4 ms·

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 weigh

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.

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.