Anonymous wrote:I am obese and on Ozempic. I have only just about 3 percent of my weight unfortunately. I still think about food way too much, so it doesn't work for everyone...

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Anonymous wrote:I agree OP. They should be available for every woman in peri-menopause. I still enjoy eating but I don't constantly think about it all day long.

No, the really unpopular opinion is that so many excuses here are just about lack of discipline and it’s very sad for our population that you need pharmaceuticals rather than implementing and maintaining good habits


You think saying everyone should get weight loss drugs is unpopular? Look around, it’s an echo chamber.

I am very confident when I say that I was doing everything right in terms of exercising and tracking calories, and was still gaining weight in peri-menopause. It was not lack of good habits.

Are you eating and exercising the same amount as before?

And to be clear, I am extremely skeptical that you are eating as much on this drug as you were off it. The whole point of this drug slows down your digestion and suppresses hunger.

It does more than that. It also affects insulin resistance, which is a big reason why fat is stored on the body. It's not just an appetite suppressant.

Yes, that’s why they are indicated for people with actual metabolic risk, not for people who are upset about vanity pounds.

There is significant overlap when it comes to older women.

A1C

So you are telling me all of these physicians are checking these women's glucose levels and A1C before prescribing these drugs? And they are picking these drugs over metformin?

A conversation about my A1C level with my doctor was what convinced me to try Wegovy. I'm glad I did. But I have a great pcp, not one of these fly-by-night online operations pushing compounded semaglutide. And in addition to being borderline pre-diabetic, I started with a bmi of 36 (28 now). But the blood work is what convinced me to try it given all of the risk (the side effects can be quite bad, and have been for me -- I'd never take this drug to lose 20 pounds).

But you are right -- certainly not "all of these physicians" are checking blood levels or even caring if their online patients are lying about their weight.

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Anonymous wrote:Weight loss drugs are not for everyone, clearly. They are for those who can afford them and have corrupt doctors. I have neither.

They should be made available for those who can afford them and have good doctors who explain the risks and obtain informed consent from their patients. Eliminate the incentives for corruption by making them broadly available with informed consent. All drugs have risks.

You think physicians should prescribe you whatever you want? Get out of here.

Within reason and with informed consent, yes. My body, my choice.

Ketamine for all.

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Anonymous wrote:I agree OP. They should be available for every woman in peri-menopause. I still enjoy eating but I don't constantly think about it all day long.

No, the really unpopular opinion is that so many excuses here are just about lack of discipline and it’s very sad for our population that you need pharmaceuticals rather than implementing and maintaining good habits


You think saying everyone should get weight loss drugs is unpopular? Look around, it’s an echo chamber.

I am very confident when I say that I was doing everything right in terms of exercising and tracking calories, and was still gaining weight in peri-menopause. It was not lack of good habits.

Are you eating and exercising the same amount as before?

And to be clear, I am extremely skeptical that you are eating as much on this drug as you were off it. The whole point of this drug slows down your digestion and suppresses hunger.

It does more than that. It also affects insulin resistance, which is a big reason why fat is stored on the body. It's not just an appetite suppressant.

Yes, that’s why they are indicated for people with actual metabolic risk, not for people who are upset about vanity pounds.

There is significant overlap when it comes to older women.

A1C

So you are telling me all of these physicians are checking these women's glucose levels and A1C before prescribing these drugs? And they are picking these drugs over metformin?

Anonymous wrote:When you go on these medications is it basically for life? I know they haven't been used very long for weight loss so maybe there isn't any data on this yet, but can someone use them to lose 40 or 50 pounds and then go off of them or will you just ricochet back?

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Anonymous wrote:There will be a tariff on them soon enough.

Enjoy your drugs while you can!

We already have plenty of compound pharmacies for GLP-1s because they are profitable to make, and we should have more compound pharmacies so we're not reliant on China the next time we have a global health crisis.

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Anonymous wrote:I agree OP. They should be available for every woman in peri-menopause. I still enjoy eating but I don't constantly think about it all day long.

No, the really unpopular opinion is that so many excuses here are just about lack of discipline and it’s very sad for our population that you need pharmaceuticals rather than implementing and maintaining good habits


You think saying everyone should get weight loss drugs is unpopular? Look around, it’s an echo chamber.

I am very confident when I say that I was doing everything right in terms of exercising and tracking calories, and was still gaining weight in peri-menopause. It was not lack of good habits.

Are you eating and exercising the same amount as before?

And to be clear, I am extremely skeptical that you are eating as much on this drug as you were off it. The whole point of this drug slows down your digestion and suppresses hunger.

It does more than that. It also affects insulin resistance, which is a big reason why fat is stored on the body. It's not just an appetite suppressant.

Yes, that’s why they are indicated for people with actual metabolic risk, not for people who are upset about vanity pounds.

There is significant overlap when it comes to older women.

+1 I think they should come in the mail along with the AARP cards and Viking cruise brochures.

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Anonymous wrote:I agree OP. They should be available for every woman in peri-menopause. I still enjoy eating but I don't constantly think about it all day long.

No, the really unpopular opinion is that so many excuses here are just about lack of discipline and it’s very sad for our population that you need pharmaceuticals rather than implementing and maintaining good habits


You think saying everyone should get weight loss drugs is unpopular? Look around, it’s an echo chamber.

I am very confident when I say that I was doing everything right in terms of exercising and tracking calories, and was still gaining weight in peri-menopause. It was not lack of good habits.

Are you eating and exercising the same amount as before?

And to be clear, I am extremely skeptical that you are eating as much on this drug as you were off it. The whole point of this drug slows down your digestion and suppresses hunger.

It does more than that. It also affects insulin resistance, which is a big reason why fat is stored on the body. It's not just an appetite suppressant.

Yes, that’s why they are indicated for people with actual metabolic risk, not for people who are upset about vanity pounds.

I had to point that out because people seem pretty uninformed about the science of GLP1s. They think it's just an appetite suppressant.

Anonymous wrote:I agree. I think we should lower the BMI requirement, but we should still require a visit with a doctor to get informed consent, as there still aren't enough clinical trials to fully understand the long-term risks. However, with so many potential benefits, they should be made broadly available to those who want to pay for them and have given their informed consent. They are a very effective weight loss tool for those who have struggled with lifestyle changes alone. Their benefits include weight loss, self-esteem, better sports performance, significantly lower alcohol consumption, and a better physical relationship with my partner now that I feel good about myself again. They also may reduce the risks of diabetes and heart disease, might help improve cardiovascular and brain health, and reduce the risk of conditions such as Alzheimer’s.

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Anonymous wrote:There will be a tariff on them soon enough.

Enjoy your drugs while you can!

We already have plenty of compound pharmacies for GLP-1s because they are profitable to make, and we should have more compound pharmacies so we're not reliant on China the next time we have a global health crisis.

Newsflash: your compound pharmacy almost certainly sources their raw peptide from none other than China.

+1. So basic.

This continues to confirm my theory that most of these people have no idea what they are saying.

Most ibuprofen and acetaminophen comes from China as well. I guess no Advil and Excedrin for you?

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Anonymous wrote:There will be a tariff on them soon enough.

Enjoy your drugs while you can!

We already have plenty of compound pharmacies for GLP-1s because they are profitable to make, and we should have more compound pharmacies so we're not reliant on China the next time we have a global health crisis.

Newsflash: your compound pharmacy almost certainly sources their raw peptide from none other than China.

+1. So basic.

This continues to confirm my theory that most of these people have no idea what they are saying.

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Anonymous wrote:I agree OP. They should be available for every woman in peri-menopause. I still enjoy eating but I don't constantly think about it all day long.

No, the really unpopular opinion is that so many excuses here are just about lack of discipline and it’s very sad for our population that you need pharmaceuticals rather than implementing and maintaining good habits


You think saying everyone should get weight loss drugs is unpopular? Look around, it’s an echo chamber.

I am very confident when I say that I was doing everything right in terms of exercising and tracking calories, and was still gaining weight in peri-menopause. It was not lack of good habits.

Are you eating and exercising the same amount as before?

And to be clear, I am extremely skeptical that you are eating as much on this drug as you were off it. The whole point of this drug slows down your digestion and suppresses hunger.

It does more than that. It also affects insulin resistance, which is a big reason why fat is stored on the body. It's not just an appetite suppressant.

So are you eating the same as before?

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Anonymous wrote:I disagree with OP, but I do know that everyone is different. My husband got on Wegovy. He lost weight quickly. He is still on it eats horribly. His only meal most days being ice cream. He does not work out. He just takes the shots. He is very lethargic. I wonder why.... I needed to lose weight. I count calories. I was eating a ton of calories! My panda express meal for lunch should have been my entire calorie intake for the day. I have lost 20 lbs by eating less calories. I am not hungry. I still love food. I exercise. I have energy. I have muscles.

Most people aren't your dh. My friends really upped their vegetable intake on wegovy. A healthy salad actually filled them up.

I see your anecdote and raise you with my multiple anecdotes.