Reply to I am super jealous of people who qualify to take Ozempic, etc.

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[quote=Anonymous]49 year old woman here. Wegovy/Ozempic is not what you want. I started with a BMI>40 and have lost 50 pounds (with 50 left to go) in 6 months. And the medication has been helpful because it has helped me keep my diet at 1200 calories, 100 g of protein, minimal simple carbs, no processed or fried foods.  And I log foods religiously.  I had tried to do this myself for years, and after a few days, my mind was blocking out all other thought with a constant “you’re starving” scream. That’s what the medication does— it gets rid if the primal “you're starving” voice. And makes me feel sick if I don’t eat clean or drink alcohol. Which is a great deterrent.

Some issues with someone with your profile and goals taking Wegovy/ Ozempic.  First I see a dietician every month (and a PA).  And they won’t keep me on the meds if I go below 1200 calories on a regular basis or lose more than 2 lbs a week on average. If you’re at 1200 calories without medication, I’m not sure how the medication helps you.

Second, because I’m menopausal, I do a full body scan each visit and am being watched closely to make sure I’m burning fat and not muscle. To make this happen, I’m doing strength trading with a personal trainer for 2 60 minute sessions a week (I’m recovering from surgery and an injury and cannot do a standard class without hurting my self). PPs are right.  A large part of my success (42 pounds of fat, 2 of water, 6 of muscle lost as of yesterday) is lifting.

Third. I feel your pain about abdominal fat. Because I’m in the perimenopausal/menopausal range, It feels like I am losing everywhere but my abdomen. I’ve gone from size 22 to 18, so I’m losing some there. But most weight is coming off my arms, legs, face chest.  My PA, dietician, trainer all say: (1) this is normal for women my age,  (2) no specific expertise or eating plan will do much to control where the weight comes off and (3) hang in there, because I may lose it last, but it will go— but’, my natural shape may now be apple and I may always carry more weight than I want in my abdomen.

Point is, even if you lose 10 pounds, there is a good chance that a woman your age won’t lose most of them from your abdomen. These meds can help weight loss in general. But not targeted weight loss.

Fourth— unless you want to be really sick (like risk the ER sick), you must titrate up. And the first three months are not really weight loss doses.  You may lose some on lower doses, but it’s going to be pay out of packet for the first 3-4 months for not much in the way of results. And the studies show that once you stop, you gain 70% of the weight back within one year.  So, you’re on it for life. Out of pocket. Any $1300 a pop.

TL;DR: the reason you will have to use a sketchy compounder to get this med instead of a reputable weight loss program or MD is because it isn’t designed to help women with your profile. Especially if you are already at 1200 calories.  And it I may give you a gaunt face, get rid of your butt and take a cup size from your bra, but it probably isn’t  going to stop the reality that many 50+ aged women develop apple shapes.

Agree with PPs— try lifting and make sure your diet is heavy into lean proteins and has no fried, processed foods. And accept that your body isn’t 18 again.

May also be worth it to see an endocrinologist and get bloodwork done. 1200 calories is significant restriction. Especially if you add in cardio and lifting. You should be losing weight there without meds. [/quote]

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