Anonymous wrote:
Anonymous wrote:
Anonymous wrote:I don’t understand how your facial technician provided you with weight loss drugs. Maybe I’ve been living under a rock but can you explain this a bit further?
I’ve been flirting with taking some sort of weight loss medication too and this baffles me.
The med spas have NPs prescribing this stuff through compounding pharmacies. Some of them are even accessing the medication through compounding pharmacies and then injecting people with it in their offices. They do this for people like OP, who can't get a script through their doctor because no doctor is going prescribe Wegovy to someone who only needs (wants?) to lose 15 pounds, because it is only indicated for patients with a BMI in the obese range.
It's a very bad idea. You should be baffled by it.
NP but serious question, why is it a bad idea?
1. The safety concerns with compounded semaglutide are serious enough that my doctor will not prescribe to compounding pharmacies. The med spas are absolutely not writing actual scripts for Wegovy that people pick up at a regular pharmacy; their clients don't qualify for insurance coverage as they are not obese (at least most of them aren't -- most those who are can and do get a Wegovy script from their doctor and are not messing with compounding pharmacies) and no one is wanting to pay $1300 a month for it out of pocket. So what they are selling is not brand name Wegovy or Ozempic, they are selling compounded semaglutide, which is easier to access and a lot cheaper. My doctor called the safety issues presented by compounded semaglutide "terrifying."
2. This is an anti-obesity medicine that can, and often does, have serious side effects. In my opinion, no medical professional with ethics and an understanding of the risks associated with this med should be prescribing it to people who do not have obesity, which is, of course, a serious medical condition. The risk/benefit analysis only comes out in favor of prescribing it if the patient has the serious medical condition that the drug is intended to treat. If a medical professional does prescribe to someone who has, oh, say, only 8lbs to lose, they are, in my opinion, putting profit over patient care. Do No Harm. You don't just give patients whatever they want.
3. Anti-obesity treatment in general is complicated, and especially so with this medication. My doctor is monitoring me very closely. That is not the role of a med spa; those places are focused on aesthetics. If you want to get your botox there, fine. Semaglutide? I simply don't think that is wise. But of course it isn't surprising that they have jumped on the bandwagon, there is always money to be made off of people who are worried about that extra 8lbs.
4. My doctor said that I will be on Wegovy for life. When you go off of it, you gain the weight back. OP has already seen this happen, at least to the extent of 8lbs, and now wants to go back on. But folks who just need to lose a bit of vanity weight are not going to stay on it-- that would make no sense given the risks and the cost. So instead, they take it, go off it, take it, go off it. It can't be good to go on a medication with such a strong effect on blood sugar, then go off, then go back on, etc. It is a serious drug that effects a number of things in the body, it's not a juice fast.
5. The FDA has warned the public against using compounded semaglutide. There is virtually no quality control, and serious adverse effects -- including overdose due to bad dosing -- have been reported.
6. Don't expect competent medical care from a "spa." Just don't.
And that's just off the top of my head.