rich-cartwright

11 ms·

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by rich-cartwright 5y ago
We do work with T1 diabetics, and the weight loss prescription does bypass that line of questioning. BUT. Cards on the table about qualifying for GLP-1 RAs: most insurance policies still don't include weight management medication, and
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by rich-cartwright 5y ago
I think a lot about our framing and I know for sure we haven't nailed it yet. It's fair to say your avg HN reader is very different to your avg American. For example, you seem already somewhat clued up about Semaglutide. You&#x2
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by rich-cartwright 5y ago
Well said. These are the kinds of nuanced conversations that our Fellas have with their doctor.
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by rich-cartwright 5y ago
I've really never thought about that flip before.
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by rich-cartwright 5y ago
> "eat an insane amount of food. The food tastes 10x better, and the sensation when eating it is pure bliss" This stuck out for me. Especially interesting that taste & eating sensation are both heightened.
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by rich-cartwright 5y ago
Interesting. How long is eventually by the way?
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by rich-cartwright 5y ago
Yep I've just been reading up on this now actually: ghrelin & leptin changes after day 2 of a fast.
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by rich-cartwright 5y ago
Thanks for sharing man. Important to emphasize there is a large variety of causes: stress eating is certainly a big part for a lot of people, but it's far from universal & far from the whole story. "Something that can be fixed
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by rich-cartwright 5y ago
Important to hear this. An important takeaway from all this is that people react very differently to similar regimes, and projecting our own (successful) experience of a regime onto someone else is likely to not represent their experience.
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by rich-cartwright 5y ago
Well said. My take from research: structures from a CBT-based approach are really helpful and should be more widespread - but for most people are not sufficient in staying at a healthier weight long-term.
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by rich-cartwright 5y ago
These are relatively new medications, so I think roughly a decade for Liraglutide and more for Semaglutide but I'd have to check. Medicare doesn't cover them yet sadly. There is another promising obesity medication in Phase 3 tria
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by rich-cartwright 5y ago
Agree it's early days in terms of longitudinal follow-up studies. We're looking forward to playing a part in those studies ourselves.
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by rich-cartwright 5y ago
We're definitely watching this closely. It's worth noting that, as with any medication, there is a cost-benefit trade-off. In this case it will depend on someone's current weight, what they've tried in the past, and the
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by rich-cartwright 5y ago
Also agree it's definitely possible, although would need to know more about OP.
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by rich-cartwright 5y ago
Really smart to pick this. The econometrician in me smiled.
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by rich-cartwright 5y ago
Important that you bring up the age factor. We're doing more research now with our doctors on how best to adjust treatment based specifically on male hormonal changes with age.
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by rich-cartwright 5y ago
Said like a true Fella. I hear this a lot .
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by rich-cartwright 5y ago
Glad to have you!
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by rich-cartwright 5y ago
I'm really sorry - I honestly thought we'd added that in yesterday in prep for having more exposure via HN. Very much my bad. If you still want to go down on our waitlist, please do drop me a line on richie@joinfella.com
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by rich-cartwright 5y ago
We're actually not based in the US right now as we had to return home for covid, and we're building a remote co. To be honest we sadly don't have any useful advice for US visas: it's not a fun system. Only thing is it&#x
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by rich-cartwright 5y ago
There's a lot going on in terms of the kids angle: increased stress, sleep deprivation, hormone changes, less time for exercise & healthy eating. Not easy.
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by rich-cartwright 5y ago
Interesting, reading this now.
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by rich-cartwright 5y ago
"so I only need to stay where I am until the wedding, and then I can gain a few pounds" - this is interesting
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by rich-cartwright 5y ago
Those are some tasty numbers.
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by rich-cartwright 5y ago
Really interesting to know, thank you.
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by rich-cartwright 5y ago
Anecdotally: I also used to struggle to sleep when I was dieting. My sensation was intense hunger when I was in bed where I couldn't stop thinking about food in the kitchen.
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by rich-cartwright 5y ago
Great links.
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by rich-cartwright 5y ago
The complete fasting approach is pretty common among Fellas I've spoken with. Lot of the guys have powerful "all-or-nothing" traits, where it feels easier to have a strict intense rule than a more nuanced approach. The issue
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by rich-cartwright 5y ago
Interesting to know, thanks.
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by rich-cartwright 5y ago
Yep Semaglutide is the key medication. Important to emphasize it appears to be a safe medication.

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