Anonymous wrote:

Anonymous wrote:For those who have taken the medication, I'm wondering what it actually does and how it makes you feel and eat differently. Like, did you go from being physically hungry all day every day to having very little appetite whatsoever? Did you formerly crave junk food or were you already eating pretty healthy? If you used to eat unhealthy food, did the medicine take away that craving and make you crave healthy foods, or did it sort of reduce your interest in all foods equally? If you used to eat healthy food but were still overweight, is it because you ate large quantities of food or did you track your intake pretty carefully and gained regardless? Do you forget to eat or have to remind yourself to eat now? Is it like surgery where you can only eat a small quantity at a time now?

I’m answering for a dear friend not me, but what I saw with her was that she was a volume eater. Her diet was quite healthy—her fridge always looked better than mine, and I lived with her for awhile and I know she eats very healthy. But she eats a lot, because she’s never satiated. So for instance we might eat a dinner together of grilled salmon, broccoli, and maybe a side of couscous. But she would eat probably 1/3rd more than me, and also be hungry again an hour later whereas I would still be full. She didn’t tend to eat a lot of sweets, but if she did, she would struggle to stop (which is why she avoided them). Pre-Wegovy she was probably about 70 lbs overweight.

Wegovy changed all of that. She’s simply not hungry. She still eats healthy, but I would say she is consuming less than half of what she ate before. She’s had some minor gastrointestinal side effects according to her but nothing bad. She has lost over 60 lbs. The other thing that is interesting is that she always suffered from joint stiffness and facial flushing, and struggled with skin irritation. That all started to go away almost immediately, before she lost any significant weight. Her theory is that she has suffered for a long time from some sort of systemic inflammation that this drug has controlled.

She had to suddenly go off of it because of supply chain issues for a few months and her desire to eat a lot more came roaring back. She gained weight during that time, which she lost when the supply chain resolved.

The psychological aspects have been intense because she’s had to come to grip with how much of her overeating and weight gain was a physiological issue, not the moral failing she’d always been told it was. She’s dealt with a great deal of anger at people much like the “just have discipline” people in this thread. Turns out weight has nothing to do with discipline. It’s very easy to maintain a healthy weight if your body isn’t driven to consume calories. So, she’s been going through therapy to help her come to grips with the history of shame and self-loathing that she’s realized she’s directed at herself for nothing. (As her friend watching this up close, I am angry myself, having realized what an absolute load of nonsense we’ve been peddled by snake oil salespeople like the trainer who was posting up thread. The diet and wellness industry is such a poisonous blight. But I digress.)

She’s always been an exerciser and has continued that. She’s able to bike up steeper hills now because she isn’t carrying as much weight.

She views this as a lifelong drug.

Anonymous wrote:

Anonymous wrote:For those who have taken the medication, I'm wondering what it actually does and how it makes you feel and eat differently. Like, did you go from being physically hungry all day every day to having very little appetite whatsoever? Did you formerly crave junk food or were you already eating pretty healthy? If you used to eat unhealthy food, did the medicine take away that craving and make you crave healthy foods, or did it sort of reduce your interest in all foods equally? If you used to eat healthy food but were still overweight, is it because you ate large quantities of food or did you track your intake pretty carefully and gained regardless? Do you forget to eat or have to remind yourself to eat now? Is it like surgery where you can only eat a small quantity at a time now?

I’m answering for a dear friend not me, but what I saw with her was that she was a volume eater. Her diet was quite healthy—her fridge always looked better than mine, and I lived with her for awhile and I know she eats very healthy. But she eats a lot, because she’s never satiated. So for instance we might eat a dinner together of grilled salmon, broccoli, and maybe a side of couscous. But she would eat probably 1/3rd more than me, and also be hungry again an hour later whereas I would still be full. She didn’t tend to eat a lot of sweets, but if she did, she would struggle to stop (which is why she avoided them). Pre-Wegovy she was probably about 70 lbs overweight.

Wegovy changed all of that. She’s simply not hungry. She still eats healthy, but I would say she is consuming less than half of what she ate before. She’s had some minor gastrointestinal side effects according to her but nothing bad. She has lost over 60 lbs. The other thing that is interesting is that she always suffered from joint stiffness and facial flushing, and struggled with skin irritation. That all started to go away almost immediately, before she lost any significant weight. Her theory is that she has suffered for a long time from some sort of systemic inflammation that this drug has controlled.

She had to suddenly go off of it because of supply chain issues for a few months and her desire to eat a lot more came roaring back. She gained weight during that time, which she lost when the supply chain resolved.

The psychological aspects have been intense because she’s had to come to grip with how much of her overeating and weight gain was a physiological issue, not the moral failing she’d always been told it was. She’s dealt with a great deal of anger at people much like the “just have discipline” people in this thread. Turns out weight has nothing to do with discipline. It’s very easy to maintain a healthy weight if your body isn’t driven to consume calories. So, she’s been going through therapy to help her come to grips with the history of shame and self-loathing that she’s realized she’s directed at herself for nothing. (As her friend watching this up close, I am angry myself, having realized what an absolute load of nonsense we’ve been peddled by snake oil salespeople like the trainer who was posting up thread. The diet and wellness industry is such a poisonous blight. But I digress.)

She’s always been an exerciser and has continued that. She’s able to bike up steeper hills now because she isn’t carrying as much weight.

She views this as a lifelong drug.

Anonymous wrote:

Anonymous wrote:For those who have taken the medication, I'm wondering what it actually does and how it makes you feel and eat differently. Like, did you go from being physically hungry all day every day to having very little appetite whatsoever? Did you formerly crave junk food or were you already eating pretty healthy? If you used to eat unhealthy food, did the medicine take away that craving and make you crave healthy foods, or did it sort of reduce your interest in all foods equally? If you used to eat healthy food but were still overweight, is it because you ate large quantities of food or did you track your intake pretty carefully and gained regardless? Do you forget to eat or have to remind yourself to eat now? Is it like surgery where you can only eat a small quantity at a time now?

I’m answering for a dear friend not me, but what I saw with her was that she was a volume eater. Her diet was quite healthy—her fridge always looked better than mine, and I lived with her for awhile and I know she eats very healthy. But she eats a lot, because she’s never satiated. So for instance we might eat a dinner together of grilled salmon, broccoli, and maybe a side of couscous. But she would eat probably 1/3rd more than me, and also be hungry again an hour later whereas I would still be full. She didn’t tend to eat a lot of sweets, but if she did, she would struggle to stop (which is why she avoided them). Pre-Wegovy she was probably about 70 lbs overweight.

Wegovy changed all of that. She’s simply not hungry. She still eats healthy, but I would say she is consuming less than half of what she ate before. She’s had some minor gastrointestinal side effects according to her but nothing bad. She has lost over 60 lbs. The other thing that is interesting is that she always suffered from joint stiffness and facial flushing, and struggled with skin irritation. That all started to go away almost immediately, before she lost any significant weight. Her theory is that she has suffered for a long time from some sort of systemic inflammation that this drug has controlled.

She had to suddenly go off of it because of supply chain issues for a few months and her desire to eat a lot more came roaring back. She gained weight during that time, which she lost when the supply chain resolved.

The psychological aspects have been intense because she’s had to come to grip with how much of her overeating and weight gain was a physiological issue, not the moral failing she’d always been told it was. She’s dealt with a great deal of anger at people much like the “just have discipline” people in this thread. Turns out weight has nothing to do with discipline. It’s very easy to maintain a healthy weight if your body isn’t driven to consume calories. So, she’s been going through therapy to help her come to grips with the history of shame and self-loathing that she’s realized she’s directed at herself for nothing. (As her friend watching this up close, I am angry myself, having realized what an absolute load of nonsense we’ve been peddled by snake oil salespeople like the trainer who was posting up thread. The diet and wellness industry is such a poisonous blight. But I digress.)

She’s always been an exerciser and has continued that. She’s able to bike up steeper hills now because she isn’t carrying as much weight.

She views this as a lifelong drug.

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:For those who are confused.

The current message is “Eating healthy food and exercising make you healthy and leads to weight loss. If it doesn’t, you’re doing it wrong and need to try harder.”

The better message, and what we’re thankfully moving toward, is “Eating healthy food and exercising are great for your mobility and mental, cardiovascular and metabolic health. Keep doing it, even if it doesn’t lead to weight loss or maintenance. We have other tools that are better for weight loss if that’s what your goal is.”

No one is saying “Eating healthy food and exercising is stupid and pointless since it doesn’t help you lose weight long term. Try Ozempic instead.”

But this is the message people will hear, and want to hear.

Now you're just moving the goalposts. You'll agree no one is saying it, but now people are hearing it anyway.

If they are, then there's nothing we can do about it, so I don't know what your point is.

1. The first (current) message is accurate for many people. They do need to try harder, sorry.

2. The second message is half right, but for many people, weight loss is the main goal of eating healthy and exercising. The second half of the message, that "other tools are better" is what is being debated. I think healthy food and exercise are still far better than drugs if they work for you. The problem is that many people, once they hear there is a miracle drug, will abandon their healthy food and exercise efforts.

Is there "nothing we can do about it?" We can promote the drugs as a last resort when diet and exercise fails. Not as a solution for chubby middle schoolers, I mean really!

Diet and exercise has failed though. It has failed unequivocally and disastrously.

Diet and exercise hasn't failed. You (Americans) have failed to put reasonable amounts of healthy foods in your mouth. And you have failed to exercise on a regular basis. You are doing things that are adversely affecting your health.

Like numerous people have already said, it's not some external stimuli or change in your DNA that is causing obesity. Stop being a victim and get out there and get it!

95% of people who lose weight by dieting gain it back. Do you think the problem is just that they haven’t read your post yet? Or could it be that telling people to “go out and get it” is not actually an effective way to help them lose weight

Where are you getting 95%? I don't believe that.

I pulled it out of my ass.

The oft-cited number is 90%. Eg: https://healthblog.uofmhealth.org/health-management/weighing-facts-tough-truth-about-weight-loss

But I wouldn’t be surprised if it’s higher over a person’s whole lifetime

Nobody said it's going to be easy. You need to focus less on fad diets and more on committing to permanent changes in your diet and exercise routine.

I don’t “need” to do anything. I’m a healthy weight. I can’t stand the cognitive dissonance of people who say obesity is a crisis but also think we shouldn’t do anything to address it except tell people to eat better and exercise, as if that hasn’t been tried for decades and foaled miserably

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:For those who are confused.

The current message is “Eating healthy food and exercising make you healthy and leads to weight loss. If it doesn’t, you’re doing it wrong and need to try harder.”

The better message, and what we’re thankfully moving toward, is “Eating healthy food and exercising are great for your mobility and mental, cardiovascular and metabolic health. Keep doing it, even if it doesn’t lead to weight loss or maintenance. We have other tools that are better for weight loss if that’s what your goal is.”

No one is saying “Eating healthy food and exercising is stupid and pointless since it doesn’t help you lose weight long term. Try Ozempic instead.”

But this is the message people will hear, and want to hear.

Now you're just moving the goalposts. You'll agree no one is saying it, but now people are hearing it anyway.

If they are, then there's nothing we can do about it, so I don't know what your point is.

1. The first (current) message is accurate for many people. They do need to try harder, sorry.

2. The second message is half right, but for many people, weight loss is the main goal of eating healthy and exercising. The second half of the message, that "other tools are better" is what is being debated. I think healthy food and exercise are still far better than drugs if they work for you. The problem is that many people, once they hear there is a miracle drug, will abandon their healthy food and exercise efforts.

Is there "nothing we can do about it?" We can promote the drugs as a last resort when diet and exercise fails. Not as a solution for chubby middle schoolers, I mean really!

Diet and exercise has failed though. It has failed unequivocally and disastrously.

Diet and exercise hasn't failed. You (Americans) have failed to put reasonable amounts of healthy foods in your mouth. And you have failed to exercise on a regular basis. You are doing things that are adversely affecting your health.

Like numerous people have already said, it's not some external stimuli or change in your DNA that is causing obesity. Stop being a victim and get out there and get it!

95% of people who lose weight by dieting gain it back. Do you think the problem is just that they haven’t read your post yet? Or could it be that telling people to “go out and get it” is not actually an effective way to help them lose weight

Where are you getting 95%? I don't believe that.

I pulled it out of my ass.

The oft-cited number is 90%. Eg: https://healthblog.uofmhealth.org/health-management/weighing-facts-tough-truth-about-weight-loss

But I wouldn’t be surprised if it’s higher over a person’s whole lifetime

Nobody said it's going to be easy. You need to focus less on fad diets and more on committing to permanent changes in your diet and exercise routine.

Anonymous wrote:For those who have taken the medication, I'm wondering what it actually does and how it makes you feel and eat differently. Like, did you go from being physically hungry all day every day to having very little appetite whatsoever? Did you formerly crave junk food or were you already eating pretty healthy? If you used to eat unhealthy food, did the medicine take away that craving and make you crave healthy foods, or did it sort of reduce your interest in all foods equally? If you used to eat healthy food but were still overweight, is it because you ate large quantities of food or did you track your intake pretty carefully and gained regardless? Do you forget to eat or have to remind yourself to eat now? Is it like surgery where you can only eat a small quantity at a time now?

Anonymous wrote:

Anonymous wrote:For those who have taken the medication, I'm wondering what it actually does and how it makes you feel and eat differently. Like, did you go from being physically hungry all day every day to having very little appetite whatsoever? Did you formerly crave junk food or were you already eating pretty healthy? If you used to eat unhealthy food, did the medicine take away that craving and make you crave healthy foods, or did it sort of reduce your interest in all foods equally? If you used to eat healthy food but were still overweight, is it because you ate large quantities of food or did you track your intake pretty carefully and gained regardless? Do you forget to eat or have to remind yourself to eat now? Is it like surgery where you can only eat a small quantity at a time now?

in my case it changed what I want to it and how much. I am a huge binge eater, and this has reduced frequency of binges and how much I eat during an episode. I am very rarely hungry but I still eat when I am not hungry (unfortunately). the medicine made me much less interested in sweets and bread/pasta. I eat some but much, much less, and without effort. It just doesn't appeal, like, I can have bunch of ice cream in the freezer and not touch it. I always loved healthy food but also ate a lot of junk (that I didn't like all that much but couldn't resist). I eat almost no junk now.

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:For those who are confused.

The current message is “Eating healthy food and exercising make you healthy and leads to weight loss. If it doesn’t, you’re doing it wrong and need to try harder.”

The better message, and what we’re thankfully moving toward, is “Eating healthy food and exercising are great for your mobility and mental, cardiovascular and metabolic health. Keep doing it, even if it doesn’t lead to weight loss or maintenance. We have other tools that are better for weight loss if that’s what your goal is.”

No one is saying “Eating healthy food and exercising is stupid and pointless since it doesn’t help you lose weight long term. Try Ozempic instead.”

But this is the message people will hear, and want to hear.

Now you're just moving the goalposts. You'll agree no one is saying it, but now people are hearing it anyway.

If they are, then there's nothing we can do about it, so I don't know what your point is.

1. The first (current) message is accurate for many people. They do need to try harder, sorry.

2. The second message is half right, but for many people, weight loss is the main goal of eating healthy and exercising. The second half of the message, that "other tools are better" is what is being debated. I think healthy food and exercise are still far better than drugs if they work for you. The problem is that many people, once they hear there is a miracle drug, will abandon their healthy food and exercise efforts.

Is there "nothing we can do about it?" We can promote the drugs as a last resort when diet and exercise fails. Not as a solution for chubby middle schoolers, I mean really!

Diet and exercise has failed though. It has failed unequivocally and disastrously.

Diet and exercise hasn't failed. You (Americans) have failed to put reasonable amounts of healthy foods in your mouth. And you have failed to exercise on a regular basis. You are doing things that are adversely affecting your health.

Like numerous people have already said, it's not some external stimuli or change in your DNA that is causing obesity. Stop being a victim and get out there and get it!

95% of people who lose weight by dieting gain it back. Do you think the problem is just that they haven’t read your post yet? Or could it be that telling people to “go out and get it” is not actually an effective way to help them lose weight

Where are you getting 95%? I don't believe that.

I pulled it out of my ass.

The oft-cited number is 90%. Eg: https://healthblog.uofmhealth.org/health-management/weighing-facts-tough-truth-about-weight-loss

But I wouldn’t be surprised if it’s higher over a person’s whole lifetime

Nobody said it's going to be easy. You need to focus less on fad diets and more on committing to permanent changes in your diet and exercise routine.

Hello 1965. Welcome to 2022. A lot has changed since you learned anything new.

Yes, a lot has changed indeed! The Obesity rate has trippled!!! Have the rocket scientists come to a conclusion on causation of obesity?

Anonymous wrote:For those who have taken the medication, I'm wondering what it actually does and how it makes you feel and eat differently. Like, did you go from being physically hungry all day every day to having very little appetite whatsoever? Did you formerly crave junk food or were you already eating pretty healthy? If you used to eat unhealthy food, did the medicine take away that craving and make you crave healthy foods, or did it sort of reduce your interest in all foods equally? If you used to eat healthy food but were still overweight, is it because you ate large quantities of food or did you track your intake pretty carefully and gained regardless? Do you forget to eat or have to remind yourself to eat now? Is it like surgery where you can only eat a small quantity at a time now?

Anonymous wrote:

Anonymous wrote:For those who have taken the medication, I'm wondering what it actually does and how it makes you feel and eat differently. Like, did you go from being physically hungry all day every day to having very little appetite whatsoever? Did you formerly crave junk food or were you already eating pretty healthy? If you used to eat unhealthy food, did the medicine take away that craving and make you crave healthy foods, or did it sort of reduce your interest in all foods equally? If you used to eat healthy food but were still overweight, is it because you ate large quantities of food or did you track your intake pretty carefully and gained regardless? Do you forget to eat or have to remind yourself to eat now? Is it like surgery where you can only eat a small quantity at a time now?

That is too many questions.

Anonymous wrote:For those who have taken the medication, I'm wondering what it actually does and how it makes you feel and eat differently. Like, did you go from being physically hungry all day every day to having very little appetite whatsoever? Did you formerly crave junk food or were you already eating pretty healthy? If you used to eat unhealthy food, did the medicine take away that craving and make you crave healthy foods, or did it sort of reduce your interest in all foods equally? If you used to eat healthy food but were still overweight, is it because you ate large quantities of food or did you track your intake pretty carefully and gained regardless? Do you forget to eat or have to remind yourself to eat now? Is it like surgery where you can only eat a small quantity at a time now?

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:For those who are confused.

The current message is “Eating healthy food and exercising make you healthy and leads to weight loss. If it doesn’t, you’re doing it wrong and need to try harder.”

The better message, and what we’re thankfully moving toward, is “Eating healthy food and exercising are great for your mobility and mental, cardiovascular and metabolic health. Keep doing it, even if it doesn’t lead to weight loss or maintenance. We have other tools that are better for weight loss if that’s what your goal is.”

No one is saying “Eating healthy food and exercising is stupid and pointless since it doesn’t help you lose weight long term. Try Ozempic instead.”

But this is the message people will hear, and want to hear.

Now you're just moving the goalposts. You'll agree no one is saying it, but now people are hearing it anyway.

If they are, then there's nothing we can do about it, so I don't know what your point is.

1. The first (current) message is accurate for many people. They do need to try harder, sorry.

2. The second message is half right, but for many people, weight loss is the main goal of eating healthy and exercising. The second half of the message, that "other tools are better" is what is being debated. I think healthy food and exercise are still far better than drugs if they work for you. The problem is that many people, once they hear there is a miracle drug, will abandon their healthy food and exercise efforts.

Is there "nothing we can do about it?" We can promote the drugs as a last resort when diet and exercise fails. Not as a solution for chubby middle schoolers, I mean really!

Diet and exercise has failed though. It has failed unequivocally and disastrously.

Diet and exercise hasn't failed. You (Americans) have failed to put reasonable amounts of healthy foods in your mouth. And you have failed to exercise on a regular basis. You are doing things that are adversely affecting your health.

Like numerous people have already said, it's not some external stimuli or change in your DNA that is causing obesity. Stop being a victim and get out there and get it!

95% of people who lose weight by dieting gain it back. Do you think the problem is just that they haven’t read your post yet? Or could it be that telling people to “go out and get it” is not actually an effective way to help them lose weight

Where are you getting 95%? I don't believe that.

I pulled it out of my ass.

The oft-cited number is 90%. Eg: https://healthblog.uofmhealth.org/health-management/weighing-facts-tough-truth-about-weight-loss

But I wouldn’t be surprised if it’s higher over a person’s whole lifetime

Nobody said it's going to be easy. You need to focus less on fad diets and more on committing to permanent changes in your diet and exercise routine.

Hello 1965. Welcome to 2022. A lot has changed since you learned anything new.

Yes, a lot has changed indeed! The Obesity rate has trippled!!! Have the rocket scientists come to a conclusion on causation of obesity?

Anonymous wrote:I looked into it. Lots of people seem to have nausea, stomach pain, diarrhea or constipation with it and then there are riskier but less common side effects on major organs (pancreas, kidney, gall bladder) and some vision effects.

Not worth it for me. I don't mind being fat enough to feel sick everyday and risk the health of my organs. I am not too fat to function and am in good health at this point.