4 ms·

I hope these people will come to the realisation that being skinny doesn't necessary mean being healthy, and that they basically traded a life long addiction to

I hope these people will come to the realisation that being skinny doesn't necessary mean being healthy, and that they basically traded a life long addiction to food for a life long dependance to a drug. ps: feel free to explain your downvotes

rqtwteye 2y ago
There is a higher chance of being healthy when you are thin vs being fat. It’s not 100% but definitely worthwhile
- lm28469 2y ago
  Sure but if you didn't care about putting the work while being fat why would you care about putting the work now that you're skinny, especially now that you're skinny while providing 0 effort. The mindset is the same, maybe even worse because it perpetuate the idea that modern medicine will fix you up no matter how much you fuck up
  - bryanlarsen 2y ago
    Ozempic side effects are nasty. It's hardly "0 effort".
    - lm28469 2y ago
      Obesity side effects are nasty as fuck too, yet here we are.
  - Analemma_ 2y ago
    Because a bunch of activities which help you remain healthy are easier when you're skinny. Jogging, hiking, and bouldering are all things I enjoy, but are very hard on my joints because I'm overweight: I'm looking forward to doing them more after I lose weight with GLP-1s, which might help prevent a rebound.
    - lm28469 2y ago
      Swimming and biking, especially indoor, are super easy on the body and unless you're fat enough to qualify for the 1930s world biggest man on earth it should be doable.
      - Analemma_ 2y ago
        Sure, but I don't like those: I like running, hiking, and bouldering. I don't subscribe to an ethical system where it's better to do things you hate just for the sake of avoiding a GLP-1 agonist; I'd rather take the GLP-1 agonist and do the things I like.
  - SpicyLemonZest 2y ago
    Because it's a lot less work! I still have to schedule my workouts and find time to make healthy meals, but I no longer have to schedule my meals and social calendar around when I get too hungry to function.
- low_tech_love 2y ago
  I’m going to your comment as an example in my statistics class about correlation vs causality! Thanks!
  - rqtwteye 2y ago
    You are welcome!
  - LordDragonfang 2y ago
    Correlation is not automatically causation, but it does imply a link. That is why you have to have to look into the many, many studies which have given evidence for a causative link. https://www.niddk.nih.gov/health-information/weight-management/adult-overweight-obesity/health-risks https://www.niddk.nih.gov/health-information/weight-manageme... Note that the list of diseases in that article includes every single one of the leading non-injury causes of death: https://www.cdc.gov/nchs/products/databriefs/db355.htm https://www.cdc.gov/nchs/products/databriefs/db355.htm (partially excluding cancer, and excluding flu, which does have a higher mortality among obese patients)
    - low_tech_love 2y ago
      But how do we deal with the fact that, up until recently, to only consistent way to lose weight and defeat obesity was to actually acquire healthier habits (in terms of e.g. food and physical activity)? Can we assume that taking a shortcut and becoming thinner by taking medicine will also lead to these benefits?
- deleted 2y ago
  [deleted]
bad_haircut72 2y ago
Whats so wrong with taking a medication to fix that addiction? A lot of people need fat people around in order to feel better about themselves, so they shit on Ozempic. Your downvotes are peoples protest of this attitude.
hollywood_court 2y ago
A skinny person is far more likely to be healthier than an obese person. I have a secret that I use to keep myself healthy because I watched as most everyone else in my family struggled with obesity and its related health issues. But your comment reminds me of the times I overhear the ladies in the office trash-talking another coworker who decided to lose weight and become healthier. I've honest to god heard morbidly obese coworkers try to justify their size and claim that they are in fact healthier than our skinny coworkers.
- acabajoe 2y ago
  > I have a secret that I use to keep myself healthy Whats your secret?
  - hollywood_court 2y ago
    I promise I’m not trying to sound like a jackass. But I’ve been told that my secret is offensive to some people. But it’s the same secret I’ve used to quit all of the bad habits in my life and also pivot from a ~20 year career in manual labor to a successful software engineering career. My secret is “self respect.” That’s all I used.
    - Volundr 2y ago
      I'm trying to take you at your word that you aren't trying to be a jackass, but I'm honestly having a really hard time reading this another way so I'll ask: Are you saying that overweight people lack self-respect?
      - hollywood_court 2y ago
        Yes. I'm saying that all poor behavior stems from a lack of self respect.
      - readthenotes1 2y ago
        It is a somewhat laconic presentation, but what I take Hollywood to mean is that hen values hens future self more than hens current impulses, and applies constant vigilance to succeed at it. It gets somewhat preachy to promote that one should practice delayed gratification instead of YOLO.
firesteelrain 2y ago
I took a GLP-1 (Mounjaro) for a couple months then stopped. It wasn't all GLP-1 that did the work. I had to track my foods in my Vida app that my workplace pays for and I started walking 10k steps a day. In three months, my triglyceride count dropped from 340 to 92. My cholesterol is totally normal. My A1C went from 5.4 to 5.0. I stopped taking it in October but because I kept up with a diet that is less than 1900 calories a day that is high in fiber and protein, I continue to lose weight. I am not diabetic and not insulin resistant so that totally helped. My sleep apnea and IBS has been virtually eliminated altogether. I do know other people who are on the medicine but haven't taken the proactive approaches like I did to properly track their food and incorporate exercise. So they'll never fully realize the weight loss benefits until that changes or they'll continue to take the GLP-1. Former weight = 255 lb Current weight = 212 lb Goal weight = 185 lb
nickthegreek 2y ago
You are being downvoted for thinking that this isnt something people have already thought about or take lightly. You made several absolutes in a comment with a length of one sentence without providing any evidence and just assume these are settled facts that we all know and agree on. Also, a "life long dependency" doesn't really seem to apply to everyone. Even if it were, many people would happily trade addiction for a dependency. "Hey buddy, looks like you can use some help. I have a medicine here that can help you live longer with a better quality of life, and a boost to self-esteem but its gonna require a subscription." Is it silly to think many people would not enter this non-binding agreement that can be stopped at any time?
SpicyLemonZest 2y ago
"Dependence" simply doesn't mean "routinely taking this drug improves my quality of life". It means that your body comes to rely on the drug for normal functioning and if you try to quit you'll be worse off than if you'd never taken it at all. I'm not aware of any evidence that this happens for GLP-1 agonists; from what I've heard, people who stop taking them just return to their normal appetites.
- lm28469 2y ago
  > just return to their normal appetites. Yeah, the same one that made them obese... if their normal appetite was fine they wouldn't have a problem to begin with https://pubmed.ncbi.nlm.nih.gov/35441470/ https://pubmed.ncbi.nlm.nih.gov/35441470/ > One year after withdrawal of once-weekly subcutaneous semaglutide 2.4 mg and lifestyle intervention, participants regained two-thirds of their prior weight loss > Findings confirm the chronicity of obesity and suggest ongoing treatment is required to maintain improvements in weight and health. You need a complete change of mindset, of routine, of relationship with food, of relationship with your body. If you keep everything the same as soon as you stop the treatment it's game over. And if you manage to change all of these things you don't need the treatment to begin with. We treated my father in law, by explaining him about calories, exercise, &c. He lost 40kg in a few years and will never gain them back, because he isn't relying on any magic pills. Check reddit, it's full of people stopping ozempic and telling how they gained it all back and couldn't stop https://www.reddit.com/r/Ozempic/comments/15lgnnc/i_now_understand_why_people_gain_the_weight_back/ https://www.reddit.com/r/Ozempic/comments/15lgnnc/i_now_unde... > My Endo halved my dose recently and I gained 10lbs in about 3 weeks on a half dose despite no changes in my food intake. > About 10 days after my last dose, I suddenly became voracious. It was like my hunger came back with an insane vengeance and I physically couldn’t stop myself from overeating. > I've been off Ozempic 2 weeks and yes the appetite came back https://www.reddit.com/r/Ozempic/comments/1h49urx/weight_gain_after_ozempic/ https://www.reddit.com/r/Ozempic/comments/1h49urx/weight_gai... https://www.reddit.com/r/Ozempic/comments/1g1xa8l/rebound_weight_is_this_forever/ https://www.reddit.com/r/Ozempic/comments/1g1xa8l/rebound_we...
  - SpicyLemonZest 2y ago
ludston 2y ago
On the other hand, not having to carry around an extra 10-20kg everywhere you go is probably pretty nice.
RC_ITR 2y ago
Let’s just ignore the controversial things like cholesterol. Your knees are significantly more likely to work well into old age if you’re active, but not constantly supporting excess weight. Talk to any orthopedic doctor and they will tell you weight loss makes your lower body joints much healthier in old age. Not to mention the natural increase in activity people experience when they are lighter and walking is less of a chore. Having healthy lower body joints makes you much less of a fall risk. Being less of a fall risk extends your lifespan quite a bit once you’re around 60-70. Being overweight is one of the most objectively bad for you things out there, but it’s a shame we all share (75% of Americans are overweight and way even higher you look at people old enough to be doctors). The entire point of this article is now that it is something treatable through medical science, people who understand the major health downsides of being overweight are treating themselves.
- lm28469 2y ago
  > The entire point of this article is now that it is something treatable through medical science, Yeah I don't buy it. The dude in the pic went from slightly chubby to thin as fuck, nothing prevented him from updating his diet, especially as a doctor Of course the result overall is better, all I'm saying is that it's far from a magic pill if you keep everything else the same
kasey_junk 2y ago
You are being downvoted because the therapeutic use of these drugs doesn’t involve life long use. It’s expected and common to transition off of them once an immediate result is achieved.
- lm28469 2y ago
  https://pubmed.ncbi.nlm.nih.gov/35441470/ https://pubmed.ncbi.nlm.nih.gov/35441470/ > One year after withdrawal of once-weekly subcutaneous semaglutide 2.4 mg and lifestyle intervention, participants regained two-thirds of their prior weight loss > Findings confirm the chronicity of obesity and suggest ongoing treatment is required to maintain improvements in weight and health
  - kasey_junk 2y ago
    The current guidance for weight loss is a maximum 2 year treatment window https://www.nice.org.uk/guidance/ta875/documents/final-appraisal-determination-document https://www.nice.org.uk/guidance/ta875/documents/final-appra... I think diabetes doesn’t have a max treatment recommendation because most of the other interventions choices are also long term.
  - Slimbo 2y ago
    "and lifestyle intervention". You're supposed to use the drugs to help you get healthy, then stay healthy yourself once you've re-set. Yes, people will probably have to bounce on and off them, but that's not the same as a lifelong addiction. Not sure what your beef is, they work, they're helping millions get healthier and live longer.
guyzero 2y ago
It's certainly too early to see if this class of drugs extends lifespan, but it does improve numerous biomarkers that are associated with longer lifespan. And a longer functional lifespan as well.
Slimbo 2y ago
I agree, which is why most people aren't just taking the drug. They're using the drug to help improve overall health, from better eating, reduced obesity related issues (joints/sleep/metabolism) and are able to start getting healthier. It's not a magic bullet, but it's a significant leg up.

rqtwteye 2y ago

There is a higher chance of being healthy when you are thin vs being fat. It’s not 100% but definitely worthwhile

lm28469 2y ago
Sure but if you didn't care about putting the work while being fat why would you care about putting the work now that you're skinny, especially now that you're skinny while providing 0 effort. The mindset is the same, maybe even worse because it perpetuate the idea that modern medicine will fix you up no matter how much you fuck up
- bryanlarsen 2y ago
  Ozempic side effects are nasty. It's hardly "0 effort".
  - lm28469 2y ago
    Obesity side effects are nasty as fuck too, yet here we are.
- Analemma_ 2y ago
  Because a bunch of activities which help you remain healthy are easier when you're skinny. Jogging, hiking, and bouldering are all things I enjoy, but are very hard on my joints because I'm overweight: I'm looking forward to doing them more after I lose weight with GLP-1s, which might help prevent a rebound.
  - lm28469 2y ago
    Swimming and biking, especially indoor, are super easy on the body and unless you're fat enough to qualify for the 1930s world biggest man on earth it should be doable.
    - Analemma_ 2y ago
      Sure, but I don't like those: I like running, hiking, and bouldering. I don't subscribe to an ethical system where it's better to do things you hate just for the sake of avoiding a GLP-1 agonist; I'd rather take the GLP-1 agonist and do the things I like.
- SpicyLemonZest 2y ago
  Because it's a lot less work! I still have to schedule my workouts and find time to make healthy meals, but I no longer have to schedule my meals and social calendar around when I get too hungry to function.
low_tech_love 2y ago
I’m going to your comment as an example in my statistics class about correlation vs causality! Thanks!
- rqtwteye 2y ago
  You are welcome!
- LordDragonfang 2y ago
  Correlation is not automatically causation, but it does imply a link. That is why you have to have to look into the many, many studies which have given evidence for a causative link. https://www.niddk.nih.gov/health-information/weight-management/adult-overweight-obesity/health-risks https://www.niddk.nih.gov/health-information/weight-manageme... Note that the list of diseases in that article includes every single one of the leading non-injury causes of death: https://www.cdc.gov/nchs/products/databriefs/db355.htm https://www.cdc.gov/nchs/products/databriefs/db355.htm (partially excluding cancer, and excluding flu, which does have a higher mortality among obese patients)
  - low_tech_love 2y ago
    But how do we deal with the fact that, up until recently, to only consistent way to lose weight and defeat obesity was to actually acquire healthier habits (in terms of e.g. food and physical activity)? Can we assume that taking a shortcut and becoming thinner by taking medicine will also lead to these benefits?
deleted 2y ago
[deleted]

bad_haircut72 2y ago

Whats so wrong with taking a medication to fix that addiction? A lot of people need fat people around in order to feel better about themselves, so they shit on Ozempic. Your downvotes are peoples protest of this attitude.

hollywood_court 2y ago

A skinny person is far more likely to be healthier than an obese person. I have a secret that I use to keep myself healthy because I watched as most everyone else in my family struggled with obesity and its related health issues. But your comment reminds me of the times I overhear the ladies in the office trash-talking another coworker who decided to lose weight and become healthier. I've honest to god heard morbidly obese coworkers try to justify their size and claim that they are in fact healthier than our skinny coworkers.

acabajoe 2y ago
> I have a secret that I use to keep myself healthy Whats your secret?
- hollywood_court 2y ago
  I promise I’m not trying to sound like a jackass. But I’ve been told that my secret is offensive to some people. But it’s the same secret I’ve used to quit all of the bad habits in my life and also pivot from a ~20 year career in manual labor to a successful software engineering career. My secret is “self respect.” That’s all I used.
  - Volundr 2y ago
    I'm trying to take you at your word that you aren't trying to be a jackass, but I'm honestly having a really hard time reading this another way so I'll ask: Are you saying that overweight people lack self-respect?
    - hollywood_court 2y ago
      Yes. I'm saying that all poor behavior stems from a lack of self respect.
    - readthenotes1 2y ago
      It is a somewhat laconic presentation, but what I take Hollywood to mean is that hen values hens future self more than hens current impulses, and applies constant vigilance to succeed at it. It gets somewhat preachy to promote that one should practice delayed gratification instead of YOLO.

firesteelrain 2y ago

I took a GLP-1 (Mounjaro) for a couple months then stopped. It wasn't all GLP-1 that did the work. I had to track my foods in my Vida app that my workplace pays for and I started walking 10k steps a day. In three months, my triglyceride count dropped from 340 to 92. My cholesterol is totally normal. My A1C went from 5.4 to 5.0. I stopped taking it in October but because I kept up with a diet that is less than 1900 calories a day that is high in fiber and protein, I continue to lose weight. I am not diabetic and not insulin resistant so that totally helped. My sleep apnea and IBS has been virtually eliminated altogether. I do know other people who are on the medicine but haven't taken the proactive approaches like I did to properly track their food and incorporate exercise. So they'll never fully realize the weight loss benefits until that changes or they'll continue to take the GLP-1. Former weight = 255 lb Current weight = 212 lb Goal weight = 185 lb

nickthegreek 2y ago

You are being downvoted for thinking that this isnt something people have already thought about or take lightly. You made several absolutes in a comment with a length of one sentence without providing any evidence and just assume these are settled facts that we all know and agree on. Also, a "life long dependency" doesn't really seem to apply to everyone. Even if it were, many people would happily trade addiction for a dependency. "Hey buddy, looks like you can use some help. I have a medicine here that can help you live longer with a better quality of life, and a boost to self-esteem but its gonna require a subscription." Is it silly to think many people would not enter this non-binding agreement that can be stopped at any time?

SpicyLemonZest 2y ago

"Dependence" simply doesn't mean "routinely taking this drug improves my quality of life". It means that your body comes to rely on the drug for normal functioning and if you try to quit you'll be worse off than if you'd never taken it at all. I'm not aware of any evidence that this happens for GLP-1 agonists; from what I've heard, people who stop taking them just return to their normal appetites.

lm28469 2y ago
> just return to their normal appetites. Yeah, the same one that made them obese... if their normal appetite was fine they wouldn't have a problem to begin with https://pubmed.ncbi.nlm.nih.gov/35441470/ https://pubmed.ncbi.nlm.nih.gov/35441470/ > One year after withdrawal of once-weekly subcutaneous semaglutide 2.4 mg and lifestyle intervention, participants regained two-thirds of their prior weight loss > Findings confirm the chronicity of obesity and suggest ongoing treatment is required to maintain improvements in weight and health. You need a complete change of mindset, of routine, of relationship with food, of relationship with your body. If you keep everything the same as soon as you stop the treatment it's game over. And if you manage to change all of these things you don't need the treatment to begin with. We treated my father in law, by explaining him about calories, exercise, &c. He lost 40kg in a few years and will never gain them back, because he isn't relying on any magic pills. Check reddit, it's full of people stopping ozempic and telling how they gained it all back and couldn't stop https://www.reddit.com/r/Ozempic/comments/15lgnnc/i_now_understand_why_people_gain_the_weight_back/ https://www.reddit.com/r/Ozempic/comments/15lgnnc/i_now_unde... > My Endo halved my dose recently and I gained 10lbs in about 3 weeks on a half dose despite no changes in my food intake. > About 10 days after my last dose, I suddenly became voracious. It was like my hunger came back with an insane vengeance and I physically couldn’t stop myself from overeating. > I've been off Ozempic 2 weeks and yes the appetite came back https://www.reddit.com/r/Ozempic/comments/1h49urx/weight_gain_after_ozempic/ https://www.reddit.com/r/Ozempic/comments/1h49urx/weight_gai... https://www.reddit.com/r/Ozempic/comments/1g1xa8l/rebound_weight_is_this_forever/ https://www.reddit.com/r/Ozempic/comments/1g1xa8l/rebound_we...
- SpicyLemonZest 2y ago

ludston 2y ago

On the other hand, not having to carry around an extra 10-20kg everywhere you go is probably pretty nice.

RC_ITR 2y ago

Let’s just ignore the controversial things like cholesterol. Your knees are significantly more likely to work well into old age if you’re active, but not constantly supporting excess weight. Talk to any orthopedic doctor and they will tell you weight loss makes your lower body joints much healthier in old age. Not to mention the natural increase in activity people experience when they are lighter and walking is less of a chore. Having healthy lower body joints makes you much less of a fall risk. Being less of a fall risk extends your lifespan quite a bit once you’re around 60-70. Being overweight is one of the most objectively bad for you things out there, but it’s a shame we all share (75% of Americans are overweight and way even higher you look at people old enough to be doctors). The entire point of this article is now that it is something treatable through medical science, people who understand the major health downsides of being overweight are treating themselves.

lm28469 2y ago
> The entire point of this article is now that it is something treatable through medical science, Yeah I don't buy it. The dude in the pic went from slightly chubby to thin as fuck, nothing prevented him from updating his diet, especially as a doctor Of course the result overall is better, all I'm saying is that it's far from a magic pill if you keep everything else the same

kasey_junk 2y ago

You are being downvoted because the therapeutic use of these drugs doesn’t involve life long use. It’s expected and common to transition off of them once an immediate result is achieved.

lm28469 2y ago
https://pubmed.ncbi.nlm.nih.gov/35441470/ https://pubmed.ncbi.nlm.nih.gov/35441470/ > One year after withdrawal of once-weekly subcutaneous semaglutide 2.4 mg and lifestyle intervention, participants regained two-thirds of their prior weight loss > Findings confirm the chronicity of obesity and suggest ongoing treatment is required to maintain improvements in weight and health
- kasey_junk 2y ago
  The current guidance for weight loss is a maximum 2 year treatment window https://www.nice.org.uk/guidance/ta875/documents/final-appraisal-determination-document https://www.nice.org.uk/guidance/ta875/documents/final-appra... I think diabetes doesn’t have a max treatment recommendation because most of the other interventions choices are also long term.
- Slimbo 2y ago
  "and lifestyle intervention". You're supposed to use the drugs to help you get healthy, then stay healthy yourself once you've re-set. Yes, people will probably have to bounce on and off them, but that's not the same as a lifelong addiction. Not sure what your beef is, they work, they're helping millions get healthier and live longer.

guyzero 2y ago

It's certainly too early to see if this class of drugs extends lifespan, but it does improve numerous biomarkers that are associated with longer lifespan. And a longer functional lifespan as well.

Slimbo 2y ago

I agree, which is why most people aren't just taking the drug. They're using the drug to help improve overall health, from better eating, reduced obesity related issues (joints/sleep/metabolism) and are able to start getting healthier. It's not a magic bullet, but it's a significant leg up.