Reply to Zepbound side effects scaring me from starting meds

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[quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous]If a doc thinks anyone’s co-morbidities are serious enough to outweigh the risks of what’s likely to be nauseous/fatigue/constipation - what makes we humans think your impending heart attack/stroke/joints no longer working properly/back pain/diabetes would be better?

I mean, seriously?  How well are we going to be able to juggle all this when sick (beyond the GLP1 queasiness) with a liver starts going out and one is battling serious organ problems?

Sorry for the tough love - I know it is mean to talk about getting sicker and sicker but those of us who are/have been/will be sicker without this medicine KNOW these fears!

Can I tell you how much easier it is to feel occasional digestive upset when you are at a healthy weight — would that inspire you?  This is in fact my experience!

Those of you fortunate enough to have a doctor who keeps up with the latest in medicine are lucky to get a script! Try it.
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Zepbound is a great option for some patients but it’s not the best, or only, option for all.

People are lucky to get an experienced doctor who isn’t just auto-prescribing “trendy” medications. 
[/quote]

Let's use me as an example: I'm 5' and weigh 150 lbs. While I don't have a lot to lose, my goal is to reach 130 lbs so I can fit into clothes from a few years ago. Although I'm not technically obese, I'm at the higher end of the overweight category. In fact, I could lose up to 50 pounds and still be within a healthy weight range.

I've been trying diet and exercise for over a year, but at my age, my body composition and weight haven’t budged. I don’t want to increase workout time (I already do 45 minutes of cardio/strength every other day), and reducing calories more isn’t feasible because it’s already challenging to get enough protein with three meals.

My primary care physician prescribed Zepbound, which I started last week (so far, no side effects). This prescription came through my regular pharmacy.

I think the only person suggesting "other options" might not fully understand that, when diet and exercise aren’t enough, these medications are often the best solution for reaching a healthy weight. If someone can't tolerate the medication due to side effects or other reasons, exploring alternatives makes sense. But for people like me, this is the best path to achieving a healthy weight.[/quote]

But your PCP isn’t well-versed in all of the options out there.

You can’t say it’s “the best solution” for you if you never explored the other options with a knowledgeable doctor.

You heard about Zepbound. You asked your sketchy PCP for a prescription and they said sure.

You have no idea what the “best path” is for yourself or anyone else.

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But you do.  You know all of this, including that OP's PCP isn't well versed.  You're an idiot, among other things.

--NP[/quote]

No, I obviously don't know what the best path is for PP. And PCPs obviously doesn't have the experience/knowledge of a specialist.

PP wanted a trendy medication and pushed her PCP to prescribe it.

The entire reason why I brought up "other options" is because OP was concerned about the side effects and didn't have much weight to lose. It also wasn't clear if her doctor was a specialist or explained the "other options" to her. If she just saw her PCP maybe she wasn't aware than there [u]are[/u] other options out there. 
[/quote]

I went to a "specialist" only to be told about outdated meds like metformin (though great if blood sugar without weight is an issue), Alli, all kinds of derivatives of fen-phen, and straight-up OTC appetite suppressants (WTH?!!). It's presumptuous to assume that a PCP doesn't know what options are available or that a patient is looking for "trendy." What patients are looking for are results and outcomes.  [/quote]

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