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This is such a "one weird trick your doctor doesn't want you to know!" anecdote. Mounjaro and Ozempic are generally prescribed in instances where dietary interv

by vore 3y ago

This is such a "one weird trick your doctor doesn't want you to know!" anecdote. Mounjaro and Ozempic are generally prescribed in instances where dietary interventions are insufficient and perhaps one of the last resorts before bariatric surgery. If your dietary interventions worked for you -- great! But there is only a certain class of people for which they work for, and it is rude to assume the OP hasn't tried these methods already (it would be surprising if they hadn't, since so many people can't help themselves from offering this kind of advice unsolicited). With regards to cutting out fat, if you are advocating for a weight management plan for the general person, it is really too prescriptive and doesn't take into account that someone following your diet should not be accidentally increasing your carbohydrate intake (fruit sugars are still sugars!), resulting in the diet being a total wash. The gold standard for diet-based weight management is food journaling, and not cutting out an entire group of macronutrients without holistic consideration of your diet.

andy_ppp 3y ago
The gold standard for diet is whatever people can maintain longer term!
- vore 3y ago
  That is of course more correct :) But the first step is building intuition about what and how you’re eating!
usernew 3y ago
and... this person now takes these last-measure pills forever? or here in the real world, do they use the pills to lose weight, and then maintain that normal weight forever with... perhaps a diet trick that works? people who have to take last-measure medication usually don't stop eating when they are full. i know, it's weird to tell someone who doesn't stop eating when they're full, how to still maintain weight if they... don't stop eating when they're full. i'm a weird guy with ADD and get side-tracked easily. I got an appointment with the florist about that next week, hopefully he can recommend a medication. yes, a doctor will not tell you diet tricks. if you are asking your doctor for diet tricks, we need to step back a minute. when you're done grocery shopping at jiffy lube, drive home, sit down, and carefully read this link. this is what a doctor is. a doctor will give you general health guidelines, but knows very little about diets. https://en.wikipedia.org/wiki/Physician https://en.wikipedia.org/wiki/Physician
- vore 3y ago
  Obesity is often a chronic medical condition that’s not solely controllable by willpower. There is no difference between taking pills for treating obesity as a chronic condition vs any other chronic condition, like type 1 diabetes. Decades of treating obesity as a personal failing have resulted in worse and unsustainable health outcomes. And again, you are being far too presumptuous about OP’s interventions. And I certainly don’t know what this business about ADD appointments at the florist or grocery shopping at Jiffy Lube you’re talking about is.
  - rblatz 3y ago
    I suspect a chat bot, maybe not got-4, but maybe Bard? It’s close, but there was no point and the references were off but weirdly close. Like florist could be psychiatrist.
    - usernew 3y ago
      I suspect someone who lacks social interaction in life, so does not understand subtle satire. Like a problem that could be solved by a florist. By talking to the florist, making friends with the florist, and having some bbq outings with the florist and her friends on the weekends. but before one would do that, which may be an insurmountable long-term goal, someone should compare going to a florist for pills, to going to a doctor for making up diets.
  - usernew 3y ago
    >not solely controllable by willpower so, would you say a solution to the problem that lets you eat as much as you want, so you don't have to use your willpower, be an appropriate solution to suggest? There is a difference between taking last-resort medication for the rest of your life, and eating apples.
    - vore 3y ago
      Your experience is not universal. Many classes of obesity CANNOT be treated by “eating apples”. Don’t just take my word for it: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5764193/ https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5764193/ (2019) Substantial weight loss is possible across a range of treatment modalities, but long-term sustenance of lost weight is much more challenging, and weight regain is typical1–3. In a meta-analysis of 29 long-term weight loss studies, more than half of the lost weight was regained within two years, and by five years more than 80% of lost weight was regained (Figure 1)4. Indeed, previous failed attempts at achieving durable weight loss may have contributed to the recent decrease in the percentage of people with obesity who are trying to lose weight5 and many now believe that weight loss is a futile endeavor6. Again, great that your regimen works for you! But a lot of these purely behavioral interventions are really not sufficient.
rblatz 3y ago
I was slightly overweight, 22% body fat 6’2” 220, and was suggested semaglutide (generic ozempic) all other standard health metrics in the healthy range. It’s not some crazy last resort drug, it’s basically everywhere and readily available to anyone that want it.
- jmpman 3y ago
  I’m 6’1”, and my goal weight is 210. In theory I should get down to 180, but expect I’d be too skinny. Currently 246, so I have 6-8 months for my personal goal, and at $1200/month, I may self fund for the remaining 3-4 months to hit that goal. Not sure if I’m willing to drop another $6k to hit 180lbs.

by vore 3y ago

andy_ppp 3y ago

The gold standard for diet is whatever people can maintain longer term!

vore 3y ago
That is of course more correct :) But the first step is building intuition about what and how you’re eating!

usernew 3y ago

and... this person now takes these last-measure pills forever? or here in the real world, do they use the pills to lose weight, and then maintain that normal weight forever with... perhaps a diet trick that works? people who have to take last-measure medication usually don't stop eating when they are full. i know, it's weird to tell someone who doesn't stop eating when they're full, how to still maintain weight if they... don't stop eating when they're full. i'm a weird guy with ADD and get side-tracked easily. I got an appointment with the florist about that next week, hopefully he can recommend a medication. yes, a doctor will not tell you diet tricks. if you are asking your doctor for diet tricks, we need to step back a minute. when you're done grocery shopping at jiffy lube, drive home, sit down, and carefully read this link. this is what a doctor is. a doctor will give you general health guidelines, but knows very little about diets. https://en.wikipedia.org/wiki/Physician https://en.wikipedia.org/wiki/Physician

vore 3y ago
Obesity is often a chronic medical condition that’s not solely controllable by willpower. There is no difference between taking pills for treating obesity as a chronic condition vs any other chronic condition, like type 1 diabetes. Decades of treating obesity as a personal failing have resulted in worse and unsustainable health outcomes. And again, you are being far too presumptuous about OP’s interventions. And I certainly don’t know what this business about ADD appointments at the florist or grocery shopping at Jiffy Lube you’re talking about is.
- rblatz 3y ago
  I suspect a chat bot, maybe not got-4, but maybe Bard? It’s close, but there was no point and the references were off but weirdly close. Like florist could be psychiatrist.
  - usernew 3y ago
    I suspect someone who lacks social interaction in life, so does not understand subtle satire. Like a problem that could be solved by a florist. By talking to the florist, making friends with the florist, and having some bbq outings with the florist and her friends on the weekends. but before one would do that, which may be an insurmountable long-term goal, someone should compare going to a florist for pills, to going to a doctor for making up diets.
- usernew 3y ago
  >not solely controllable by willpower so, would you say a solution to the problem that lets you eat as much as you want, so you don't have to use your willpower, be an appropriate solution to suggest? There is a difference between taking last-resort medication for the rest of your life, and eating apples.
  - vore 3y ago
    Your experience is not universal. Many classes of obesity CANNOT be treated by “eating apples”. Don’t just take my word for it: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5764193/ https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5764193/ (2019) Substantial weight loss is possible across a range of treatment modalities, but long-term sustenance of lost weight is much more challenging, and weight regain is typical1–3. In a meta-analysis of 29 long-term weight loss studies, more than half of the lost weight was regained within two years, and by five years more than 80% of lost weight was regained (Figure 1)4. Indeed, previous failed attempts at achieving durable weight loss may have contributed to the recent decrease in the percentage of people with obesity who are trying to lose weight5 and many now believe that weight loss is a futile endeavor6. Again, great that your regimen works for you! But a lot of these purely behavioral interventions are really not sufficient.

rblatz 3y ago

I was slightly overweight, 22% body fat 6’2” 220, and was suggested semaglutide (generic ozempic) all other standard health metrics in the healthy range. It’s not some crazy last resort drug, it’s basically everywhere and readily available to anyone that want it.

jmpman 3y ago
I’m 6’1”, and my goal weight is 210. In theory I should get down to 180, but expect I’d be too skinny. Currently 246, so I have 6-8 months for my personal goal, and at $1200/month, I may self fund for the remaining 3-4 months to hit that goal. Not sure if I’m willing to drop another $6k to hit 180lbs.