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Originally Posted by deirdra
Governments cannot afford skinny-jabs for everyone for life, so they will limit them to above certain thresholds.
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Oh definitely. In the US, it's the insurance companies that decide whether or not you can even qualify for these drugs. Not only do you need to meet certain BMI and health thresholds, if you don't show the required amount of improvement (losing enough weight, improving health markers), they will stop paying for them.
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One study I saw said that 42% of Ozempic weight lost was lean body mass, whereas low carb with intermittent fasting resulted in 24% of weight lost was LBM (which includes water and muscle not needed with less weight to haul around), and other diets falling in between. I predict skinny jabs will just promote yo-yo dieting with bigger swings in weight as lost LBM weight is replaced by higher fat gains at every other yo.
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Based on what I've seen so far, I strongly suspect you're right.
Some of the latest data (propaganda?) claims that GLP-1 drug users are able to keep the weight off for 4 years after they discontinue the use of the drugs. That has to be a complete anomaly, or else they were among the few who were able to somehow truly change their eating habits while on the drugs - which doesn't seem to happen in most cases. All they do is just like the article says:
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“They make you feel fuller: you feel fuller, you eat less,” he said. “But what they don’t do is improve your diet.”
That, Yeo said, was a concern if they are used by people who consumed a poor diet. “All this drug will do is reduce the amount of the poor diet you’re eating, so therefore you will lose weight, but it won’t improve your diet,” he said. “You will be healthier because you’ve lost weight, but nowhere near as healthy as you could have been if you were eating a healthy diet in addition to losing weight.”
Yeo cautioned there could even be unintended effects, given an unhealthy diet might be low in protein and micronutrients, meaning smaller portions might not reach recommended levels. In that case, people who eat less as a result of the jabs could face another problem. “There is a potential danger, if your diet was poor to begin with, that you find yourself in malnutrition,” he said.
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Chances are that they gained so much weight to begin with due to eating a poor diet, which means they're very likely already somewhat malnourished. Cut the poor diet in half (which is about what the drugs do), and you're getting half of what was already a poor diet.
For many on GLP-1 drugs, they can't stomach meats at all - so protein consumption is cut significantly. Fats are minimal when on GLP-1 drugs because they take so long to digest that they result in a lot of regurgitation. Which means they're reduced to eating mostly carbs - and the easiest carbs to digest are crackers, rice, potato... well, you get the idea: even worse nutrition than before they started the drugs.
If that's the case then when you finish losing your weight, you're malnourished - something that should be quite obvious when considering how much muscle mass is lost on GLP-1 drugs. (By the way, the heart is a muscle, and muscle mass lost when on such an extreme diet does not discriminate between essential heart muscle, and leg muscle that's no longer required to support a larger body mass)
So when they go off the drugs, nothing about their ingrained eating habits has changed: they've been living on mostly carbs, so nothing has been done to help turn off the craving for carbs. Combined with the return to eating their normal amounts of food, weight gain is inevitable, and at an alarming rate - as you said, yo-yo. Drug induced yo-yo-ing.
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But going back to the original point of the article that people need to eat healthier diets rather than rely on weight loss drugs to get them out of obesity - they've been pushing what's supposed to be a healthy diet for more than 40 years now: low fat/high fiber. And all that has done is to drive the obesity number up higher and higher.
The question is WHY?
Could be that the body/brain connection knows you can't absorb nutrients without sufficient fats in your diet, so that makes you crave foods that have fats and proteins of any kind: even fast food becomes more attractive, because it is a source of fat and protein
Your body/brain connection says "Yes! Protein AND fat - we NEED this", despite so much of the fat being from seed oils, and the massive amount of carbs involved in a steady fast food diet.
Even if you don't get into fast food - there's carby pseudo-foods everywhere. Even with home cooking - cookies, cakes, pies, and breads.
"Health" food sections in stores full of bars and snacks that supposedly provide a lot of fiber, but are mostly just carriers for sugar and still more starches. Low fat everything: still more starches.
Starches and sugars as far as the eye can see, even when they're labeled as healthy.
Weight-loss jabs shouldn’t be quick-fix solution for governments, says expert
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