eating clean and minimal calories you will literally need to starve yourself to lose the weight. Semaglutides aren't magic, they just make you eat less. Sounds like you don't have room to eat/drink less or exercise more so I doubt it will be very effective and may cause you some health issues if you end up cutting your calories too much.

Ignore the people telling you to exercise more - it sounds like you are already exercising 2 hours a day and walking 4-5 miles a day. How do you find time to work?

I don’t work. My exercise pilates class is my social activity with friends and my walk/jog is with my dog. My A1C is 5.1 non fasting. I really don’t know what the issue is with my weight not moving. As you can see, weight loss is tricky and people have different ideas. Many people are not reading the post seeing Im lifting, doing cardio and eating clean.

You have plateaued. I get it. You haven’t lost any weight at all after starting a heavy exercise regime and eating right. Just keep doing it. Eventually, the weight will come off. I’m in my late 40s and had a similar experience. I could not lose the ten pounds I’d gained from pregnancy. I exercised and ate well, but got nothing. It took two freaking years, TWO, before I lost a pound. Five years later, all the extra weight is off. It takes longer in our 40s, but it will happen, you have to keep going. Do not take drugs!

Or I can take a low dose and not have to wait 5 years.

[Anonymous]

Okay, not OP, but what ARE the risks of SG? Serious question. I haven't gotten up the courage to ask my PCP about it because I feel vain/lazy (but I have more like 40 lbs to lose).

[Anonymous]

Anonymous wrote:OP your A1C sounds like you may have some insulin resistance, which comes from SSRIs. Are you still on the SSRI? if so, maybe try metformin first (I’m not a doctor btw). If off the SSRI, keep up your routine but it will take time to reverse insulin resistance. Eventually it will work. No reason to take SG and it might set you back.

Thank you! Yes I went off a few months ago! What is ideal A1C?

[Anonymous]

Your BMI is 24.2. A healthy weight.

Your blood pressure and cholesterol are okay.

And you want to take a weight loss drug with so many risks?

Absurd.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:For 15 pounds? No.

Put that money into a personal trainer.

This. For $300 you can get a personal trainer 2-3 times a month. Lift Heavy.

Did you miss that part? I’m doing that 3x a week w a personal trainer.

But what is your walking pace. Big difference between ambling and power walking.

And between light weights and heavy weights. I'm skeptical OP is actually challenging herself in terms of fitness.

Agreed. She is doing a lot, but perhaps not exerting herself. I do 1/3 of what she does and easily maintain my weight, despite age and questionable food choices. I walk briskly for 3 miles every day and that is the extent of my exercise.

And that’s exactly why I need this and you don’t. That’s the point.
For legs I do 50 lbs and arms I do 30 lbs (15lb dumbbells and 25 pound dumbells)

The only reason weight lifting helps with weight loss is because it builds muscle and hence your resting metabolic rate. You’re probably not getting enough muscle growth, despite your heavy weightlifting, to cut back on cardio the way you have with just walking. You probably need more intense cardio to burn more calories, too. Everyone keeps saying that, but you refuse to hear it. You want the drugs that may or may not help you lose those 15 pounds, but that will surely put the nail in the coffin of your metabolism once you inevitably stop taking them. Proceed as you wish. There is no stopping you because you’ve made up your mind anyway.