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Because not everyone has willpower and discipline. People who do have those strengths often think it is just as simple as saying, "Just take care of yourself",

Because not everyone has willpower and discipline. People who do have those strengths often think it is just as simple as saying, "Just take care of yourself", but it is not that easy for many people. High blood sugar also increases cravings, which makes it even harder, bringing on a downward spiral. This drug can help break out of that spiral and fix the craving/willpower problems.

lurking_swe 2y ago
what you say is mostly true, but I will point out that it does not break any spiral. It’s frequently reported that as soon as you stop taking Ozempic, the weight comes back immediately. so unless one resolves the underlying problem, you will be on this drug for life.
- DrillShopper 2y ago
  That's not unique to Ozempic and (while I know you didn't make this specific argument, but others in this subthread have) is a piss poor reason to tell someone they shouldn't give it a try.
  - lurking_swe 2y ago
    i don’t disagree. Just pointing out that (obviously) this should be a last resort drug. AFTER someone has tried lifestyle interventions for a few years IMO. The problem is when someone does NOT put in the effort to talk to their doctor, meet with a dietician, learn about healthy eating, and put in an honest effort to improve their life before just popping a pill. That said, i think it’s great that’s it’s helping people who otherwise would just be obese and have many other health issues due to that. It’s a big risk factor.
- mrshadowgoose 2y ago
  This isn't the revelation you think it is. Chronic medical conditions require lifetime treatment. That isn't news to anyone. It's funny how obesity is the only chronic medical condition that garners a huge volume of your particular kind of comment. Would you be mentioning this for someone prescribed a diabetic, blood pressure or cholesterol medication? Statistically, likely not. So maybe take a step back, and examine why are you so averse to other people losing weight with medication.
  - lurking_swe 2y ago
    i actually would, if they were caused by bad lifestyle habits or similar issues. I am a firm believer that medication should be used AFTER a serious attempt has been made to address the underlying issue, if possible. if you are type 2 diabetic, that means you’ve probably been eating poorly for a long time. The happy path here is that one goes to a checkup and learns they are pre-diabetic, and their PCP refers them to a dietician. The patient hopefully learns how to make healthy food choices for themselves. All of this so they don’t develop type 2 diabetes. Maybe even temporarily prescribe a low metformin dose while they figure out the lifestyle changes needed. If they struggle and lifestyle interventions fail, then of course, they should be prescribed insulin so they don’t have further devastating complications as they get older. The same can be said for ozempic. What kind of lunatic would suggest starting ozempic without FIRST giving honest education and lifestyle adjustments a try? That should be step 1. And i’m talking proper education from a licensed dietician, not silly blogs or advice people see on tiktok these days. If step 1 fails, proceed to medication. That’s my perspective at least. Big pharma isn’t your friend. It’s a backup plan and a necessary evil in most cases (with obvious exceptions like vaccines, antibiotics, etc)
    - mrshadowgoose 2y ago
      > What kind of lunatic would suggest starting ozempic without FIRST giving honest education and lifestyle adjustments a try? What kind of lunatic would suggest an approach that evidence does not support as being effective? Lifestyle modification, at the population level, just doesn't work. GLP-1 agonists do.
      - lurking_swe 2y ago
        so at the individual level, you wouldn’t encourage a patient to explore lifestyle interventions FIRST? That’s seems unethical to me. I agree that at the population level, this will be a game changer. As you say, the average person struggles with lifestyle adjustments.
- bloopernova 2y ago
  Perfectionism prevents progress.
indiebat 2y ago
> Break out from the spiral I see the point in this, but do you think it’s marketed as such and perhaps better question, used for exactly that and not more by vulnerable patients etc? (not well informed about long term side effects, some might even be unknown, if I might add) I take my vaccines and generally gravitate to sanity over conspiracy stuff (that is to say, If I sound like that, i’m not)
tjader 2y ago
I don't think it's just people who have willpower and discipline, it seems to me that for most people it doesn't take as much willpower and discipline to stay at a reasonable weight. These arguments make it sound as if everyone who is at a reasonable weight is there through large amounts of willpower and discipline, but most people I know don't need to exercise X times per week and constantly watch what they eat to keep that weight. It's much easier when you can trust your body feedback and rely on your regular hunger signals, but for most people who benefit from Ozempic for weight loss if they just trust their bodies they will get fat.
- pixl97 2y ago
  Yea, when you look historically, starvation and food shortages were the norm. If you were a person that could pack on the pounds during the bountiful times, you could survive the lean times. Suddenly we live in the times of never ending plenty and we're told "what's wrong with you".
bryankaplan 2y ago
[flagged]
- vundercind 2y ago
  Something is aiding the willpower of people in countries skinnier than the US. They move here, they get fatter. Despite this assistance (or lack of headwind) they seem to do ok.
  - rootusrootus 2y ago
    Every country skinnier than the US is getting faster. Europe is on a linear trajectory upward that hasn't changed since at least 1975. Even the Japanese are getting fatter every year. But sure, it's a US problem.
- edmundsauto 2y ago
  A society where over half the population is suffering from the same problem is one that needs systemic change. It doesn't make sense to blame the individual when it's a problem affecting everyone.
  - pixl97 2y ago
    Na, it makes people feel that their special and that they've won by posting stuff like that without having to understand the problem at hand.

lurking_swe 2y ago

what you say is mostly true, but I will point out that it does not break any spiral. It’s frequently reported that as soon as you stop taking Ozempic, the weight comes back immediately. so unless one resolves the underlying problem, you will be on this drug for life.

DrillShopper 2y ago
That's not unique to Ozempic and (while I know you didn't make this specific argument, but others in this subthread have) is a piss poor reason to tell someone they shouldn't give it a try.
- lurking_swe 2y ago
  i don’t disagree. Just pointing out that (obviously) this should be a last resort drug. AFTER someone has tried lifestyle interventions for a few years IMO. The problem is when someone does NOT put in the effort to talk to their doctor, meet with a dietician, learn about healthy eating, and put in an honest effort to improve their life before just popping a pill. That said, i think it’s great that’s it’s helping people who otherwise would just be obese and have many other health issues due to that. It’s a big risk factor.
mrshadowgoose 2y ago
This isn't the revelation you think it is. Chronic medical conditions require lifetime treatment. That isn't news to anyone. It's funny how obesity is the only chronic medical condition that garners a huge volume of your particular kind of comment. Would you be mentioning this for someone prescribed a diabetic, blood pressure or cholesterol medication? Statistically, likely not. So maybe take a step back, and examine why are you so averse to other people losing weight with medication.
- lurking_swe 2y ago
  i actually would, if they were caused by bad lifestyle habits or similar issues. I am a firm believer that medication should be used AFTER a serious attempt has been made to address the underlying issue, if possible. if you are type 2 diabetic, that means you’ve probably been eating poorly for a long time. The happy path here is that one goes to a checkup and learns they are pre-diabetic, and their PCP refers them to a dietician. The patient hopefully learns how to make healthy food choices for themselves. All of this so they don’t develop type 2 diabetes. Maybe even temporarily prescribe a low metformin dose while they figure out the lifestyle changes needed. If they struggle and lifestyle interventions fail, then of course, they should be prescribed insulin so they don’t have further devastating complications as they get older. The same can be said for ozempic. What kind of lunatic would suggest starting ozempic without FIRST giving honest education and lifestyle adjustments a try? That should be step 1. And i’m talking proper education from a licensed dietician, not silly blogs or advice people see on tiktok these days. If step 1 fails, proceed to medication. That’s my perspective at least. Big pharma isn’t your friend. It’s a backup plan and a necessary evil in most cases (with obvious exceptions like vaccines, antibiotics, etc)
  - mrshadowgoose 2y ago
    > What kind of lunatic would suggest starting ozempic without FIRST giving honest education and lifestyle adjustments a try? What kind of lunatic would suggest an approach that evidence does not support as being effective? Lifestyle modification, at the population level, just doesn't work. GLP-1 agonists do.
    - lurking_swe 2y ago
      so at the individual level, you wouldn’t encourage a patient to explore lifestyle interventions FIRST? That’s seems unethical to me. I agree that at the population level, this will be a game changer. As you say, the average person struggles with lifestyle adjustments.
bloopernova 2y ago
Perfectionism prevents progress.

indiebat 2y ago

> Break out from the spiral I see the point in this, but do you think it’s marketed as such and perhaps better question, used for exactly that and not more by vulnerable patients etc? (not well informed about long term side effects, some might even be unknown, if I might add) I take my vaccines and generally gravitate to sanity over conspiracy stuff (that is to say, If I sound like that, i’m not)

tjader 2y ago

I don't think it's just people who have willpower and discipline, it seems to me that for most people it doesn't take as much willpower and discipline to stay at a reasonable weight. These arguments make it sound as if everyone who is at a reasonable weight is there through large amounts of willpower and discipline, but most people I know don't need to exercise X times per week and constantly watch what they eat to keep that weight. It's much easier when you can trust your body feedback and rely on your regular hunger signals, but for most people who benefit from Ozempic for weight loss if they just trust their bodies they will get fat.

pixl97 2y ago
Yea, when you look historically, starvation and food shortages were the norm. If you were a person that could pack on the pounds during the bountiful times, you could survive the lean times. Suddenly we live in the times of never ending plenty and we're told "what's wrong with you".

bryankaplan 2y ago

[flagged]

vundercind 2y ago
Something is aiding the willpower of people in countries skinnier than the US. They move here, they get fatter. Despite this assistance (or lack of headwind) they seem to do ok.
- rootusrootus 2y ago
  Every country skinnier than the US is getting faster. Europe is on a linear trajectory upward that hasn't changed since at least 1975. Even the Japanese are getting fatter every year. But sure, it's a US problem.
edmundsauto 2y ago
A society where over half the population is suffering from the same problem is one that needs systemic change. It doesn't make sense to blame the individual when it's a problem affecting everyone.
- pixl97 2y ago
  Na, it makes people feel that their special and that they've won by posting stuff like that without having to understand the problem at hand.