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

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[quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous]My wife started on semaglutide a couple of months ago. When the "food noise" went away, she was astounded. Kind of a "this is how it works for other people?!?" perspective.

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Yes I think this is common. It’s definitely how I feel. [/quote]

Like I would say if you imagine you’re super hungry and have been working in a room all day. A pizza arrives. You’re ravenous for the first slice right? But less hungry for the third one, especially if you wait for a while.

I kind of understood that, like in the way a psychopath understands empathy. But actually I’ve always wanted more pizza the sameamount. Ozempic makes me not want the second piece nearly as much as the first one. I can just think rationally about whether I need it, nutritionally, and make a choice without feeling like I’m holding back the tide. It’s like a miracle. [/quote]

Thank you for explaining this!  I was confused about food nose because I do think about food a good deal — when I’m going to eat next what, what I have in my kitchen, what meals I want to make/eat in the next week.  But I’m definitely the second scenario with the pizza — the first one is amazing but I’m not so hungry for slices two and three.  This is a really clear explanation to me, a naturally healthy weight person (I can’t say skinny b/c I live at the upper end of healthy but I stay there without any especial effort on my part).[/quote]

I'm staying on the upper end of healthy weight with effort, although now that I finally (at 50+ years old) eat sufficient healthy foods to stay satiated, it's not really too much effort.  I still think about food and plan ahead to make sure I have something to eat versus getting to the ravenous phase and eating everything in sight (usually not healthy choices).

I think I have a lot of "food noise" and always have, but I've managed to control it without pharmaceutical intervention.

That's not to say I think others should be able to; just sharing my experience.  My concern about the drug is long term safety.  Remember the miracle solutions in the past, like Fen-Phen.[/quote]

Being fat, becoming hyper focused on diet & exercise, starving one's self -- all come with some costs and risks. So, whatever risks come from these new drugs, even if unknown, aren't being weighed against "no risk," just against known (albeit sometimes unappreciated) costs. It's also worth noting that Fen-Phen was never approved by the FDA for use as a combination. [/quote]

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