Reply to Will Ozempic and other drugs like it eliminate obesity?

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Reply to "Will Ozempic and other drugs like it eliminate obesity?"

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[quote=Anonymous]To answer OPs question genuinely: no, they won’t eliminate obesity. However, they may, for certain classes of patients, manage obesity successfully for years, provided the patients keep taking the drugs. Keep in mind that obesity is an extraordinarily complex metabolic presentation: as an example, the super morbidly obese have a shockingly high rate of childhood sexual abuse in their health history as compared to the “normal” weight population. And there are genetic markers that are strongly correlated with obesity. There are also metabolic markers that show up in some people’s bloodstreams years before they become clinically obese. Then there are women who have PCOS, who are much more likely to gain weight later. The point is that what the general population sees simplistically as “obesity” is increasingly being viewed as the side effect or outcome of a series of complex and interrelated metabolic and mental processes.

So what that means is that any medical cure to obesity is not likely to be a “one and done” thing. I think this class of drugs will likely work best for those obese patients whose obesity is primarily caused by some sort of not-yet-fully-understood pre-diabetic condition, possibly related to some kind of gut inflammatory syndrome. It will probably also help patients whose obesity started from some other cause but then compounded into a diabetic or pre-diabetic condition. But it won’t be a magic cure, and it will likely require longer-term maintenance doses of the drugs (these can’t be thought of as short-term fixes), even for those patients it does help.

What I [i]am[/i] hoping (against realistic hope, unfortunately) is that these class of drugs remove “willpower” from any serious discussion of weight and health. It is mind-boggling to me that people cling to the myth of willpower in this day and age, but particularly in a world where people get a shot and 48 hours later lose a compulsion to eat. Surely this should put to rest the idea that “willpower” is a remotely rational response to obesity. But I think the people who like to mock fat people enjoy their sport too much to give it up even in the face of hard scientific evidence showing how wrong they are.

Also, because I’m sure one of those people will start screaming “put down the chips” in response to this post, I will say ahead of time that I’m not obese. That should not matter at all, but apparently to a lot of DCUMs less discerning readers, words have more weight when uttered by someone who is not obese, and I want to shortcut that tedious nonsense. [/quote]

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