Getting on GLP-1 after doctor says no

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Yes, and the doctor was really happy I’d lost weight and my #s were good a year later. But still wouldn’t write a prescription.

This is because they know that, somewhere down the line, there are going to be massive lawsuits when we begin to see what these drugs are really doing to people’s long term health.

Please go away with your ignorant wishful thinking. I have had my cardiologist and my primary doctor tell me that these drugs are only going to gain traction in treating many different things off label as well as for weight loss. They are pretty much a miracle drug.

Maybe it's not the heart it affects, like Fen/phen. Maybe it is the gastric system and intestines. Time will tell.

But at least they will get ten years, instead of dying of a heart attack or stroke.

Yes, for the 55 yo obese patients with cardiac issues ameliorated by the drugs that may be the case. For a 39 yo mom who wants to drop 10 pounds to look better but has a BMI of 22 and no health issues developing necrotic pancreatitis is probably not worth it.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Yes, and the doctor was really happy I’d lost weight and my #s were good a year later. But still wouldn’t write a prescription.

This is because they know that, somewhere down the line, there are going to be massive lawsuits when we begin to see what these drugs are really doing to people’s long term health.

Please go away with your ignorant wishful thinking. I have had my cardiologist and my primary doctor tell me that these drugs are only going to gain traction in treating many different things off label as well as for weight loss. They are pretty much a miracle drug.

Maybe it's not the heart it affects, like Fen/phen. Maybe it is the gastric system and intestines. Time will tell.

But at least they will get ten years, instead of dying of a heart attack or stroke.

Yes, for the 55 yo obese patients with cardiac issues ameliorated by the drugs that may be the case. For a 39 yo mom who wants to drop 10 pounds to look better but has a BMI of 22 and no health issues developing necrotic pancreatitis is probably not worth it.

Please cite the studies that show an increased risk of necrotic pancreatitis.

[Anonymous]

The rate of pancreatitis with GLP-1 receptor agonists is generally low, with studies showing rates of approximately 0.4% to 2.2%, and some large clinical trials find the incidence to be similar to placebo groups. While early reports suggested a higher risk, more recent, larger studies have shown a low rate and some evidence suggests GLP-1s may even lower the risk of recurrence in patients with a history of pancreatitis. The risk is slightly increased with certain factors like a history of type 2 diabetes, and some real-world data have shown a higher association compared to other drug classes, though the absolute risk remains low.

[Anonymous]

Anonymous wrote:The rate of pancreatitis with GLP-1 receptor agonists is generally low, with studies showing rates of approximately 0.4% to 2.2%, and some large clinical trials find the incidence to be similar to placebo groups. While early reports suggested a higher risk, more recent, larger studies have shown a low rate and some evidence suggests GLP-1s may even lower the risk of recurrence in patients with a history of pancreatitis. The risk is slightly increased with certain factors like a history of type 2 diabetes, and some real-world data have shown a higher association compared to other drug classes, though the absolute risk remains low.

Other studies show it’s higher and in people who are on more potent GLP 1s with a history of heavier alcohol use or smoking who are drinking or smoking while on a GLP 1 that risk will go up. With GLP 1s in the wild and people titrating up and down and microdosing and not under the care of a doctor or under the care of a doctor but not taking the lifestyle requirements seriously and getting regular checks (even though AKI can happen without warning) there are going to be a lot more complications.

You have to be honest about your medical history to be part of a clinical trial and you are closely monitored. A medspa or hers is not going to tell you to eat more fiber or more protein, lift weights and exercise, drink more water every day (and if you have no energy why would you listen if you are really tired and don’t want to workout or drink water?) or even to titrate more slowly, all to avoid potentially life threatening complications.

And Big Pharma has been known to understate risks. Look at OxyCodone. In all the pharmacy studies it was shown to be way less addictive than morphine or heroine and then we had a nationwide opioid crisis.

[Anonymous]

Seeking out weight loss drugs after your doctor advised against it is disordered. If you truly believe you need these drugs and that your doctor is incompetent, get a second opinion or change doctors. The fact that you posed this question here and the chorus of similarly disordered people are guiding you to their suppliers betrays your and their disorders. This smacks of eating disorders, body dysmorphia as well as addictive behavior.

[Anonymous]

Anonymous wrote:Seeking out weight loss drugs after your doctor advised against it is disordered. If you truly believe you need these drugs and that your doctor is incompetent, get a second opinion or change doctors. The fact that you posed this question here and the chorus of similarly disordered people are guiding you to their suppliers betrays your and their disorders. This smacks of eating disorders, body dysmorphia as well as addictive behavior.

Wanting to be a normal weight is not "disordered" or "body dysmorphia" when your doctor tells you you should be a normal weight and is just unwilling to use available treatments to help a patient achieve recommended goals. A second opinion probably would yield the same exact frustrating result because GPs are not incompetent so much as following their mindset which is old school and basic when it comes to weight management, and aligned with broad recommendations rather than the patient in front of them.

[Anonymous]

Anonymous wrote:

Anonymous wrote:Seeking out weight loss drugs after your doctor advised against it is disordered. If you truly believe you need these drugs and that your doctor is incompetent, get a second opinion or change doctors. The fact that you posed this question here and the chorus of similarly disordered people are guiding you to their suppliers betrays your and their disorders. This smacks of eating disorders, body dysmorphia as well as addictive behavior.

Wanting to be a normal weight is not "disordered" or "body dysmorphia" when your doctor tells you you should be a normal weight and is just unwilling to use available treatments to help a patient achieve recommended goals. A second opinion probably would yield the same exact frustrating result because GPs are not incompetent so much as following their mindset which is old school and basic when it comes to weight management, and aligned with broad recommendations rather than the patient in front of them.

More likely, it is a risk/medical necessity/alternative means available assessment. Doctors cannot justify prescribing the drug to op and her ilk. The vow is, "First, do no harm."

[Anonymous]

Anonymous wrote:

Anonymous wrote:Seeking out weight loss drugs after your doctor advised against it is disordered. If you truly believe you need these drugs and that your doctor is incompetent, get a second opinion or change doctors. The fact that you posed this question here and the chorus of similarly disordered people are guiding you to their suppliers betrays your and their disorders. This smacks of eating disorders, body dysmorphia as well as addictive behavior.

Wanting to be a normal weight is not "disordered" or "body dysmorphia" when your doctor tells you you should be a normal weight and is just unwilling to use available treatments to help a patient achieve recommended goals. A second opinion probably would yield the same exact frustrating result because GPs are not incompetent so much as following their mindset which is old school and basic when it comes to weight management, and aligned with broad recommendations rather than the patient in front of them.

I'm a registered dietitian and I see this very often. The issue is the definition of "normal weight." And yes, most often, as I get to know the patient, other factors begin to present that raise the issue of body dysmorphia, disordered eating (past or current), OCD, ADHD and other presentations of disordered thinking.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Seeking out weight loss drugs after your doctor advised against it is disordered. If you truly believe you need these drugs and that your doctor is incompetent, get a second opinion or change doctors. The fact that you posed this question here and the chorus of similarly disordered people are guiding you to their suppliers betrays your and their disorders. This smacks of eating disorders, body dysmorphia as well as addictive behavior.

Wanting to be a normal weight is not "disordered" or "body dysmorphia" when your doctor tells you you should be a normal weight and is just unwilling to use available treatments to help a patient achieve recommended goals. A second opinion probably would yield the same exact frustrating result because GPs are not incompetent so much as following their mindset which is old school and basic when it comes to weight management, and aligned with broad recommendations rather than the patient in front of them.

I'm a registered dietitian and I see this very often. The issue is the definition of "normal weight." And yes, most often, as I get to know the patient, other factors begin to present that raise the issue of body dysmorphia, disordered eating (past or current), OCD, ADHD and other presentations of disordered thinking.

The definition was presented by the doctor who told op she was overweight. It was not in her head. It's not disordered to think that if your doctor tells you you are overweight and need to lose weight you are in fact overweight.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Seeking out weight loss drugs after your doctor advised against it is disordered. If you truly believe you need these drugs and that your doctor is incompetent, get a second opinion or change doctors. The fact that you posed this question here and the chorus of similarly disordered people are guiding you to their suppliers betrays your and their disorders. This smacks of eating disorders, body dysmorphia as well as addictive behavior.

Wanting to be a normal weight is not "disordered" or "body dysmorphia" when your doctor tells you you should be a normal weight and is just unwilling to use available treatments to help a patient achieve recommended goals. A second opinion probably would yield the same exact frustrating result because GPs are not incompetent so much as following their mindset which is old school and basic when it comes to weight management, and aligned with broad recommendations rather than the patient in front of them.

I'm a registered dietitian and I see this very often. The issue is the definition of "normal weight." And yes, most often, as I get to know the patient, other factors begin to present that raise the issue of body dysmorphia, disordered eating (past or current), OCD, ADHD and other presentations of disordered thinking.

The definition was presented by the doctor who told op she was overweight. It was not in her head. It's not disordered to think that if your doctor tells you you are overweight and need to lose weight you are in fact overweight.

+1 Right?!?!

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Seeking out weight loss drugs after your doctor advised against it is disordered. If you truly believe you need these drugs and that your doctor is incompetent, get a second opinion or change doctors. The fact that you posed this question here and the chorus of similarly disordered people are guiding you to their suppliers betrays your and their disorders. This smacks of eating disorders, body dysmorphia as well as addictive behavior.

Wanting to be a normal weight is not "disordered" or "body dysmorphia" when your doctor tells you you should be a normal weight and is just unwilling to use available treatments to help a patient achieve recommended goals. A second opinion probably would yield the same exact frustrating result because GPs are not incompetent so much as following their mindset which is old school and basic when it comes to weight management, and aligned with broad recommendations rather than the patient in front of them.

I'm a registered dietitian and I see this very often. The issue is the definition of "normal weight." And yes, most often, as I get to know the patient, other factors begin to present that raise the issue of body dysmorphia, disordered eating (past or current), OCD, ADHD and other presentations of disordered thinking.

The definition was presented by the doctor who told op she was overweight. It was not in her head. It's not disordered to think that if your doctor tells you you are overweight and need to lose weight you are in fact overweight.

+1 Right?!?!

Being overweight by 10-20 pounds is not the same as being obese or being overweight and having diabetes, high bp, high cholesterol. The doctor told you that you are overweight and should work to lose the weight. She didn't say, "you're fat, good luck with that." Most likely, she recommended a mediterranean or heart smart, plant based diet along with exercise. That's not as easy as jabbing a needle into your stomach and it takes longer, which is why you are recoiling and looking for another means of getting the drug.

[Anonymous]

Take the eat less move more challenge and actually follow that consistently. Give it one more college try before using alternative, unregulated, not without risks, medicine from dubious sources.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Seeking out weight loss drugs after your doctor advised against it is disordered. If you truly believe you need these drugs and that your doctor is incompetent, get a second opinion or change doctors. The fact that you posed this question here and the chorus of similarly disordered people are guiding you to their suppliers betrays your and their disorders. This smacks of eating disorders, body dysmorphia as well as addictive behavior.

Wanting to be a normal weight is not "disordered" or "body dysmorphia" when your doctor tells you you should be a normal weight and is just unwilling to use available treatments to help a patient achieve recommended goals. A second opinion probably would yield the same exact frustrating result because GPs are not incompetent so much as following their mindset which is old school and basic when it comes to weight management, and aligned with broad recommendations rather than the patient in front of them.

I'm a registered dietitian and I see this very often. The issue is the definition of "normal weight." And yes, most often, as I get to know the patient, other factors begin to present that raise the issue of body dysmorphia, disordered eating (past or current), OCD, ADHD and other presentations of disordered thinking.

The definition was presented by the doctor who told op she was overweight. It was not in her head. It's not disordered to think that if your doctor tells you you are overweight and need to lose weight you are in fact overweight.

+1 Right?!?!

Being overweight by 10-20 pounds is not the same as being obese or being overweight and having diabetes, high bp, high cholesterol. The doctor told you that you are overweight and should work to lose the weight. She didn't say, "you're fat, good luck with that." Most likely, she recommended a mediterranean or heart smart, plant based diet along with exercise. That's not as easy as jabbing a needle into your stomach and it takes longer, which is why you are recoiling and looking for another means of getting the drug.

Oh F off
So you’re fine with it for obese people but not those of us working our asses off who still can’t lose the rest?
-not op

[Anonymous]

Anonymous wrote:Take the eat less move more challenge and actually follow that consistently. Give it one more college try before using alternative, unregulated, not without risks, medicine from dubious sources.

Oh wow. I bet OP never thought of that!

[Anonymous]

It’s not so bad to carry 10 or 15 extra pounds. Their recommendation is that you lose it but it’s not like you’re making a dire mistake if you don’t. Some of y’all need to calm down.


I’m super fat at the moment and think the shot is a ridiculous pathway if you have only 10 to 15 pounds to lose. Rapid weight loss can cause significant organ issues and damage.

Losing a half a pound a week through working out more may make it seem like that 10 or 15 pounds isn’t coming off. It will, but you do really have to work for it. Trust me I wasn’t always a big fatty fat fat. The only time I was thin I worked out six days a week and I have a physical job. To people saying they can’t lose the 10 or 15 it takes more than what you’re doing currently. And that’s hard and I get the frustration. I’m also perimenopausal myself so I get how much harder it is. We have to work twice as hard than we used to. And it will never look the same as it did a 25 or 35.