I cut carbs four years ago. My blood glucose never goes above 130 after a meal now, but better yet, I lost 150lbs. From 321lbs to 170lbs. I’m now 62 years old. I haven’t eaten white potatoes, bread, pasta, rice, or fruit for 4 years now, and I don’t miss them.
@@bonniebenz8792 I’m actually very happy I did it because I required Open Heart Surgery to replace an Aortic Valve that had a 5mm hole in it - Endocarditis sometime in my life. I don’t know when or how?
That is awesome to hear Monty, you are almost half the person you used to be. I am 61 going onto 62 by the end of this year and by then I hope to be around 240. Slow and steady does it.
“included 13 studies in a systematic review, followed by a meta-analysis using pertinent data. Among the 440,669 people that were included in 11 cohort studies, 27,887 (6.3%) cases of diabetes were documented. The risk of incident diabetes among individuals with a low-carbohydrate diet was not significantly different from that of individuals with a high-carbohydrate diet: the pooled RR was 1.03 (95% CI, 0.91-1.16). Conclusion: Low-carbohydrate diets did not show any benefit on the risk of diabetes.” Reference: Journal of General and Family Medicine - volume 17, Issue 1, Page 60-70
I'm 58 years old, and have had type2 diebetes for 13 years now. Before I was on Lantus and Apidra and was heavily over weighted, a bit over 140 kg. I started Ozempic 2 years ago and I lost 30 kg in 6 months, and now after 2 years I'm steadily in 95 kg, and happy for it. This medication has saved my life...
congrats but if u get off it u body become clean if u dont there risk u dont know about yet they dont tell the truth there a big story local paper here today about ozempic any drug the body make any one sick u can lose weight u self u put u mind to it I did it twice without this crap and now me third time proving
I can confirm since I have been on Ozempic for the last 2 months, I'm eating about half what I was eating before and feeling completely satiated. It still takes me by surprise when I feel full after eating a small portion. Thanks for the excellent explanation of what the drug does.
Just wondering bc i need to loose weight. But my portions arent my biggest problems. Im addicted to sugar in the worst way. If u had sugar cravings at any level before, how would u say those cravings r now? Thanks!
@@careybogdanovic7 I definitely missed having sweets after being diagnosed and trying to eat healthier. And now I still feel that desire but when eating out and the waitress asks if I have room for dessert it is easier to say no. I hope that helps.
I have been taking Ozempic for weight loss for about three weeks. I’ve noticed my skin is improving (less breakouts, less random hairs, rash under breasts going away.) I’ve also noticed weight loss..not sure how much. This medication will change my life! I had lost 40lbs on my own and this medication will help me to get to less than 200. As far as I’m concerned this medication is worth the common side effects. I feel beautiful again!!
Awesome, Dr. Cheng explained the topic in a well rounded, clear and concise manner. Thanks for bringing this subject matter expert in to explain this timely subject.
Type 2 diabetes is my problem. I started ozempic about 9 months ago. It has helped my cravings, the amount I eat at meal time, an most important has dropped by A1C from 9.6 to 5.9. I’m now 63 and this is the first time I have ever gotten below a 7.5. I have lost 30 lbs but I am happier about the A1C drop and I have more energy and am getting to where I can do more. Thank you for this informative video.
U 2 drs have a unique platform & if more docs could do this they should but the chemistry wouldn't be there. ❤ thank u for sharing a part of ur day with us
Hello! You do realise that 'You' and 'U' Do Not mean the same thing. Showing one's ignorance through poor expression may hinder you in your future endeavours. Remember, first impressions count.
Better check your muscle mass via a dexa scan. Ozempic is notorious for losing lean muscle mass, which in essence makes you fatter (muscle to fat ratio)
Which is why when you take ozempic you have to keep an eye on your protein intake and make sure you develop (or keep going with) your exercise routine throughout- especially focused on muscle strength
10 years ago my blood test showed pre diabetes. Knowing that my diet was the issue, I began the great task of overcoming my *carb addiction!* Now, I eat low carb and feel way, way better. I’m 60 and on *zero* medications. It’s a *choice* to eat healthy foods, instead of carbs and sweets. Break the carb ADDICTION! ❤️🍀
As a physician for 30 years I commend you in making a topic so complicated, simple and easy to understand in a very pleasant manner with out drama. You are a git for medical community as well as for patients.
My cousin has been using this style of injection for 4+ years now and he said it’s the biggest change in his life. He has always taken good care of his body and sugar levels but this makes him a lot less worried about transporting and storing it with quick use
Great video. I'm glad there are medications to help people with chronic illnesses, but so glad you guys encourage lifestyle first. It really is the ultimate cure.
Excellent information. It's unfortunate that people who want to use it for weight loss and somehow are able to get it, are causing a shortage for those who need it for diabetes.
I keep wondering how they get it, it being a prescription drug. I wouldn't think any respectable doctor would give people a prescription just to lose a little weight.
The cost for Ozempic subcutaneous solution (2 mg/1.5 mL (0.25 mg or 0.5 mg dose)) is around $995 for a supply of 1.5 milliliters, depending on the pharmacy you visit.
Sadly, Ozempic is getting much harder to get. As a Type 2 diabetic, I’ve taken it for 18 months. The good news is it’s done exactly what the commercials and the doctor said it would do. It, along with minor dietary changes, lowered my A1c from 8.4 to below 7.0 in the first 3 months! However, though I use a major pharmacy, I’ve gone stretches of 4 weeks once and 3 weeks twice without taking it due to pharmacy unavailability. This has caused my A1C to spike above 7 on each occasion. On two occasions I was switched to Trulicity which I had a few uncomfortable side effects.
53yo South Asian male. I've been on Ozempic for just over a year and I'm still waiting to see my A1C levels and weight to drop. My A1C as of 03/23 was 6.7% and I'm about 23-25lbs overweight. I also take Janumet, statin and Candesartan for bp. At one time my Vitamin D was at 19 nmol/L but recently it was at 64 (5,000 UI of vitamin D daily) Maybe its time to discuss Wagovey with my family doctor or its time to see a endocrinologist... Love the short clips on today's medicine!!! Keep up the excellent work...
As always, a great presentation guys & Dr. Cheng! Thanks! As a suggestion for a future episode, it would be very interesting to have Dr. Cheng back to discuss the various effects & treatment of hypo- and hyperparathyroidism, e.g., osteoporosis, hypercalcemia, renal function, medications, surgery, etc.
I have been on this for over three years and have had very good results. I have lost a considerable amount of weight as well. The side effects are definitely there, but if you tough it out, the results speak for themselves. Thanks for doing this it was very informative.
As a diabetic who is prescribed Trulicity/Ozempic I can state that it really helps to maintain my sugars at a manageable level. In all honesty I just wish Doctors told patients that they don't prescribe it for weight loss. That the weight loss they get may be at the cost of their endocrine system. As far as I am aware the long term use can make your system become sluggish and not produce the natural hormones or get the effect from it. In other words it may cause you to become insulin resistant.
I am about to be 65 and just began taking Ozempic. Since my hormones have gone on strike, at this point, I don't think I should be concerned in lack of production. I hope the Dr.s would correct me if I wrong. 😐
As a type 2 for 40 years I've used Ozempic and Mounjaro. MJ me off insulin after 25 years. Insulin causes massive weight gain and worsens insulin resistance. I'll take the odds on Ozempic and MJ anyway. Also down 110 lbs
Last year, literally 13 months ago I realized I had to do something. I was so fat from just laying in bed for almost 5 years (after my son’s death). I developed lung cancer during that period, and had a LUL lobectomy, but never rehabbed, so I was fat, out of shape, had sleep apnea, HTN, high cholesterol, high triglycerides, shortness of breath, chronic pain,and more. So I started dieting. Lost about 30 lbs by the end of May with little effort, just gave up junk. My doctor put me on ozempic in June because I had plateaued and I have since lost another 35 lbs. I have some nausea occasionally but that’s it. I started walking around September last year ( have chronic back and knee pain and it was too hard with the weight), and now I am scheduled for a TKR in two weeks, which I’m dreading, but I’m in the best shape I’ve been in in awhile. Watched all your knee video’s and have been doing prehab, so guess I’m ready. Would like to lose 7 lbs before surgery but it isn’t happening. I never did go up to full dose of ozempic ( stayed at 1 mg) but have modified my diet considerably and now that I have it really doesn’t bother me. Mostly portion control, cutting carbs. My labs are significantly better across the board. Hope to ultimately lose another 10 to 20 lbs but even if I don’t I’m at least back to a healthier weight. Thanks for all the helpful videos
Your TKR will go swimmingly. It is not an easy feat, prepare yourself to fight through the urge to not exercise. I had that after my open heart surgery, at first it was going well, but I almost gave up. Look at a channel called Exercise for Health. It is a British bloke giving all sorts of in home exercises. I started following him and am now doing almost every exercise and feel great again. Let us know how you fared?
Hi EV. First so sorry for the loss of your son. Heartbreak. Second congrats on turning things around and losing 65 pounds. And third good luck with your tkr. You’ve got this!
I can hear the commercial jingles as you speak! Thank you, Dr. Cheng, for your detailed information. There are sooo many Big Pharma commercials on every TV channel. I am always suspicious of the "marketing vs Medical" advice. If I have a question, I make a note to talk to my docs about it. Thanks to the to the twins, too!
I was on victoza for 2 weeks and had a massive colon bleed finished up in hospital for 10 days Never again I'm now on keto diet for diabetes type 2 loosing weight and less medication
I’m Type II diabetic and I’ve been on Ozempic for about 4 months. In the first 2 months I lost about 75 pounds and 6 pants sizes. I haven’t exercised to much because I’m having both knees replaced. I’ve had 1 replaced and getting the other one replaced is May. I plan on exercising afterwards. I think it’s going to be awesome for weight loss after it’s approved and after the supply chain issues are resolved.
@@networth00 I’m at 1 but I started 1/2 for the first month (I forget the unit of measure but I think it’s milliliter. You can expect nausea. I usually give myself injections on Saturday and I’ll vomit off and on until Tuesday. Depending on your goals and what you want to accomplish it may or may not be appropriate for you. I’ve also got cancer so for me it’s just 1 more thing but, that’s just me.
Ozempic had been a HUGE help for me when I was suddenly pre-diabetic with a high A1C. I've been struggling for years with my weight, I'd do workouts, cutting carbs, IF, meal preps, I never went over 260lbs but if I lost it'd start coming back no matter the changes or intensity I'd do. And I've eaten a healthy diet much of my adult life due to food allergies and sensitivities. My blood work was always great so nothing was making sense, but suddenly my A1C shot up. Dr tried metformin at first but switched to ozempic, and it's been a HUGE help to me. I'm now down to 120lbs maintain and starting to add in workouts (now that I can again) to help me the rest of the way. I've been lucky to have practically no major side effects. I'd say some slight extra fatigue, constipation on occasion 🤔 can't say for headaches tho cause I get that on the daily with seasonal allergies 😅 stomach starts achy a day or two before I'm to take the next injection I've noticed.
Hi guys, I love your videos, they are really informative and interesting. You've both got a great sense of humour and you have the neatest guests. Keep up the good work as I and many others will watch you for a long time xx
I was prescribed Ozempic to help with my diabetes care and spent more than 6 months "trying to get used to it". I finally had to stop taking it at around 7 months because it caused me constant nausea, violent vomitting (no matter how small a portion or whatever that portion consisted of) and intestinal incontinence. I DID lose about 20 lbs in that time but the weight loss just wasn't worth the misery the drug caused for me. I've been off it now for about 6 months and have only regained about 6 lbs.
Dr. Cheng reminds me of how fascinating I find endocrinology. The numerous positive and negative feedback loops involved in proper organism function are a wonder.
Ozempic has made a huge difference in the management of my T2 diabetes, which I have been on for approx 18 months, the last 5-6 of which I've had to resort back to Trulicity due to the supply issues we've had with Ozempic in Australia...which now we're hopefully on the better side of. Whilst I found Trulicity a fair substitute, it just did not have the same effects that Ozempic does. Together with my dietary changes and more regular exercise, I have personally found Ozempic to be working well for me, and would highly recommend it anyone who is thinking about taking the step towards its use. Thank you for this video, has been very informative to more how it works within the whole system...greatly appreciated!!! Cheers from Sydney Aus!!!
Sometimes I can't tell if Dr. Weening and Dr. Zalzal already know the answers to the questions they ask the guest docs or if they don't. I'm assuming they do, but then it's like wait a minute... hmmm. This mystery just adds another dimension of fascination and fun to your show. ; ) Great video, also!
Thank you for this. There was so much great information packed into this video. I was prescribed Ozempic for being pre-diabetic according to my A1C. It was hopefully going to prevent the need for insulin, help lower my high blood pressure and help me lose weight. At the same time, and for the past few years I have changed my eating habits and increased my exercise/activity with no big beneficial changes to my health. That’s why I was prescribed this medicine. After about 2-3 doses the nausea, vomiting, diarrhea and constipation kicked in,in cycles. Two weeks straight of all these GI issues and my PCP explained that my solution was going to have to be another change of lifestyle and not this particular medication. I wish those whose systems can tolerate it, great success.
I was diagnosed with Insulin Resistance after gaining about 65 pounds in four months. I have tried diet, exercise, cutting back certain foods, etc., while my A1C dropped, my weight has not decreased at all. I started the Semeglutide shot two weeks ago and have had nausea and vomiting the first 2-3 days after taking the shot (I took .1 the first time and .2 the second time). My question to you is, did you ever start to feel better as your body adapted to this medication or did you just have to stop it?? Thank you so much for any information.
My husband is not overweight at all. In good shape but has inherited the type 11 diabetic gene from both of his parents. At 66 he is extremely active, which I'm sure that helps him a lot.
Watching this while on Ozempic 0.5 mg and my A1C is lower at 5.7 from 6.4 that I couldn’t decrease with diet and exercise. Wegovny is back ordered or I would be taking it because it’s cheaper. I’ve lost 30 lbs. in 5 months but the weight loss has leveled off, which is fine. I’m here to reduce organ damage at 75. Better late than never!
Thank you for that clear description of Ozempic. I've been on it for about nine months now and it has indeed worked wonderfully-well in all the areas you mentioned. You did answer a couple of side questions, like will I probably be on it for life. TWD is a wonderful forum that informs the audience and gives chuckles for a chaser. You folks ROCK!
@8:15 I'm type 2, and ever since my Dr put me on Ozempic, I've been a poster child for Pepto Bismol! Just about 2 years in, I'm still using more Pepto than I ever have in my life
Great information and explanation of this medication! It's great to hear the benefits and side effects in a way everyone can understand! Thanks for sharing your knowledge with us! 👍
In my late 50's I was 260+ lbs. At 60, my Dr. Daughter (MD, EM, Ironman Triathlete) told me to get on the treadmill. She signed me up for my first half marathon. I was able to drop 35lbs over the next 7 years of Disney Halfs. That was good, but at 70, now she prescribed Terzepitide (Mounjaro). In the last 6 months I'm npw 191 heading down to about 175. My blood pressure has normalized (consistently 118/73 without meds), my glucose stays in the 90's, my AST/ALT levels dropped to 20 (no more fatty liver?) and my run pace decreased 2 min per mile. I feel good and would highly recommend the GLP-1 meds for anyone with a high BMI for many reasons. BTW... ZERO side affects!!!
BRILLIANT information Dr. Alice! You are the BEST visiting Doctor on these videos! Speaking plain English so we commoners can comprehend these drugs, which are advertised on US TV all day long! I wondered what the backstory was about Ozempic and now I know. I have been on a weight loss quest for months now, losing a pound here and there, but ultimately 20 over the past six months, doing it the proper way, no white foods. Thank you very much!
As a Pharmacy tech thank you for this info! I think using this for weight loss without diabetes is very sad because it causes shortages, and then people with diabetes suffer. Also, people need to remember that for 'off label' use, most insurance will not cover it and its very expensive!!
There are and have been plenty of diabetes drugs available. Being overweight is just as important for usage! Medically necessary! Glad your not a nurse
Really? Very sad? Stop the virtue signaling. Your lack of understanding of the disease of obesity is very sad. First of all, Wegovy is the exact same glp-1 semaglutide as Ozempic and its approved for obesity only, not diabetes. So you could easily argue that these diabetics are causing shortages for those with the deadly disease of obesity. Both arguments are wrong. Turn your anger to pharmaceutical and insurance companies for mismanaging supply chains and access to these potentially life changing meds.
If you have not yet could you have a guest doc talk pancreatic cancer please. My husband just passed away from this terribly painful and aggressive disease, which was a shock to us. We were watching for prostate cancer but had never heard of pancreatic!! Diagnosed Feb 15 and gone on May 3rd -- I'm in total shock.
This was a great video! Thanks. One thing you didn't mention, is the expense of the drugs and how likely it is to be covered by government or private insurance. But on the whole, a great information. Thanks again.
Ozempic is covered by British Columbia PharmCare and by Ontario Health Insurance Plan (OHIP), but only with your doctor's approval and in cases where you have treatment-resistant diabetes. It is not covered for weight loss yet, but if obesity is a chronic disease it should be considered.
This was great info i been on it for 8 months for type 2 not weight lose its been hell with the side effects but this was great i never knew how it actually worked 😊
Another doctor (Dr. Ken Berry) said that ozempic has many risks (and understands the benefits) that so many doctors aren't talking about. I was rx'ed it for weight loss, pcos, insulin resistance but after hearing some of those risks I decided not to start it since I knew this is something that didn't want to take forever and might not have the funds to take forever. Instead I'm really just trying harder to hone in my diet and supplements
I'm in the U.S., in my 50s, living with Type 2 diabetes and obesity. I started on Victoza a few years ago, then added long-acting and rapid-acting insulin. When Ozempic became available, I switched from Victoza to Ozempic. Sometime during the second half of 2022, I switched from the max Ozempic dose to the max Wegovy dose. Wegovy has produced the best results for me to date: better glucose control and some modest weight loss. I have also used the Abbott Freestyle Libre 14-Day continuous glucose monitor for about 4 years, and I have now switched to the Libre 3. Step by step!
I love how you guys word it as 'treatment' for obesity, it makes me feel a lot better because this is a disease and should be respected as such, it's not a self inflicted thing in most cases and is often caused by medical issues.
Oh, Oh, Ohzempic... I am on the 2mg version and had to laugh a few times and I am so glad you made this!! It has helped, and is helping me tremendously. First and foremost my A1C is completely under control, no more spikes and I am sitting at a decent 5.8-6.1 level at this moment. Like Dr. Paul is saying and you both have always been saying, it is about lifestyle choices. The side effects of Ozempic are the same as if I would eat way too much and have stomach pain and yep... I had to talk to the porcelain telephone once. It really helps and my weight is slowly creeping to a healthier me. I was, at one time, afraid this would not help, but after slowly going up to the 2mg it is now working as my doctor had anticipated. The only thing is the lifetime commitment. This medication is stinking expensive and I am grateful my insurance is covering it. Thanks for bringing us healthcare with a smile!!
Hi Al, May I ask how much it is? Ozempic is approved in the EU. I'm in Ireland and all Diabetic medications are free in our Health System as Diabetes is on our long term illness list so we don't have to pay for any medications but I am just curious and hope you don't mind me asking 🙂
@@alexg5513 Of course you may ask how much it is. For 6 boxes (each 4 mg) it was CAD $1366. That is 3 month supply. As I wrote I am covered through my insurance at work and at this moment I do not pay anything for it. I am originally from The Netherlands where the healthcare is also free. Here in Canada it changes slightly after I retire as I no longer am covered under the insurance through work. Ozempic is so expensive because it is in high demand, but at this moment it is not covered under a provincial healthcare plan.
@@aelaan12 I’m sorry, but, you do pay for health insurance - it’s all from taxes paid by working citizens! It’s so sad they’ve got people thinking this is “from the government.” The governments have *no* money without workers.
Great guest !!⭐️⭐️⭐️⭐️⭐️Dr. Chen gave a clear , concise explanation of Ozempic . She is articulate , personable , intelligent . I have a better understanding of this class of drugs .
Yes it has the FDAs highest warning for possible development of thyroid cancer and MEN-2. This needs to be monitored by your physician. Very uncommon but potentially serious
Thanks again....I always learn something new on your presentations! The one thing, I think wasn't covered, was how Qzempic compares to the drug Metformin. I suspect, many people like me, take Metformin for Diabetes 2. Should it be replaced with Qzempic? I personally don't have high blood sugar or are obese, but I do like the idea of once a week injection.
It is obviously your prerogative to be skeptical. They have certainly done something to earn that. This medication has already helped a lot of people but you certainly don’t have to take it.
It is obviously much easier if people ate well and exercised but even if done perfectly some people will still have diabetes. Those are the individuals who will benefit from medication to help reduce their risk of cardiovascular events.
Thanks for this I'm on ozempic 4 t2d..lost 40 lbs. A1c down from 9 to 5.7. And the side effects can be severe and sudden. I keep puke bags in all my cars
My doctor prescribed 7.5 mg Ozempic to lower for my A1C & to lose weight & lower my blood pressure! I haven’t taken it yet because I have Gastroparesis and the side effects can be rough! MOUNJARA is suppose to be even better for sugar control & weight loss and less side effects!
The whole system set up to suggest medications are the answer and is such a disservice to everyone. Yes medications can help but the goal should always be to get off medications and the system is not set up to help people achieve that. With meds chronic disease just progresses and leads to other conditions which leads to more medications. Get to the root cause for type II diabetes and obesity. So much science behind lifestyle and diet as the leading cause of disease and the need for medications in the first place. I’ve been able to get off 6 prescription medications and am down to one low dose blood pressure pill simply by changing my diet to a Whole Foods plant based diet, exercise and lifestyle changes including better sleep regime, lowered my stress through changing jobs. It takes action and personal accountability. Motivation follows action, not the other way around.
Might you talk about something like my mini-knee. Years ago I developed a lump, size of a large grape just below my knee. It doesn't hurt except if I accidentally kneel on it. It was x-rayed and told it is basically a hard benign lump of fat. What do you think? Is that common? Can it become cancerous?
Sounds like it may be a lipoma. Hard to say without seeing it. If concerned an MRI would give more info. It is unlikely that it would become cancerous.
@@TalkingWithDocs Oh thank you! I have never heard the word lipoma. I just looked it up and that's exactly what I have. I don't wear shorts because of it but hey, that's okay. Thank goodness it isn't cancerous.🌷
My name is Keri and I live in the US. This is under somebody else's account that I know. I have T2DM and used to take Ozempic for approximately 2 or 3 years until July 5, 2022. That morning I woke up with really bad flu like symptoms such as abdominal pain, nausea, vomiting, aches & pains, and trouble breathing but I have severe persistent asthma anyway. I was sent to the ER by my pcp's office and after undergoing a CT scan they found that I had Acute Pancreatitis. My pcp was the Attending that week and she stopped the Ozempic. Despite still having persistently high blood sugar levels even with increased insulin doses, I haven't had any more issues with my pancreas such as the Pancreatitis. I was in the hospital for 2 days and required IV Fluids due to the inability to keep anything down and it went on for about 3 - 4 weeks after discharge but has since returned to normal again. Is Ozempic known to do that? Is that a side effect although I was on the medication for so long before it happened to me?
Hi Brandon. We did not go over all of the side effects but there is an increased risk of thyroid cancer particularly in those with a family history and should be discussed with your doctor and pharmacist. Thanks for bringing this up
@@robertusga exactly in mice among other animals. You do realize they use mice and other animals to test what could happen in humans. Hint the possible side effect of thyroid cancer. Guess what? The drug has only been on the market for 5 years so go ahead and test your luck with it. How about the study that shows when ozempic is used 2/3 of the weight loss is not even fat but lean good weight. How about people just stop being lazy and stop trying to get the easy way out. Look back at the major lawsuits where company’s knew drugs would kill people and sold them anyways.
I could not keep the treatment with ozempic. It made me extremely nauseated. My digestion became very slow, I couldn’t lay down to sleep without stomach reflux. I insisted on treatment for months and the symptoms continued. The worst part is, since I don’t eat big portions of food, as soon as I stopped Ozempic and the nausea passed, the 8 pounds I lost during the 6 months of treatment came right back.
I have a very good A1C level, and low risk of type 2 diabetes. However, I have a family history of high triglycerides, hypertension, heart attack, and stroke. I wasn’t aware of those benefits.
One of the hypotheses for Type Two is that it is caused by insulin resistance and that insulin resistance is caused by diet, and simply triggering more insulin production does not address the root cause of insulin resistance. And if diet is at the bottom of it all, fixing diet should fix the resistance. Thus if the pancreas has not yet been worn out, Type II can indeed be reversed and does not have to be life-long. I would love to see you look at studies (or bring on experts) looking at this hypothesis.
Its is a God send my sugars are always normal now. Kept Metformin onboard BP down and well managed! I can have spine surgery now and yes, 20 pounds less with 3 stents and a negative stress test? All blessings I thank Ozempic for🙏
This is surprising to me. My doctor ordered another medication once a week for diabetes to get my ac1 down lower even though I had gotten below the range of diabetes. She then order this drug and would of been denied if I didn’t tell her office they need to contact the insurance. Thing is they would have denied it for diabetes but approved it for losing weight. I’ve been on maybe 3 months now. Lost about 14lbs. My sugar has been stable ever since.
Thanks Docs I am taking Ozempic now and was concerned with what I was hearing lately about Ozempic it. This helps a lot. I heard it caused a thyroid cancer? It seems to work with weight loss and my sugar is lower. This helped alot. As always you have a wonderful channel! Love you Docs!😇😇😇🥰
the risk mentioned is due to results seen in mice studies - likely because GLP 1 receptors on their thyroid glands - humans do not have GLP 1 receptors in their thyroid glands so it is unlikely to carry over.
So far, Ozempic has worked wonders for my blood sugar. Even being very careful about simple carbs I couldn't cheat on occasion without a huge spike. Now, while I still have a low carbohydrate lifestyle, my sugars stay under control even if I have that occasional white carb. I didn't lose a lot of weight, but it's definitely improved my bloodwork. Just my personal experience so far.
My Doc put me on Trulicity a couple of years ago. It is very similar to Ozempic. My Blood Sugars shot down to around 100 and I lost 20 lbs. When I went on Medicare the cost was going to be high so we dropped it and my sugars shot up and I started to gain weight. I decided to bite the bullet and pay the price only to find out that because of all the rich people paying full price and using it for weight loss, I had a hard time getting it for diabetes.
I've only taken two .5 shots so far. In less than two weeks my blood sugar dropped from 548 to 140 upon wakening. The side effects are no fun but worth it so far.
I am type 2 diabetic i take long and shory acting insulin multiple x day + 2 pills. Was on Trulicity for yrs 1x a wk as well. Dr switched me from Trulicitu to 0.25 Ozempic 4 wks and already eating half as much. Just titrated me to 1.0. Mild nausea and almost no appetite at all, almost no need to inject insulin. This is great because insulin overshoots makes glucose TOO low, and get hangry low glucose and then need food, causing a vicious cycle. The nausea and constipation is pretty mild enough for me its worth getting off the glucose seesaw! And hopefully the side effects will fade in a couple wks.
I want to wean off exogenous insulin. Has anyone ever done this, with success, on Ozempic? I am about 35lbs overweight, and currently taking a 24 unit dose of Tresiba. I already eat very low carb, usually one meal per day. Looking to get off insulin altogether, lose this weight (-that won’t come off while on exogenous insulin!) and, continue intensive dietary management and Ozempic. Please tell me if you have seen others get off insulin, with this medication. * More context: During a year of deep depression, I stopped checking my blood sugar, ate everything I wanted-including sweets binges…ended up hospitalized with DKA. My AIC was 13, now 9 and going down after a month of great effort using diet and insulin… Insulin is not my friend, and I want OFF it. I got a huge wake up call with the DKA event, and will never fall off the dietary health wagon again. I just really hope Ozempic provides enough of a jump start to help my reduce / end the insulin injections and lose this new weight.
I've been taking Ozempic for about 2yrs. However, i started to notice that i got blurry vision when taking Ozempic. And yes, this is one of the side-effects. I've seen other people complaining about this. This actually really upset me because i think Ozempic is otherwise a very good medication! I lost wait, my diabetic type-2 was completely under control and i didn't really had much of other side effects. Maybe a bit of diarrhea from time to time. But that was mostly in the beginning. I can't really remember feeling nausea. But then again, i had that from time to time anyway because of all the medication i need to take. I was diagnosed with leukemia in 2009 and with Graft Versus Host Disease in 2012 after having a stemcel transplantation. I need to take a lot of cortisone and that's the reason i developed diabetes type-2. I do whatever i can to be healthy. But because of the GVHD i ended up in a wheelchair so my mobility is already very limited.
Awesome drugs. I’m 80 lbs down in 10 months. Usually feel a little nauseous the day after the injection but manageable. After years of yo-yo dieting on every possible diet, this is a godsend. On the flip side, my sister could not tolerate Wegovy and got severe pancreatic pain.
Glucagon does not put glucose into storage, insulin does that. Glucagon is a hormone that tells the liver to break down glycogen into glucose, which increases blood sugar.
Love you guys!!!! Endocrinologist very well spoken and very understanding when explaining!!!!
Yes Dr Cheng was awesome
@@TalkingWithDocs Dr. Cheng is very smart. 😊
Type Two Diabetes is a chronic disease?
@@TalkingWithDocs Obesity is a chronic disease?
@@vlm5723
Are you being flippant or have you been living under a rock?
I cut carbs four years ago. My blood glucose never goes above 130 after a meal now, but better yet, I lost 150lbs. From 321lbs to 170lbs. I’m now 62 years old. I haven’t eaten white potatoes, bread, pasta, rice, or fruit for 4 years now, and I don’t miss them.
Yes getting rid of sugar and refined carbs has benefits for sure. Congrats
Bravo to you. I don’t have a weight problem but I also gave up those foods and I feel so much better and my skinny fat belly is gone ! Lol !
@@bonniebenz8792 I’m actually very happy I did it because I required Open Heart Surgery to replace an Aortic Valve that had a 5mm hole in it - Endocarditis sometime in my life. I don’t know when or how?
That is awesome to hear Monty, you are almost half the person you used to be. I am 61 going onto 62 by the end of this year and by then I hope to be around 240. Slow and steady does it.
“included 13 studies in a systematic review, followed by a meta-analysis using pertinent data. Among the 440,669 people that were included in 11 cohort studies, 27,887 (6.3%) cases of diabetes were documented. The risk of incident diabetes among individuals with a low-carbohydrate diet was not significantly different from that of individuals with a high-carbohydrate diet: the pooled RR was 1.03 (95% CI, 0.91-1.16). Conclusion: Low-carbohydrate diets did not show any benefit on the risk of diabetes.”
Reference: Journal of General and Family Medicine - volume 17, Issue 1, Page 60-70
Dr. Cheng was exceptional at explaining how ozempic & GLP-1 work! I’d love to see Dr. Cheng on more episodes, perhaps talking about thyroid diseases?
Oh it’s coming Kiki ….
Yes
My thyroid numbers are out of control despite meds and dose adjustments
@c8Lorraine1. We're your thyroid numbers fine before Ozempic.?
Yes! I agree Dr Cheng is excellent!
I'm 58 years old, and have had type2 diebetes for 13 years now. Before I was on Lantus and Apidra and was heavily over weighted, a bit over 140 kg.
I started Ozempic 2 years ago and I lost 30 kg in 6 months, and now after 2 years I'm steadily in 95 kg, and happy for it. This medication has saved my life...
congrats but if u get off it u body become clean if u dont there risk u dont know about yet they dont tell the truth there a big story local paper here today about ozempic any drug the body make any one sick u can lose weight u self u put u mind to it I did it twice without this crap and now me third time proving
I can confirm since I have been on Ozempic for the last 2 months, I'm eating about half what I was eating before and feeling completely satiated. It still takes me by surprise when I feel full after eating a small portion. Thanks for the excellent explanation of what the drug does.
Very welcome Ken. Congrats
Just wondering bc i need to loose weight. But my portions arent my biggest problems. Im addicted to sugar in the worst way. If u had sugar cravings at any level before, how would u say those cravings r now? Thanks!
@@careybogdanovic7 I definitely missed having sweets after being diagnosed and trying to eat healthier. And now I still feel that desire but when eating out and the waitress asks if I have room for dessert it is easier to say no. I hope that helps.
How much Ozempic do you take per week?
@@networth00 0.5
Please have Dr. Cheng on again! She rocks…..so composed, present, clear, informative. Really enjoyed this particular presentation.
Thank you! Will do!
I have been taking Ozempic for weight loss for about three weeks. I’ve noticed my skin is improving (less breakouts, less random hairs, rash under breasts going away.)
I’ve also noticed weight loss..not sure how much. This medication will change my life! I had lost 40lbs on my own and this medication will help me to get to less than 200.
As far as I’m concerned this medication is worth the common side effects. I feel beautiful again!!
Awesome, Dr. Cheng explained the topic in a well rounded, clear and concise manner. Thanks for bringing this subject matter expert in to explain this timely subject.
Yes she was great!
Type 2 diabetes is my problem. I started ozempic about 9 months ago. It has helped my cravings, the amount I eat at meal time, an most important has dropped by A1C from 9.6 to 5.9. I’m now 63 and this is the first time I have ever gotten below a 7.5. I have lost 30 lbs but I am happier about the A1C drop and I have more energy and am getting to where I can do more. Thank you for this informative video.
Very welcome
Did you take tou jeo or something else before this drug
Love Dr. Cheng! Thank you for inviting her to talk about ozempic. You two are educating tons of people in a fun way, keep it up!
We do too. She was awesome
U 2 drs have a unique platform & if more docs could do this they should but the chemistry wouldn't be there. ❤ thank u for sharing a part of ur day with us
Why thank you!
Hello! You do realise that 'You' and 'U' Do Not mean the same thing. Showing one's ignorance through poor expression may hinder you in your future endeavours. Remember, first impressions count.
I am taken Ozempic and yes I loose weight from 140-115 lbs . So grateful for my endocrinologist
Awesome
Wowwwww🎉
Better check your muscle mass via a dexa scan. Ozempic is notorious for losing lean muscle mass, which in essence makes you fatter (muscle to fat ratio)
Which is why when you take ozempic you have to keep an eye on your protein intake and make sure you develop (or keep going with) your exercise routine throughout- especially focused on muscle strength
Have Dr Chen on more often to talk about these kinds of endocrine issues. Your topics are so timely and informative with some humor thrown in!
Thanks Joan. Dr Cheng was a spectacular guest
10 years ago my blood test showed pre diabetes. Knowing that my diet was the issue, I began the great task of overcoming my *carb addiction!*
Now, I eat low carb and feel way, way better. I’m 60 and on *zero* medications. It’s a *choice* to eat healthy foods, instead of carbs and sweets. Break the carb ADDICTION!
❤️🍀
Nice work
Thank you Docs, as a type 2 Diabetic (insulin resistant) I found this very informative. Keep up the great work!
Thanks Gary!
As a physician for 30 years I commend you in making a topic so complicated, simple and easy to understand in a very pleasant manner with out drama. You are a git for medical community as well as for patients.
My cousin has been using this style of injection for 4+ years now and he said it’s the biggest change in his life. He has always taken good care of his body and sugar levels but this makes him a lot less worried about transporting and storing it with quick use
Yes it’s a game changer
Causes cancer eventually
@@jaimecoutanche5977 do you have a source for that claim..?
Great video. I'm glad there are medications to help people with chronic illnesses, but so glad you guys encourage lifestyle first. It really is the ultimate cure.
Always lifestyle first!
These meds make lifestyle changes stick for those with a lifelong history of failing the judgy "just eat less move more!" finger pointing.
Excellent information. It's unfortunate that people who want to use it for weight loss and somehow are able to get it, are causing a shortage for those who need it for diabetes.
I keep wondering how they get it, it being a prescription drug. I wouldn't think any respectable doctor would give people a prescription just to lose a little weight.
Yes agreed Gregg
It’s a bit sketchy for sure
@@emmel4fun is it covered by OHIP?
The cost for Ozempic subcutaneous solution (2 mg/1.5 mL (0.25 mg or 0.5 mg dose)) is around $995 for a supply of 1.5 milliliters, depending on the pharmacy you visit.
Dr. Cheng, you are a wonderful physician guest expert. Well done all. Great, clearly understood information.
Sadly, Ozempic is getting much harder to get. As a Type 2 diabetic, I’ve taken it for 18 months. The good news is it’s done exactly what the commercials and the doctor said it would do. It, along with minor dietary changes, lowered my A1c from 8.4 to below 7.0 in the first 3 months! However, though I use a major pharmacy, I’ve gone stretches of 4 weeks once and 3 weeks twice without taking it due to pharmacy unavailability. This has caused my A1C to spike above 7 on each occasion. On two occasions I was switched to Trulicity which I had a few uncomfortable side effects.
Yes Hollywood has done this
@@TalkingWithDocsNo, idiots who want a lazy fix have done it.
53yo South Asian male. I've been on Ozempic for just over a year and I'm still waiting to see my A1C levels and weight to drop. My A1C as of 03/23 was 6.7% and I'm about 23-25lbs overweight. I also take Janumet, statin and Candesartan for bp. At one time my Vitamin D was at 19 nmol/L but recently it was at 64 (5,000 UI of vitamin D daily) Maybe its time to discuss Wagovey with my family doctor or its time to see a endocrinologist...
Love the short clips on today's medicine!!! Keep up the excellent work...
As always, a great presentation guys & Dr. Cheng! Thanks! As a suggestion for a future episode, it would be very interesting to have Dr. Cheng back to discuss the various effects & treatment of hypo- and hyperparathyroidism, e.g., osteoporosis, hypercalcemia, renal function, medications, surgery, etc.
On the list for sure!
I have been on this for over three years and have had very good results. I have lost a considerable amount of weight as well. The side effects are definitely there, but if you tough it out, the results speak for themselves. Thanks for doing this it was very informative.
So happy for you Craig. Very welcome
Was anyone on Toejeao?
As a diabetic who is prescribed Trulicity/Ozempic I can state that it really helps to maintain my sugars at a manageable level. In all honesty I just wish Doctors told patients that they don't prescribe it for weight loss. That the weight loss they get may be at the cost of their endocrine system. As far as I am aware the long term use can make your system become sluggish and not produce the natural hormones or get the effect from it. In other words it may cause you to become insulin resistant.
Hi Kevin. Thanks for sharing your experience
Increased insulin resistance would be terrible for a diabetic.
I am about to be 65 and just began taking Ozempic. Since my hormones have gone on strike, at this point, I don't think I should be concerned in lack of production. I hope the Dr.s would correct me if I wrong. 😐
As a type 2 for 40 years I've used Ozempic and Mounjaro. MJ me off insulin after 25 years. Insulin causes massive weight gain and worsens insulin resistance. I'll take the odds on Ozempic and MJ anyway. Also down 110 lbs
Last year, literally 13 months ago I realized I had to do something. I was so fat from just laying in bed for almost 5 years (after my son’s death). I developed lung cancer during that period, and had a LUL lobectomy, but never rehabbed, so I was fat, out of shape, had sleep apnea, HTN, high cholesterol, high triglycerides, shortness of breath, chronic pain,and more. So I started dieting. Lost about 30 lbs by the end of May with little effort, just gave up junk. My doctor put me on ozempic in June because I had plateaued and I have since lost another 35 lbs. I have some nausea occasionally but that’s it. I started walking around September last year ( have chronic back and knee pain and it was too hard with the weight), and now I am scheduled for a TKR in two weeks, which I’m dreading, but I’m in the best shape I’ve been in in awhile. Watched all your knee video’s and have been doing prehab, so guess I’m ready. Would like to lose 7 lbs before surgery but it isn’t happening. I never did go up to full dose of ozempic ( stayed at 1 mg) but have modified my diet considerably and now that I have it really doesn’t bother me. Mostly portion control, cutting carbs. My labs are significantly better across the board. Hope to ultimately lose another 10 to 20 lbs but even if I don’t I’m at least back to a healthier weight. Thanks for all the helpful videos
Your TKR will go swimmingly. It is not an easy feat, prepare yourself to fight through the urge to not exercise. I had that after my open heart surgery, at first it was going well, but I almost gave up. Look at a channel called Exercise for Health. It is a British bloke giving all sorts of in home exercises. I started following him and am now doing almost every exercise and feel great again. Let us know how you fared?
Hi EV. First so sorry for the loss of your son. Heartbreak. Second congrats on turning things around and losing 65 pounds. And third good luck with your tkr. You’ve got this!
Love how this is explained simplified by the 3 of you. Thank you
Our pleasure!
I can hear the commercial jingles as you speak! Thank you, Dr. Cheng, for your detailed information. There are sooo many Big Pharma commercials on every TV channel. I am always suspicious of the "marketing vs Medical" advice. If I have a question, I make a note to talk to my docs about it. Thanks to the to the twins, too!
Very welcome
The commercials for medications ought to be banned. Pure marketeering for profit. Not allowed in the UK.
Lol Jimmy Kimmel asked the audience at the Oscar’s tonight if everyone took their Ozempic… and here you are talking about it. 😆
We have our finger on the pulse JS!
It’s sweeping the nation.
I was on victoza for 2 weeks and had a massive colon bleed finished up in hospital for 10 days Never again I'm now on keto diet for diabetes type 2 loosing weight and less medication
I’m Type II diabetic and I’ve been on Ozempic for about 4 months. In the first 2 months I lost about 75 pounds and 6 pants sizes. I haven’t exercised to much because I’m having both knees replaced. I’ve had 1 replaced and getting the other one replaced is May. I plan on exercising afterwards. I think it’s going to be awesome for weight loss after it’s approved and after the supply chain issues are resolved.
Wow Dave congratulations
How much Ozempic do you take per week? I'm supposed to start taking it but nervous.
@@networth00 I’m at 1 but I started 1/2 for the first month (I forget the unit of measure but I think it’s milliliter. You can expect nausea. I usually give myself injections on Saturday and I’ll vomit off and on until Tuesday. Depending on your goals and what you want to accomplish it may or may not be appropriate for you. I’ve also got cancer so for me it’s just 1 more thing but, that’s just me.
It is approved for weight loss already. It's called Wegovy. The one waiting for weight loss approval is Mounjaro.
@@networth00one month 0.25mg and 0.5mg thereafter. It’s prefilled and dial dose and you can’t go wrong with the administration.
Great Episode today!! Thank you Dr. Cheng! Always thanks to you two Doctors!!!!!!!! Really like what you do, both on here and in your practices.
Our pleasure! She is a great guest
Excellent presentation guys and Dr Cheng was great - I wish all Drs were like her!
Thank you kindly! We agree she was awesome!
Ozempic had been a HUGE help for me when I was suddenly pre-diabetic with a high A1C. I've been struggling for years with my weight, I'd do workouts, cutting carbs, IF, meal preps, I never went over 260lbs but if I lost it'd start coming back no matter the changes or intensity I'd do. And I've eaten a healthy diet much of my adult life due to food allergies and sensitivities. My blood work was always great so nothing was making sense, but suddenly my A1C shot up. Dr tried metformin at first but switched to ozempic, and it's been a HUGE help to me. I'm now down to 120lbs maintain and starting to add in workouts (now that I can again) to help me the rest of the way. I've been lucky to have practically no major side effects. I'd say some slight extra fatigue, constipation on occasion 🤔 can't say for headaches tho cause I get that on the daily with seasonal allergies 😅 stomach starts achy a day or two before I'm to take the next injection I've noticed.
What dose works best for you? Did you stop talking Ozempic when you lost weight?
Hi guys, I love your videos, they are really informative and interesting. You've both got a great sense of humour and you have the neatest guests. Keep up the good work as I and many others will watch you for a long time xx
Thanks so much Shirley
I was prescribed Ozempic to help with my diabetes care and spent more than 6 months "trying to get used to it". I finally had to stop taking it at around 7 months because it caused me constant nausea, violent vomitting (no matter how small a portion or whatever that portion consisted of) and intestinal incontinence. I DID lose about 20 lbs in that time but the weight loss just wasn't worth the misery the drug caused for me. I've been off it now for about 6 months and have only regained about 6 lbs.
Congrats, pharma isn't the answer, helping your endocrine system and fighting modern toxic loads is!
More self control; less drugs that replace self control.
Yes but some people still need medication. It isn’t quite so simple
You're not listening to the Dr its not all about the calories
Dr. Cheng reminds me of how fascinating I find endocrinology. The numerous positive and negative feedback loops involved in proper organism function are a wonder.
Yes it’s very cool Jay
Thanks Dr. Cheng for the extremely clear explanation of the processes and mechanisms behind the drugs. Wish you were my prof. 😊
Yes Roger she has a gift
Ozempic has made a huge difference in the management of my T2 diabetes, which I have been on for approx 18 months, the last 5-6 of which I've had to resort back to Trulicity due to the supply issues we've had with Ozempic in Australia...which now we're hopefully on the better side of.
Whilst I found Trulicity a fair substitute, it just did not have the same effects that Ozempic does. Together with my dietary changes and more regular exercise, I have personally found Ozempic to be working well for me, and would highly recommend it anyone who is thinking about taking the step towards its use.
Thank you for this video, has been very informative to more how it works within the whole system...greatly appreciated!!!
Cheers from Sydney Aus!!!
Congrats Tippo. Great to hear
Sometimes I can't tell if Dr. Weening and Dr. Zalzal already know the answers to the questions they ask the guest docs or if they don't. I'm assuming they do, but then it's like wait a minute... hmmm. This mystery just adds another dimension of fascination and fun to your show. ; ) Great video, also!
We want to keep you guessing!
@@TalkingWithDocs 😃
Well informed Docs who play goofy, just for fun ;)
Thank you for this. There was so much great information packed into this video. I was prescribed Ozempic for being pre-diabetic according to my A1C. It was hopefully going to prevent the need for insulin, help lower my high blood pressure and help me lose weight. At the same time, and for the past few years I have changed my eating habits and increased my exercise/activity with no big beneficial changes to my health. That’s why I was prescribed this medicine. After about 2-3 doses the nausea, vomiting, diarrhea and constipation kicked in,in cycles. Two weeks straight of all these GI issues and my PCP explained that my solution was going to have to be another change of lifestyle and not this particular medication. I wish those whose systems can tolerate it, great success.
Best of luck
I was diagnosed with Insulin Resistance after gaining about 65 pounds in four months. I have tried diet, exercise, cutting back certain foods, etc., while my A1C dropped, my weight has not decreased at all.
I started the Semeglutide shot two weeks ago and have had nausea and vomiting the first 2-3 days after taking the shot (I took .1 the first time and .2 the second time). My question to you is, did you ever start to feel better as your body adapted to this medication or did you just have to stop it?? Thank you so much for any information.
Thank you for this and for all the topics you present! You keep it simple yet not dummying it down either. Just enough medical jargon to understand.
Welcome Kathy
My husband is not overweight at all. In good shape but has inherited the type 11 diabetic gene from both of his parents. At 66 he is extremely active, which I'm sure that helps him a lot.
For sure Kathy
What a lovely, informative and confidence-inspiring team!
Thanks Debbie!
Watching this while on Ozempic 0.5 mg and my A1C is lower at 5.7 from 6.4 that I couldn’t decrease with diet and exercise. Wegovny is back ordered or I would be taking it because it’s cheaper. I’ve lost 30 lbs. in 5 months but the weight loss has leveled off, which is fine. I’m here to reduce organ damage at 75. Better late than never!
Thank you for that clear description of Ozempic. I've been on it for about nine months now and it has indeed worked wonderfully-well in all the areas you mentioned. You did answer a couple of side questions, like will I probably be on it for life.
TWD is a wonderful forum that informs the audience and gives chuckles for a chaser. You folks ROCK!
Thanks so much!
How are your side effects though?
@@ellei56847 There may have been a few digestion issues while acclimating to it. Long term I can only notice more (quiet) belching.
@8:15 I'm type 2, and ever since my Dr put me on Ozempic, I've been a poster child for Pepto Bismol! Just about 2 years in, I'm still using more Pepto than I ever have in my life
Great information and explanation of this medication!
It's great to hear the benefits and side effects in a way everyone can understand!
Thanks for sharing your knowledge with us! 👍
Very welcome Vickie
In my late 50's I was 260+ lbs. At 60, my Dr. Daughter (MD, EM, Ironman Triathlete) told me to get on the treadmill. She signed me up for my first half marathon. I was able to drop 35lbs over the next 7 years of Disney Halfs. That was good, but at 70, now she prescribed Terzepitide (Mounjaro). In the last 6 months I'm npw 191 heading down to about 175. My blood pressure has normalized (consistently 118/73 without meds), my glucose stays in the 90's, my AST/ALT levels dropped to 20 (no more fatty liver?) and my run pace decreased 2 min per mile. I feel good and would highly recommend the GLP-1 meds for anyone with a high BMI for many reasons. BTW... ZERO side affects!!!
Congrats! And thanks for sharing your journey with us. Keep it rolling!
Thank you and your Doctor's for once once again another great video. Wonderful, intelligent guest. Very educational on such a relevant topic.
We thought so!
BRILLIANT information Dr. Alice! You are the BEST visiting Doctor on these videos! Speaking plain English so we commoners can comprehend these drugs, which are advertised on US TV all day long! I wondered what the backstory was about Ozempic and now I know. I have been on a weight loss quest for months now, losing a pound here and there, but ultimately 20 over the past six months, doing it the proper way, no white foods. Thank you very much!
Yes she was brilliant for sure. Thanks for giving us feedback
As a Pharmacy tech thank you for this info! I think using this for weight loss without diabetes is very sad because it causes shortages, and then people with diabetes suffer. Also, people need to remember that for 'off label' use, most insurance will not cover it and its very expensive!!
Agree Stacey
There are and have been plenty of diabetes drugs available. Being overweight is just as important for usage! Medically necessary! Glad your not a nurse
Really? Very sad? Stop the virtue signaling. Your lack of understanding of the disease of obesity is very sad. First of all, Wegovy is the exact same glp-1 semaglutide as Ozempic and its approved for obesity only, not diabetes. So you could easily argue that these diabetics are causing shortages for those with the deadly disease of obesity. Both arguments are wrong. Turn your anger to pharmaceutical and insurance companies for mismanaging supply chains and access to these potentially life changing meds.
If you have not yet could you have a guest doc talk pancreatic cancer please. My husband just passed away from this terribly painful and aggressive disease, which was a shock to us. We were watching for prostate cancer but had never heard of pancreatic!! Diagnosed Feb 15 and gone on May 3rd -- I'm in total shock.
So sorry for your loss. It is so aggressive. Will add to our list for sure
This was a great video! Thanks. One thing you didn't mention, is the expense of the drugs and how likely it is to be covered by government or private insurance. But on the whole, a great information. Thanks again.
Hi READ. Yes being in Canada it varies so much from country to country but it is expensive for sure
Ozempic is covered by British Columbia PharmCare and by Ontario Health Insurance Plan (OHIP), but only with your doctor's approval and in cases where you have treatment-resistant diabetes. It is not covered for weight loss yet, but if obesity is a chronic disease it should be considered.
This was great info i been on it for 8 months for type 2 not weight lose its been hell with the side effects but this was great i never knew how it actually worked 😊
Another doctor (Dr. Ken Berry) said that ozempic has many risks (and understands the benefits) that so many doctors aren't talking about. I was rx'ed it for weight loss, pcos, insulin resistance but after hearing some of those risks I decided not to start it since I knew this is something that didn't want to take forever and might not have the funds to take forever. Instead I'm really just trying harder to hone in my diet and supplements
I'm in the U.S., in my 50s, living with Type 2 diabetes and obesity. I started on Victoza a few years ago, then added long-acting and rapid-acting insulin. When Ozempic became available, I switched from Victoza to Ozempic. Sometime during the second half of 2022, I switched from the max Ozempic dose to the max Wegovy dose. Wegovy has produced the best results for me to date: better glucose control and some modest weight loss.
I have also used the Abbott Freestyle Libre 14-Day continuous glucose monitor for about 4 years, and I have now switched to the Libre 3.
Step by step!
That’s awesome. Thanks for sharing
Excellent information. Thank you.🥰
You are so welcome!
@@TalkingWithDocs 😃😘
I love how you guys word it as 'treatment' for obesity, it makes me feel a lot better because this is a disease and should be respected as such, it's not a self inflicted thing in most cases and is often caused by medical issues.
Oh, Oh, Ohzempic... I am on the 2mg version and had to laugh a few times and I am so glad you made this!! It has helped, and is helping me tremendously. First and foremost my A1C is completely under control, no more spikes and I am sitting at a decent 5.8-6.1 level at this moment. Like Dr. Paul is saying and you both have always been saying, it is about lifestyle choices. The side effects of Ozempic are the same as if I would eat way too much and have stomach pain and yep... I had to talk to the porcelain telephone once. It really helps and my weight is slowly creeping to a healthier me. I was, at one time, afraid this would not help, but after slowly going up to the 2mg it is now working as my doctor had anticipated. The only thing is the lifetime commitment. This medication is stinking expensive and I am grateful my insurance is covering it. Thanks for bringing us healthcare with a smile!!
Hi Al, May I ask how much it is? Ozempic is approved in the EU. I'm in Ireland and all Diabetic medications are free in our Health System as Diabetes is on our long term illness list so we don't have to pay for any medications but I am just curious and hope you don't mind me asking 🙂
That is awesome Al. All the best
@@alexg5513 Of course you may ask how much it is. For 6 boxes (each 4 mg) it was CAD $1366. That is 3 month supply. As I wrote I am covered through my insurance at work and at this moment I do not pay anything for it. I am originally from The Netherlands where the healthcare is also free. Here in Canada it changes slightly after I retire as I no longer am covered under the insurance through work. Ozempic is so expensive because it is in high demand, but at this moment it is not covered under a provincial healthcare plan.
@@aelaan12 I’m sorry, but, you do pay for health insurance - it’s all from taxes paid by working citizens! It’s so sad they’ve got people thinking this is “from the government.” The governments have *no* money without workers.
Alex, I am 71 and take Ozempic.50mg with insurance it still runs me Around $711.00 for 3month supply.
Great guest !!⭐️⭐️⭐️⭐️⭐️Dr. Chen gave a clear , concise explanation of Ozempic . She is articulate , personable , intelligent . I have a better understanding of this class of drugs .
She is awesome
Can I get your comments on the black box warnings? Thank you.
Yes it has the FDAs highest warning for possible development of thyroid cancer and MEN-2. This needs to be monitored by your physician. Very uncommon but potentially serious
Thanks to Dr. Cheng for being on with you both.
Yes she was such a great guest.
Thanks again....I always learn something new on your presentations! The one thing, I think wasn't covered, was how Qzempic compares to the drug Metformin. I suspect, many people like me, take Metformin for Diabetes 2. Should it be replaced with Qzempic? I personally don't have high blood sugar or are obese, but I do like the idea of once a week injection.
Hi Diane. Every patient is unique so it is worth a discussion with your doctor. The older medications still do a good job.
My doctor put me on berberine with ozempic
That marketing ploy for Ozempic turned me off and just added to my learned and earned mistrust of pharmaceuticals and the companies that produce them.
It is obviously your prerogative to be skeptical. They have certainly done something to earn that. This medication has already helped a lot of people but you certainly don’t have to take it.
And the Pharma profits go up, up, up.
It is obviously much easier if people ate well and exercised but even if done perfectly some people will still have diabetes. Those are the individuals who will benefit from medication to help reduce their risk of cardiovascular events.
Thanks for this I'm on ozempic 4 t2d..lost 40 lbs. A1c down from 9 to 5.7. And the side effects can be severe and sudden. I keep puke bags in all my cars
My doctor prescribed 7.5 mg Ozempic to lower for my A1C & to lose weight & lower my blood pressure! I haven’t taken it yet because I have Gastroparesis and the side effects can be rough! MOUNJARA is suppose to be even better for sugar control & weight loss and less side effects!
Best of luck Shelley
The whole system set up to suggest medications are the answer and is such a disservice to everyone. Yes medications can help but the goal should always be to get off medications and the system is not set up to help people achieve that. With meds chronic disease just progresses and leads to other conditions which leads to more medications. Get to the root cause for type II diabetes and obesity. So much science behind lifestyle and diet as the leading cause of disease and the need for medications in the first place. I’ve been able to get off 6 prescription medications and am down to one low dose blood pressure pill simply by changing my diet to a Whole Foods plant based diet, exercise and lifestyle changes including better sleep regime, lowered my stress through changing jobs. It takes action and personal accountability. Motivation follows action, not the other way around.
Yes diet and lifestyle is always first. Sometimes certain individuals and conditions require medications. That is simply reality.
Might you talk about something like my mini-knee. Years ago I developed a lump, size of a large grape just below my knee. It doesn't hurt except if I accidentally kneel on it. It was x-rayed and told it is basically a hard benign lump of fat. What do you think? Is that common? Can it become cancerous?
Sounds like it may be a lipoma. Hard to say without seeing it. If concerned an MRI would give more info. It is unlikely that it would become cancerous.
@@TalkingWithDocs Oh thank you! I have never heard the word lipoma. I just looked it up and that's exactly what I have. I don't wear shorts because of it but hey, that's okay. Thank goodness it isn't cancerous.🌷
I have that too and was told I had a bakers cyst
My name is Keri and I live in the US. This is under somebody else's account that I know. I have T2DM and used to take Ozempic for approximately 2 or 3 years until July 5, 2022. That morning I woke up with really bad flu like symptoms such as abdominal pain, nausea, vomiting, aches & pains, and trouble breathing but I have severe persistent asthma anyway. I was sent to the ER by my pcp's office and after undergoing a CT scan they found that I had Acute Pancreatitis. My pcp was the Attending that week and she stopped the Ozempic. Despite still having persistently high blood sugar levels even with increased insulin doses, I haven't had any more issues with my pancreas such as the Pancreatitis. I was in the hospital for 2 days and required IV Fluids due to the inability to keep anything down and it went on for about 3 - 4 weeks after discharge but has since returned to normal again. Is Ozempic known to do that? Is that a side effect although I was on the medication for so long before it happened to me?
So sorry to hear that and glad you are ok. In rare cases it has caused pancreatitis
Why were thyroid tumors not mentioned as a side effect because it certainly is?
Hi Brandon. We did not go over all of the side effects but there is an increased risk of thyroid cancer particularly in those with a family history and should be discussed with your doctor and pharmacist. Thanks for bringing this up
It certainly is. In MICE. Has not been replicated in humans who, unlike rodents, do not have glp-1 receptors in their thyroid.
@@robertusga exactly in mice among other animals. You do realize they use mice and other animals to test what could happen in humans. Hint the possible side effect of thyroid cancer. Guess what? The drug has only been on the market for 5 years so go ahead and test your luck with it. How about the study that shows when ozempic is used 2/3 of the weight loss is not even fat but lean good weight. How about people just stop being lazy and stop trying to get the easy way out. Look back at the major lawsuits where company’s knew drugs would kill people and sold them anyways.
Thanks to my fav two in blue and Dr. Cheng.
Very welcome Donna!!
Very informative. I am on this medication and I feel that it's not working on me. I've had no weight loss and side effects. Keep up the amazing videos
Hi Jason. Often they start you on a low dose. Best of luck
@@TalkingWithDocs I've been on it for over 2 years and I am up to the full dose (1mg)
@@jasondevoy if it is not working why continue the medication?
@@vaniad555 it's prescribed so I'll continue taking it until directed by my Endo not to continue.
I’m on 2 mg. No side effects. No weight loss. However my A1C is down to 5.5
I could not keep the treatment with ozempic. It made me extremely nauseated. My digestion became very slow, I couldn’t lay down to sleep without stomach reflux.
I insisted on treatment for months and the symptoms continued.
The worst part is, since I don’t eat big portions of food, as soon as I stopped Ozempic and the nausea passed, the 8 pounds I lost during the 6 months of treatment came right back.
iF ONLY ALL dOCS WERE AS GENUINE AND KIND AS YOU GENTLEMEN / GENTLEWOMEN AS =YOU canadian Specialists
Thanks Robert! Doing our best
I have a very good A1C level, and low risk of type 2 diabetes. However, I have a family history of high triglycerides, hypertension, heart attack, and stroke. I wasn’t aware of those benefits.
Now you know!
O, O, O, the commercial is sO annoying!!! Sounds like a great medication for the evil diabetes.
Yes it has helped a lot of people
Thank you Dr. Cheng!! So easy to understand and very direct! Just the facts Mam..😉
Thank you Drs Weening and Zalzal!!♥️♥️♥️♥️♥️♥️
Yes Sooz she is such a great guest!
One of the hypotheses for Type Two is that it is caused by insulin resistance and that insulin resistance is caused by diet, and simply triggering more insulin production does not address the root cause of insulin resistance. And if diet is at the bottom of it all, fixing diet should fix the resistance. Thus if the pancreas has not yet been worn out, Type II can indeed be reversed and does not have to be life-long. I would love to see you look at studies (or bring on experts) looking at this hypothesis.
Dr Cheng would be the expert. In some cases it can be reversed but it certainly is much more complicated than that. It is on our list of future topics
Have found all your contributions helpful and clear, with a nice dose of humour. Thank you
Its is a God send my sugars are always normal now. Kept Metformin onboard BP down and well managed! I can have spine surgery now and yes, 20 pounds less with 3 stents and a negative stress test? All blessings I thank Ozempic for🙏
This is surprising to me. My doctor ordered another medication once a week for diabetes to get my ac1 down lower even though I had gotten below the range of diabetes. She then order this drug and would of been denied if I didn’t tell her office they need to contact the insurance. Thing is they would have denied it for diabetes but approved it for losing weight. I’ve been on maybe 3 months now. Lost about 14lbs. My sugar has been stable ever since.
Thanks Docs I am taking Ozempic now and was concerned with what I was hearing lately about Ozempic it. This helps a lot. I heard it caused a thyroid cancer? It seems to work with weight loss and my sugar is lower. This helped alot. As always you have a wonderful channel! Love you Docs!😇😇😇🥰
Hi Darlene. There is a small increases risk of thyroid cancer. Please talk to your doctor
the risk mentioned is due to results seen in mice studies - likely because GLP 1 receptors on their thyroid glands - humans do not have GLP 1 receptors in their thyroid glands so it is unlikely to carry over.
Thank you so much Doctors. I love your channel, short videos and excellent information and at the same time always make me laugh.
That’s the goal Angela
So far, Ozempic has worked wonders for my blood sugar. Even being very careful about simple carbs I couldn't cheat on occasion without a huge spike. Now, while I still have a low carbohydrate lifestyle, my sugars stay under control even if I have that occasional white carb. I didn't lose a lot of weight, but it's definitely improved my bloodwork. Just my personal experience so far.
Thanks for sharing Tina
❤
My Doc put me on Trulicity a couple of years ago. It is very similar to Ozempic. My Blood Sugars shot down to around 100 and I lost 20 lbs. When I went on Medicare the cost was going to be high so we dropped it and my sugars shot up and I started to gain weight. I decided to bite the bullet and pay the price only to find out that because of all the rich people paying full price and using it for weight loss, I had a hard time getting it for diabetes.
I've only taken two .5 shots so far. In less than two weeks my blood sugar dropped from 548 to 140 upon wakening. The side effects are no fun but worth it so far.
What are the side effects?????
Not into drugs!
What are natural ways to help first?
Always diet and exercise first. Drugs last resort as any medication has risk and side effects
Great information! Thanks for sharing. I'll be starting my first dose today and looking forward to improved health and wellness.
Good luck Madge!
I am type 2 diabetic i take long and shory acting insulin multiple x day + 2 pills. Was on Trulicity for yrs 1x a wk as well. Dr switched me from Trulicitu to 0.25 Ozempic 4 wks and already eating half as much. Just titrated me to 1.0. Mild nausea and almost no appetite at all, almost no need to inject insulin. This is great because insulin overshoots makes glucose TOO low, and get hangry low glucose and then need food, causing a vicious cycle. The nausea and constipation is pretty mild enough for me its worth getting off the glucose seesaw! And hopefully the side effects will fade in a couple wks.
I want to wean off exogenous insulin. Has anyone ever done this, with success, on Ozempic? I am about 35lbs overweight, and currently taking a 24 unit dose of Tresiba.
I already eat very low carb, usually one meal per day.
Looking to get off insulin altogether, lose this weight (-that won’t come off while on exogenous insulin!) and, continue intensive dietary management and Ozempic.
Please tell me if you have seen others get off insulin, with this medication.
* More context: During a year of deep depression, I stopped checking my blood sugar, ate everything I wanted-including sweets binges…ended up hospitalized with DKA. My AIC was 13, now 9 and going down after a month of great effort using diet and insulin…
Insulin is not my friend, and I want OFF it. I got a huge wake up call with the DKA event, and will never fall off the dietary health wagon again. I just really hope Ozempic provides enough of a jump start to help my reduce / end the insulin injections and lose this new weight.
Yes type 2 diabetics can get off insulin. It is difficult but possible
I've been taking Ozempic for about 2yrs. However, i started to notice that i got blurry vision when taking Ozempic. And yes, this is one of the side-effects. I've seen other people complaining about this.
This actually really upset me because i think Ozempic is otherwise a very good medication! I lost wait, my diabetic type-2 was completely under control and i didn't really had much of other side effects. Maybe a bit of diarrhea from time to time. But that was mostly in the beginning. I can't really remember feeling nausea. But then again, i had that from time to time anyway because of all the medication i need to take. I was diagnosed with leukemia in 2009 and with Graft Versus Host Disease in 2012 after having a stemcel transplantation. I need to take a lot of cortisone and that's the reason i developed diabetes type-2. I do whatever i can to be healthy. But because of the GVHD i ended up in a wheelchair so my mobility is already very limited.
Thank you and all the team from Johannesburg South Africa 🇿🇦
Very welcome in South Africa!
Love Dr. Cheng! So knowledgeable and articulate. Thanks Docs! 👍
Glad you enjoyed it!
Thank you docs and Dr. Chen for explaining about Endocrinology..
Very welcome Alida. Dr Cheng is a great guest
@@TalkingWithDocs she sure was!!
Awesome drugs. I’m 80 lbs down in 10 months. Usually feel a little nauseous the day after the injection but manageable. After years of yo-yo dieting on every possible diet, this is a godsend. On the flip side, my sister could not tolerate Wegovy and got severe pancreatic pain.
Thanks for sharing
Glucagon does not put glucose into storage, insulin does that. Glucagon is a hormone that tells the liver to break down glycogen into glucose, which increases blood sugar.
Great video!! I am so glad you have these informative videos!!
Glad you like them!