"I No Longer Think GLP-1s Are the Answer — The drugs "work" but may be working against us long-term"

Anonymous
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:There are so many drugs I plan to use for life. I’ll never get off Zyrtec. I don’t expect Advil taken for today’s headache to work on one next week. I’ll be on birth control until I’m on hormone replacement. I don’t see myself ever stopping using Tretinoin. Both my parents will be on cholesterol drugs for life, so I expect at some point I will be too.

Why is it that when it comes to weight loss medications people are clutching their pearls at the idea that people won’t eventually stop?


Because they want people to stop. And then gain the wait back. Because they hate fat people, because they need someone to feel superior to. This "People will gain it back if they stop!!" stuff is all about driving the narrative that it is somehow "cheating" to use medical intervention for obesity. It's similar to people a generation ago clutching their pearls at the idea that certain folks were "acting uppity."


Consider that we want a healthy society where this type of behavior is not normalized. I want my kids to grow up surrounded by healthy diets and exercise - not people who can’t control themselves and try to take a short cut. There was zero obesity at the turn of the century. There’s no good reason for it now other than people cannot control themselves around junk food that is push through ever media possible - weak minds, weak impulse control, equates to weak society. I don’t want that for my kids to live in. I’m sure you blame your obesity on hormones or something out of your control, but it’s not that or we would see fat mammals in the wild and people would have been obese throughout history.


Are you kidding me? Are you truly this stupid? You think there was "zero obesity at the turn of the century"? And you are claiming people were not "obese throughout history"? What in the fresh hell level of ignorance is this??? It's actually funny enough that I should probably ignore this as not real/trolling.

But if it's not made up, know that you are also clearly a horrible person. You don't want your kids around "weak minds"? Well, you'd better move out of the house and away from them and never see them again.



Sure it existed, but not at 40% of the population. Most people were turned away from military service, even during WWII for being too slim. It’s an inconvenient truth for you.

And you don’t need to be so triggered googlable facts - it doesn’t help your case.
Anonymous
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:His claim that people who use the drugs lose muscle and don’t gain it back when they stop the drug therapy is concerning.


Has only to do with the speed of weight loss, which can be managed with proper dosing and nutrient intake. The issue is not with the medication.


In theory, yes. In practice, no. I’ve never seen anyone not lose massive amounts of muscle. Sure, it’s possible but it’s just as hard as losing weight and building muscle in a lifelong way - so the old fashioned way is better/safer.


Everyone loses muscle when they lose weight. You can reduce muscle mass loss by lifting and losing at a 1-2 lb per week rate. Nothing to do with the GLP-1…


You are naive and will fight to the end. Continue on your path.

GLP has everything to do with rate, which is what causes the large muscle loss. Gradual lifestyle changes are far more sustainable and healthier on your body.

Sure come back and say they’re not. I really don’t care. Then again I don’t need GLPs. I’m an athlete with a long history of muscle building and lifestyle sustainability. So just like you think popping a pill is magic with no long term data - I think healthy diet and exercise is magic with long term data and sustainability.


Do you have any citations? Because I do. There’s no evidence that muscle mass loss in GLP-1s is any worse than muscle mass loss from other means.

“There's concern in the general public about how weight loss drugs affect muscle mass, but the presenters emphasize that the data doesn't show GLP-1 analogs have a unique, high level of lean body mass loss compared to other weight loss paradigms.”

https://advances.massgeneral.org/endocrinology/article.aspx?id=1601

I trust Mass General a lot more than I trust an unsubstantiated, anonymous claim on the internet.


Seriously?! You want citations for something so well known it dates back 100s of years of conventional wisdom? You are one of those “dumb” people PP mentioned.

Citations won’t convince me. We haven’t had these drugs long enough to even have the data. Remember the miracle drug fen-phen - this is the same. It’s a miracle until it’s not and we see the long term damage. The FDA approved fen-phen and the hype was the same as it is now. Maybe you are too young to remember that.

I should mention I’m in my 50s so I’ve seen the hype before. I’m also knowingly very bias. I’m 5’3” and 130 lbs - although I wear a size 0-2 - so I’m solid muscle, like really solid.


We have a couple decades of data but you don’t want to believe it because it makes you mad.


Same with fen-phen. And as I said - I don’t care what you do to your individual body. You could take prescription Adderall or non prescription speed and get the same effect - I also don’t want those normalized in society, just as this drug shouldn’t be normalized. I also don’t believe in normalizing pot, lsd, oxy, coke, fentanyl - most of which were legal at some point in history - and there is a reason they are no longer legal.


OP here. I disagree with this. Obviously, GLP-1 drugs are not analogous to cocaine and opioids.


DP: Also fen-phen essentially IS speed -- they are serotonin and norepinephrine releasing agents, which is preceicely why they were addictive and dangergous and caused heart failure. They are stimulants, just as adderall is a stimulant, but they are different chemicals and were/are prescribed differently.

GLP-1 are not stimulants, they are hormones, and if you want to compare them to other medications, you should compare them to that class of drug, like birth control, HRC, thyroid medications, testosterone, insulin, prednisone and other steroidal medications, like those used to treat accute repiratory distress.
Anonymous
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:There are so many drugs I plan to use for life. I’ll never get off Zyrtec. I don’t expect Advil taken for today’s headache to work on one next week. I’ll be on birth control until I’m on hormone replacement. I don’t see myself ever stopping using Tretinoin. Both my parents will be on cholesterol drugs for life, so I expect at some point I will be too.

Why is it that when it comes to weight loss medications people are clutching their pearls at the idea that people won’t eventually stop?


Because they want people to stop. And then gain the wait back. Because they hate fat people, because they need someone to feel superior to. This "People will gain it back if they stop!!" stuff is all about driving the narrative that it is somehow "cheating" to use medical intervention for obesity. It's similar to people a generation ago clutching their pearls at the idea that certain folks were "acting uppity."


Consider that we want a healthy society where this type of behavior is not normalized. I want my kids to grow up surrounded by healthy diets and exercise - not people who can’t control themselves and try to take a short cut. There was zero obesity at the turn of the century. There’s no good reason for it now other than people cannot control themselves around junk food that is push through ever media possible - weak minds, weak impulse control, equates to weak society. I don’t want that for my kids to live in. I’m sure you blame your obesity on hormones or something out of your control, but it’s not that or we would see fat mammals in the wild and people would have been obese throughout history.


Are you kidding me? Are you truly this stupid? You think there was "zero obesity at the turn of the century"? And you are claiming people were not "obese throughout history"? What in the fresh hell level of ignorance is this??? It's actually funny enough that I should probably ignore this as not real/trolling.

But if it's not made up, know that you are also clearly a horrible person. You don't want your kids around "weak minds"? Well, you'd better move out of the house and away from them and never see them again.



Sure it existed, but not at 40% of the population. Most people were turned away from military service, even during WWII for being too slim. It’s an inconvenient truth for you.

And you don’t need to be so triggered googlable facts - it doesn’t help your case.


Yep ^^, just an idiot with no life and nothing better to do aside from trying to enrage people on the internet by saying ridiculous things. This is just one poster posting all over this thread trying to enrage reasonable people. Don't take the bait.
Anonymous
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:His claim that people who use the drugs lose muscle and don’t gain it back when they stop the drug therapy is concerning.


Has only to do with the speed of weight loss, which can be managed with proper dosing and nutrient intake. The issue is not with the medication.


In theory, yes. In practice, no. I’ve never seen anyone not lose massive amounts of muscle. Sure, it’s possible but it’s just as hard as losing weight and building muscle in a lifelong way - so the old fashioned way is better/safer.


Everyone loses muscle when they lose weight. You can reduce muscle mass loss by lifting and losing at a 1-2 lb per week rate. Nothing to do with the GLP-1…


You are naive and will fight to the end. Continue on your path.

GLP has everything to do with rate, which is what causes the large muscle loss. Gradual lifestyle changes are far more sustainable and healthier on your body.

Sure come back and say they’re not. I really don’t care. Then again I don’t need GLPs. I’m an athlete with a long history of muscle building and lifestyle sustainability. So just like you think popping a pill is magic with no long term data - I think healthy diet and exercise is magic with long term data and sustainability.


Do you have any citations? Because I do. There’s no evidence that muscle mass loss in GLP-1s is any worse than muscle mass loss from other means.

“There's concern in the general public about how weight loss drugs affect muscle mass, but the presenters emphasize that the data doesn't show GLP-1 analogs have a unique, high level of lean body mass loss compared to other weight loss paradigms.”

https://advances.massgeneral.org/endocrinology/article.aspx?id=1601

I trust Mass General a lot more than I trust an unsubstantiated, anonymous claim on the internet.


Seriously?! You want citations for something so well known it dates back 100s of years of conventional wisdom? You are one of those “dumb” people PP mentioned.

Citations won’t convince me. We haven’t had these drugs long enough to even have the data. Remember the miracle drug fen-phen - this is the same. It’s a miracle until it’s not and we see the long term damage. The FDA approved fen-phen and the hype was the same as it is now. Maybe you are too young to remember that.

I should mention I’m in my 50s so I’ve seen the hype before. I’m also knowingly very bias. I’m 5’3” and 130 lbs - although I wear a size 0-2 - so I’m solid muscle, like really solid.


We have a couple decades of data but you don’t want to believe it because it makes you mad.


+1 Scientists have been studying GLP-1s since the 1980s and the first prescription version was approved in 2005. This is not a new biological substance, and is a natural hormone produced in the gut of healthy bodies.


I am one of those scientists (PhD) - I guarantee you there is a lot that goes into those tests that don’t make it to the public. These drugs are good for people who have medical problems from obesity. I do agree with all the PPs that say if you don’t fall into the category of medical problems due to obesity, you shouldn’t be on them - it’s abuse of its intended purpose and the consequences will be known later. Many drugs stay in the testing phase for decades- it doesn’t mean they are safe. The drug industry pushes certain drugs to be commercialized for profit, so there is lots of pressure to make it widely available. People get rich on selling this to you and those people don’t have to live in your body long term.
Anonymous
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:There are so many drugs I plan to use for life. I’ll never get off Zyrtec. I don’t expect Advil taken for today’s headache to work on one next week. I’ll be on birth control until I’m on hormone replacement. I don’t see myself ever stopping using Tretinoin. Both my parents will be on cholesterol drugs for life, so I expect at some point I will be too.

Why is it that when it comes to weight loss medications people are clutching their pearls at the idea that people won’t eventually stop?


Because they want people to stop. And then gain the wait back. Because they hate fat people, because they need someone to feel superior to. This "People will gain it back if they stop!!" stuff is all about driving the narrative that it is somehow "cheating" to use medical intervention for obesity. It's similar to people a generation ago clutching their pearls at the idea that certain folks were "acting uppity."


Consider that we want a healthy society where this type of behavior is not normalized. I want my kids to grow up surrounded by healthy diets and exercise - not people who can’t control themselves and try to take a short cut. There was zero obesity at the turn of the century. There’s no good reason for it now other than people cannot control themselves around junk food that is push through ever media possible - weak minds, weak impulse control, equates to weak society. I don’t want that for my kids to live in. I’m sure you blame your obesity on hormones or something out of your control, but it’s not that or we would see fat mammals in the wild and people would have been obese throughout history.


What do you think people on Ozempic eat?


Before ozempic forced them to a diet rich in nutrients and protein, they ate lots of junk. That’s how they got there! So if they went on the diet without th drug they’d have the same results.


Your ignorance is stunning. There are many people who become overweight without eating a lot of "junk". Having an illness or injury or being on a medication that causes weight gain is very common. Yes, some people get fat from eating a lot of junk, but not everyone. Also, some people do not have an income that allows them to avoid "junk" or live in food deserts that make it hard to eat healthy.

Also, the numerous studies on GLP medications show that the control groups on the same food or exercise regimes did not in fact lose weight to the same degree as the GLP groups - proving exactly contrary to your assertion that, "if they went on the diet without the drug, they'd have the same results." That is why these medications are considered so revolutionary. They accomplish something that cannot be accomplished by diet and exercise alone, especially when considered across a group. For example, maybe the mean weight loss in a control group was 5% bodyweight loss, but the GLP mean bodyweight loss was around 20%.
Anonymous
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:Did this guy actually not realize these were lifetime meds? I know that and I’m not a doctor. My guess is that even with the patients who stop taking GLPs and regain the weight, on average they are much more effective than any other method the doctor can offer.


Yes, he does realize this, but most people don't.
The benefits of these drugs cannot be denied when they are taken as intended -- meaning indefinitely. But what happens to the body and mind when these medications are discontinued? This is where the problem lies.

The truth is, most patients don't stay on anti-obesity medications -- I see it in my practice every day. Research shows that three-quarters of patients stop GLP-1 medications within 2 years, many within months. Reasons for discontinuation include cost, side effects, and supply shortages. But one of the most common reasons is that patients simply don't want to take a weight loss medication indefinitely. Many believe they can "beat the system," use them briefly, change their lifestyle, and stop taking them without regaining weight.


And he also knows exactly how this article will be read/taken. It's fear mongering and amplifying fat phobia rage. Anything for clicks and attention! The sentence you bold there is thrown in only for credibility with other clinicians to deflect criticism.


Please feel free to quote the fatphobic part of the article. I must have missed it.


No one said the article was "fat phobic." They said it amplifies fat phobic rage. Not the same thing. You need to work on your reading comprehension; it's below average.


You are so right. I made the mistake of reading into the PP something coherent, and there isn't anything coherent there.
Anonymous
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:There are so many drugs I plan to use for life. I’ll never get off Zyrtec. I don’t expect Advil taken for today’s headache to work on one next week. I’ll be on birth control until I’m on hormone replacement. I don’t see myself ever stopping using Tretinoin. Both my parents will be on cholesterol drugs for life, so I expect at some point I will be too.

Why is it that when it comes to weight loss medications people are clutching their pearls at the idea that people won’t eventually stop?


You didn't read the OP or the linked article did you? The problem is not the people who take it for life. The problem is the majority of people who take it temporarily.


This. It's especially problematic for people who are using these drugs to lose small amounts of weight, and who often are not obese to begin with.

It's the same problem with yo-yo dieting we've always had. Thee have always been ways to drop a lot of weight quickly, and there have always been people willing to do these things for a little while in order to achieve a short term goal -- looking a certain way in their wedding day, feeling good in a bikini, etc. But people have always given up on these methods and regained weight, because there is usually sacrifice and discomfort they can't tolerate long-term. GLP1s are no different -- the drugs are pricy, taking them is inconvenient, and many people experience cause effects.

This is the problem with widespread use. The vast majority of people don't actually need these drugs for health reasons, and thus will go off them when they no longer want to sacrifice the money and physical side effects, and those folks will regain the weight.

Gaining and losing substantial amounts of weight multiple times in your life has been shown to have a lot of negative health effects, even when the weight loss is achieved in a healthy way.


This is your argument: this drug a problem because someone who should not have been taking it in the first place stopped taking it. And the "problem" is that they will regain the small amount of bikini envy weight they lost, that they really didn't need to lose in the first place.


I think this poster might not be eating enough for proper brain function.


+1
Most people on Ozempic fall into this category. It’s simply not healthy


I meant the moronic ozempic hater that person was quoting.
Anonymous
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:His claim that people who use the drugs lose muscle and don’t gain it back when they stop the drug therapy is concerning.


Has only to do with the speed of weight loss, which can be managed with proper dosing and nutrient intake. The issue is not with the medication.


In theory, yes. In practice, no. I’ve never seen anyone not lose massive amounts of muscle. Sure, it’s possible but it’s just as hard as losing weight and building muscle in a lifelong way - so the old fashioned way is better/safer.


Everyone loses muscle when they lose weight. You can reduce muscle mass loss by lifting and losing at a 1-2 lb per week rate. Nothing to do with the GLP-1…


You are naive and will fight to the end. Continue on your path.

GLP has everything to do with rate, which is what causes the large muscle loss. Gradual lifestyle changes are far more sustainable and healthier on your body.

Sure come back and say they’re not. I really don’t care. Then again I don’t need GLPs. I’m an athlete with a long history of muscle building and lifestyle sustainability. So just like you think popping a pill is magic with no long term data - I think healthy diet and exercise is magic with long term data and sustainability.


Do you have any citations? Because I do. There’s no evidence that muscle mass loss in GLP-1s is any worse than muscle mass loss from other means.

“There's concern in the general public about how weight loss drugs affect muscle mass, but the presenters emphasize that the data doesn't show GLP-1 analogs have a unique, high level of lean body mass loss compared to other weight loss paradigms.”

https://advances.massgeneral.org/endocrinology/article.aspx?id=1601

I trust Mass General a lot more than I trust an unsubstantiated, anonymous claim on the internet.


Seriously?! You want citations for something so well known it dates back 100s of years of conventional wisdom? You are one of those “dumb” people PP mentioned.

Citations won’t convince me. We haven’t had these drugs long enough to even have the data. Remember the miracle drug fen-phen - this is the same. It’s a miracle until it’s not and we see the long term damage. The FDA approved fen-phen and the hype was the same as it is now. Maybe you are too young to remember that.

I should mention I’m in my 50s so I’ve seen the hype before. I’m also knowingly very bias. I’m 5’3” and 130 lbs - although I wear a size 0-2 - so I’m solid muscle, like really solid.


We have a couple decades of data but you don’t want to believe it because it makes you mad.


+1 Scientists have been studying GLP-1s since the 1980s and the first prescription version was approved in 2005. This is not a new biological substance, and is a natural hormone produced in the gut of healthy bodies.


I am one of those scientists (PhD) - I guarantee you there is a lot that goes into those tests that don’t make it to the public. These drugs are good for people who have medical problems from obesity. I do agree with all the PPs that say if you don’t fall into the category of medical problems due to obesity, you shouldn’t be on them - it’s abuse of its intended purpose and the consequences will be known later. Many drugs stay in the testing phase for decades- it doesn’t mean they are safe. The drug industry pushes certain drugs to be commercialized for profit, so there is lots of pressure to make it widely available. People get rich on selling this to you and those people don’t have to live in your body long term.


Be brave and blow the whistle then.
Anonymous
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:His claim that people who use the drugs lose muscle and don’t gain it back when they stop the drug therapy is concerning.


Has only to do with the speed of weight loss, which can be managed with proper dosing and nutrient intake. The issue is not with the medication.


In theory, yes. In practice, no. I’ve never seen anyone not lose massive amounts of muscle. Sure, it’s possible but it’s just as hard as losing weight and building muscle in a lifelong way - so the old fashioned way is better/safer.


Everyone loses muscle when they lose weight. You can reduce muscle mass loss by lifting and losing at a 1-2 lb per week rate. Nothing to do with the GLP-1…


You are naive and will fight to the end. Continue on your path.

GLP has everything to do with rate, which is what causes the large muscle loss. Gradual lifestyle changes are far more sustainable and healthier on your body.

Sure come back and say they’re not. I really don’t care. Then again I don’t need GLPs. I’m an athlete with a long history of muscle building and lifestyle sustainability. So just like you think popping a pill is magic with no long term data - I think healthy diet and exercise is magic with long term data and sustainability.


Do you have any citations? Because I do. There’s no evidence that muscle mass loss in GLP-1s is any worse than muscle mass loss from other means.

“There's concern in the general public about how weight loss drugs affect muscle mass, but the presenters emphasize that the data doesn't show GLP-1 analogs have a unique, high level of lean body mass loss compared to other weight loss paradigms.”

https://advances.massgeneral.org/endocrinology/article.aspx?id=1601

I trust Mass General a lot more than I trust an unsubstantiated, anonymous claim on the internet.


Seriously?! You want citations for something so well known it dates back 100s of years of conventional wisdom? You are one of those “dumb” people PP mentioned.

Citations won’t convince me. We haven’t had these drugs long enough to even have the data. Remember the miracle drug fen-phen - this is the same. It’s a miracle until it’s not and we see the long term damage. The FDA approved fen-phen and the hype was the same as it is now. Maybe you are too young to remember that.

I should mention I’m in my 50s so I’ve seen the hype before. I’m also knowingly very bias. I’m 5’3” and 130 lbs - although I wear a size 0-2 - so I’m solid muscle, like really solid.


We have a couple decades of data but you don’t want to believe it because it makes you mad.


+1 Scientists have been studying GLP-1s since the 1980s and the first prescription version was approved in 2005. This is not a new biological substance, and is a natural hormone produced in the gut of healthy bodies.


I am one of those scientists (PhD) - I guarantee you there is a lot that goes into those tests that don’t make it to the public. These drugs are good for people who have medical problems from obesity. I do agree with all the PPs that say if you don’t fall into the category of medical problems due to obesity, you shouldn’t be on them - it’s abuse of its intended purpose and the consequences will be known later. Many drugs stay in the testing phase for decades- it doesn’t mean they are safe. The drug industry pushes certain drugs to be commercialized for profit, so there is lots of pressure to make it widely available. People get rich on selling this to you and those people don’t have to live in your body long term.


Me again - I should have mentioned the risk. There is uncertainty about the impact of GLP drugs on C-cell changes, which means long term they may cause cancer - gastrointestinal a colorectal a not all cancers are the same. We don’t have all the data on this yet, so it’s inconclusive. They lower the risk of cancers in very obese people, because their risk was much higher due to the obesity. They may increase cancer risk in healthy moderately overweight people.
Anonymous
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:There are so many drugs I plan to use for life. I’ll never get off Zyrtec. I don’t expect Advil taken for today’s headache to work on one next week. I’ll be on birth control until I’m on hormone replacement. I don’t see myself ever stopping using Tretinoin. Both my parents will be on cholesterol drugs for life, so I expect at some point I will be too.

Why is it that when it comes to weight loss medications people are clutching their pearls at the idea that people won’t eventually stop?


Because they want people to stop. And then gain the wait back. Because they hate fat people, because they need someone to feel superior to. This "People will gain it back if they stop!!" stuff is all about driving the narrative that it is somehow "cheating" to use medical intervention for obesity. It's similar to people a generation ago clutching their pearls at the idea that certain folks were "acting uppity."


Consider that we want a healthy society where this type of behavior is not normalized. I want my kids to grow up surrounded by healthy diets and exercise - not people who can’t control themselves and try to take a short cut. There was zero obesity at the turn of the century. There’s no good reason for it now other than people cannot control themselves around junk food that is push through ever media possible - weak minds, weak impulse control, equates to weak society. I don’t want that for my kids to live in. I’m sure you blame your obesity on hormones or something out of your control, but it’s not that or we would see fat mammals in the wild and people would have been obese throughout history.


What do you think people on Ozempic eat?


Before ozempic forced them to a diet rich in nutrients and protein, they ate lots of junk. That’s how they got there! So if they went on the diet without th drug they’d have the same results.


Your ignorance is stunning. There are many people who become overweight without eating a lot of "junk". Having an illness or injury or being on a medication that causes weight gain is very common. Yes, some people get fat from eating a lot of junk, but not everyone. Also, some people do not have an income that allows them to avoid "junk" or live in food deserts that make it hard to eat healthy.

Also, the numerous studies on GLP medications show that the control groups on the same food or exercise regimes did not in fact lose weight to the same degree as the GLP groups - proving exactly contrary to your assertion that, "if they went on the diet without the drug, they'd have the same results." That is why these medications are considered so revolutionary. They accomplish something that cannot be accomplished by diet and exercise alone, especially when considered across a group. For example, maybe the mean weight loss in a control group was 5% bodyweight loss, but the GLP mean bodyweight loss was around 20%.


Bless your heart in thinking all this!
Anonymous
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:There are so many drugs I plan to use for life. I’ll never get off Zyrtec. I don’t expect Advil taken for today’s headache to work on one next week. I’ll be on birth control until I’m on hormone replacement. I don’t see myself ever stopping using Tretinoin. Both my parents will be on cholesterol drugs for life, so I expect at some point I will be too.

Why is it that when it comes to weight loss medications people are clutching their pearls at the idea that people won’t eventually stop?


Because they want people to stop. And then gain the wait back. Because they hate fat people, because they need someone to feel superior to. This "People will gain it back if they stop!!" stuff is all about driving the narrative that it is somehow "cheating" to use medical intervention for obesity. It's similar to people a generation ago clutching their pearls at the idea that certain folks were "acting uppity."


Consider that we want a healthy society where this type of behavior is not normalized. I want my kids to grow up surrounded by healthy diets and exercise - not people who can’t control themselves and try to take a short cut. There was zero obesity at the turn of the century. There’s no good reason for it now other than people cannot control themselves around junk food that is push through ever media possible - weak minds, weak impulse control, equates to weak society. I don’t want that for my kids to live in. I’m sure you blame your obesity on hormones or something out of your control, but it’s not that or we would see fat mammals in the wild and people would have been obese throughout history.


What do you think people on Ozempic eat?


Before ozempic forced them to a diet rich in nutrients and protein, they ate lots of junk. That’s how they got there! So if they went on the diet without th drug they’d have the same results.


Your ignorance is stunning. There are many people who become overweight without eating a lot of "junk". Having an illness or injury or being on a medication that causes weight gain is very common. Yes, some people get fat from eating a lot of junk, but not everyone. Also, some people do not have an income that allows them to avoid "junk" or live in food deserts that make it hard to eat healthy.

Also, the numerous studies on GLP medications show that the control groups on the same food or exercise regimes did not in fact lose weight to the same degree as the GLP groups - proving exactly contrary to your assertion that, "if they went on the diet without the drug, they'd have the same results." That is why these medications are considered so revolutionary. They accomplish something that cannot be accomplished by diet and exercise alone, especially when considered across a group. For example, maybe the mean weight loss in a control group was 5% bodyweight loss, but the GLP mean bodyweight loss was around 20%.


Bless your heart in thinking all this!


DP but as a lifetime yo-yo sufferer before GLP1s I really have no idea what you think you’re objecting to. If your appetite is naturally too big (mine is) the problem is portion. I have eaten very clean since my first major weight loss at age 17 (lost 90 lbs). I didn’t eat a single Dorito, cookie, brownie, fry, NOTHING for decades. But my weight would still go up when I would drop the calorie counting and just eat healthy food but according to my “natural” appetite level. Never back up to my high of 230, but 50-60 lbs above my low. Part of that is because losing weight due to calorie restriction changes your metabolism, but also, my problem was my appetite. GLPs fixed that.
Anonymous
Do whatever you want.

I lost a lot of weight 46 years ago. I have kept 85% of it off. Gain from age, menopause, bad habits. Stable for about a decade.

I was over 300 pounds, so that's 30 pounds over my lowest weight, 20 over goal. I thought about the new drugs but decided no. I realize my loss was atypical but that's my experience.
Anonymous
Anonymous wrote:Do whatever you want.

I lost a lot of weight 46 years ago. I have kept 85% of it off. Gain from age, menopause, bad habits. Stable for about a decade.

I was over 300 pounds, so that's 30 pounds over my lowest weight, 20 over goal. I thought about the new drugs but decided no. I realize my loss was atypical but that's my experience.


Yes, lifetime maintenance like you have managed is rare, and there is a truly crushing amount of data about re-gain to support that.
Anonymous
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Anonymous wrote:His claim that people who use the drugs lose muscle and don’t gain it back when they stop the drug therapy is concerning.


Has only to do with the speed of weight loss, which can be managed with proper dosing and nutrient intake. The issue is not with the medication.


In theory, yes. In practice, no. I’ve never seen anyone not lose massive amounts of muscle. Sure, it’s possible but it’s just as hard as losing weight and building muscle in a lifelong way - so the old fashioned way is better/safer.


Everyone loses muscle when they lose weight. You can reduce muscle mass loss by lifting and losing at a 1-2 lb per week rate. Nothing to do with the GLP-1…


You are naive and will fight to the end. Continue on your path.

GLP has everything to do with rate, which is what causes the large muscle loss. Gradual lifestyle changes are far more sustainable and healthier on your body.

Sure come back and say they’re not. I really don’t care. Then again I don’t need GLPs. I’m an athlete with a long history of muscle building and lifestyle sustainability. So just like you think popping a pill is magic with no long term data - I think healthy diet and exercise is magic with long term data and sustainability.


Do you have any citations? Because I do. There’s no evidence that muscle mass loss in GLP-1s is any worse than muscle mass loss from other means.

“There's concern in the general public about how weight loss drugs affect muscle mass, but the presenters emphasize that the data doesn't show GLP-1 analogs have a unique, high level of lean body mass loss compared to other weight loss paradigms.”

https://advances.massgeneral.org/endocrinology/article.aspx?id=1601

I trust Mass General a lot more than I trust an unsubstantiated, anonymous claim on the internet.


Seriously?! You want citations for something so well known it dates back 100s of years of conventional wisdom? You are one of those “dumb” people PP mentioned.

Citations won’t convince me. We haven’t had these drugs long enough to even have the data. Remember the miracle drug fen-phen - this is the same. It’s a miracle until it’s not and we see the long term damage. The FDA approved fen-phen and the hype was the same as it is now. Maybe you are too young to remember that.

I should mention I’m in my 50s so I’ve seen the hype before. I’m also knowingly very bias. I’m 5’3” and 130 lbs - although I wear a size 0-2 - so I’m solid muscle, like really solid.


We have a couple decades of data but you don’t want to believe it because it makes you mad.


+1 Scientists have been studying GLP-1s since the 1980s and the first prescription version was approved in 2005. This is not a new biological substance, and is a natural hormone produced in the gut of healthy bodies.


I am one of those scientists (PhD) - I guarantee you there is a lot that goes into those tests that don’t make it to the public. These drugs are good for people who have medical problems from obesity. I do agree with all the PPs that say if you don’t fall into the category of medical problems due to obesity, you shouldn’t be on them - it’s abuse of its intended purpose and the consequences will be known later. Many drugs stay in the testing phase for decades- it doesn’t mean they are safe. The drug industry pushes certain drugs to be commercialized for profit, so there is lots of pressure to make it widely available. People get rich on selling this to you and those people don’t have to live in your body long term.


Be brave and blow the whistle then.


It’s not about blowing a whistle. All medications go through this process and many of them get pulled when the negatives outweigh the positives. All I’m saying is there is not enough long term data and much of what we have is inconclusive. Some drugs pulled in the past that were initially approved are:
Fen-phen (as mentioned above)
Sibutramine
Rimonabant
Aminorex
DNP
TRIAC
Amongst others

They are pulled due to organ toxicity, cardiac/psychological/metabolic problems.

This one, GLPs, might also have increased risk of psychiatric problems, but similar to cancer risk there is no conclusive evidence yet. Especially since obesity could be a symptom of mental health issues; it’s difficult to separate these.
Anonymous
Anonymous wrote:
Anonymous wrote:
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Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:His claim that people who use the drugs lose muscle and don’t gain it back when they stop the drug therapy is concerning.


Has only to do with the speed of weight loss, which can be managed with proper dosing and nutrient intake. The issue is not with the medication.


In theory, yes. In practice, no. I’ve never seen anyone not lose massive amounts of muscle. Sure, it’s possible but it’s just as hard as losing weight and building muscle in a lifelong way - so the old fashioned way is better/safer.


Everyone loses muscle when they lose weight. You can reduce muscle mass loss by lifting and losing at a 1-2 lb per week rate. Nothing to do with the GLP-1…


You are naive and will fight to the end. Continue on your path.

GLP has everything to do with rate, which is what causes the large muscle loss. Gradual lifestyle changes are far more sustainable and healthier on your body.

Sure come back and say they’re not. I really don’t care. Then again I don’t need GLPs. I’m an athlete with a long history of muscle building and lifestyle sustainability. So just like you think popping a pill is magic with no long term data - I think healthy diet and exercise is magic with long term data and sustainability.


Do you have any citations? Because I do. There’s no evidence that muscle mass loss in GLP-1s is any worse than muscle mass loss from other means.

“There's concern in the general public about how weight loss drugs affect muscle mass, but the presenters emphasize that the data doesn't show GLP-1 analogs have a unique, high level of lean body mass loss compared to other weight loss paradigms.”

https://advances.massgeneral.org/endocrinology/article.aspx?id=1601

I trust Mass General a lot more than I trust an unsubstantiated, anonymous claim on the internet.


Seriously?! You want citations for something so well known it dates back 100s of years of conventional wisdom? You are one of those “dumb” people PP mentioned.

Citations won’t convince me. We haven’t had these drugs long enough to even have the data. Remember the miracle drug fen-phen - this is the same. It’s a miracle until it’s not and we see the long term damage. The FDA approved fen-phen and the hype was the same as it is now. Maybe you are too young to remember that.

I should mention I’m in my 50s so I’ve seen the hype before. I’m also knowingly very bias. I’m 5’3” and 130 lbs - although I wear a size 0-2 - so I’m solid muscle, like really solid.


We have a couple decades of data but you don’t want to believe it because it makes you mad.


+1 Scientists have been studying GLP-1s since the 1980s and the first prescription version was approved in 2005. This is not a new biological substance, and is a natural hormone produced in the gut of healthy bodies.


I am one of those scientists (PhD) - I guarantee you there is a lot that goes into those tests that don’t make it to the public. These drugs are good for people who have medical problems from obesity. I do agree with all the PPs that say if you don’t fall into the category of medical problems due to obesity, you shouldn’t be on them - it’s abuse of its intended purpose and the consequences will be known later. Many drugs stay in the testing phase for decades- it doesn’t mean they are safe. The drug industry pushes certain drugs to be commercialized for profit, so there is lots of pressure to make it widely available. People get rich on selling this to you and those people don’t have to live in your body long term.


Be brave and blow the whistle then.


It’s not about blowing a whistle. All medications go through this process and many of them get pulled when the negatives outweigh the positives. All I’m saying is there is not enough long term data and much of what we have is inconclusive. Some drugs pulled in the past that were initially approved are:
Fen-phen (as mentioned above)
Sibutramine
Rimonabant
Aminorex
DNP
TRIAC
Amongst others

They are pulled due to organ toxicity, cardiac/psychological/metabolic problems.

This one, GLPs, might also have increased risk of psychiatric problems, but similar to cancer risk there is no conclusive evidence yet. Especially since obesity could be a symptom of mental health issues; it’s difficult to separate these.


This goes both ways. GLPs have been associated with so many positive health outcomes (eg dementia) but it’s hard to know if it’s the drug or the reduced obesity.
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