Unfortunately, any amount of advocating for weight loss can get you dogpiled. OOP is being sane and correct here, but they’re acknowledging that obesity has medical consequences and weight loss is how you prevent those consequences.
Probably a bunch of obese white women screaming at them, saying they're all the ists and isms for not falsely portraying fatness and its consequences as the greatest thing since sliced bread.
You've missed the point. I've seen white women in that movement call people a bigot for not finding them attractive. They constantly compare being fat to every other marginalized existence out there. And I say this as a white woman. It's not solely white women who act like that, but it's A LOT. Example: Tess Holiday and her ilk.
I didn’t miss the point. What is said is simply an attack on white obese women amongst other attacks on white women (Karens etc). It’s the same rhetoric as “black people commit most of the crimes”. But what it does in the end is mocks women in a convenient and safe manner.
It is not the "same rhetoric" as racist comments used against Black people, because for one you can't be racist against white women. So the two are not a 1 to 1 comparison at all.
BIPOC online have been criticizing how fat white women use race to push their FA agenda for years now. Criticism is not an attack. If you need someone to look to, see Michelle McDaniel on youtube who is a Black woman who makes valid criticism on FA activists pretty regularly, and has criticized how the white women in that movement talk about race.
Edit: The down votes I'm getting from this is letting me know exactly how many people my words stung. I ask y'all to investigate why you think criticizing white women is the same as being racist against Black people. 🔎
“Criticism is not an attack” - nice play of words. Both use skin colour to describe a group with unfavourable traits and attitudes. Yes, “white women bad”. Also why would you suggest me watching a black woman talking about white women. Maybe you should go watch Charlie Kirk talking about black people, if you need someone to look to.
The woman I recommended criticizes women like Dank Demoss as well, not only white women who use Black people to push their agenda. But I don't think you're ready for any of her videos. Once you find a way out that victim complex you fall into the moment you hear an ounce of criticism, maybe then you'd be ready to hear opinions that challenges yours.
I’m not an American or European to have a victim complex in the first place. My homeland wasn’t built with the sweat and blood of black slaves. Also so sweet of you to start calling me stupid - aka “not being ready”. Tells a lot about the level of your “criticism”. Sure, anyone whose opinion is different from yours may be defective in some way!
It’s astounding that anything thrown at women is acceptable the moment you call them “white”. Rephrase that thing about bad white women by simply swapping “white” to “black” and maybe then something something something…
My point is simple: don’t judge people by their skin colour. And don’t be the reason why the history repeats itself.
are you seriously trying to act like white women are discriminated against?💀please go outside. edit: im sure you've seen, but the vast majority of those in fat acceptance are specifically white women. in general its people in denial of their health and with absolutely nothing better to do with their time, but that for some reason ends up very often being white women lmao. id say that makes the original reply a pretty valid assumption.
I think they're trying to highlight that recently, it's become more and more acceptable online to say something misogynistic as long as you preface it with "white women". I also see it in the queer community; "this is some white queer behaviour". It's something that started with the whole "haha basic white girls Starbucks" thing in the 2010s and has gotten worse over time. It's not really about white women, it's about the creep of conservative rhetoric that's allowed as long as it's prefaced with white or white women.
Yeah, except in this example I'm talking specifically how white women use race to push their agenda, but end up pushing harmful racist messages themselves. I don't know how many times I've seen them point to the book "Fearing the Black Body," and say something along the lines of: "see, not being attracted to my fat body is racist because Black people are fat." And I know they haven't read that book at all because that book made no such argument, and they don't even use an excerpt from the book to support their claim.
I think both things can be true. Fat white women try to weaponize activism to claim some form of racialized marginalization AND misogyny is often considered acceptable or less objectionable if it is aimed at white women specifically. I've seen several black fat activists use these same talking points about the book, they just tend to get less traction and clout, ironically due to the racism in fat activist spaces.
No, it’s not what I said, but if you started it - yes, white women are discriminated against whether you like it or not. Why would you or anybody else mock anyone based on their skin colour? You know, crime statistics would make some assumptions pretty valid too, if one would follow your logic.
It’s tumblr so no comments people would have to reblog and add to the thread basically, it sounds the same but it works very differently and there’s no convenient way to just scroll through replies
In do find this semaglutide trend to be a bit hard to puzzle out.
- the drugs improve a sense of satiety
- if you take them you may lose 5-20% of weight (probably more of a max of 10-15%)
- the drugs are hugely expensive
- if you stop taking them you'll probably regain 85% of your weight
So, just how many people are not able to address this problem without the drug? If it's a matter of satiety, the issue is improving that with food choices and intermittent fasting.
Watching the Secret Eaters show seemed to show that people are delusional about their eating. It's mindless. And taking a drug seems to be going along with the same issue. Mindless eating, mindless less eating. Although there was a fellow with a gastric band stuffing himself despite the pain of doing it.
I messed up eating natural peanut butter (no sugar or hydrogenation) on rice cakes and piled on pounds during a depressed period. I needed a mindful intervention combining a scale and tracking.
if you stop taking them you'll probably regain 85% of your weight
I think you involuntarily dropped into FatLogic mode. With any strategy for weight loss, returning to old habits will cause a return to your old weight. Introducing GLP1s to alter the habit more easily gives people the opportunity to form new habits, and at a lower/healthier weight, to have the energy, mobility, and in many cases a better mental state to stick to their new lifestyle.
Yes, you'll see lots of people get off them for whatever reason (reached goal weight, too expensive, whatever) and get right back to where they are, but that doesn't mean they're not effective, helpful, and for many other people who do take the reins of their health with GLP1 assistance, life-changing in a good way.
I lost almost half of my body weight using tirzepatide (another GLP1), definitely isn't "probably a max of 15%". and tracking everything for the rest of my life seems miserable, being more satiated comes with the effect of wanting to eat more healthy and natural foods just on my own. i don't need to pull myself by the teeth trying to force myself to want salad instead of ice cream sandwiches, i just naturally want salad more now, it's pretty nice.
Some people on this sub hate it but we already have a lot of answers to that - genetics, metabolic diseases like PCOS, prior eating disorders, and lifelong yoyo diets/restriction can all set you up to have satiety issues or problems with craving awful food.
I recently read the book “The Hungry Brain: Outsmart the Instinct that makes us Overeat” by Stephan J Guyenet after someone else recommended it on this sub. This book, and other books and articles I have read, explained the reasons why we crave high fat, sweet, starchy, salty, and high calorie foods. I’ve never read an in depth book or article for the inverse. I know I will often crave a salad, or even something specific like a cucumber or tomato. My only guesses are I either need a specific vitamin or mineral or I need water more than I need calories, so I crave a food high in water. If anyone knows a book or article that covers this topic I would like to read it.
I think if you’ve never struggled with constant food noise/binging or losing weight then you won’t really understand it tbh.
I’m guessing you’re a guy - as a short woman who unfortunately also works a sedentary job, I was barely losing because to lose 1lb a week I had to go down to about 1,200 cals. Add in exercise and I was constantly feeling hungry.
The drug isn’t for you and that’s okay. I don’t think you need to judge others for taking it, though.
Intermittent fasting doesn’t work for everyone either.
if you take them you may lose 5-20% of weight (probably more of a max of 10-15%)
This does seem to represent the typical experience. But I have the theory (not backed by hard evidence or experience in health care) that a small percent of the population has something really fundamentally wrong with the way their brain or body processes satiety signals, and the GLP-1s seem to directly fix that for a subset of these people. So while the whole population might have a more moderate response, for some people with that exact problem, it makes a huge, life-changing difference. And these people may be more likely to have a BMI of 50+, because that satiety signaling problem made them likely to gain an amount of weight that is also not represented by the typical population statistics.
I sometimes read posts and comments in a subreddit for people with very high BMIs, just to learn about that perspective and experience. A really touching number of people talk about GLP-1s as the best thing that has ever happened to them, with life-changing positive effects. Those stories make me hope the drugs (or the next generation) really are all they’re cracked up to be. Some people really need that level of help.
Watching the Secret Eaters show seemed to show that people are delusional about their eating. It's mindless. And taking a drug seems to be going along with the same issue. Mindless eating, mindless less eating.
I really enjoyed this show! One thing I got out of it is that we probably all have at least 1 really incorrect/stupid belief about food. Many people would really benefit from working one on one with a good dietician. However, I disagree that GLP-1s result in mindless less eating. If people spend a couple years eating less and making different food choices, that’s a long time of routinely buying less food, cooking less food, serving themselves less food, and looking at less food throughout the meal. That’s enough time to discover new snacks, get out of the habit of buying soda or alcohol, get out of the habit of daily dessert. Just because it’s easy doesn’t mean it’s not good practice that instills habits.
From what I understand, if you are prescribed the drug in my country it's in combination with some type of education or behavioral therapy. Similar to what is offered for diabetes patients.
I'm just not sure if this applies to private prescriptions too (it's when a prescription drug is not covered by your insurance so you have to pay for it yourself ... but you still need to see a doctor to get that prescription)
I mean, doesn't Ozempic have other problems like making you practically hooked on it the rest of your life? I agree it shouldn't be banned, but where does murder come into the picture?
You don’t have to be on ozempic for weight loss the rest of your life, unless you’re literally unable to change your eating habits without it due to food addiction etc. In which case it actually does make sense to remain on it to prevent obesity re-occurring. It’s not an addictive medication.
You're right - even if you do weight loss surgery, you still have to keep up self control and exercise to stay in shape; if I were in that position I'd choose a GLP-1 over surgery. And there has been more long-term success with proper weaning.
I mean, you’re ‘hooked’ on it in the sense that if you make no other changes (like any other diet aid/supplement/program) and stop taking it, you’ll probably fall back into weight gain patterns.
But that’s like saying someone is ‘basically addicted’ to a balanced diet and moderate exercise to ‘stay thin’.
No, it will trigger relapse of the symptoms it was used to control (blood sugar/hunger cue satiation disorder/reversal of positive cardiac improvements, etc) but no one is getting the ‘classic’ withdrawal symptoms from weight loss medication.
Mostly because they don’t affect the same parts of the brain or have the same physiological dependency effect on the body.
Withdrawal causing drugs or medications tend to change the way the brain perceives/receives/creates dopamine; Ozempic, mounjaro, wegovy wouldn’t have nearly similar impact.
Tirzepatide tells your pancreas to release insulin after you eat
it lowers the amount of new sugar your liver makes
it slows the movement of food out of your stomach
it targets areas in your brain that regulate appetite
it may reduce cravings for certain foods <<< in my experience, 100%
it may counteract certain hunger hormones that affect weight gain
it might lower inflammation that plays a role in OSA <<< as an auto-immune sufferer, like many others on mounjaro, this is also true. A psoriasis flareup I had when I started went away almost immediately as did most of my psoriatic arthritis symptoms
Mounjaro is a GLP-1 receptor agonist that stimulates insulin release in response to high blood glucose levels. By stimulating the release of hormones such as insulin and glucagon, it helps to reduce hunger, decrease food intake, and promote feelings of fullness. Regulating appetite and promoting feelings of fullness help make it easier for patients to adhere to diet changes or calorie reduction, which can result in weight loss.
The active ingredients in Mounjaro work to reduce hunger and promote feelings of fullness by targeting the hormones responsible for hunger and satiety. In addition, it can help to improve metabolic rate and fat burning.
Using Mounjaro as a weight loss aid can help to reduce body fat and body weight. Additionally, it can help lower blood sugar levels and cholesterol and reduce hunger and cravings.
Saying Ozempic gets you practically hooked for life is kind of like saying I'm addicted to my immunosuppressant because my immune system will probably try to destroy my stomach and intestines if I skip the next few doses. Medication generally stops working when you stop taking it, and for chronic conditions like obesity, you run a risk of relapse if you stop doing something that's working to manage it.
Yes and no.
The GPL1 medications basically sends a signal to your brain of 'hey, I am full' and so it quells the need to eat.
Some people are perfectly able to keep their lower weight once it is reached, as an overweight/obese body will send and excess of hunger signals. So once the fat cells are shrunk, it's easier to resist craving and keep to good habits.
But many are unable to, and so they have to go on a low dose for the rest of their lives. But tbh, if the choice is dying before 60, or paying $200 a month to enjoy life, I know what I would pick.
Yeah exactly, that's just the nature of chronic disease. It's never "cured," you just use medicine and lifestyle choices to manage it. Being on a medication for life is not the worst thing in the world, it's silly to me that people always bring it up as a 'scary' downside of ozempic and similar meds.
I genuinely believe that fat acceptance's framing of doctor visits, weight loss medications and weight loss surgeries as 'scary' or harmful is as dangerous as the people who push antivaccine conspiracies. They're basically pushing a narrative that will discourage people from seeking medical care out of fear doctors will be "fatphobic" and discouraging people from taking life changing, and lifesaving, actions in regards to their weight by framing it as "you'll be on medication FOREVER so scary" or "you're literally mutilating your body" or making statements about how all attempts to lose weight are or will lead to, an ED
It's anti science and all it will do is make people too afraid to seek out care that could improve their quality of life.
It doesn't make you "hooked" in the sense of like, causing withdrawal or something that was worse than your original situation if you stop it. Some people will gain the weight back, but that's no worse than if they never took it - in fact, they will probably be better off for being at a healthier weight for whatever amount of time, since the damage of obesity is cumulative. And being on health maintenance drug indefinitely is... not really remarkable. Plenty of people take medication for blood pressure, cholesterol, depression, ADHD, etc for decades with no goal to stop - it's simply a maintenance treatment. If that's what some people need to control their tendency to obesity, so be it. It's great that we have an analogous option now for this problem.
But it's not a forgone conclusion that it's forever. Some people make enough durable progress in therapy that they can discontinue antidepressants. Some people make enough lifestyle changes to drop their lisinopril or simvastatin. It's not generally the expected outcome, but it happens. It depends on how the person got into their problem and how determined they are to get out of it. Some people have genetics stacked against them and probably will have to be on medication forever to stay healthy. Some simply don't care enough to do better even if they could. But a lot of people, if they really want to, can use the treatment as a springboard and then get their ducks in a row by other means. It's frankly up to them whether they make the effort or not.
I don't really see it as fundamentally different from most long term medications. FAs make a lot of noise about fat not being a moral issue, but this is one area where I agree with that stance - and ironically, come to the opposite conclusion from them. There's no reason people need to be punished for not handling their health "the right way," just because obesity is the health problem in question. There are a lot of health issues people have that are significantly influenced by choices they made, and could potentially be reversed without meds, but in most cases we don't fuss about them getting "hooked" on medication - if the problem has persisted long enough and they haven't solved it, we consider medication to be an appropriate option.
And being on health maintenance drug indefinitely is... not really remarkable.
Great point, and great comment overall.
This whole discussion reminds me of when I first got glasses for nearsightedness at age 10. I had a teacher pull me aside and tell me that it was important to always wear my glasses, because if I did I wouldn’t need them in a few years. I still wonder where on earth did they get that belief? I’m “hooked” on wearing glasses, in that I’m still nearsighted if I take them off. That doesn’t mean the glasses are pointless or a bad idea or addicting or anything. They’re just a (really normal, easy to live with) assistive device that in no way cures anything. And we’re all used to that. We only get worried for specific drugs, when someone somewhere benefits from arguing against that drug or intervention.
Imo weight loss drugs should be available to people who medically need them or have tried alternatives without success. Not to somebody who is to lazy to put in the work.
Also weight loss drugs don't solve the issue of people getting overweight because unhealthy food is normalized and advertised.
TIL common sense is a controversial belief.
Amazing flair.
Unfortunately, any amount of advocating for weight loss can get you dogpiled. OOP is being sane and correct here, but they’re acknowledging that obesity has medical consequences and weight loss is how you prevent those consequences.
im so curious what the comment section looks like
I found the post. It’s surprisingly tame and no one is giving OOP a hard time. For now, at least.
Probably a bunch of obese white women screaming at them, saying they're all the ists and isms for not falsely portraying fatness and its consequences as the greatest thing since sliced bread.
So it’s only white women who can act like this and of course it’s okay to mock obese white women since they’re not POC, right?
You've missed the point. I've seen white women in that movement call people a bigot for not finding them attractive. They constantly compare being fat to every other marginalized existence out there. And I say this as a white woman. It's not solely white women who act like that, but it's A LOT. Example: Tess Holiday and her ilk.
I didn’t miss the point. What is said is simply an attack on white obese women amongst other attacks on white women (Karens etc). It’s the same rhetoric as “black people commit most of the crimes”. But what it does in the end is mocks women in a convenient and safe manner.
you missed the point. the vast majority of people who are these batshit science-denying FA types are white women who want oppression points
It is not the "same rhetoric" as racist comments used against Black people, because for one you can't be racist against white women. So the two are not a 1 to 1 comparison at all.
BIPOC online have been criticizing how fat white women use race to push their FA agenda for years now. Criticism is not an attack. If you need someone to look to, see Michelle McDaniel on youtube who is a Black woman who makes valid criticism on FA activists pretty regularly, and has criticized how the white women in that movement talk about race.
Edit: The down votes I'm getting from this is letting me know exactly how many people my words stung. I ask y'all to investigate why you think criticizing white women is the same as being racist against Black people. 🔎
“Criticism is not an attack” - nice play of words. Both use skin colour to describe a group with unfavourable traits and attitudes. Yes, “white women bad”. Also why would you suggest me watching a black woman talking about white women. Maybe you should go watch Charlie Kirk talking about black people, if you need someone to look to.
The woman I recommended criticizes women like Dank Demoss as well, not only white women who use Black people to push their agenda. But I don't think you're ready for any of her videos. Once you find a way out that victim complex you fall into the moment you hear an ounce of criticism, maybe then you'd be ready to hear opinions that challenges yours.
I’m not an American or European to have a victim complex in the first place. My homeland wasn’t built with the sweat and blood of black slaves. Also so sweet of you to start calling me stupid - aka “not being ready”. Tells a lot about the level of your “criticism”. Sure, anyone whose opinion is different from yours may be defective in some way!
It’s astounding that anything thrown at women is acceptable the moment you call them “white”. Rephrase that thing about bad white women by simply swapping “white” to “black” and maybe then something something something…
My point is simple: don’t judge people by their skin colour. And don’t be the reason why the history repeats itself.
are you seriously trying to act like white women are discriminated against?💀please go outside. edit: im sure you've seen, but the vast majority of those in fat acceptance are specifically white women. in general its people in denial of their health and with absolutely nothing better to do with their time, but that for some reason ends up very often being white women lmao. id say that makes the original reply a pretty valid assumption.
I think they're trying to highlight that recently, it's become more and more acceptable online to say something misogynistic as long as you preface it with "white women". I also see it in the queer community; "this is some white queer behaviour". It's something that started with the whole "haha basic white girls Starbucks" thing in the 2010s and has gotten worse over time. It's not really about white women, it's about the creep of conservative rhetoric that's allowed as long as it's prefaced with white or white women.
Yeah, except in this example I'm talking specifically how white women use race to push their agenda, but end up pushing harmful racist messages themselves. I don't know how many times I've seen them point to the book "Fearing the Black Body," and say something along the lines of: "see, not being attracted to my fat body is racist because Black people are fat." And I know they haven't read that book at all because that book made no such argument, and they don't even use an excerpt from the book to support their claim.
I think both things can be true. Fat white women try to weaponize activism to claim some form of racialized marginalization AND misogyny is often considered acceptable or less objectionable if it is aimed at white women specifically. I've seen several black fat activists use these same talking points about the book, they just tend to get less traction and clout, ironically due to the racism in fat activist spaces.
karen is a sLuR!!1!!! 😂
No, it’s not what I said, but if you started it - yes, white women are discriminated against whether you like it or not. Why would you or anybody else mock anyone based on their skin colour? You know, crime statistics would make some assumptions pretty valid too, if one would follow your logic.
She wants to be a victim so bad
It’s tumblr so no comments people would have to reblog and add to the thread basically, it sounds the same but it works very differently and there’s no convenient way to just scroll through replies
You can comment on posts these days
oh I’m old :(
You can read the (if I remember what they're called lol) replies under posts. They can be turned off or restricted though.
We're freaking cooked if this is what counts as a controversial belief.
Cooked…..more like deep fried.
Too accurate 🤣
You know we're doomed when saying this is considered controversial and people will take issue with this.
"BIG DOCTOR" 😭😭😭😭😭
In do find this semaglutide trend to be a bit hard to puzzle out.
- the drugs improve a sense of satiety
- if you take them you may lose 5-20% of weight (probably more of a max of 10-15%)
- the drugs are hugely expensive
- if you stop taking them you'll probably regain 85% of your weight
So, just how many people are not able to address this problem without the drug? If it's a matter of satiety, the issue is improving that with food choices and intermittent fasting.
Watching the Secret Eaters show seemed to show that people are delusional about their eating. It's mindless. And taking a drug seems to be going along with the same issue. Mindless eating, mindless less eating. Although there was a fellow with a gastric band stuffing himself despite the pain of doing it.
I messed up eating natural peanut butter (no sugar or hydrogenation) on rice cakes and piled on pounds during a depressed period. I needed a mindful intervention combining a scale and tracking.
I think you involuntarily dropped into FatLogic mode. With any strategy for weight loss, returning to old habits will cause a return to your old weight. Introducing GLP1s to alter the habit more easily gives people the opportunity to form new habits, and at a lower/healthier weight, to have the energy, mobility, and in many cases a better mental state to stick to their new lifestyle.
Yes, you'll see lots of people get off them for whatever reason (reached goal weight, too expensive, whatever) and get right back to where they are, but that doesn't mean they're not effective, helpful, and for many other people who do take the reins of their health with GLP1 assistance, life-changing in a good way.
I lost almost half of my body weight using tirzepatide (another GLP1), definitely isn't "probably a max of 15%". and tracking everything for the rest of my life seems miserable, being more satiated comes with the effect of wanting to eat more healthy and natural foods just on my own. i don't need to pull myself by the teeth trying to force myself to want salad instead of ice cream sandwiches, i just naturally want salad more now, it's pretty nice.
I was talking to my husband about this just last night. Scientists seriously need to research why some people crave salad and others don’t.
Some people on this sub hate it but we already have a lot of answers to that - genetics, metabolic diseases like PCOS, prior eating disorders, and lifelong yoyo diets/restriction can all set you up to have satiety issues or problems with craving awful food.
I recently read the book “The Hungry Brain: Outsmart the Instinct that makes us Overeat” by Stephan J Guyenet after someone else recommended it on this sub. This book, and other books and articles I have read, explained the reasons why we crave high fat, sweet, starchy, salty, and high calorie foods. I’ve never read an in depth book or article for the inverse. I know I will often crave a salad, or even something specific like a cucumber or tomato. My only guesses are I either need a specific vitamin or mineral or I need water more than I need calories, so I crave a food high in water. If anyone knows a book or article that covers this topic I would like to read it.
I think if you’ve never struggled with constant food noise/binging or losing weight then you won’t really understand it tbh.
I’m guessing you’re a guy - as a short woman who unfortunately also works a sedentary job, I was barely losing because to lose 1lb a week I had to go down to about 1,200 cals. Add in exercise and I was constantly feeling hungry.
The drug isn’t for you and that’s okay. I don’t think you need to judge others for taking it, though.
Intermittent fasting doesn’t work for everyone either.
This does seem to represent the typical experience. But I have the theory (not backed by hard evidence or experience in health care) that a small percent of the population has something really fundamentally wrong with the way their brain or body processes satiety signals, and the GLP-1s seem to directly fix that for a subset of these people. So while the whole population might have a more moderate response, for some people with that exact problem, it makes a huge, life-changing difference. And these people may be more likely to have a BMI of 50+, because that satiety signaling problem made them likely to gain an amount of weight that is also not represented by the typical population statistics.
I sometimes read posts and comments in a subreddit for people with very high BMIs, just to learn about that perspective and experience. A really touching number of people talk about GLP-1s as the best thing that has ever happened to them, with life-changing positive effects. Those stories make me hope the drugs (or the next generation) really are all they’re cracked up to be. Some people really need that level of help.
I really enjoyed this show! One thing I got out of it is that we probably all have at least 1 really incorrect/stupid belief about food. Many people would really benefit from working one on one with a good dietician. However, I disagree that GLP-1s result in mindless less eating. If people spend a couple years eating less and making different food choices, that’s a long time of routinely buying less food, cooking less food, serving themselves less food, and looking at less food throughout the meal. That’s enough time to discover new snacks, get out of the habit of buying soda or alcohol, get out of the habit of daily dessert. Just because it’s easy doesn’t mean it’s not good practice that instills habits.
From what I understand, if you are prescribed the drug in my country it's in combination with some type of education or behavioral therapy. Similar to what is offered for diabetes patients.
I'm just not sure if this applies to private prescriptions too (it's when a prescription drug is not covered by your insurance so you have to pay for it yourself ... but you still need to see a doctor to get that prescription)
Here is a rundown on GLP 1 enhancing drugs, from a common source in the plant based world.
It’s a mixed bag. Almost like it is a tool in lifestyle change.
https://nutritionfacts.org/topics/ozempic/
I mean, doesn't Ozempic have other problems like making you practically hooked on it the rest of your life? I agree it shouldn't be banned, but where does murder come into the picture?
You don’t have to be on ozempic for weight loss the rest of your life, unless you’re literally unable to change your eating habits without it due to food addiction etc. In which case it actually does make sense to remain on it to prevent obesity re-occurring. It’s not an addictive medication.
You're right - even if you do weight loss surgery, you still have to keep up self control and exercise to stay in shape; if I were in that position I'd choose a GLP-1 over surgery. And there has been more long-term success with proper weaning.
I mean, you’re ‘hooked’ on it in the sense that if you make no other changes (like any other diet aid/supplement/program) and stop taking it, you’ll probably fall back into weight gain patterns.
But that’s like saying someone is ‘basically addicted’ to a balanced diet and moderate exercise to ‘stay thin’.
For some reason I thought stopping the drug caused withdrawal symptoms unrelated to diet/weight
No, it will trigger relapse of the symptoms it was used to control (blood sugar/hunger cue satiation disorder/reversal of positive cardiac improvements, etc) but no one is getting the ‘classic’ withdrawal symptoms from weight loss medication.
Mostly because they don’t affect the same parts of the brain or have the same physiological dependency effect on the body.
Withdrawal causing drugs or medications tend to change the way the brain perceives/receives/creates dopamine; Ozempic, mounjaro, wegovy wouldn’t have nearly similar impact.
You just have to tamper off of it or you will experience intense hunger. It suppresses the receptors responsible for hunger cues
I was on it for nine months but am not now.
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yes, that happens. but GLP1 is the satiety hormone. Its there in the name
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That's only one part. Speaking for mounjaro, given that's what I'm on
https://www.goodrx.com/classes/gip-receptor-glp-1-receptor-agonists/tirzepatide-mechanism-of-action
Tirzepatide tells your pancreas to release insulin after you eat
it lowers the amount of new sugar your liver makes
it slows the movement of food out of your stomach
it targets areas in your brain that regulate appetite
it may reduce cravings for certain foods <<< in my experience, 100%
it may counteract certain hunger hormones that affect weight gain
it might lower inflammation that plays a role in OSA <<< as an auto-immune sufferer, like many others on mounjaro, this is also true. A psoriasis flareup I had when I started went away almost immediately as did most of my psoriatic arthritis symptoms
Mounjaro is a GLP-1 receptor agonist that stimulates insulin release in response to high blood glucose levels. By stimulating the release of hormones such as insulin and glucagon, it helps to reduce hunger, decrease food intake, and promote feelings of fullness. Regulating appetite and promoting feelings of fullness help make it easier for patients to adhere to diet changes or calorie reduction, which can result in weight loss.
The active ingredients in Mounjaro work to reduce hunger and promote feelings of fullness by targeting the hormones responsible for hunger and satiety. In addition, it can help to improve metabolic rate and fat burning.
Using Mounjaro as a weight loss aid can help to reduce body fat and body weight. Additionally, it can help lower blood sugar levels and cholesterol and reduce hunger and cravings.
Saying Ozempic gets you practically hooked for life is kind of like saying I'm addicted to my immunosuppressant because my immune system will probably try to destroy my stomach and intestines if I skip the next few doses. Medication generally stops working when you stop taking it, and for chronic conditions like obesity, you run a risk of relapse if you stop doing something that's working to manage it.
Yes and no. The GPL1 medications basically sends a signal to your brain of 'hey, I am full' and so it quells the need to eat.
Some people are perfectly able to keep their lower weight once it is reached, as an overweight/obese body will send and excess of hunger signals. So once the fat cells are shrunk, it's easier to resist craving and keep to good habits.
But many are unable to, and so they have to go on a low dose for the rest of their lives. But tbh, if the choice is dying before 60, or paying $200 a month to enjoy life, I know what I would pick.
ozempic is a diabetes medication first and foremost. so banning it would hurt a lot of diabetics who rely on it
TIL. Yeah screw those psychos that want it banned
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Yeah exactly, that's just the nature of chronic disease. It's never "cured," you just use medicine and lifestyle choices to manage it. Being on a medication for life is not the worst thing in the world, it's silly to me that people always bring it up as a 'scary' downside of ozempic and similar meds.
I genuinely believe that fat acceptance's framing of doctor visits, weight loss medications and weight loss surgeries as 'scary' or harmful is as dangerous as the people who push antivaccine conspiracies. They're basically pushing a narrative that will discourage people from seeking medical care out of fear doctors will be "fatphobic" and discouraging people from taking life changing, and lifesaving, actions in regards to their weight by framing it as "you'll be on medication FOREVER so scary" or "you're literally mutilating your body" or making statements about how all attempts to lose weight are or will lead to, an ED
It's anti science and all it will do is make people too afraid to seek out care that could improve their quality of life.
People should also not be blind to the fact that there are vanishingly few drugs that actually work that do not have side effects with long-term use.
It doesn't make you "hooked" in the sense of like, causing withdrawal or something that was worse than your original situation if you stop it. Some people will gain the weight back, but that's no worse than if they never took it - in fact, they will probably be better off for being at a healthier weight for whatever amount of time, since the damage of obesity is cumulative. And being on health maintenance drug indefinitely is... not really remarkable. Plenty of people take medication for blood pressure, cholesterol, depression, ADHD, etc for decades with no goal to stop - it's simply a maintenance treatment. If that's what some people need to control their tendency to obesity, so be it. It's great that we have an analogous option now for this problem.
But it's not a forgone conclusion that it's forever. Some people make enough durable progress in therapy that they can discontinue antidepressants. Some people make enough lifestyle changes to drop their lisinopril or simvastatin. It's not generally the expected outcome, but it happens. It depends on how the person got into their problem and how determined they are to get out of it. Some people have genetics stacked against them and probably will have to be on medication forever to stay healthy. Some simply don't care enough to do better even if they could. But a lot of people, if they really want to, can use the treatment as a springboard and then get their ducks in a row by other means. It's frankly up to them whether they make the effort or not.
I don't really see it as fundamentally different from most long term medications. FAs make a lot of noise about fat not being a moral issue, but this is one area where I agree with that stance - and ironically, come to the opposite conclusion from them. There's no reason people need to be punished for not handling their health "the right way," just because obesity is the health problem in question. There are a lot of health issues people have that are significantly influenced by choices they made, and could potentially be reversed without meds, but in most cases we don't fuss about them getting "hooked" on medication - if the problem has persisted long enough and they haven't solved it, we consider medication to be an appropriate option.
Great point, and great comment overall.
This whole discussion reminds me of when I first got glasses for nearsightedness at age 10. I had a teacher pull me aside and tell me that it was important to always wear my glasses, because if I did I wouldn’t need them in a few years. I still wonder where on earth did they get that belief? I’m “hooked” on wearing glasses, in that I’m still nearsighted if I take them off. That doesn’t mean the glasses are pointless or a bad idea or addicting or anything. They’re just a (really normal, easy to live with) assistive device that in no way cures anything. And we’re all used to that. We only get worried for specific drugs, when someone somewhere benefits from arguing against that drug or intervention.
Yeah. Lots of people giving back alley hand jobs to pay for it.
Imo weight loss drugs should be available to people who medically need them or have tried alternatives without success. Not to somebody who is to lazy to put in the work. Also weight loss drugs don't solve the issue of people getting overweight because unhealthy food is normalized and advertised.