I’ve been overweight my entire life, over five decades now, and these drugs are nothing short of a miracle.
In addition to changing how my body processes sugar, it kills any desire I have for any particular food as well as hunger.
They like to say that it “silences food noise in your brain” and that works as a description but it doesn’t convey just how truly profound that is.
You can tell that it works, BTW, by how much they charge for it.
I’m down a little more than 30 pounds in 90 days. Given enough time I will be slim/normal for the first time since the 1970s, and I don’t appreciate chucklefucks calling them a scam.
You know what’s a scam? HFCS. Sugar in everything.
I used to work in public health, and even among educated people there was a lot of prejudice against the idea that addiction was beyond the individuals control.
I’m not claiming to have evidence backing me up, but I fear the idea that addiction is under your control may be higher among the educated populace may not be affected by being more highly educated because they’re bought into meritocracy and the idea of improving oneself. ‘Just do this’ platitudes etc. from the crowd that believes everything works like a controlled lab experiment they did in AP Bio
Specifically, I was referring to medical professionals and hospital workers I knew. Detox units and rehab was a part of the system, but people who dealt with alcoholics and addicts of all types every day would still say it was a matter of will power and not an illness.
What was your experience in getting those prescribed? Was it a matter of just being overweight? Did they go over lifestyle changes as well? There was a guy at work that was going to get them prescribed. He was very overweight, but he ate horrible food, a lot of candy, and drank three monsters a day. I’ll admit I got a little judgemental when he mentioned the medication. He was a good guy and I cared about him, but hard to help him see his lifestyle was probably the cause of a lot of his issues. I ultimately didn’t care how he got healthy, if its a pill so be it. But hopefully the lifestyle changes are tried as well. I also think we really need to focus on the mental health aspect of it. He was really hard on himself and I found myself regularly trying to steer him away from that.
One could argue that paying a subscription to not over-eat is a scam similar to the way gyms prey on people and get them to sign up while expecting that they’ll only come once or twice.
Wegovy/Saxenda whatever others are (GLP-1) inhibitors aren’t a scam, they work.
They are absurdly expensive for the benefit they bring. Of course, fat lot of good it does if you don’t use it to the full extent so you can actually get off of it.
The pricing is absurd. In Denmark it’s like $80 for four weeks. in USA it starts at $1000. But medicine in USA is a whole other can of worms.
In Germany it starts at $300 (2.5mg/week) and goes up to $540 (15mg/week). But then if you get a 15mg/week prescription and happen to only need 5mg/week (possibly supported by taking it more often than once a week), and also make use of the 1.3 (my guesstimate) extra doses that are in the syringe (but a bit difficult to extract) you pay like $120/month. This is what a proper gym costs in my area. And honestly, you safe on food, too. And on your weight watchers subscription!
The work in the sense that they cause weight loss. They do nothing to keep the weight off once it’s lost. And they have side-effects, some quite nasty.
Or get caught up in the crossfire where Metformin makes you shit your pants and a new drug for managing your A1C comes out (ozempic) which doesn’t make you shit your pants. Only for a few years later get denied insurance coverage for it because you obviously are using it to lose weight.
I got denied coverage because I don’t have type 2 diabetes. My main doctor confirmed I’m pre-pre-diabetic.
Or I was.
I pay for the medication myself and the diet they have me on is literally called the Insulin Resistance Diet.
Not only have I lost just over 30 pounds in 90 days but I’m also clearly healthier just because of this diet. (At my height and weight 30 pounds isn’t shit, but I’m only just getting started.)
In theory once you stay at a dosage of metformin for long enough the unfortunate side effects go away. In practice it’s been a year and I still can’t trust a fart.
I dunno anything about these drugs but I remember the diet drug fad in the '90s and the disastrous consequences and side effects that came from it. I’m sure these aren’t going to give heart attacks to a bunch of people, but I have a hard time believing there isn’t some sort of cost to pay for a magic pill that makes you skinny. I’m willing to admit that my view is tainted by the past and will once again state that I know nothing about these pills specifically so I could be completely off base here.
I’ll just say that my wife works in medicine and you have to stop Oz3mpic 24 hours before surgery because of the added risk of aspiration due to the stomach retaining food contents for longer. Seems to possibly put strain on the pancreas (pancreatitis a side effect).
That doesn’t sit well with me. Neither does it fix the core problem of what caused the vast majority of weight gain cases: poor dietary habits. Then again, our society has short-circuited evolutionary dopamine-driven behavior so it may necessitate intervention to re-wire it back.
Bingo, those medications are as effective as any other diet or change of habits, if you have a problematic relationship with food you need to fix the reason behind it otherwise the moment you stop you’ll gain your weight back.
When you get to a certain size, food is the same as booze to an alcoholic… these drugs turn off the food noise telling you to eat… they let your bodies ability to decide when full reset to normal and give you a chance to form good habits without an imaginary food devil in your ear telling you to binge junk food… with good habits formed managing your now healthy weight at the end of a program of use is easier.
And that’s the issue right there, without professional support the majority of people who have an unhealthy relationship with their food just fall down the same hole whenever they manage to get out of it, may it be through diet or medications or even surgery.
Dietician training now puts a lot of focus on psychology because of that, giving someone a pill to make them lose weight won’t fix the childhood trauma of being abused that causes them to find comfort in food, if they stop the medication that is still there, that’s why the long term failure rate of diets is so high, they don’t address the why, just the what.
Not everyone overeats due to trauma… I stress eat and have eat often out of boredom/habit. I’ve personally tried dieticians and found them to be snake oil salesman( not saying all are but the ones I have tried) who are trying to sell their weight management group programs or are indoctrinated in the ancel keyes food pyramid bullshit. Two things work for me, these drugs and a low carb diet.
If I need services similar to those of a dietician, I’ll use an A.I agent.
The dieticians you talked to aren’t medical dieticians then, they’re people who call themselves dieticians without any university degree. AI will just spew whatever bullshit it was trained on so you’ll probably be reassured that what you’re doing is ok because it was trained on/r/fitness or whatever instead of scientific papers.
Eating out of boredom is an unhealthy relationship to food, I’m not saying all cases are out of trauma (holy shit lemmings have a hard time when things aren’t spelled out for them), I’m saying the underlying issue needs to be fixed to have a permanent solution, you said so yourself, you need the drugs and low carbs diet in order to fix the problem, stop both and the problem comes back.
You didn’t fix your leaking roof, you applied a patch and it will start leaking again if you remove it.
They also banned the knock off versions a little while ago since the name brands were no longer in shortage. WW had HEAVILY pivoted into trying to sell subscriptions to those and lost big.
The modern them actually has an app that lets you build out recipes and/or scan barcodes to track what you eat, they use a distilled version of nutrition called “points” and you’re allocated Y points a day to try stay in your food budget.
I think their older system was also points based just not software.
The app has training content and some kind of social community (that people say is quite terrible apparently because of the other users).
It isn’t a bad concept, and helps one understand that a slice of pizza is insanely unhealthy if one didn’t already know that.
Where it falls apart is their skeezy subscription model. Best time to sign up is around New Years, if you do bulk pricing you get a discount for the year, if you sign up partly through the year, that discount only lasts 10, 8, 7 months, however many are left. If you want to get a better rate, even their customer service says to just cancel and then sign back up after you’re canceled. If they had honest flat-rate pricing and curated their social space/education material better, they’d likely have had something to offer…Instead, like most health tracking/exercise/apps that cost money, it’s difficult to manage, expensive, and abrasive to cancel.
Like so many businesses that went “app” - they didn’t embrace a usable and sustainable model that fit on a digital platform, and instead basically phoned it in.
I haven’t read into any of it, but I thought weight watchers was just a calorie counting thing? I’m assuming the new drugs just curb your appetite to allow your stomach to shrink and then you have to still learn to be a healthier eater to maintain/lose weight. I have no impulse control when it comes to food sometimes so I’d fuck that up real quick. If I am in the mindset of eat healthy I can do that for a while, but soon as I have that one day I’ll sit down and eat a whole pizza and not give a fuck which I assume would stretch my stomach or tear any stitches and I’d be back to where I was (or in the hospital)
Pretty much. Weight watchers worked great if you adhered to it. Pretty easy to lose weight when you eat fewer calories than you burn. Problem is people’s willpower to feel hungry and not eat more calories.
That’s exactly what they help with, they turn off the impulse to eat. You feel full and content… and if you do try force yourself to eat too much you feel sick.
Without the impulse to eat, all you have is the logical part of you deciding an appropriate time to eat and giving you the headspace to make a good decision about making that meal healthy.
It does. It basically slows your entire digestive system way down to the point where you physically can’t eat more than you should. Which also kills your appetite.
Interestingly, I’ve discovered whatever nuerotransmitters are affected by it is completely counteracted by lunesta.
once had the flu(2018 flu) so bad i lost appetite, it was the strangest feeling besides the wierd balance issues, also cause all sorts of other issues.
How is it slowing down the digestive system? Didn’t we learn recently that our digestion system / gut bacteria actually plays a strong role in lifespan of a person? Would modifying such processes not potentially impact the lifespan of a person… Guess we’ll find out in time
It already has. Ozempic, once weekly injection, can reverse the need of insulin in Type 2 diabetics. My dad still has the symptoms he accumulated, but hasn’t had any worsening of symptoms and improvement of a lot.
My blood work is perfect. My heart rate and blood pressure (aside of POTS) is perfect. I can mow the yard without passing out.
My sugar consumption has dropped a lot. And I’m eating way better.
But to me? It’s not about the lifespan. It’s the quality of life. I can chase my kid around again. I feel more attractive. I can do things that normally I hide from. One day I might even try to get laid. If I get cancer in 20 years directly tied to it, so what? Ain’t no “Cats in the Cradle” here.
Chase your kid around, one day might even try to get laid. Are my order of operations wrong or is there some parentsethies missing from this equation? And yes, that was a bad joke, I’m sticking with it
My mom followed their diet plans for years and never lost any weight. But at the same time, she didn’t exercise. Diet alone isn’t enough unless you’re doing one of those extremely calorie restrictive diets and I really don’t think that it’s exactly healthy to starve yourself. You’d be losing muscle as well as fat.
Losing weight is almost entirely about diet. Exercise plays only a minimal role in that. It’s far easier to not eat something than to burn off those same calories through working out. That’s not to say exercise isn’t important - it is - but you do it for reasons other than weight loss.
“Weight Watchers files for bankruptcy as old weight loss scams are supplanted by new weight loss scams”
Fixed the headline for them.
Yeah fuck off.
I’ve been overweight my entire life, over five decades now, and these drugs are nothing short of a miracle.
In addition to changing how my body processes sugar, it kills any desire I have for any particular food as well as hunger.
They like to say that it “silences food noise in your brain” and that works as a description but it doesn’t convey just how truly profound that is.
You can tell that it works, BTW, by how much they charge for it.
I’m down a little more than 30 pounds in 90 days. Given enough time I will be slim/normal for the first time since the 1970s, and I don’t appreciate chucklefucks calling them a scam.
You know what’s a scam? HFCS. Sugar in everything.
These new drugs though - not a scam. At all.
I used to work in public health, and even among educated people there was a lot of prejudice against the idea that addiction was beyond the individuals control.
I’m not claiming to have evidence backing me up, but I fear the idea that addiction is under your control
may be higher among the educated populacemay not be affected by being more highly educated because they’re bought into meritocracy and the idea of improving oneself. ‘Just do this’ platitudes etc. from the crowd that believes everything works like a controlled lab experiment they did in AP BioSpecifically, I was referring to medical professionals and hospital workers I knew. Detox units and rehab was a part of the system, but people who dealt with alcoholics and addicts of all types every day would still say it was a matter of will power and not an illness.
What was your experience in getting those prescribed? Was it a matter of just being overweight? Did they go over lifestyle changes as well? There was a guy at work that was going to get them prescribed. He was very overweight, but he ate horrible food, a lot of candy, and drank three monsters a day. I’ll admit I got a little judgemental when he mentioned the medication. He was a good guy and I cared about him, but hard to help him see his lifestyle was probably the cause of a lot of his issues. I ultimately didn’t care how he got healthy, if its a pill so be it. But hopefully the lifestyle changes are tried as well. I also think we really need to focus on the mental health aspect of it. He was really hard on himself and I found myself regularly trying to steer him away from that.
Weight Watchers is basically eating in moderation, its most definitely not a scam.
One could argue that paying a subscription to not over-eat is a scam similar to the way gyms prey on people and get them to sign up while expecting that they’ll only come once or twice.
Wegovy/Saxenda whatever others are (GLP-1) inhibitors aren’t a scam, they work.
They are absurdly expensive for the benefit they bring. Of course, fat lot of good it does if you don’t use it to the full extent so you can actually get off of it.
The pricing is absurd. In Denmark it’s like $80 for four weeks. in USA it starts at $1000. But medicine in USA is a whole other can of worms.
In Germany it starts at $300 (2.5mg/week) and goes up to $540 (15mg/week). But then if you get a 15mg/week prescription and happen to only need 5mg/week (possibly supported by taking it more often than once a week), and also make use of the 1.3 (my guesstimate) extra doses that are in the syringe (but a bit difficult to extract) you pay like $120/month. This is what a proper gym costs in my area. And honestly, you safe on food, too. And on your weight watchers subscription!
The work in the sense that they cause weight loss. They do nothing to keep the weight off once it’s lost. And they have side-effects, some quite nasty.
Or get caught up in the crossfire where Metformin makes you shit your pants and a new drug for managing your A1C comes out (ozempic) which doesn’t make you shit your pants. Only for a few years later get denied insurance coverage for it because you obviously are using it to lose weight.
I got denied coverage because I don’t have type 2 diabetes. My main doctor confirmed I’m pre-pre-diabetic.
Or I was.
I pay for the medication myself and the diet they have me on is literally called the Insulin Resistance Diet.
Not only have I lost just over 30 pounds in 90 days but I’m also clearly healthier just because of this diet. (At my height and weight 30 pounds isn’t shit, but I’m only just getting started.)
Proud of you random internet stranger! Keep up the good work! It’s going to be super duper worth it!
In theory once you stay at a dosage of metformin for long enough the unfortunate side effects go away. In practice it’s been a year and I still can’t trust a fart.
You guys trust your farts? I always presume each oncoming fart is a world ending disaster.
Pun intended…??
😂
I dunno anything about these drugs but I remember the diet drug fad in the '90s and the disastrous consequences and side effects that came from it. I’m sure these aren’t going to give heart attacks to a bunch of people, but I have a hard time believing there isn’t some sort of cost to pay for a magic pill that makes you skinny. I’m willing to admit that my view is tainted by the past and will once again state that I know nothing about these pills specifically so I could be completely off base here.
could you be referring to this drug, Fenfluramine/phentermine.
Good ol’ fen-phen.
There is a cost. It is called money, it is incredibly expensive, and they need to take it for life.
I’ll just say that my wife works in medicine and you have to stop Oz3mpic 24 hours before surgery because of the added risk of aspiration due to the stomach retaining food contents for longer. Seems to possibly put strain on the pancreas (pancreatitis a side effect).
That doesn’t sit well with me. Neither does it fix the core problem of what caused the vast majority of weight gain cases: poor dietary habits. Then again, our society has short-circuited evolutionary dopamine-driven behavior so it may necessitate intervention to re-wire it back.
Ozempic is typically taken once a week. The half-life of Ozempic is about a week. Stopping Ozempic “24 hours before surgery” does not make any sense.
I might have that wrong and it may be a full week. I’ll ask them when I get a chance and update.
They work!*
*aslongasyoudontstop
Same as for working out, controlling your calorie intake etc.
Bingo, those medications are as effective as any other diet or change of habits, if you have a problematic relationship with food you need to fix the reason behind it otherwise the moment you stop you’ll gain your weight back.
When you get to a certain size, food is the same as booze to an alcoholic… these drugs turn off the food noise telling you to eat… they let your bodies ability to decide when full reset to normal and give you a chance to form good habits without an imaginary food devil in your ear telling you to binge junk food… with good habits formed managing your now healthy weight at the end of a program of use is easier.
“a chance to form good habits”
And that’s the issue right there, without professional support the majority of people who have an unhealthy relationship with their food just fall down the same hole whenever they manage to get out of it, may it be through diet or medications or even surgery.
Dietician training now puts a lot of focus on psychology because of that, giving someone a pill to make them lose weight won’t fix the childhood trauma of being abused that causes them to find comfort in food, if they stop the medication that is still there, that’s why the long term failure rate of diets is so high, they don’t address the why, just the what.
Not everyone overeats due to trauma… I stress eat and have eat often out of boredom/habit. I’ve personally tried dieticians and found them to be snake oil salesman( not saying all are but the ones I have tried) who are trying to sell their weight management group programs or are indoctrinated in the ancel keyes food pyramid bullshit. Two things work for me, these drugs and a low carb diet.
If I need services similar to those of a dietician, I’ll use an A.I agent.
The dieticians you talked to aren’t medical dieticians then, they’re people who call themselves dieticians without any university degree. AI will just spew whatever bullshit it was trained on so you’ll probably be reassured that what you’re doing is ok because it was trained on/r/fitness or whatever instead of scientific papers.
Eating out of boredom is an unhealthy relationship to food, I’m not saying all cases are out of trauma (holy shit lemmings have a hard time when things aren’t spelled out for them), I’m saying the underlying issue needs to be fixed to have a permanent solution, you said so yourself, you need the drugs and low carbs diet in order to fix the problem, stop both and the problem comes back.
You didn’t fix your leaking roof, you applied a patch and it will start leaking again if you remove it.
They also banned the knock off versions a little while ago since the name brands were no longer in shortage. WW had HEAVILY pivoted into trying to sell subscriptions to those and lost big.
There are other, cheaper options as well but they require consistent diet/exercise on top of the Rx, so I think they are less popular for that.
The modern them actually has an app that lets you build out recipes and/or scan barcodes to track what you eat, they use a distilled version of nutrition called “points” and you’re allocated Y points a day to try stay in your food budget.
I think their older system was also points based just not software.
The app has training content and some kind of social community (that people say is quite terrible apparently because of the other users).
It isn’t a bad concept, and helps one understand that a slice of pizza is insanely unhealthy if one didn’t already know that.
Where it falls apart is their skeezy subscription model. Best time to sign up is around New Years, if you do bulk pricing you get a discount for the year, if you sign up partly through the year, that discount only lasts 10, 8, 7 months, however many are left. If you want to get a better rate, even their customer service says to just cancel and then sign back up after you’re canceled. If they had honest flat-rate pricing and curated their social space/education material better, they’d likely have had something to offer…Instead, like most health tracking/exercise/apps that cost money, it’s difficult to manage, expensive, and abrasive to cancel.
Like so many businesses that went “app” - they didn’t embrace a usable and sustainable model that fit on a digital platform, and instead basically phoned it in.
I haven’t read into any of it, but I thought weight watchers was just a calorie counting thing? I’m assuming the new drugs just curb your appetite to allow your stomach to shrink and then you have to still learn to be a healthier eater to maintain/lose weight. I have no impulse control when it comes to food sometimes so I’d fuck that up real quick. If I am in the mindset of eat healthy I can do that for a while, but soon as I have that one day I’ll sit down and eat a whole pizza and not give a fuck which I assume would stretch my stomach or tear any stitches and I’d be back to where I was (or in the hospital)
Pretty much. Weight watchers worked great if you adhered to it. Pretty easy to lose weight when you eat fewer calories than you burn. Problem is people’s willpower to feel hungry and not eat more calories.
And counseling, according to Wikipedia.
That’s exactly what they help with, they turn off the impulse to eat. You feel full and content… and if you do try force yourself to eat too much you feel sick.
Without the impulse to eat, all you have is the logical part of you deciding an appropriate time to eat and giving you the headspace to make a good decision about making that meal healthy.
It does. It basically slows your entire digestive system way down to the point where you physically can’t eat more than you should. Which also kills your appetite.
Interestingly, I’ve discovered whatever nuerotransmitters are affected by it is completely counteracted by lunesta.
once had the flu(2018 flu) so bad i lost appetite, it was the strangest feeling besides the wierd balance issues, also cause all sorts of other issues.
How is it slowing down the digestive system? Didn’t we learn recently that our digestion system / gut bacteria actually plays a strong role in lifespan of a person? Would modifying such processes not potentially impact the lifespan of a person… Guess we’ll find out in time
It already has. Ozempic, once weekly injection, can reverse the need of insulin in Type 2 diabetics. My dad still has the symptoms he accumulated, but hasn’t had any worsening of symptoms and improvement of a lot.
My blood work is perfect. My heart rate and blood pressure (aside of POTS) is perfect. I can mow the yard without passing out.
My sugar consumption has dropped a lot. And I’m eating way better.
But to me? It’s not about the lifespan. It’s the quality of life. I can chase my kid around again. I feel more attractive. I can do things that normally I hide from. One day I might even try to get laid. If I get cancer in 20 years directly tied to it, so what? Ain’t no “Cats in the Cradle” here.
Chase your kid around, one day might even try to get laid. Are my order of operations wrong or is there some parentsethies missing from this equation? And yes, that was a bad joke, I’m sticking with it
the slowing down doesnt exactly depend on your digestive system. its complex also involves neurological compenent, and certain hormones like ghrelin.
My mom followed their diet plans for years and never lost any weight. But at the same time, she didn’t exercise. Diet alone isn’t enough unless you’re doing one of those extremely calorie restrictive diets and I really don’t think that it’s exactly healthy to starve yourself. You’d be losing muscle as well as fat.
Losing weight is almost entirely about diet. Exercise plays only a minimal role in that. It’s far easier to not eat something than to burn off those same calories through working out. That’s not to say exercise isn’t important - it is - but you do it for reasons other than weight loss.