I tried Ozempic and lost three stone. But was I at risk?
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A whole additional group of side effects not much discussed…yet!
Demi, thank you for posting this long excerpt from the upcoming book. Yesterday, I came across an Interview with Dr Robert Lustig, while looking into to Dr Casey Means' upcoming book. In his usual detailed way, he goes into the long term side effects, including muscle loss. It’s a band-aid. They will not fix our metabolic health. [more bitter truth] GLP-1s, How these effect weight loss and Metabolic Health https://youtu.be/AKNnxKAaONc?feature=shared |
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And what happened 40 years ago? Dietary fat was demonized, along with dietary cholesterol, with animal products being the biggest sources of those fats. The push was on to have everyone eat as low fat and low protein as possible - and focus on carbs. Good grief... a graph showing animal protein and animal fat consumption vs weight gain over those years would surely show the connection. Instead, we come up with weight loss surgery and drugs that ultimately affect your entire physical and mental health - and not in a good way, other than the number on the scale. |
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I just read an well-written book by a man with some success in journalism and happy with his wife, called The Elephant in the Room. Because even though he had accomplishments, he had never grown up. And, in mid-life, decided he would. It's very honest and a happy read. I can see how a short-term use of the meds might be life-changing. IF the people use this "break" to create new habits. But of course some people will just eat less junk. This is the first person I've heard of who reports craving real food and while we don't know what that is (could be baked potatoes instead of fried) because he still fears saturated fat. Because real foods require actual digestion, and so they satisfy. |
On a separate note, I do know about anhedonia, and it is not something I would ever want to risk. I've experienced it, as many people do, in grief, and that awful numbness drives us to mourn, and recover. Nothing for Big Pharma to play with, indeed!
Dialing UP the satiety center? Like that's not going to have other effects? It's faking out their satiety centers, actually. And if that is right, it will make their appetite BIGGER because now more stimulation is needed? Now that we are learning the long term effects of SSRIs: Quote:
And the side effects are considerable, including weight gain and higher diabetes risk. Suggesting it is messing with far more than previously thought, before we knew how much our guts talk to our brain. Nutrients are either there or they are not. Seems to me fooling with that basic "life drive" mechanism can have terrible and unexpected consequences. Especially if people are going to be on them for life, but also I worry about people who stop them. The way they have been making drugs, stopping the medicine doesn't always make the side effects go away. Now these drugs are affecting something so basic it is clear they have no idea of the long term effects, but I'm thinking they won't be small. Good on him for writing a book about it. |
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The ones I know who are doing the GLP-1 drugs are generally eating real foods. Or at least they started out that way. But what happens is that they get too busy and run out of time to cook, or get sick and don't have the energy to cook, or end up working overtime for weeks with no time to cook. When that happens, they turn to ordering out, picking up something at a drive thru, or heating up some kind of pre-fab stuff from the store. They definitely eat less when on those drugs than without the drugs (supplies of the drugs are still limited - sometimes they can't get the dose they need). But they are still definitely not using the time on the drugs to truly rid themselves of their habitual junk foods either, just relying on the drugs to limit the amount they can consume when they eat junk, instead of a carefully planned out meal. There are places where you could get a less junky meal, but the drugs make it so difficult to stomach the idea of certain foods (beef seems to be the one they have the most aversion to eating), so they eat fish/seafood, maybe the rare bit of chicken. The drugs slow down digestion so much that anything with more than minimal fat content is nearly impossible for them to digest - so if they're eating say for instance breaded popcorn shrimp, they might only be able to eat a couple of them without it making them sick, because of the amount of oils absorbed by the breading on the shrimp. I don't know why they don't pick the breading off of the fish/seafood to avoid the indigestible fat and just eat the shrimp. Or why they don't combine the innards of a sandwich on one slice of bread - to me those would be the logical things to do, so that you get the parts of the meal which have actual nutritional value. But they don't - if it doesn't come served without the stuff that fills you up quickly (big crusty sub roll instead of wrapped in lettuce leaves) or that they can't digest (deep fried breading on seafood instead of steamed), they just eat less of the entire meal. I think it must come down to what they perceive as normalcy - I'd probably embarrass them to death, leaving behind pizza crusts after eating only the toppings, or picking the breading off shrimp, or tossing the sub roll and eating the innards instead. |
I think if people wanted to take the breading off their fried food or if they wanted to cut their bread in half, they wouldn’t need Ozempic.
I think the majority of the wider pop on Ozempic are exactly the people who were not interested in losing weight by being responsible for making their own lifestyle changes. |
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You're right - they don't want to pick the breading off their shrimp or cut their bread in half, or pick the toppings off their pizza. They've tried LC and couldn't stick to it. Now that obesity has been declared a disease that can be controlled with drugs - they prefer to be drugged. They want to eat "normally", just want to eat less. But here's the thing - both people I know who use the GLP-1 drugs have done LC, and were very successful at it, losing far more weight on LC than they did in the same amount of time on GLP-1. The problem is that they really couldn't stick to LC long term. Every time there was the occasion to eat out, or a vacation or a holiday, they gave in to a little bit of carby food. They ended up carbed-up enough each time that when they went back on LC, they had to go through a certain amount of induction flu again to get back on track. Rinse and repeat, repeatedly - because they simply couldn't see themselves having a LC vacation or a LC holiday, ordering only LC foods at a restaurant, or in some way ditching the carby parts of a meal. They also indulged in a lot of LC treats - mostly homemade, but also some LC bars and sugar free candies. While that's a good tool to help you get off sugar and get back on LC, they'd barely get back on track before another event/holiday/occasion to eat out came up and they were eating enough carbs again to throw them off track. So when the GLP-1 drugs became available, they opted for the drug that would control their appetite, rather than the diet that would control their appetite, and just deal with all the side effects from it. |
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Yes, you absolutely evoked memories with your description of how they view it as "impossible" to shuck the sandwich in public, leave those crusts and wasting all that "food," much less NOT EAT if that's actually a better option. I still do all that, because if I leave the house I have to. I once ate two hot dogs without the bun at a cookout because literally everything else was pasta salad (five kinds, I think) and desserts. But I had mustard and pickles and joked that it was a three course meal. I was happy and satisfied. But, as one could logically assume from all the hot and cold running carbs, there were many people there who found my cheerful presence upsetting. I was like a big finger pointing at everyone there who didn't like the weight they were at. That's the really horrible part. At corporate lunches it was far more tolerated than this family gathering someone was kind enough to invite me to. And I tell the truth: I can eat there, and I did. But HOW I ate... that was a big mirror in harsh light and I understood. It wasn't that they were anything but polite. But I could tell I was disconcerting. Fortunately, it wasn't my family. But what if it was? Would they let me eat my hot dogs and have a good time? Are we resented for disturbing the surface of how everyone eats? We are changing the streambed of important and celebratory events, even though they don't have to change a thing. But they have feelings we are disturbing. When I sit down on Thanksgiving with turkey and cheese salad on my plate, it probably looks like a rebuke to anyone still in denial. Not even trying, and I'm the "ghost at the feast." Because we're a threat to their way of life. We're so used to hiding people's addictions, which is why an honest and controlled environment is a great way to begin recovery. We can't rehab carb addicts like that. Carb addiction doesn't make us hold up convenience stores or rob our relatives. Keep jobs, use apps, then delivery. People have it just the way they like it, except for the weight, and now there's something for that one little problem. They just don't know the real consequences because they are trying to be "more normal" and I understand it doesn't seem fair. |
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I don't know that it's some kind of threat to their way of eating that I don't eat the starches and sugars. But my situation is a bit different from yours. Keep in mind that I bring my own food to family gatherings such as thanksgiving or Christmas: xanthan thickened gravy, mashed cauliflower, oopsie dressing, pumpkin bake. So if they're not observing my plate too closely, it looks like I'm eating the same thing as everyone else. I'm also not anywhere near a normal weight - so when I don't load my plate with seconds and thirds of potatoes and stuffing, it matters not that I'm plenty full on the smallish servings I had - there's a vibe that I shouldn't be eating seconds and thirds like everyone else anyway. I do get the distinct message that DH thinks that a pizza restaurant takes it as an insult to their pizza crust when I only eat the toppings off of it, because he will always apologize to the server for all the empty pizza crusts, saying that it's excellent pizza crust, but I just can't eat them. These days they probably assume I have some level of gluten intolerance. It's not really any of their business why I don't eat the crusts - if they offered a bowl or plate of pizza toppings without the crust, I would order that instead. Most restaurants HATE dealing with special orders though, it slows down the kitchen production to need to make something different. |
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