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[quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous]Spouse had a recent work lunch with guy who lost a ton of weight on ozempic the last 12 mos.

My spouse over eats, over drinks, over snacks, over works and doesn’t exercise- unless it’s his one of his 1-2 hyper focuses like in grad school. Some overeating and impulse eating is due to his untreated ADHD.

Now he’s hellbent on paying $1k a month to “get in shape” forever.

Worse, I had him cover an urgimed visit for sick kid two days ago with my doctor, and he asked about. That doc loved it for diabetics and said it makes you digest slowly, always feel full, it’s great, come back!

Now DH is telling everyone we see he’s going to do it. He doesn’t read news so hasn’t read about it the last couple years. Can’t believe it took one lunch with a work industry colleague for him to jump on the bandleader.

Pros? Cons?  Does it help ADHD and (eating) stims?[/quote]

He sounds like a person who doesn't feel like he's in control of his life. It sounds like he thinks he found something that will help him look and feel the way he wants. Your post reads like [b]a person who thinks that anyone can lose weight as long as they eat the right things and exercise enough.[/b] This is not true for everyone. The best move here would be for your husband to work with an actual doctor who can advise him about his medical needs and support him in a plan. Your post is really dismissive in that you're basically saying "he had one lunch and now wants to take the easy way out." It sounds like what is actually going on is that he had a conversation with someone about their experience, followed up with one doctor at an unrelated visit, and is telling people he's interested. If he qualifies for this treatment, he can work with a doctor on the treatment.

You should probably work with a therapist because it sounds like you really don't like him. I'm sure that shows, and it will be very hard for him to maintain any kind of routine with a spouse that has your attitude.[/quote]

NP.

Here’s the rub. Large segments of overweight or obese people have NOT tried eating healthy or being active. Not for years and years. If ever.

So this is indeed a magical and hopeful “solution” for that segment of people. They have zero intent to stick to healthy food or activity after the magical weight loss.

[/quote]

I became obese after years of chronic insomnia related to night sweats and other perimenopausal symptoms.

My physician suggested I look into bariatric surgery despite my weight gain being a very recent condition after decades of living at normal weight. I was still exhausted from not sleeping and I was deeply depressed about the weight so I did the consult and all the pre- operative testing. My psych refused to clear me for surgery because I was too depressed and had expressed to her that I wasn’t sure how I would cope with the effects on my body of the surgery since I’d already suffered repeated surgical trauma in the past - e.g., surgeries that caused complications worse than the issues they were meant to resolve.

During the time I’d been contemplating bariatric I spend dozens of hours reading on support boards, reddits, facebook groups. The overwhelming majority of the people posting were strategizing how to get back to favorite foods and old ways of eating after surgery - I began to understand why 70% of bariatric patients are unsuccessful at long term weight loss, or develop a transfer addiction to alcohol, drugs, gambling, or some other destructive behavior.

We need to help people with food addiction to fix the reasons for the addiction, some of which are biochemical due to the types of foods being eaten (foods that trigger dopamine) and some of which are emotional due to lacking healthy coping strategies for addressing feelings related to past trauma or current stresses.

[b]Surgery and injectables are only tools and are very much not fixes to the overweight/obesity epidemic.[/b] What we really need is mental health awareness and treatment.[/quote]

Agree.

Wouldn’t be surprised if health insurance only covers one 12 month round of injectables per lifetime. And also maybe 12-24 mos following that with a bimonthly nutritionist.

That would be the values and outcome based system Obamacare and Feds are looking for.

Bad medium or long term outcome, then not covered. [/quote]

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