Tearisci
Pearl Clutcher
Posts: 3,237
Nov 6, 2018 16:34:30 GMT
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Post by Tearisci on Nov 21, 2024 18:36:27 GMT
I'm genuinely curious to know what people think on this topic. We got into some discussions on the Weight Loss Drugs vs Big Food thread but I'd like to discuss it more.
I am "lucky" that be being barely diabetic, I only pay $25 a month for Mounjaro and I'm finally starting to feel some of the effects that I hope will be beneficial in my weight loss journey. I am also going to get a gastric sleeve next year but I'll need to lose weight before then so I'm heading down the right path.
I did try semaglutide through a compounding pharmacy online but never felt the effects like I do on Mounjaro. It was a lot more expensive before my doctor gave my a prescription so my insurance would cover it.
So what is your take on Weight Loss drugs? Cheating or a good alternative.
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Post by scrapmaven on Nov 21, 2024 18:45:56 GMT
I don't think it's cheating, at all. If it helps someone to get healthier then it's a good thing. My caveat is that if eating is disordered, emotional eating, etc. then therapy should be an adjunct. In that case, something from your past lead you to this point. Healing and finding other ways to experience the feelings and trauma are necessary. JMHO.
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Tearisci
Pearl Clutcher
Posts: 3,237
Nov 6, 2018 16:34:30 GMT
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Post by Tearisci on Nov 21, 2024 18:47:47 GMT
I don't think it's cheating, at all. If it helps someone to get healthier then it's a good thing. My caveat is that if eating is disordered, emotional eating, etc. then therapy should be an adjunct. In that case, something from your past lead you to this point. Healing and finding other ways to experience the feelings and trauma are necessary. JMHO. That's a really good point and as part of the bariatric procedure, you are required to talk with a psychologist as part of the process.
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Post by jeremysgirl on Nov 21, 2024 18:48:44 GMT
I don't think it's cheating. I think it's a tool and if it helps you make better choices about how you're fueling your body so as to lead to better health, then I can see the appeal of using it. However, I have a lot of concerns over the impact these drugs may have on the functioning of the brain. And I say this from a long-term use of mind altering drugs perspective. My bipolar gets worse over time. I get about 3-4 years out of medication before my brain grows adapted to it and a switch needs to take place. We have known for years and years that long term use of anti-psychotics increases the likelihood of dementia. I absolutely have to take medication. I would be totally nuts without it. That's where I've got to do a trade off equation weighing risks with benefits. If the drugs could help me with weight loss, I'd probably gain physical health. But at this point, the trade off of mental health tinkering (especially when I feel balanced right now) just turns me right off. I kind of have this theory that since my brain isn't normal to begin with, that they wouldn't even work on me. LOL! I've had a lot of drugs not work on me.
I'm trying to take better care of myself. For me, it's not about weight loss, it is about the things weight loss can help improve like cholesterol, A1C, and blood pressure. I'm working on it, little by little.
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Tearisci
Pearl Clutcher
Posts: 3,237
Nov 6, 2018 16:34:30 GMT
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Post by Tearisci on Nov 21, 2024 18:53:19 GMT
I don't think it's cheating. I think it's a tool and if it helps you make better choices about how you're fueling your body so as to lead to better health, then I can see the appeal of using it. However, I have a lot of concerns over the impact these drugs may have on the functioning of the brain. And I say this from a long-term use of mind altering drugs perspective. My bipolar gets worse over time. I get about 3-4 years out of medication before my brain grows adapted to it and a switch needs to take place. We have known for years and years that long term use of anti-psychotics increases the likelihood of dementia. I absolutely have to take medication. I would be totally nuts without it. That's where I've got to do a trade off equation weighing risks with benefits. If the drugs could help me with weight loss, I'd probably gain physical health. But at this point, the trade off of mental health tinkering (especially when I feel balanced right now) just turns me right off. I kind of have this theory that since my brain isn't normal to begin with, that they wouldn't even work on me. LOL! I've had a lot of drugs not work on me. I'm trying to take better care of myself. For me, it's not about weight loss, it is about the things weight loss can help improve like cholesterol, A1C, and blood pressure. I'm working on it, little by little. Very interesting take on mental health and the drugs. Definitely something to consider. I felt a bit like I was cheating when I first started, but now I realize that I have food addiction issues. With all of the obstacles I've faced over the past few years, I've used food to make myself feel better. It wasn't even about hunger, it was the dopamine rush. My weight loss journey is ultimately about health but of course, I'll be happy to look better as well. I've got a long road in front of me but I feel this is the right course of action now.
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Post by Zee on Nov 21, 2024 18:56:06 GMT
I felt like it was "cheating" when I first heard about it. I still kind of feel like I'm cheating, but I no longer care. I'm just happy to have found something that works besides being hungry, miserable, obsessed with food, and feeling guilty about not spending an hour in the gym every day.
I'm quite open with anyone who asks what my "secret" was for losing weight. I do wish it would become more affordable.
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pantsonfire
Drama Llama
Take a step back, evaluate what is important, and enjoy your life with those who you love.
Posts: 6,239
Jun 19, 2022 16:48:04 GMT
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Post by pantsonfire on Nov 21, 2024 18:59:40 GMT
It can be a tool used to cheat. I say this because I do know someone in my personal life who has never wanted to work at the issues they have with food and saw this as an easy way out. Unfortunately they had some health issues caused by the injection and had to stop. And because they didn't seek professional help, they gained it all back plus more. And are still dealing some some issues from the med. For others like a pea here, it has quieted the voices. That allows them to focus. I see it similar to placing dd on Risperidone. It quieted the voices that triggered the impulse control and anxiety so therapy could be greatly beneficial. Therapy wasn't working until then. I, like jeremysgirl , am worried about the long term affects these drugs will have on people. Not only their overall health but their brain. And will this be the new yo to diet? On and off and on and off instead of trying to fix the overall mental health issues associated with weight loss and over consumption and poor diets. I find it scary that a drug that causes as many issues as it does is allowed to be sold.
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Post by Linda on Nov 21, 2024 19:04:17 GMT
I take Rybelsus (semaglutide in a pill form) as part of my diabetes management regimen. I see it (and the weight loss versions) as medical tools to deal with diabetes and/or obesity. We're not having this discussion about high blood pressure medications or statins or any number of other medications but once weight is on the table - all of a sudden instead of it being a medical condition to treat, it becomes about poor choices, cheating, guilt...I hate that (not directed at the OP but at society in general)
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pantsonfire
Drama Llama
Take a step back, evaluate what is important, and enjoy your life with those who you love.
Posts: 6,239
Jun 19, 2022 16:48:04 GMT
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Post by pantsonfire on Nov 21, 2024 19:05:48 GMT
Weight loss is where the big pharm has a choke hold on us. And it ties back in to health insurance and food companies and societal standards.
I think back to other weight loss drugs and the issues they caused.
Having a child with rare medical conditions and being in the thick of how US pharmacies and the FDA work, I don't trust any of those weight loss companies.
It was eye opening to be in the fight to get a special TPN approved. It's what Europe uses. But the US would then lose out money because it actually heals the person than make them sicker.
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Tearisci
Pearl Clutcher
Posts: 3,237
Nov 6, 2018 16:34:30 GMT
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Post by Tearisci on Nov 21, 2024 19:11:56 GMT
I take Rybelsus (semaglutide in a pill form) as part of my diabetes management regimen. I see it (and the weight loss versions) as medical tools to deal with diabetes and/or obesity. We're not having this discussion about high blood pressure medications or statins or any number of other medications but once weight is on the table - all of a sudden instead of it being a medical condition to treat, it becomes about poor choices, cheating, guilt...I hate that (not directed at the OP but at society in general) Yeah, I think I had to come to terms with it really being a disorder for me rather than just poor choices although I've made plenty of those. Like Zee said, it's really freeing not thinking of food all the time. The obsession with it is gone and it's really nice not to have on my mind.
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Gennifer
Drama Llama
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Jun 26, 2014 8:22:26 GMT
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Post by Gennifer on Nov 21, 2024 19:16:06 GMT
I think the only people who could consider it cheating are ones who think being overweight is a moral failing.
Wearing glasses isn’t cheating. Taking blood pressure medication isn’t cheating. Taking Viagra isn’t cheating. Even taking semaglutide for diabetes isn’t cheating, but taking it for weight loss, preemptively preventing yourself from developing diabetes, is?
Bullshit.
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sueg
Prolific Pea
Posts: 8,570
Location: Munich
Apr 12, 2016 12:51:01 GMT
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Post by sueg on Nov 21, 2024 19:17:59 GMT
I have type 2 diabetes and started on Mounjaro about a month ago. I previously was on Ozempic, but my doctor stopped it because of the side effects I was having. Unfortunately, without the Ozempic, my sugar levels started to rise - not dangerous (A1c rose from 6 - 7), but enough that my doctor had concerns. My primary reason for taking Mounjaro is for my sugar levels. To me, it is a fortunate ‘side effect’ that I am losing weight (down from 104kg to 101.5 in those 4 weeks) I don’t see it as ‘cheating’ - I still have to make appropriate food choices. Yes, it helps that I am not as hungry as I used to be and - more importantly - it has stilled the voice in my head that had me thinking about food constantly. I am still learning what foods I need to avoid - both for gut feel and sugar - and how much I can eat without feeling bad, and for sure, the Mounjaro helps with that. I also look at it this way - I have an under-functioning thyroid, for which I take synthetic thyroid hormones. That also helps with controlling my weight, but who would question that? Why single out these new drugs that help people like me control their appetite? In years to come, we will most likely come to see these drugs for what they really are - one of a number of tools in controlling both diabetes and obesity.
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Post by guzismom on Nov 21, 2024 19:19:45 GMT
I think the only people who could consider it cheating are ones who think being overweight is a moral failing. Wearing glasses isn’t cheating. Taking blood pressure medication isn’t cheating. Taking Viagra isn’t cheating. Even taking semaglutide for diabetes isn’t cheating, but taking it for weight loss, preemptively preventing yourself from developing diabetes, is? Bullshit. Right on!
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Post by jeremysgirl on Nov 21, 2024 19:25:41 GMT
I think the only people who could consider it cheating are ones who think being overweight is a moral failing. I can agree with this. I think there is a lens with which people view being overweight, this diet culture. Even many of those who have been overweight participate in it. We all know that one person who lost 100 pounds and is now an evangelical judge of every morsel they and everyone around them puts in their mouth.
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Post by epeanymous on Nov 21, 2024 19:26:46 GMT
People have historically lost weight in soooooo many dangerous ways. I really don’t get the hostility.
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Tearisci
Pearl Clutcher
Posts: 3,237
Nov 6, 2018 16:34:30 GMT
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Post by Tearisci on Nov 21, 2024 19:27:16 GMT
I think the only people who could consider it cheating are ones who think being overweight is a moral failing. I can agree with this. I think there is a lens with which people view being overweight, this diet culture. Even many of those who have been overweight participate in it. We all know that one person who lost 100 pounds and is now an evangelical judge of every morsel they and everyone around them puts in their mouth. I think it's that way for anyone who has kicked an addiction. Former alcoholics can be very evangelical about alcohol after they've successfully quit.
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Post by Zee on Nov 21, 2024 19:32:23 GMT
It can be a tool used to cheat. I say this because I do know someone in my personal life who has never wanted to work at the issues they have with food and saw this as an easy way out. Unfortunately they had some health issues caused by the injection and had to stop. And because they didn't seek professional help, they gained it all back plus more. And are still dealing some some issues from the med. For others like a pea here, it has quieted the voices. That allows them to focus. I see it similar to placing dd on Risperidone. It quieted the voices that triggered the impulse control and anxiety so therapy could be greatly beneficial. Therapy wasn't working until then. I, like jeremysgirl , am worried about the long term affects these drugs will have on people. Not only their overall health but their brain. And will this be the new yo to diet? On and off and on and off instead of trying to fix the overall mental health issues associated with weight loss and over consumption and poor diets. I find it scary that a drug that causes as many issues as it does is allowed to be sold. Psychotherapy won't fix my metabolic syndrome. But perhaps you didn't mean that as a blanket statement for everyone using it, IDK. Also, I'm never going off it unless I have to. I take the minimum dose and am good there. So it's not a yo-yo thing. (I have definitely been there before!) I do wish I could get the Rx version covered for me for life but my insurance does not cover weight loss meds, and I am only "pre-diabetic" and not diabetic so that's not an option for me either. Gennifer yes I did think of it as a failure on my part, but I'm not judging others the same way. I'm hard on myself when it comes to things I think I "should" be able to do myself without help! And it was hard to admit that what I had always been able to accomplish in the past with diet and exercise just wasn't working in the face of menopausal hormone disturbances. I'm glad to get off that guilt train!
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pantsonfire
Drama Llama
Take a step back, evaluate what is important, and enjoy your life with those who you love.
Posts: 6,239
Jun 19, 2022 16:48:04 GMT
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Post by pantsonfire on Nov 21, 2024 19:40:54 GMT
It can be a tool used to cheat. I say this because I do know someone in my personal life who has never wanted to work at the issues they have with food and saw this as an easy way out. Unfortunately they had some health issues caused by the injection and had to stop. And because they didn't seek professional help, they gained it all back plus more. And are still dealing some some issues from the med. For others like a pea here, it has quieted the voices. That allows them to focus. I see it similar to placing dd on Risperidone. It quieted the voices that triggered the impulse control and anxiety so therapy could be greatly beneficial. Therapy wasn't working until then. I, like jeremysgirl , am worried about the long term affects these drugs will have on people. Not only their overall health but their brain. And will this be the new yo to diet? On and off and on and off instead of trying to fix the overall mental health issues associated with weight loss and over consumption and poor diets. I find it scary that a drug that causes as many issues as it does is allowed to be sold. Psychotherapy won't fix my metabolic syndrome. But perhaps you didn't mean that as a blanket statement for everyone using it, IDK. Also, I'm never going off it unless I have to. I take the minimum dose and am good there. So it's not a yo-yo thing. (I have definitely been there before!) I do wish I could get the Rx version covered for me for life but my insurance does not cover weight loss meds, and I am only "pre-diabetic" and not diabetic so that's not an option for me either. Gennifer yes I did think of it as a failure on my part, but I'm not judging others the same way. I'm hard on myself when it comes to things I think I "should" be able to do myself without help! And it was hard to admit that what I had always been able to accomplish in the past with diet and exercise just wasn't working in the face of menopausal hormone disturbances. I'm glad to get off that guilt train! You are the pea I me ruined that it helped you because it quieted the voices. That in and of itself isn't cheating because there isn't a therapy known for that. My point was that sometimes we need a med to quiet those voices to see gains. And for DD it helped therapy stick because before she was so focused on everything else that the tools she was learning to manage her anxiety and OCD weren't being taken in by her. No blanket statement. For others, like my friend, it is used as a bandaid. That is why I said other on the poll. I have seen both sides.
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scrappinmama
Drama Llama
Posts: 5,120
Jun 26, 2014 12:54:09 GMT
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Post by scrappinmama on Nov 21, 2024 19:46:10 GMT
It's not cheating. You still have to do the work (eat less, move your body more). Obesity is a disease. We don't shame people for taking medication to address any other disease. The only reason why people have a problem with GLP-1s is because it's another attempt to fat shame people who struggle with their weight. If more people who struggled with obesity took this drug, think of the amount of money saved on healthcare for future illnesses? Heart disease, stroke, diabetes would be dramatically decreased. And that is the real reason why insurance companies don't want to cover it, and why the food industry is pushing back on it.
There is also evidence that it has helped people with alcohol and gambling addictions. It's changing lives.
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Post by jeremysgirl on Nov 21, 2024 19:49:09 GMT
I can agree with this. I think there is a lens with which people view being overweight, this diet culture. Even many of those who have been overweight participate in it. We all know that one person who lost 100 pounds and is now an evangelical judge of every morsel they and everyone around them puts in their mouth. I think it's that way for anyone who has kicked an addiction. Former alcoholics can be very evangelical about alcohol after they've successfully quit. It saddens me a bit because I just think if anyone should have compassion for another person, surely it should be someone who was once dealing with the same hurdle as another person.
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sueg
Prolific Pea
Posts: 8,570
Location: Munich
Apr 12, 2016 12:51:01 GMT
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Post by sueg on Nov 21, 2024 19:50:38 GMT
I think it's that way for anyone who has kicked an addiction. Former alcoholics can be very evangelical about alcohol after they've successfully quit. It saddens me a bit because I just think if anyone should have compassion for another person, surely it should be someone who was once dealing with the same hurdle as another person. Agreed. But there seems to be an ‘I did it, so everyone should be able to’ attitude from many.
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Post by lisacharlotte on Nov 21, 2024 19:52:57 GMT
I don't think it's cheating, but I don't think it's the ultimate solution either. Neither is bariatric surgery. If you don't change habits, the meds can only take you so far. I've known a lot of people who lose all the weight and then end up right back where they started. I don't know anyone who has successfully kept it off long term without completely changing their diet and lifestyle.
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Post by heckofagal on Nov 21, 2024 19:53:51 GMT
I also hope to never go off. Perhaps if I had bloodwork done right before starting i very likely would have been on the diabetic side of things. As it stands I was only diagnosed pre-diabtic but my fasting blood sugar has not been under 100 for probably 10 years. It has gotten there on this med. I've only lost 40 lbs over the past year and would love to lose another 40, but even if I don't I am very happy with the positive changes I have seen. Cut my blood pressure meds in half.
I started on Ozempic and insurance was no longer going to cover so my dr switched me to Wegovy, and with the coupon I found online I pay $0 out of pocket.
I strongly believe I've had issues with weight my whole life because of metabolic issues. My dad also struggled with his weight and we lived on a farm, he ate his protein and all his veggies and did not eat junk food (did drink some beer though). And I still judge fat people even though I know better. It does not even make sense to me in my mind but I still have those judgey thoughts.
And I had concerns about long term effects as well, but I feel like the benefits are going to have such a positive impact on my long term results its worth the risk. Also, I'm hearing reports that they say the med can help fight off alzheimers, etc.
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Tearisci
Pearl Clutcher
Posts: 3,237
Nov 6, 2018 16:34:30 GMT
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Post by Tearisci on Nov 21, 2024 19:56:13 GMT
I don't think it's cheating, but I don't think it's the ultimate solution either. Neither is bariatric surgery. If you don't change habits, the meds can only take you so far. I've known a lot of people who lose all the weight and then end up right back where they started. I don't know anyone who has successfully kept it off long term without completely changing their diet and lifestyle. As far as the bariatric surgery, there are so many hoops you have to go through to make sure that you're successful long-term. They don't just do the surgery with no lifestyle and psychiatric changes. I am doing it after the first of the year and I have to meet with a nutritionist 12 times, a psychologist and go through classes at the center. That's not to say that it works for everyone, but it's not just one surgery without support.
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Post by workingclassdog on Nov 21, 2024 19:56:38 GMT
I'm genuinely curious to know what people think on this topic. We got into some discussions on the Weight Loss Drugs vs Big Food thread but I'd like to discuss it more. I am "lucky" that be being barely diabetic, I only pay $25 a month for Mounjaro and I'm finally starting to feel some of the effects that I hope will be beneficial in my weight loss journey. I am also going to get a gastric sleeve next year but I'll need to lose weight before then so I'm heading down the right path. I did try semaglutide through a compounding pharmacy online but never felt the effects like I do on Mounjaro. It was a lot more expensive before my doctor gave my a prescription so my insurance would cover it. So what is your take on Weight Loss drugs? Cheating or a good alternative. Cheating or not, it helps me out a lot. So I voted not cheating. I don't even care what anyone thinks... my blood sugar was the main thing and the weight loss was the bonus.
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Post by workingclassdog on Nov 21, 2024 19:57:29 GMT
I don't think it's cheating, at all. If it helps someone to get healthier then it's a good thing. My caveat is that if eating is disordered, emotional eating, etc. then therapy should be an adjunct. In that case, something from your past lead you to this point. Healing and finding other ways to experience the feelings and trauma are necessary. JMHO. That's a really good point and as part of the bariatric procedure, you are required to talk with a psychologist as part of the process. That isn't true.. talking to a psychologist.. I never did unless things changed recently.
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Tearisci
Pearl Clutcher
Posts: 3,237
Nov 6, 2018 16:34:30 GMT
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Post by Tearisci on Nov 21, 2024 19:58:42 GMT
That's a really good point and as part of the bariatric procedure, you are required to talk with a psychologist as part of the process. That isn't true.. talking to a psychologist.. I never did unless things changed recently. It may just be my insurance, but I'm required to.
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Post by Restless Spirit on Nov 21, 2024 20:00:57 GMT
Full disclosure- I’ve been on Rybelus for what will be four years in February of next year. I was prescribed it by my doctor because I am a Type 2 diabetic. In addition to lowering my blood sugar over the period of about the first 18 months I also lost weight. The weight loss benefit has stopped and I regained 10 pounds even though I continued to take the drug. This was totally my fault because I was not watching my food intake.
To answer the question, no, I do not believe it is cheating. It’s a valuable tool and when prescribed and taken properly, I feel for many of us the benefits outweigh the risks.
I have limited the knowledge of my diabetes among my family and friends. Their attitudes of how and why people get the “the sugar” (as they call it) is so judgmental and abusive that I’ve hidden my diagnosis for years. Only my husband knows what drug I am taking to control it.
Rybelsus no longer provides any appetite suppressant for me. I am currently working on losing the extra weight.
I agree with the posters that the drugs are only a tool. In my observations and interactions in.FB groups,I have also noticed a worrying trend, particularly among people that are taking the medication for weight loss only. There seems to be a total lack of counseling that goes along with the prescription. People are buying compounds from India and Mexico over the Internet. The number of prescriptions have skyrocketed with the advent of using Teladoc to obtain a prescription without seeing a doctor in person. It’s very apparent that very few, if any, people are getting much direction on counseling on these drugs. The number of people that come into a group and ask “ when do I take this pill?” “ Can I cut a pill in half?” “ Can I take two instead of one for faster weight loss?” It’s alarming, it’s astounding, and it’s mind-boggling. Did these individual’s doctors not tell them anything? They seem shocked when there are some very adversarial side effects that come along with taking these drugs.
I’ve mentioned on here before, that as a diabetic I have had weeks and weeks and hours and hours of education and training from diabetic counselors, registered dietitians, and nutritionists. My eating habits have rarely strayed from those guidelines. Yes, I got a little sloppy and I gained some weight. I’m now back to counting my calories and carbs. The weight is slowly coming off, but I have to work at it. It just seems like there are some people that don’t want to have to work for the weight loss and expect the drug to do it all for them. I find that disturbing.
As I said, I really do believe these drugs have a lot of benefits and on an excellent tool for many people. I am concerned that there seems to be a certain faction of people that feel like it’s a miracle drug and really don’t take the drug risks and side effects seriously. They need to be under the watchful eye of a doctor and have frequent blood tests that monitor not just blood sugar, but kidney function, etc. Sadly, the more I read the more I realize that a lot of people are not doing that. I find that rather alarming.
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Post by workingclassdog on Nov 21, 2024 20:01:08 GMT
That isn't true.. talking to a psychologist.. I never did unless things changed recently. It may just be my insurance, but I'm required to. Now that could be true, insurance wise.
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Tearisci
Pearl Clutcher
Posts: 3,237
Nov 6, 2018 16:34:30 GMT
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Post by Tearisci on Nov 21, 2024 20:03:36 GMT
I think one of my biggest fears is ending up like my sister. She's morbidly obese and is bed bound because she was too afraid to get the surgery. As my weight started going up, it's been hard to stand or walk for long periods of time so I felt that it was a good time to get it done. Also, if it can help with some other health issues, I'm hopeful.
I definitely don't see WL drugs as cheating and wish I had started sooner.
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