Anonymous wrote:Can someone clarify this for me: how can she get it prescribed by a legit doctor if she is not obese? I thought it was only advised for obese people?

There are many doctors online that will prescribe them. You have to fill in paperwork when you have your first appointment and state your height and weight but it is the honor system and you can pad 20 pounds on your weight and then qualify.

Can someone clarify this for me: how can she get it prescribed by a legit doctor if she is not obese? I thought it was only advised for obese people?

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Anonymous wrote:Yes, I would let her. Being overweight is an incredible burden and can impact her marriage prospects considerably.

Her bmi is normal. She isn’t overweight

8/10 is pretty big these days. It’s more like an old school 14. Not sure I’d let her do it though. Does she have weight to lose or is she big boned?

"these days"? we're not comparing to the 50s here. My 5'6" DD is also an 8 and she looks great. She is also not in the overweight BMI category. I have size 8 dresses in my closet that are too big for her.... so again, no a 8/10 is not equivalent to a 14 unless you're comparing to the 50s and 60s.

NP here. Sizing has changed dramatically over the past 20 years. I am 5'10" and 130 pounds and have been since I graduated from college in the 90s. 25 years ago, I wore a size 8/10. Today, I wear a size 4. My body has not changed (well, that much), but the sizing definitely has.

Yes, the sizing is different now. A 10 in 2024 would be a 14 in 2001. Not obese, but definitely chubby.

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Anonymous wrote:It increases your risk of pancreatic cancer which is one of the most aggressive forms of cancer. https://link.springer.com/article/10.1007/s11096-023-01556-2

You know that being morbidly obese puts you at risk of all kinds of cancers and heart disease right??????? GFC

Yes we know that’s the obligatory retort to every study that says these drugs are dangerous

There arent' any studies that say 'these drugs are dangerous'. BTW these drugs have been in use for nearly 2 decades. But there are many many studies that show that obesity puts you at risk of many cancers, heart disease and other comorbidities that kill often.

But op’s dd isn’t obese.

DP. How is she not obese? She is my height and size 8-10. I am 53 and size 0 or 2 at best, and I have extra weight on my tummy and legs. Size 8-10 is obese, not morbidly obese, but I think people do not realize what the threshold for being obese is.

Please take you eating disordered mind and stop posting. Size 8-10 is not obese. It is not even over-weight for many. Different people are different sizes. Hell - different clothing stores are different sizes. Maybe you shop at a store that has large clothing and OPs daughter does not. Stop shaming others when the real problem is in your head.

OP - I would encourage your daughter to talk to a doctor about any concerns about her weight. And not get advice from a board that is known to have a bunch of people with body-image problems and eating disorders.

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DP. How is she not obese? She is my height and size 8-10. I am 53 and size 0 or 2 at best, and I have extra weight on my tummy and legs. Size 8-10 is obese, not morbidly obese, but I think people do not realize what the threshold for being obese is.

Obese us a medical term based on BMI. Medically, OP's daughter is a couple of pounds overweight.

My mom thought I was basically obese at 5'4 and 125 when I was 18. I lost weight through good old fashioned anorexia (thanks, mom). I would have been healthier at 140+ than I was at <90 pounds, but it sounds like some of you think anything larger than a 00 is fat.

I’m a PP and I don’t think it’s appropriate to use any weight loss meds for her daughter. But I do understand the general concern about weight. A teenager that is “a few pounds overweight” per BMI has an extreme likelihood of being an obese adult in the near future. Which is why I think seeing a nutritionist is a good idea and just having a professional take a look at what she is actually eating and give her some education on how/what to eat to optimize health. Especially before going off to college where she will be 100% responsible for sourcing her own food, possibly drinking alcohol, and having a change in physical activity.

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Anonymous wrote:It increases your risk of pancreatic cancer which is one of the most aggressive forms of cancer. https://link.springer.com/article/10.1007/s11096-023-01556-2

You know that being morbidly obese puts you at risk of all kinds of cancers and heart disease right??????? GFC

Yes we know that’s the obligatory retort to every study that says these drugs are dangerous

There arent' any studies that say 'these drugs are dangerous'. BTW these drugs have been in use for nearly 2 decades. But there are many many studies that show that obesity puts you at risk of many cancers, heart disease and other comorbidities that kill often.

But op’s dd isn’t obese.

DP. How is she not obese? She is my height and size 8-10. I am 53 and size 0 or 2 at best, and I have extra weight on my tummy and legs. Size 8-10 is obese, not morbidly obese, but I think people do not realize what the threshold for being obese is.

You have a distorted view of your body if you think you’re carrying extra weight at a size 0.

DP. How is she not obese? She is my height and size 8-10. I am 53 and size 0 or 2 at best, and I have extra weight on my tummy and legs. Size 8-10 is obese, not morbidly obese, but I think people do not realize what the threshold for being obese is.

Obese us a medical term based on BMI. Medically, OP's daughter is a couple of pounds overweight.

My mom thought I was basically obese at 5'4 and 125 when I was 18. I lost weight through good old fashioned anorexia (thanks, mom). I would have been healthier at 140+ than I was at <90 pounds, but it sounds like some of you think anything larger than a 00 is fat.

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Anonymous wrote:It increases your risk of pancreatic cancer which is one of the most aggressive forms of cancer. https://link.springer.com/article/10.1007/s11096-023-01556-2

You know that being morbidly obese puts you at risk of all kinds of cancers and heart disease right??????? GFC

Yes we know that’s the obligatory retort to every study that says these drugs are dangerous

There arent' any studies that say 'these drugs are dangerous'. BTW these drugs have been in use for nearly 2 decades. But there are many many studies that show that obesity puts you at risk of many cancers, heart disease and other comorbidities that kill often.

But op’s dd isn’t obese.

DP. How is she not obese? She is my height and size 8-10. I am 53 and size 0 or 2 at best, and I have extra weight on my tummy and legs. Size 8-10 is obese, not morbidly obese, but I think people do not realize what the threshold for being obese is.

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Anonymous wrote:Yes, I would let her. Being overweight is an incredible burden and can impact her marriage prospects considerably.

Her bmi is normal. She isn’t overweight

8/10 is pretty big these days. It’s more like an old school 14. Not sure I’d let her do it though. Does she have weight to lose or is she big boned?

"these days"? we're not comparing to the 50s here. My 5'6" DD is also an 8 and she looks great. She is also not in the overweight BMI category. I have size 8 dresses in my closet that are too big for her.... so again, no a 8/10 is not equivalent to a 14 unless you're comparing to the 50s and 60s.

NP here. Sizing has changed dramatically over the past 20 years. I am 5'10" and 130 pounds and have been since I graduated from college in the 90s. 25 years ago, I wore a size 8/10. Today, I wear a size 4. My body has not changed (well, that much), but the sizing definitely has.

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Anonymous wrote:Yes, I would let her. Being overweight is an incredible burden and can impact her marriage prospects considerably.

Her bmi is normal. She isn’t overweight

BMI is 25 and change.
5'4" and high 140s weight.

I’m that height and weight and a size 2-4. I workout, am very athletic and been the same size/weight since my 20s. I’m 54 now. People place me at 120. It’s not the weight- but the composition. When I got down to 135 once people literally told me I looked anorexic, too skinny. Big boned

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Anonymous wrote:I am probably similar numbers (though taller and heavier) - and I have been working with an obesity medicine specialist. She has about 10 drugs she uses before the semi glutides for people in our BMI. I would recommend seeing one of them before she jumps on wegovy - the newest research says most need to stay on it for life and other medications can be more transient. Revolution Medicine in Bethesda is one of the practices I looked at - they take insurance - I didn't end up using them because of geography and used a practice in NoVa, but I think I'd have her start there?

+1

Contrave is helpful when paired with a low-carb /high protein + high micronutrient approach to food. (For those already on Wellbutrin, a doctor can just add a prescription for Naltrexone. Those two together = Contrave. Suppresses appetite and reduces food cravings and preoccupation with food “food noise,” more generally. Helpful when learning to adjust to a new (healthier) way of eating.

I would never, ever put a slightly chubby teen on Contrave. That's completely nuts. Wellbutrin has a black box warning for suicides, especially in teen users. And Naltrexone intereferes with pleasure signaling and opioid receptors. There are so many potential adverse effects of Contrave.

I think there is near complete agreement here that GLP1 agonists are not at all appropriate for this kid. I can't imagine any other weight loss drugs would be. Either.

I wouldn't let her go on anything until I had her see her PCP, get bloodwork and a body scan done. Maybe you have forgotten that muscle weighs more than fat and that many elite athletes are considered overweight based on BMI because of their muscle mass.

I recently did a research study someone getting their PhD in kinesiology. She told me she is 5'2 and 140lbs. She has very little body fat and is in excellent health. She looks physically amazing, strong and healthy, but not skinny.

I just can't imagine someone who's 5'4 and a size 8/10 being seen as needing to slim down.

Anonymous wrote:

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Anonymous wrote:Yes, I would let her. Being overweight is an incredible burden and can impact her marriage prospects considerably.

Her bmi is normal. She isn’t overweight

8/10 is pretty big these days. It’s more like an old school 14. Not sure I’d let her do it though. Does she have weight to lose or is she big boned?

"these days"? we're not comparing to the 50s here. My 5'6" DD is also an 8 and she looks great. She is also not in the overweight BMI category. I have size 8 dresses in my closet that are too big for her.... so again, no a 8/10 is not equivalent to a 14 unless you're comparing to the 50s and 60s.

Anonymous wrote:I am probably similar numbers (though taller and heavier) - and I have been working with an obesity medicine specialist. She has about 10 drugs she uses before the semi glutides for people in our BMI. I would recommend seeing one of them before she jumps on wegovy - the newest research says most need to stay on it for life and other medications can be more transient. Revolution Medicine in Bethesda is one of the practices I looked at - they take insurance - I didn't end up using them because of geography and used a practice in NoVa, but I think I'd have her start there?

What are drugs are there that are FDA approved for weight loss besides these? Is she prescribing adderall?

Anonymous wrote:

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Anonymous wrote:It increases your risk of pancreatic cancer which is one of the most aggressive forms of cancer. https://link.springer.com/article/10.1007/s11096-023-01556-2

You know that being morbidly obese puts you at risk of all kinds of cancers and heart disease right??????? GFC

Yes we know that’s the obligatory retort to every study that says these drugs are dangerous

There arent' any studies that say 'these drugs are dangerous'. BTW these drugs have been in use for nearly 2 decades. But there are many many studies that show that obesity puts you at risk of many cancers, heart disease and other comorbidities that kill often.

But op’s dd isn’t obese.