The Ozempic Problem
Вставка
- Опубліковано 20 сер 2023
- Is Ozempic a miracle for weight loss? Or is there more than meets the eye?
Ozempic is everywhere...it seems half of Hollywood and your favourite celebrities have it coursing through their veins.
Whilst there is good trial data showing it can result in weight loss - what else are we missing in the pursuit of shedding a few pounds?
In this video, I take a deep dive into the bizarre history of weight loss medication and look at the reality of Ozempic for weight loss and what the future of weight loss treatment could look like!
If you enjoyed this video, you’ll love my upcoming book “This Book May Save Your Life”: linktr.ee/thisbookmaysaveyour... - Розваги
As a diabetic (type 2) who has been prescribed this to control my sugars i find it more than irritating that i am rarely able to get my prescription filled due to it being 'prescribed' for weight loss.
@@lorimarshall784 its not that it helps him lose weight
Its that he literally needs them to be you know alive
@@lorimarshall784 yes, and no
I can't even get it prescribed for my diabetes. I'm having to see a diabetic consultant
You’re not better than anyone else who has a prescription for it.
@@squidskid4934 ???
Doctors prescribing Meth for weight loss is an all-time classic
No that's Adderall and they use it for adhd
I mean they weren't wrong
1970s!
PRELUDIN.Dsyxoxn,Black Beauties!
@@MrReymoclif714 Desoxyn is still prescribed for adhd
I didnt take ozempic but mounjaro. I was 311 pounds. I used it for a year, got to a healthy weight and have been able to maintain with a healthy life style. I was warned about the muscle loss so i started lifting regularly. I have been off for a year and have no issues. It was life changing and helped me teach myself about my own health. And i never once regained the weight. I am so grateful for it at the time i needed it.
Mounjaro is considered by most to be a bit better than ozempic, working more effectively, and with fewer side effects. While I agree with this video in concept, I think its a bit overly negative. The difference between this drug and all the other ones he quotes is that this one has a well implemented series of clinical trials which put all the old ones to shame, and shows FAR better results in this trial. In addition, while there is a lot of talk about fat acceptance, there is far less openness to discuss the personal challenges of being overweight. It sucks to be unable to be comfortable, it sucks to be heavy and slow. It doesn't matter if everyone is nice to you, or mean to you, your own body can know that you are asking too much of it by being too heavy.
@thomasbloxham247 You are correct. Most people do not consider all the possible reasons and issues one being overweight. Almost every video I see about these types of drugs is negative. A few outright lie and tell people they will gain all the weight back. Luckily my doctor was very honest with me about my life choices. Even she has tried to imply that these meds have to be taken for life. These types of drugs help obese people also, in effect it is helping to correct or prevent more serious health issues from obesity. All these things should be considered in videos like these.
I am so happy to hear that you used the medication not just to lose weight, but to reevaluate your lifestyle and your eating habits. You’ve also taken steps to counter side effects of the medication. That is just so awesome!
The bottom line is that sometimes you need medication’s to help you achieve what you need to achieve and, if medically possible, get to the point where you have made lifestyle adjustments and no longer need the medication. BRAVO🎉
That's good to hear. I'm trying to get on one, provided it doesn't take it from diabetics (these medication shortages for the sake of pharma profits are borderline criminal). Between my psychiatric meds having weight gain side effects on top of lifelong major depressive disorder (and now long covid) it's very hard to keep weight off. Especially now that even long walks destroy me and leave me gasping for breath due to reduced lung function.
I've heard very good things about how the blood sugar normalization effects help with mood and ADHD symptoms too.
I really hope some help at losing extra weight will also make exercise less rough on me, I've missed being able to be active.
@nerodia there are so many more options now. The diabetes can have access to their meds, hopefully. Look up weygovy and zepbound. Both are for weight loss specifically. I hope you can get it. Try online providers as well. If you need the help you should get it no matter the judgment. Zepbound has been a good one for most people with fewer side effects. Please keep me posted. I will tell you what I can.
Kaiser only prescribes that if you enroll in their medical weight loss program. You have to pay and it’s like 12 months of therapy, meal planning/dietician consults, you have to show them your work out plans and show them you’re following it. There’s doctors behind you every step behind you.
That’s how it should be done. Not handing a prescription and saying good luck
nope it should be a choice
@@-ac-8296why
@@-ac-8296 Not when the consequences of those choices unecessarily takes up other people's time, energy, and resources.
Cynically, you can get your way if you're persistent enough... but the Covid pandemic was the perfect display of how people cant be trusted to make responsible choices for the sake of others, much less themselves.
Got idiots taking fish tank cleaner and horse paste because they trusted a cult of personality over experienced medical professionals....
Worked at a drug insurance company for retirees. I remember there was a time when we got a lot of calls asking for help to locate them a pharmacy with Ozempic in stock cause their local pharmacy is out. This whole situation is so sad.
My mum is a nurse and used to do drug rep for a while (in the UK) - she can’t believe how drugs are marketed and solicited to docs and patients in the USA.
Not saying our pharma practice is much better btw!! It’s all so crazy :(
Thanks Dr Karan
@@SmoreLegend No it's true! I work in a medical centre pharmacy and was always offered bribes (incentives) to sell their own brand, etc.. its sick, amd when you realise yhe health care INDUSTRY is just a business, it makes you lose hope for our future
@@annab13 thanks for speaking on your valued experience. The FDA seems like a bit of big out of date joke in America.
People’s health care shouldn’t be treated as such a gamble or a marketing tactic. We still have so much to learn from “scandals” like OxyContin.
@@SmoreLegend America has it's own healthcare issues but the issue of pharmaceutical marketing is a global one. Drug commercials aren't even the tip of the iceberg.
What people need to understand is celebs would never reveal something private until and unless they are promoting it for economic gains
Exactly! Great point.
Or they nearly die from misuse and are warning others not to do it.
@@CarynDPrescott haha... true. Although rare
@@CarynDPrescottfeeds would be filled with cocaine warnings 😂
very true. They will try to keep it to themselves unless it profits them money.
Great video. I started IF 4 yrs ago losing 150 lbs and have maintained a healthy weight for 3 yrs now. While ozempic may help people lose weight , like you said , lifestyle change is necessary to keep it off. IF is the same way.
Although some say that fasting is a hormetic stressor and over the long term this stress isn’t good for us. It definitely allows people to reduce their calories but isn’t getting at the root cause of appetite suppression via the brain.
Same thing happened with ADHD meds. Far too many people got it because they’re ‘quirky’ who don’t have any actual disability, while us with ADHD are forced to go without meds due to shortage.
That didn't help, but it was also because the patent on Vyvanse was expiring and manufacturers were holding on to a lot of their FDA allotment for amphetamine derivatives to supply generics once the patent expired.
It expired Aug 2023. My prescription went from $300 before insurance to less than $50.
I really do think Vyvanse is the future for ADHD medication. Whereas others suffer pitfalls in that they are abusable, have a very short amount of time they work, have a very "spiky" profile leading to mood swings--I had none of that with Vyvanse generics or Vyvanse itself, and it is still amphetamine-based. NSRIs and medications like Concerta that aren't amphetamine based never helped much. I'm glad the patent's finally gone. Vyvanse really solved a ton of problems for amphetamine medication, I personally think that lisdexamfetamine (e.g. Vyvanse) specifically should not even be schedule two.
too many tweakers stealing the supply lol
@@tzint56 schedule system makes no sense I believe heroin is 3 and so is xanax. weed is 1, mushrooms are 1 as well. to be fair i believe 2 = high potential for abuse, but has it positive medical use. So that is accurate for Vyvanse, what isnt accurate. Is for mushrooms,weed,mdma. Which all have been used in medical settings with success. labeling at 1 = has no medical use / harmful.
im pretty sure this happened with xanax at some point too
@@tzint56 This. The ADHD drug shortage was a combination of drug war policies limiting the amount of amphetamine derivatives combined with profit motive, and it did a ton of harm to ADHD patients.
And I completely agree about Vyvanse, it's been by far the best treatment for my ADHD. The only one that came close was slow-release dex (Spansule), adderall's levamphetamine-dexamphetamine mix had brutal mood effects for me. But it works better for a lot of people.
Heck I have a friend with ADHD so severe that the only treatment that works well for her is (doctor-prescribed and pharmacy-supplied, capsule form) methamphetamine.
Really, one thing that needs to happen is amphetamines being moved down to schedule 3 and benzodiazepines moved up to schedule 2. Benzo addiction is horrifying, i'd rather detox from meth and heroin simultaneously than go through rehab for benzos.
That loss of muscle mass side effect is no joke. The medicine was effectively treating my relative's diabetes, but his strength vanished and muscles "turned to mush". He had to be taken off.
Does that still happen even if you increase your physical activity?
If it is anything like I went through jt is no joke.
Due to end stage liver disease my body would attack muscles anytime I had attacks like Hepatic Encepolapthy. I would wake up like a train wreck, barely able to walk or get up even just being out for 30 hours.
When the body starts eating muscles it will eat ones you don't think about, and ones that are hard to get back. Like around the pelvis area, making it hard to keep your uh sh1t in. Like literally I'm so paranoid I'm going to leak.
I lost like 40 pounds last year due to that, and infection. The body doesn't care what muscle it is attacking.
And now try getting back the muscle mass.
@@dianapennepacker6854 has your doctor recommended pelvic floor exercises, aka Kegels. May not solve all of your problems, but it may make you less paranoid about shitting yourself. And also, are you able to consume a protein supplement such as whey or pea protein. In a calorie surplus, that may help you keep muscle
@@onpoint2292 Physical activity is the missing piece for so many people with these conditions
I love these longer form videos of yours. You're really good at making them entertaining while remaining educational
Thank you :)
Yeah think the same
100% . I'm not much into science because of all the jargon, but somehow, Dr Karan manages to make me understand everything!
@@DrKaranyes your videos are cool and I live seeing your content :)
@@DrKaran
I am a student pharmacist and we have big opinions about ozempic’s off label use. Its tough seeing those who need ozempic struggle to find it. We are also concerned wbout lack of long term efficacy studies.
The purpose of these medications is to help bring those with dysfunctional insulin production. They are starting abnormal and transitioning to normal. If a non diabetic is taking the medication, they’re taking the normal processes and making them dysfunctional.
What is the likelihood that the body will take other methods to maintain normal homeostasis like down regulation of receptors in the gut or antibodies that target ozempic molecules?
I’m fascinated by western beauty standards
I am so humbled by this video. I'm struggling with antipsychotic related weight gain but it's so important to remember what truly matters.
I'm physically active, I try to eat pure foods, my only vice is smoking and once I quit that, I believe I will feel so healthy and powerful.
The feeling one gets from engaging in healthy habits for your mind and body is so satisfying no matter your body shape 😊
Before I was on meds, not gonna lie, I was a reasonably hot chick. But on the inside, I was suffering a debilitating mental illness. This was compounded by the fact that on an emotional level, I had been suffering narcissistic abuse. So I had no peace. My young and attractive physical appearance, at the time, did not bring me any happiness.
Now, 7 years on meds, can't say the meds have cured me but they're helping me cope. Some good days, some better days, some very hard days. It's a process.
But the whole process has taken its toll on me and I'm often mentally and physically tired.
My point is, when you're in a state like this, it doesn't really matter if some dude doesn't think you're attractive because you do not look like an Instagram model.
Today, when my mental state got bad and I was crying at the beach, one kind woman approached me and at the end of her consoling words she told me, "You matter.".
You matter. You're worth being more than a dumping ground for risky chemicals if you're not ill and you don't really need them.
May the peace of the Lord be upon whoever can relate to this comment 🙏
Read or watch interviews with Dr. Chris Palmer.
Consider Psilocybin as it is incredible for trauma, depression and addiction. It may be very helpful to you. You can try micro dosing to help withdraw from alcohol. It is easy to grow yourself from spore at home.
What about those who can't relate?
@@Demonetization_Symbol okay so more like "May the peace of the Lord be upon whoever is reading this." 😁
I appreciate that you mentioned the risks of both GLP-1 agonists and bariatric surgery. I’ve seen a few cases of anastomotic fistula, including one that (combined with other comorbidities) resulted in death. And yet, even knowing the risks, I was still considering getting bariatric surgery at some point in the future because my metabolic syndrome was getting steadily worse.
Then ozempic came along. I lost 25% of my body weight in 10 months, better glycaemia, way better mental health, less knee and back pain (from pre-existing issues), much easier to exercise. A few minor gastrointestinal side effects, but only during the first few months. I feel like my metabolism is 15 years younger. I’m so glad they invented this drug during my lifetime.
Like any drug (or procedure), of course it’s not for everyone. But in many cases it can hugely improve QOL.
All the best!
A friend has been on it for a year. She was confident she could go on holiday for a month without taking it. She gained 8kg in that one month because she doesn't know how to control her appetite anymore.
What a 🛎️🔚
Yep that is my fear. What if I like it too much and then I gotta come off it?
I mean, the exact sale thing happens when you lose a bunch of weight on keto and then have to stop because it’s not long-term sustainable or it damages your kidneys - you rapidly gain weight back. It’s the same with every kind of weight loss program. This is nothing new.
Sounds like her fault for cheating. Your body will adjust its systems if you naturally lose weight making it easy to keep the weight off. Use a drug and your body and your mentality won’t be able to handle it. If you can. Even better!?
8KG is 61,000 calories, add in the daily calorie recommendation for women of 60,000 per month this seems like nonsense that she was eating that much
Dude I have so much respect for this man. He works as a surgeon, a shorts creator, he has a podcast, and sometimes even makes full length videos
Edit: some people reminded me off some stuff so I added/replaced them :)
I’m gonna try to ramp up my long form stuff..it’s my true calling on social media..more time to discuss detail and nuance!
@@DrKaran Please do. I really dislike the seeming shift toward shorts and other sub-minute content. I like ending a video feeling that I learned something and have at least a baseline understanding rather than just a factoid that I can parrot.
Don't forget the podcast!
He is a Surgeon
@@samantharaiale3072 Apologies, thank you for correcting me!
Thank you for including the history lesson regarding weight loss medications or treatments. This ozempic craze reminds me of the oxycontin push from the early '00. Touted as a miracle cure for chronic pain it was prescribed to everyone and their Grandma! While ozempic may not be a narcotic we should be wary of anything being pushed to this extent.
Exactly, and the side effects are not all well known and the long term use of the drug has not been tested on healthy people and hence the long term effects. People will put anything into their bodies but dont actually know what it is or how it affects them short or long term.
And it was this very reasoning that I got so much heat for not taking a certain shot about a year ago...
Imagine if you said this about vaccines lol. You are not smart buddy.
The problem is that without the drug you VERY quickly put the weight back on.
So if you do not combine it with actual behavioural change you will have to remain on the drug forever.
And the effects of long term effects of the drug are not yet fully understood.
@@lewiswood1693 the side effects are virtually non existent.
To help add to the nuance in the conversation, I work for a clinic that utilizes this medication often, and it had absolutely been a game changer for our patients. Some do experience side effects, to which our provider actually does something about them or is happy to try other options, but most have been very successful and reversed many negative health conditions associated with obesity. I completely agree that the trend of this as a fad for the elites to be super skinny is appalling and that in reality, this is just the best bandaid we have for a messed up healthcare and food system. For rural areas that deal with the worst of these issues, however, it’s been the first medical intervention that has worked for many of these patients. I’m hopeful that we can conquer these systemic issues, but I’m not optimistic until I see it happen on the micro scale. I hope after getting my medical education, I might do that in my small town. We can only hope.
I’m glad you actually care about the human beings your clinic treats. Too many doctors seem to just look at you once and try to treat whatever they think is wrong rather than fighting to figure out the real problem. More medical professionals should be like this.
my mom I believe has been starting ozempic, we're from the rural area and I also just so happen to be going into the medical field as well.
I wholeheartedly agree with your last sentiment. We need to share the same enthusiasm, if not more, for regulating processed food industries that irregulate our appetites as we do with pharmaceutical appetite suppressors. We need prevention, not just symptom erasure!
Yes
Good luck taking on that giant! Food quality is not getting any better ever.
At least not for the average person.
Well that's not ever going to happen, healthy foods are overpriced and America is one of the fattest countries in the world.
bruh just buy unprocessed vegetables... its not just the food giants, its also those who buy from food giants
I have to say that I was very sceptical when my diabetic nurse mentioned this injection. I have never been one to believe in quick fixes and this sounded too good to be true. However once i started it the very first thing that got me was how I felt free! I wasn't thinking of food all the time anymore! I'm learning to develop a healthier relationship with food and can make much healthier choices now. Yes, we don't know what kind of long term side effects it has but it's not meant to be long term. This drug can help people like myself that have relied on food since children to deal with their traumas, to finally learn to see food as something essential and enjoyable without feeling like they can't cope without all those unhealthy things they craved all day long.
Agreed!!!! However I pray other ways fix that and not drugs. 🙏
@@Portia620 I am currently on a medication that also helps with weight loss. I too am free of my out of control appetite. I have dieted, exercised, been to a literal school to help me to be better with my health, blah blah, blah. Then? I found a medication that freed me after DECADES of my body malfunctioning. Apparently it ISN'T a willpower issue or a bad diet issue (I am a GF, vegan, 64oz water a day person), it seems to be a medical, body issue for some people so what in the world is wrong with it being fixed with medication??? If it works and you are healthy from taking a medication, then take it.
You have relationships with people not food
@@doomcow99 Incorrect. Relationship: “The way in which two or more people or things are connected, or the state of being connected.”.
A relationship to, or between two or more people in whichever way you would prefer - is one of the many way the word “relationship” can be used.
@@JustTheTruth-Please Veganism isnt exactly the healthiest diet, as it makes it much harder to get an adequate amount of protein everyday. You should have about 1.5g/kg of protein everyday, being vegan makes it a lot more difficult to do. Also, 64 oz of water isnt enough.
ive struggled for as long as i can remember with eating, specifically not feeling hungry/not being able to eat very much. im 25, and have started to feel so hopeless. when you started talking about being able to stimulate appetite, i got goosebumps. thank you for that hope
Weed works pretty good
mate as a very skinny teen/early 20s turned casual body builder I can tell you its not easy but its doable, the problem isn't just appetite its also, in my case Laziness, the laziness isn't derived from being lazy but the ability to ignore the desire to eat, especially unless you WANT to eat it. When it came to bodybuilding I couldn't gain weight and so I had to consume. Meal prep, eat every three hours, appetite means nothing, desire means nothing, I ate because it had been 3hrs. I was full, bloated and it sucked, eating for bulking is harder then eating for loss. But when I got to about 3 or 4 weeks in suddenly it was fine. I would be full at 2.5hrs after eating, but 10 min before my next meal I would feel ravenous. Like a dinner bell had been rung. Time for more chicken and rice. at my peak I was eating 4000-4500cal a day for months on end of clean food. appetite means nothing force it in and you'll adjust
@@headbeeguy1035yup, what this guy said. I went from 60kg to 80+ at 175cm at early 20s from forcing myself to eat. I used to (and still) have no appetite, and even not like many foods. But by forcing myself to eat excessively. I developed a bigger appetite and it persists. One thing that helped me was making meal I enjoyed, in this case I liked cereal, so I made it as caloric as possible, but putting oats, whey, granola, and more into my cereal, and protein milk, etc. I would eat this between meals, and when I got to a comfortable weight I would clean the diet up. It worked to fix my appetite and “food laziness “
Buddy, do you want your hunger to become your master for you? And managed you? If so, then be prepared for the fact that you will gain an extra tens of kilograms of weight
@@moist5147 Do you struggle with low appetite initially? Weed gives the munchies at first, after a while I just need it to have my "normal" appetite, and I start losing weight and am worse off than without it. So weed doesn't work for me in the long run at all, quite the opposite.
Poor ole Dr Karan, he always looks knackered, yet he still makes time to make informative content. Good on ya Doc.
Backhanded compliment
I have Type 2 Diabetes & need a hip replacement ASAP but my BMI is too high. Ozempic along with intermittent fasting (begun 4 months before taking Ozempic) is allowing me to lose weight a lot slower than Bariatric surgery by addressing why I overate in the first place.
I have a friend who got Bariatric surgery this past January, a hernia surgery a month ago. She basically lectures me on how great she feels after losing 65lbs, and about the nutritional content of every single morsel of food she puts in her mouth. I’m happy for her but a little annoyed that my taking my medical prescription is considered “cheating” instead of just having my stomach surgically reduced to the size of an egg.
My A1c has dropped to below 6.0 and my tastebuds have changed to crave cooked green vegetables rather than creamy pastas. I’ve also lost girth from a 3x-4x down to a 2x with 50lbs to go before I’ll be at an acceptable BMI.
I’m grateful that this choice was available so I had time to address my food issues. Weight loss is a custom tailored process: one size doesn’t fit er’rybody! It’s important to make permanent lifestyle changes too because the daily pain I feel from my hip is only exacerbated by my excess weight. Once it comes off, I’ll make sure it doesn’t creep up again.
Oh, and I do like this longer video format 😊
100% all these saying there taking my diabetes drugs, maybe if you had this injection to start you wouldn't have diabetes.
So in all its cheaper to prevent than to controll.
I think you are a good example that these things have more nuance than some people seem to be able to handle. I'm so glad you found something that works to enable you to improve your life!
Just remember that everyone's journey is different and what works for her won't work for you and vice versa. Trust in the process, trust in your instincts, and do what feels right to you.
Make sure to quit ozempic two weeks before surgery to prevent complications
Weird, I always heard/read that you shouldn't fast (also not intermittent) when you're diabetic bc it toys too much with your bloodsugar. From low low low low to high high for a couple hours. Thought it would have to be more evenly low-ish and never really spike.
I'll be asking my diabetician once I get my first appointment.
Been trying to lose weight for 15 years with some limited success. Ozempic has allowed me to change my relationship with food and now I feel free from the bondage of food. It’s not for everyone but it worked for me
And yet you should use the natural resources our bodies have
Are you atill taking it?
@@rodrigofriend5759 the government removed the ability for people without diabetes to get it.
@@JoseRivera-rl3qv I agree, some people need some help though.
@@JoseRivera-rl3qvI'm sorry, but that's not a valid English sentence
I’m a registered dietitian and I’m so tired of my clients asking me to write a recommendation for Ozempic. I don’t believe any medications like this should be used unless someone is super morbidly obese.
GF was taking ozempic for type 2. She works for the state, so insurance pays for almost anything. Her ozempic was about $30/month on her insurance, so imagine her shock when she went to fill her prescription one month and it was over $1,000. She had to quit ozempic that she had been on for about three months cold turkey. Now she's stuck taking the metformin which makes her feel sick all the time no matter the dose. There are no alternatives so people who are taking it strictly for weight loss are basically stealing from those who actually need it for much more serious medical issues.
You can reverse type 2 with a change in diet and lifestyle habits. Why go the pills route?
Let’s not pretend like type 2 diabetes is caused by the same habits overweight people have...
That sucks, I’m still gonna use it though
Get better coverage lol
@@jdamqueen ur fat huh?
I grew up being very overweight, at my highest weighing around 430lbs. It was quite a shock when I saw the scale display that number, because I had always told myself that I would never be over 400lbs. Yet here I was at 430! I immediately threw away the fast food that I had ordered early that night (working nightshift). I studied chemistry and nutrition for about 2 years and lost a total of 248lbs, through my personally designed formula.
At first I could only do 3 sit-ups a day. THREE! But eventually as time went on I lost weight and found myself doing 500 a day! Going from a 60 in waist size, to a 32/34.
I've said it before and I'll always say it. There is only one way to permanently lose weight. Which is to make a complete transition from an unhealthy lifestyle to a healthy one. Where exercise and good food is your daily routine, and not part of some 'diet'. Diets DO NOT work!
A lifestyle switch will.
Cool, everyone knows this. It’s nothing new. Doctors also tell people this. There’s a reason that people are still overweight it’s because these food additives are addicting. It takes a lot of motivation to want to change.
Wow I bet you feel and look SO much better! That's quite a shift! Congrats
Oooorrr you take drugs and don't need an associates degree to lose weight lmao
yessir hit it on the nail. i have severe crohn's disease and until i was 19 i was severely underweight at 6'0" and 110lbs. ive gained 50+ pounds of solid muscle naturally over these past couple years by eating to a T, and training 6 days a week with no cheating. feel amazing and in the best shape of my life, and my GI doctors are still scratching their heads. seems like we had a similar struggle, just on opposite ends of the spectrum, I'm glad you put in the work and turned your life around, believe me I know its not easy
@@nathanu6074very relatable my guy, as 5’10/11 i used to weight around 50 kgs, crazy that i wasnt even lean, now almost a year and a half later at 74 kgs but still going very strong not even in a serious bulk
My concern with semaglutide is that people will try to use it for a quick weight loss fix without ever learning how to properly eat or exercise; much like young people pinning themselves with PEDs very shortly after joining a gym. Too many people want fast results without considering the long-term risks. Everyone owes it to themselves and those that they love to eat healthy & minimally processed foods and to exercise.
Yes this is exactly the point I’ve been trying to laboriously make in this video haha. Holistic approach
@@DrKaranTo play devil's advocate, as a recovering heroin addict who is now quite successful- methadone was a stepping stone to get me moving in the right direction. It prevented me from thinking about drugs and withdrawing so that I could focus on my mental health, bad habits, and finding purpose in life.
The reason so many people give up on diet and exercise is because results are very slow and the learning curve is fairly steep. If a diet drug can help someone to stop craving sugar while they learn better eating habits, gain some confidence so they're not embarrassed to start going to the gym or swimming, and feel a little bit of hope- I see tremendous value in that.
People are so obsessed with instant gratification that they don’t even care about the toll it takes on their body. These people don’t actually care about their health, it’s all about how they look and everything else gets put on the back burner.
If only people took as good of care of their insides as they do their outsides. What they don’t understand is it typically shows when you’re not taking good care of yourself, skinny or not.
You nailed! Now, not everybody looses weight quickly on it. I’m diabetic myself and I lost like 5 pounds only while on it. Eventually I moved onto a different medication because this was always out of stock, but that’s another issue altogether!
Why but they can just keep taking the pen.
Karan this is a phenomenal format for educating and spreading awareness. Thank you for all the work you do, keep it up man.
Here's what I know for certain, as a Type 2 Diabetic in the US, for Ozempic.
My a1c was stabilizing to a normal level. I was losing weight as well, which was an unexpected benefit of the medication. An excellent side effect, for certain.
Then it started spreading all over the news about people using it purely for weight loss benefits.
A month later, my insurance co-pay went from $40 for a pen that will last a month, to over $300.
I got priced-out of using a medication necessary for my survival by people, and Doctors, using it off-label for weight loss.
Those people can go eff themselves.
cope
Was your Metformin not effective in lowering your A1c?
@@itsschiegg Been a type 2 for abou14 years, and it had been great for years, but the past few years, it seems to lost a good portion of its effectiveness on me, hence the switch.
@@itsschieggmetformin lowers A1c by 1-2%. If the person above was at 10+, then no, it wouldn’t be able to lower it to 7.
I get it.
But I don't think people 'deserve' it more than others.
Obesity is an issue too.
Also, if price is the issue, it sounds like a capital healthcare system issue.
I’m trying to get my BMI down to 21 so I can get a kidney transplant. I am physically disabled. No exercise. I have lost 33 lbs already and have changed my eating habits. Lots of berries, tofu, almond milk, rice cereal. No red meat, etc. I am so grateful that Ozempic has gotten me over the hump of changing my eating habits. Now, with or without Ozempic, my diet has changed forever. I’m hoping to lose all of the weight I need now and plateau. The alternative is death. I won’t go on dialysis. I can’t. So I’m grateful for it.
Sending prayers 🙏
@@schnioula Thank you so much. You don’t know how much that means to me.
Lots of love from Aotearoa NZ Kiakaha be strong
Red Meat is good for your health
Good work making steps to take control of your health! Be proud!
Dr. Eric Berg also has a channel with tons of health information that may help you take your journey to the next level. Keep learning and forming good habits!
My diabetic nurse put me on this last autumn. I was prepared for initial nausea because I’ve been through that with metformin. The first week on ozempic was surprisingly fine. The second week was a little rougher. By the third week I was getting very ill. During week four I almost stopped eating entirely, just feeling pukey constantly. I was drained of energy even on top of my already debilitating long Covid. I became depressed and could barely get out of bed. I had just done the fifth shot and was sliding downhill fast when the diabetic nurse told me to stop. My blood sugars had gone higher and higher throughout, even when I barely ate anything (I barely keep down one slice of toast per day and wanted to barf at the thought of all other food). I lost no weight. My IBS was aggravated. After I stopped taking it, it took over six weeks to recover enough to eat meals again but honestly my gut troubles remained worsened for months. Ozempic is no miracle for everyone. Approach with caution!!
You lost no weight eating next to no calories a day for almost 5 weeks? Yeah ok
@@eddyjay123 It's possible with long covid. In this case it sounds like the mitochondria likely aren't converting glucose to energy even if it is getting into the cells.
@@niamhleeson3522 so the cure for starvation in Africa is long Covid?
@@eddyjay123 no it's not and I am sure you can figure out why.
@@niamhleeson3522 and I am sure you can figure out why eating no calories for 35 days and losing no weight is nonsense 😂
I have a large ethical concern over the rise of telemedicine clinics for weight loss and reverse aging (TRT clinics). While both of these medications are crucial of those who need them, it’s scary to see how easily one can get a prescription from someone over the phone without getting an actual MSE in person. I’m excited to see how this changes over my time in the medical field.
Testosterone is a very well researched compound with a known side effect profile and has been in use for multiple decades.
@@RomeTWguy correct. But the age profile of people using TRT is dropping and the outcome may be concerning in say, 20 years.
How do you do telemedicine for trt? How do they find out your levels?
@@trumptookthevaccine1679 blood draws like quest or labcorp
Hmmmm...should we tell him about the BlueChew (off-brand viagra) telemedicine clinics putting men at risk of heart attacks by prescribing it to healthy, young, virile men?
If you’re trying to lose weight go outside for walks, drink your water, fast, and eat ya fruits and veggies. Cut sugar and carbs, heal your relationship with food and enjoy, there’s no real short cuts that don’t come with consequences. Everyone wants instant gratification but real weight loss takes time, requires you to be in touch with your body, dedication and focus.
I know I'm just one person, but I strongly prefer your long form content, I feel like I'm actually retaining information and am learning something useful rather than 60 short seconds of "this person is wrong about science."
Love it!
Haha, i want to make more long form content. And I plan to!
I do agree, as someone who only watches UA-cam and feel like the shorts don't really inform enough.
I would also love to see a much stronger push towards community-wide changes vs. individual responsibility. I realize that other countries might not have this problem as much as we do in the US, but our public transit system is awful / non-existent. We don't have a lot of sidewalks. The air quality outside has consistently been poor. The "healthy food" (that's a whole other can of worms) that people tell us to eat are out of our budget. A lot of weight stigma and diet culture shames us for not doing enough on our own to make these changes in our lives, but we have an entire tangle of systems in our communities that actively fight to keep us fat so that we can keep spending money on their weight loss drugs, diet plans, super foods, and so much more.
exactly. I'm more of less fit but that's because I don't need to use a car AT ALL. Everywhere I go I can go for a jog or just walk. I walk everywhere or use a bus if necessary. That's how a lot of my friends live. We don't have to actively look for opportunities to be active. we just are because of the infrastructure
The other issue with the FDA is they are also tasked with promoting corn, our biggest crop. So they have zero motivation to discourage overconsumption of corn products (I think wheat too)
Quit trying to change the world to fix yourself. Just because some people are incapable of making responsible decisions for themselves doesn't mean everyone is. Losing weight doesn't require public transportation, sidewalks, or any thing else. All it requires it not being a glutton and taking responsibility for your actions. Adults should not be treated like children.
Just sounds like excuses to me, especially wince youre aware of those things. Its not your job to worry about all of society, and you can do nothing to change that except by changing yourself. If everyone who thought they were fighting for some cause spent half that time on educating themselves and addressing their shortcomings the problems would disappear.
Government cant fix it, they can only make it worse, "society" cant fix it but only make it worse.
The only person who can fix these problems are individuals, but they're so focused on believing they can force it onto other people that nothing will *ever* improve
Leave the city and all those problems disappear. Even then, I had no issues staying trim living in the city.
Thank you for such an informative video. Your work on this is very appreciated.😉
One thing that concerns me when listening to this drug's mechanism, is the possibility of 'up regulation' with continued use. We might find people who have used to drug habitually are completely unable to regulate their appetites when they stop taking the drug. This means they have to stay on it or become total gluttons
that’s not what the data suggests though. The data says, unlike every other weight loss intervention, people keep at least some of it off
@@cataraxis-jn9fu No it doesn't. People regain weight very quickly. In the studies they don't regain *all* they weight, but there's still an obvious upward trend.
@@lucasferre4047 which is better than the counterfactual, duh.
That's because they never change what they eat and it's not a healthy way to lose or maintain weight to begin with. They should do rehab and accept their bodies as they are once they are no longer on the dose then start a normal routine that can actually make them healthy and not just lose weight for aesthetic purposes.
I've been reading a lot of comments from people who have used Wegovy/Ozempic/Monjauro who have hit their goal and stopped using it and have not gained it back because they learned to calm their "food noise" and realized they were eating way too much. The drug seemed to teach them what is an appropriate amount of food, so it can be a great learning tool.
I was diagnosed with hypothyroidism after gaining 20kg for no reason.
Ozempic helped me with getting back to the “healthy weight” but I was able to get only the low doses.
It also helped with my insulin resistance from PCOS.
I am ok with switching back to metformine if this means that diabetic people have better access to Ozempic… But I really hope Ozempic will get also officially approved as PCOS treatment so in the future I don’t have to take metformine pills twice a day.
you does not get 20 kg for no reason. Its like saying for some reason my car drove 1000 km on one liter of fuel. Thermodynamix do not lie.its not possible.
@@maros495Okay, she gained 20 kg because she had hypothyroidism. If a person’s metabolism drops (due to hypothyroidism), they can eat the same as always but gain weight.
@@maros495 Slower metabolism means that the body's chemical reactions are slower. And when the chemical reactions are slower, energy gets used more slowly, and gets stored more.
@@DogDogGodFog it just mean she overate then. You know you dont need to eat everytime same calories. If you start doing more sedentary lifestyle you can eat less.
If she saw look i gained weight. That means i overate and i dont need that much. 20 kg is like 280 chocolate bars surplus. i would need to eat same i do and then add 280 chocolate bars to gain that weight . Thats not small amount.
@@maros495 Why are you assuming you know what happened for this person, and why are you framing it with such judgement? Who is this tone supposed to help?
My biggest worry about this, as a diabetic who already is well informed of the side effects of these medications since I use them to simply stay alive, its use is being glamorized as a weight loss miracle shot. This can cause some really bad things to people who don't need them. Then for those of us who need them, there's also the risk of not being able to get our medications in the proper dose. I've already gone through that with my dosage of Trulicity being on backorder.
You dont need ozempic to "stay alive". Its a harm reduction tool, and fat people also get benefit from it, its just type 2 people get overall more benefit, but saying that you need it to STAY ALIVE is a little bit far.
If you're type 2 try cutting out carbs entirely from your diet. It takes willpower but on such a diet insulin levels drop massively, allowing insulin resistance to wear off. It also helps clear visceral fat. A slow, but safe and natural cure for diabetes.
@@magyararon6918idk man if she dies by not taking it then she's probably right.
@@magyararon6918You absolutely may need it to stay alive - it depends entirely what your diabetes is like. SOME people can control it with diet alone, but some can't, even with serious help.
@@aaronwestley3239 why would she die for not having access to ozempic? Its literally not a life saving medication, its just a harm reduction tool. Nobody ever died from not having access to ozempic. If she seriously worried about her health, then a strict diet would do more than some wonder drug.
I didn’t hear ANY mentions of the severe downsides of bariatric surgeries such as the rate of transfer addiction, malnutrition, and osteoporosis. Bariatric surgery can be just as risky as GLPs. And unlike GLPs, surgery is permanent.
doesn’t fit the narrative
In my country there is starting to be an Ozempic shortage and they recently decided that only people who have the highest needs (diabetic) will still be allowed to purchase it. It's also rather aphetic how my country never addressed the problematic use of it in the news and media and now they suddenly ban it for all people that don't have a medical condition that requires them to take it. This is a part of the problem, cause I did not know what ozempic was or what the ban was for until I saw some things on youtube about it
I have type 2 diabetes, and my doctor said that in my country (Israel) you can only get a prescription for Ozempic if your A1c levels are above a certain number. I think it’s definitely a step in the right direction.
It’s likely due to budget constraints but it’s still a smart policy and I’m guessing it originates with Misrad HaBriut.
Is it true you can't be a Christian and live in Israel as a citizen? I heard a rumor long ago but I feel like its not true. Do you know anyone who is who lives there?
@@DokesConspiracyNetworkthat's not true. It's much easier for Jews to emigrate but christians are absolutely alowed to be citizens or residents
There are people who are over 600 pounds, and they have normal sugars/no diabetes. I still think they need ozempic. Normal weight people dont.
@@ema2031 it was designed for diabetics…
I'm really excited about Ozempic possibly being available to me. I live with schizophrenia and I have to take Zyprexa every day. The average weight gain with Zyprexa is 60 lbs. I'm 4 foot 11 inches. I gained a little over 60 lbs. I used to be 110 but now I'm almost 180. I have a lot of hope for drugs like this. Zyprexa basically induces a state of diabetes, increasing blood pressure and sugar. I just really want to lose weight and hopefully a drug like this could reverse the effects I'm having. Hopefully it becomes more available!!!
Good luck to you! Also congratulations on continuing to take your Zyprexa, I know the side effects are hard but your doing the right thing and I'm so proud of you! I know a random internet stranger congratulating you seems meaningless but my intentions are good and you deserve props!
Im sorry this is the price you have to pay for successfully taking medication.
This is a really good example of what ozempic and even metformin are good for. I hope you get the treatment and the results you want and continue to be happy and healthy x
exercise is used to counter the weight gain from zyprexa...also exercise significantly helps schizophrenia...but hey, if you want to be a pill popper that's all on you :)
My son has schizophrenia and anorexia makes him lose tons of weight when he’s manic like when he was first diagnosed with it. Zyprexa is called the cure to anorexia since you are so hungry when on it.
or he can just do weed, far better side effects :)@@sherirottweilersforever7772
This guy is a modern treasure for his dedication to both his professional obligation and the proliferation of quality information
I was diagnosed with insulin resistance, which was really a surprise since I'm not that much overweight. I went to two different doctors, one prescribed Metformin, the other Ozempic, but I did not want to take any meds and now I'm on keto diet which seems to help a lot with my insulin levels, my lab results are better and I've even lost some weight, without having any side effects.
I'm not saying nobody needs meds, but sometimes a change in lifestyle is much more preferred.
I love the effort to put this message out there and the moral code you're conveying. Keep it up please!
Thanks!
You hit a nail on the head with "other related conditions". So few doctors seem to take the entirety of the person into consideration. We're treated like pieces and parts, when so often at least part of the answer can be found by looking at the whole person, and their whole history.
Bullshit. Tired of everyone saying we don't "take the entirety of the person into consideration." We do. We check your hormones, discuss stress, discuss sleep, discuss exercise, discuss discuss discuss. Do some cut corners? Sure. Is the proportion higher than the amount of patients that are allergic to personal responsibility and continued compliance with plans that don't lead to overnight results? No. Not shaming anyone, that just means they are human beings.
@@markhudson517No most doctors don’t do all this.
So many doctors will write you a script for psych meds without even ordering a blood test first to see if your hormones and vitamin levels are correct.
It’s actually part of the reason why Low T is such a big issue. Most of these mentally ill men, those with depression and anxiety, are just low T and untreated. Yet their doctor will have no problem writing them a script for lexpro.
With all the psych meds I’ve been prescribed, not once has any doctor or psychiatrist ordered blood work first.
The first and only one to ever do so was the doctor who I sought for adhd meds. That was the only doctor who wanted to rule out other ailments first. But for most other meds, they’ll write you a script in like 10 minutes without doing any kind of examination. Anyone who’s ever sought healthcare can tell you this. Try it for yourself. Make an appointment with a psychiatrist and do a speed run for a Wellbutrin script. I promise you’ll get it that same day in under 15 minutes with literally zero medical examination or check up of your being.
@@markhudson517 Mabey you do,
many DRs are very much "whats the symptom heres the tablet"
ive gone into DRs knowing the physiological problem (Plursey) and being hand waved out and given advil and told it was muscular.
Ive also gone into DRs who at the very mention of chest pain did full diagnostics with Xrays, ECGs and blood work
Many DRs are absolutely great, and i dont think the ones that are not are necessarily malicious, just not engaged. The best DRs are ones with problem solveing trains of thought, they hear a symptom and want to figure out why. Some are just in the routine of check in, perscribe tablet, go home
@@markhudson517 My permanently disabled mother has seen well over 200 doctors in her lifetime. I can assure you, just because YOU do your job, does NOT mean your peers do, atleast in the US.
This is a really helpful overview of weight loss drug history. Thanks.
Can I ask that you add links to the papers and research you refer to in the bio of the videos? It would be really cool to look deeper into some of them for aspiring med students and biologists!
This drug changed my life. If you have been overweight by 75 pounds, obsessed with food constantly, exhausted, unable to do your favorite activities, suffered society’s and your own scorn, been uncomfortable and have been successful in every other area of your life, then found the one thing that finally freed you, you would not be negative about this medication.
Its not the medication that people feel negatively about, its the rampant abuse of the drug by people whos weight is an aesthetic desire rather than a pressing need, causing mass shortages for patients who need it for its primary use as a diabetes treatment.
Well the problem is a weak will to stick to workout and not being able to control your urges. Train your mind
@@sudikshasingh304it isn’t a weak will. Considering 50%+ people are overweight and obese and rising. Clearly more than just willpower
@@HarpreetSingh-xg2zm It is, and general not caring about themselves
@@HarpreetSingh-xg2zmthis is just grossly unfactual.
The long term implications of bariatric surgery aren't wonderful either - I declined it, after discovering the NHS couldn't give me data on the 5+ years effects, and couldn't answer questions about malabsorbtion, vit/mineral deficiences and gut bacteria. They also could not explain why it was safer for me to have a potentially 4 hour combined gastric bypass AND gallbadder removal op, vs just the gallbladder op. (Conclusion. It isn't, but if I die of bariatric surgery, thats ok. If I die of gallbladder surgery, that buggers the stats for some poor surgeon.)
I think bariatric surgery has a role - also game changing in many cases in terms of reversing t2dm BUT these Novel weight loss drugs clearly are a “safer” solution with less risk than surgery
Keep your gall bladder if you can. Yikes.
@DrKaran @@LilyGazou Yep, oh undoubtedly...
Not a chance of losing the gallbladder. They refused to do it unless as part of a roux en y bypass - stating the risk of me dying from the gallbladder surgery was too high and yet, the much longer more complex roux en y + gallbladder was an acceptable risk.
I determined that the truth is, dying of gallbladder surgery is not something a surgeon wants. Dying of bariatric surgery is 'ok'... (comparatively, statistically).
Thank you for including the chemical structures
been watching your videos for quite a while now and for a doctor, you seem quite smart and hard working.
subbed and liked.
When I started with Ozempic, my BMI was 32.6, and I had fatty liver, and my blood pressure was very close to needing medication. Now my BMI is 27.8, and going down. My blood pressure levels are very good, and liver is almost back to being healthy. I also eat much healthier, sleep better, and feel better. I have been exercising too, so I don't think I've lost lean muscle. For me, Ozempic is great, especially as I'm lucky in that I don't seem to have any unwanted side effects. I'm looking forward to dropping back to a normal weight, and being fully healthy.
Hey, Firstly congrats to you! 🎊 How long have you been taking it to get these results?
Was it prescribed to you? I'm in the UK and it's only for type 2 diabetes but told I could get it IF its allowed to others for weight loss.
@@kirstenweir633 I got the prescription through a private doctor - It's not cheap, but worth it. I started it once I started a new job that pays better than my previous one, and I can afford it. Oh, and I'm in Finland, by the way.
@@wollom0148 I've been taking it since late last December; about eight months. I expect it'll take me about five more months, maybe a little less, to be normal weight, at this pace.
Worked strength back up and beyond after slacking off and getting covid mid pandemic. Had gained 50+lbs.BMI 37 in January. 100+kg bench. 300+ legpress. Then lost some. Bmi32 now. For a while. Hunger ain't much the issue. No stomach growls. No medication. Just protein spread out through the day. It's remarkable in terms of satiety . Blood pressure now fine. Green mostly. Wanna get below 100kg, now 105-8 till next year. Did step off the gas. Don't feel like enduring the lack of energy. Instead legpress over 400kg now. More muscle overall. I don't know but don't think that my liver is fatty. But. Great ozempic worked for you I just really don't think it's necessary. Building muscle first probably wasn't the logical step but I wasn't ready to not eat as much, but ready to put in effort. If I hadn't muscle to lose I'd probably step on the gas harder though I'd also like to avoid loose skin. Getting stronger instead of just fighting to not get weaker certainly feels better too. If I just make it below 100kg it's all I want this year though 95 would be cool. Eventually 85-90. But that's a 2025 goal. Alongside a 500kg legpress
Both my wife and I tried it, Ozempic, and it was absolutely the WORST experience ever. We’re both type 2 diabetics and it destroyed us. Not going into details but the heartburn and indigestion were atrocious 🤢
Wow you have two wives😮
I take Ozempic and have no side effects. Guess it's different for everyone.
@@Django0324wow. You need to learn "reading for comprehension". At no time was it indicated that he "had two wives".
@@a5centJust like Metformin. For some, no problems. For others, massive GI issues and feeling like crap. I would rather inject insulin every day than run to the bathroom nauseous with diarrhea. Also, Metformin caused major muscle cramping in my legs and sometimes in my arms and hands.
@@patricial.6758 🤓
I'm glad for them that they feel full!
I struggle with it constantly, and have been shamed for not eating
I had it prescribed for both sugar control and weight loss (type 2). Works great for both, but leaves me with VERY uncomfortable gut issues. Upset stomach, gas 24/7, always full AND always hungry (I don’t understand either), diarrhea every morning… I was better off with victoza. I am reminded that it’s only once a week, rather than daily for victoza; which is spectacular. But the side effects are intolerable for me.
Next time I talk to my provider we’re going to fix it somehow, but I’m definitely getting off ozempic.
Update 12/7/2023: my doc talked me into trying a half dose of ozempic, .5 ml. So far the side effects are more manageable, it remains to be seen if I still lose weight. (Everyone seems to think that lowering my diabetes numbers is a forgone conclusion.)
Update 12/15/2023: went down to 0.5 ml instead of the normal 1.0 ml. Seems to be just the thing; side effects still present but definitely manageable. More importantly, I am still losing weight! So unless something else crops up, I think I’ve found the happy medium. Good luck all with your weight loss/diabetes journey! 😊😊
Looking forward an update from you.
Do you know that your doctor gets paid to prescribe you drugs. I'd bet he gets paid more to prescribe ozempic than the other drugs. Keep me posted on your progress. Getting data from credible sources is difficult. Don't know who to trust anymore
@@prettywitty9051 I suppose I'm lucky in that I very rarely pay for meds (thank you, Obama!) But I trust my doctor to prescribe whats best for the situation rather than looking for a kickback. Some ppl may say I trust doctors too much, but they went to school for many years to do what they do. I'm a reasonably intelligent person, but when it comes to medicine my "best guess" isn't worth a crap.
But I do hear stories from other states that make me question the competency of the medical community in general. But once you find a doctor you trust, hang on tight.
The ozempic at .5 ml is just right for me; still side effects, but it's a trade off for losing weight and better A1c numbers. Hope this helps! :)
P.S. I may be wrong, but I believe ozempic doesn't have a lot of generic forms, in comparison with a lot of medicine, but PLEASE don't quote me on that.
@@prettywitty9051it depends on the country,
It is illegal where I am.
@@prettywitty9051in a lot of countries thats illegal
I love how you break down the pros and the cons of everything, I learn something new everyday. Thank you 🥰
Awesome! Thanks :)
Learned more in this short video than I have watching dozens of others on the topic, thank you!
Awesome!
I saw an ad for someone to prescribe this while watching the part where you were describing a separate company that did that.
If all it is just to help suppress appetite, there are tons of more natural ways to do it.
-drink your water with a bit of apple cider vinegar
-eat protein dense food when you do eat
-eat more fiber (or if you're lazy, add psyllium fiber powder into your water, like Metamucil)
It’s really cool to hear you talk about this health epidemic as a consequence of the food and health industries trying to make a profit. You don’t focus on shaming people or advocating for individual responsibility of health, you get to the source of the issue with down to earth honesty and it’s cool to see ❤
Edit: Individual Responsibility is important, but it’s not as important as focusing our attention on holding exploitative industries accountable for the health epidemics they’ve created. A comparison I’d like to make this to is climate change; where for the past several years we have been focusing and discussing individual responsibility, in this case for our carbon footprint, but we are realizing now that individual responsibility is not enough. Instead we need to hold the industries and systems that are hurting us and our planet accountable.
Big Pharma advertises
stuff to take
to remedy the last stuff you took, because the last stuff you took made you sick.
GET IT?
Do you think advocating for individual responsibility of health is a bad thing? Does it not have a place alongside calling out the industry?
@@richardstrucko7226it has a place, but it shouldn't be overemphasised. A similar issue may be that purdue used the excuse that their pillpushing was not the problem, but instead they presented the opiod epidemic as the result of problematic individuals. So yes, individual choices and habits matter, but so does the role the food industry plays
That does not make sense. We have plenty of food available but we know we will get fat if we eat too much. I got fat because of a combination of greed and sloth it was 100% my fault. They can only make a profit if you eat too many pies.
It's by no means impossible or even that hard to be healthy, but it is harder than it ever has been due to constant coercion to eat addictive garbage.
Thank you for bringing this up it's a really important subject to look at. I used Ozempic until it was no longer available here in Sweden to regulate my diabetes.
Thank you so much for this!
Informative, intelligent while also concise. Easy choice to subscribe.
Doc we really need more long format videos like this
Keep an eye on this space..planning more regular stuff!
This is why I like weight loss programs that focus on changing your food and exercise habits, they don't work quickly but do help you keep the weight off once you lose it. Currently on the Optavia program and it's working great for me!
that is the only method that works
@@cosmicreef5858Ozempic works. It's not quick for those of us who are struggling. The exercise and food choices come with time. The Ozempic allows us some grace to figure out how to implement those changes.
14:33 hits the spot ❤ thanks Dr Karan
My mom wanted to try ozempic and suggested my gf and I should try it too. She said she heard good things on some talk show. I told her to never talk to me about drugs to lose weight again, and that if she used it, I would lose respect for her
I found it fantastic, lost 2 stone over 6m and I stoped after 5 months, I’ve continued to keep the weight off as my stomach has shrunk a lot! I also work out 3 times a week and eat a balanced diet x
Absolutely need a holistic approach
"2 stone"
Because you took a good habit while taking the product (congrats btw). But someone who expect drugs to do everything for them will probably gain back the bad habit afterward.
That's great. You have so many more choices about your health after losing that much weight.
What support has your doctor put in place to help you maintain the new weight?
With respect, report back in five years.
This is such a long shot, but I'm really interested in an outsider view of my ongoing GI issues. I was diagnosed with "ibs" and it's caused me so much anguish.
It's a topic that needs to be addressed and I'm willing to discuss my 10 year journey to help me, and others, get some sort of answer.
I have IBS, too! Though I was told it's basically the "well, we can't find anything else" diagnosis. It can be very frustrating at first, but once you learn what your body likes and doesn't like, it can get easier to maneuver through. Although I haven't pursued this as an option, I've been told that teaming up with a nutritionist can help by guiding you through the elimination process (to narrow down what foods can trigger your gut response). I've managed to find mine through trial and error on my own, and even then it's still not perfect. Guts can be influenced by all sorts of nonsense that's out of our immediate control (weather, stress, sleep, etc).
and since he's a general surgeon, he likely has a lot of info on the gut. But Doc Schmidt already made a video on it I think
I've long suspected that my own IBS influences my struggles with diet. My hunger levels are insane which makes dieting incredibly difficult. High protein, low calorie density, drinking more water etc. Nothing helps when food in my system moves through so fast. I do wonder if systems like this which are primarily regulated in the gut are off-balance in people with ibs.
@@nambreadnamHave you been tested for Thyroid or diabetes problems? I suddenly started feeling so hungry all the time, along with somewhat overactive bowels a couple times a week, a few mood swings and feeling hot (heat, not stunning) all the time. I thought it was female hormone problems but it's Graves disease (overactive thyroid). It's worth getting a blood test to check if your increased appetite is a problem.
@@ChloeGreen77 yeah I've had thyroid tests which have come back negative, but not had diabetes tests. I probably should.
Ozempic, from what I would see in patients that were prescribed it for obesity seemed like fiends when the insurance wouldn't approve it, or we ran out samples, patients were even Disappointed when their blood work came back negative for diabetes or pre diabetes. The same with mounjaro and tujeo patients
_Things have gone to far when people are disappointed not having diabetes, a very, very serious illness...._ 😮
That's why WeGovy exists according to my doc. Of course I don't believe that bc its still the same medicine and idk if it's actually FDA approved for weight loss so idk if it's legal to prescribe it
Holy hell. I remember being so relieved when my results came back negative when I had work done back when I was overweight. I learned to control my eating better, and now I'm happy with my weight. I'm not at all a doctor, but the over-prescription of these medicines feels dangerous
I’m wondering if this was the injection my PCP wanted me to use a few years back; it was something new, and I was right on the edge of moving from pre-diabetes to diabetes. I was wary of a brand-new drug, especially an injection that caused stomach paralysis when my gut has always been slow. I requested metformin instead, and my weight hasn’t changed, but my HA1C is healthy now! 🤷♀️
Yo'ure the first real doctor I ever subscribed too and I've got to say how much I respect you. Your content is extremely educational and you usually talk in length about social or psychological aspects of medicine that aren't talked a lot. I wish you even more success that you have today.
PS: you actually made me throw my cigarette away while I was watching
👏👏👏👏
It's nice to see a doctor. That's an actual doctor.
Thank you for your service and using your voice to help people 🧡
Thanks :)
Truly stupendous laborious analysis.
I’m a bariatric surgery patient and this is part of my post surgery treatment and I haven’t been able to get it for 6 months
Its frustrating because I am certain there are a lot of people who could really use something like this for weight-loss in order to make building healthy habits easier. I knew a woman who was over 400lbs after she became immobilized due to a car accident and while she eventually recovered, her ability to walk without pain was immense and her diet became increasingly worse while her mobility levels remained at nearly zero. She eventually managed to lose the majority of the weight but it was almost all through diet until she was under 300lbs because she was almost unable to walk with her high weight and atrophied muscles.
Having a way to lose weight in order to reach a point where you can start exercising, start building healthy relationships with food and drink, and just generally get to a point that you aren't starting from a massive deficit would be so helpful.
Its understandable that Ozempic isn't the answer and it's frustrating that people who need it for other things can't get it; but the response to it is indicative of problems that need to be addressed.
And I know people say "well, fat people just have low willpower" but willpower is literally just chemical signaling. If someone has more sensitive chemical responses than someone else, that isn't their fault. One person might be able to go a full day without food and just feel a little peckish but to others that might be torture.
I find it interesting you say, "Its understandable that Ozempic isn't the answer and it's frustrating that **people who need it for other things can't get it** ; but the response to it is indicative of problems that need to be addressed." However, people who have severe obesity DO need it as well. Its NOT for people who just want to drop 10 pounds for a wedding. Just like you said about how losing enough to be able to exercise is a big deal.
An amazing video doc! Really appreciate you uploading more content lately ❤
Thank you :)
Restricting substances doesn't stop people from using them.
They just start using unregulated substances full of impurities.
Which increases people's risks of harm.
Bodily autonomy is a fundamental human right.
I remember the Fen-phen debacle clearly, and it's why I'm weary of any weight loss "quick fix" medications. My dermatologist (possible overreach here) wanted me to get on ozempic for weight loss. I decided to talk to my GP about it first, who I've been seeing for like 8 years+. She said she's not a fan, due to the limited knowledge on the long term effects. She also noted that there's been study after study of how you're better off (health wise) staying at a heavier weight then yo-yoing up and down, due to fad diets and failed attempts at temporary weight loss. The constant loss, gain, loss, gain that comes with diet culture is absolutely horrible for our bodies.
Personally, I've never had much of a problem with binge eating. I grew up with food insecurity so eating once or twice a day was the norm and I still carry that habit, most days only having dinner. Doesn't prevent me from being overweight. I also live a sedentary life now, due to overall chronic pain conditions. I only effectively lose weight with consistent exercise (even just a few 15-20 minute walks a day with my doggo). But it's becoming harder and harder for me to do that due to pain. Not being hungry won't change that for me. This is completely not the right medication or weight-loss treatment fo rme.
It’s not a quick fix, the problem is people are treating it like one. You still need to do all the healthy habits that lead to weight loss. People take the Ozempic then eat under 1000 calories and gain all the weight back when they get off it. But ultimately, results will be different for everyone
The meds work, just try it
@@Ryuker16 So I should eat less than the one meal a day I typically eat? You can lose weight while being bed ridden by just starving to death, I guess. I don't think my doctors want that though...
@@Davidpostingshid Exactly. This is why all diet fads are, indeed, fads; They fail to address making permanent and sustainable changes in habits and tastes. Nor do these things take into account the physical health and/or genetic makeup of each individual.
They also (like most things) fail to address the socio-economics of individuals who live in food deserts, are in poverty, or just simply can't afford all of what the fad diet says you have to buy to be successful.
There's no "miracle" diet pill, exercise routine, book, app, etc. that will be a "once size fits all" for weight loss. I have no doubt that Ozempic has and does help SOME people and I'm happy it works for them... But mostly it helps diabetics who are sadly out of their life sustaining medication due to this diet craze.
Dr. Karan! I'm so happy to see you on UA-cam doing longer content! Definitely a direction worth pursuing, given your knowledge, misinformation online, and super engaging yet informative content! Science communicator all the way!
Thanks for this video. The way beauty standards have skyrocketed into the obsessively unhealthy for both men and women - likely in part due to social media - has created extreme and detrimental ambitions of mostly unreachable goals, with potentially even lethal outcomes.
This deserves more public attention
I always just watched your tiktok but holy shit your UA-cam videos are something else. New fav channel
I just turned 49 and with no apparent sugar issues ever, i now have D2. i use ozempic. i lost 20kg in half a year, from 130 to 110. i used to get liraglutide (a slightly less effective but similarly functioning drug) from the NHS, instead of semaglutide because ozempic is sold as a weight loss drug and there was not enough for the prescriptions. I now get it over counter myself (/reasons).
Next, I want to start physiotherapy and stretching before i go for muscle building. years of bad posture and overweight have left their mark and i first need to readjust my basic structure and then strengthen it.
I also have access to better produce now and cook more. Cravings have not changed for me, but I am generally a light eater - my vice are sugary drinks; but nothing crazy really.
It really seems like I was not using sugar properly and while it did not effect my blood sugar levels much, instead it just got stored as fat. and i never could figure out why i gained weight even when i stayed well within my expected calorie range. Turns out, i do not process sugar well. It's like an insulin immunity (my guess is from too much refined sugars through life). now it seems i do. while i feel sick often (i have gastritis too and i produce too much acid) - often goes away with sneezing twice - i do have a similar apetite as before. the one thing that has totally changed, and i assume it is due to the proper use of sugar now, that i am no longer crazy tired for no reason. I used to get really sleepy in the afternoon and since i started, this has reduced more and more. It may be a side effect of loosing the wait, but i would wager it is both...
Currently have a family member struggling with gastroparesis that clears up as the Ozempic wears off.
I had this drug for a while (type2). I did lose weight because I felt sick all the time and couldn't eat much. I kept having disgusting rotten egg smelling burps that came without warning. In the end, I had to stop using it.
Thank you for this video.
There’s a strange paradox where the most obese patients with worse lifestyles will have the most to tell the doctor about how their diet/lifestyle is not the causative factor. Obese man was having calf pains and convinced it was a vascular blockage, but scans ruled this out and he claimed he ‘ate like a bird’. Consultant summed it up nicely: ‘he clearly gets his calories from somewhere’. An obese American in clinic also would bring books to teach the doctor about different diets- but wouldn’t take any advice herself: ‘oh let me show you this book by Dr Mike Mosley… he says etc etc’. Slowly usher her to the door because she had no interest in wanting to hear advice. The best was hearing a retired doctor doing odd shifts talk to a patient who was overweight- he scans his leg and says ‘nothing wrong, other than you’re overweight and that’s causing you issues’. He went on to explain that he wasn’t bothered about complaints anymore. It’s quite clear that the conscious choice to eat processed foods then causes habits and addictions which become engrained and difficult to break. First start by accepting responsibility and then step by step reduce processed foods (anything that been through a machine essentially). A home made pizza which fresh ingredients can actually be healthy, for example. Home baked potato wedges are far tastier and healthier than deep fried fries. Also note how different foods make you feel. Gradually you’ll start to have mote energy once improving the types of carbs and fats you ingest. Swap out certain foods with others- for example chop some fruit for desert rather than a bar of chocolate or processed and packaged cakes/pastries. We can do it one we realise it’s our own responsibility. By the time society or the government start to step in (if ever), it’ll likely be too late for you as an individual. As previously started, a considerable amount of people are in denial.
I love these longer videos! Super educational and entertaining. Keep it up Doc🥳
Thanks! Keep an eye out !
I work at a pharmacy, and the number of times I've seen Ozempic/Mounjaro/Wegovy out of stock is INSANE. It's especially crazy how often I've had to tell patients that we don't have it in stock who need it. Heck, back like 7 or 8 months ago, it was all on backorder because the manufacturers couldn't make enough of it. Between that and the shortage on amphetamines for ADHD it drives me nuts because they're supposed to be going to people who absolutely need it but can't get it, and especially the issue with amphetamines has caused me to reevaluate whether my kids (who all have ADHD) should take it or if there's alternatives for their conditions.
there are NO ppl who "absolutely" need it...
it's used for reversible dx's....
And as far as ADHD you can learn certain skills that will help you long term so you can drop your dependence on drugs...also, bupropion works just as well as adderall...but it takes a min to build up...and ppl want quick fixes...
So NO ppl do NOT absolutely NEED pills. They're just there short term. But ppl love easy ways out. Quick fixes.
Ppl are just lazy w/out will power.
And kids don't need god damn pills...they're kids...if ALL your kids have "adhd" there's something wrong w/you and not the kids...
As an adult with ADHD, please do not withhold stimulants if your kid responds best to them. If I had to be on a different medication, I would not be able to study and do everything that I’m able to do.
@@jodishapiro9257 lol what? stimulants are a quick fix. The kid can go on other things and learn invaluable coping skills....
And kids shouldn't be on meds in general...if your kid can't pay attention get them off of tik toc, lol
ADHD is SO over dx'ed and quadrupled since social media, smart phones, and tic toc came out lol.
Parents have NO business giving a 2 year old a smart phone or tablet and letting them sit on it for hours, lol. That's neglect, lol.
You all need to stop being pill poppers, lol.
Also am an adult with adhd. If people need amphetamine salt medicine taking it from them will ruin their life. Relationships and jobs will be lost type of ruin
Big pharma raking in billions as they do. Everyone is sick and weak because of their own life habits. It's sad that people just throw a pill or needle at everything now.
I know for a fact that some NHS docs are allowing newly diagnosed Type 2 diabetics to go on Ozempic, when the Metformin has not been given a full chance to do its work. A friend has lost weight on it, is no longer diabetic but the doctor has not taken her off it - so yes, it is being used purely for weight loss.
I use it for diabetes 2 but was interested for weight loss. I have lost in total 140 lbs 50 of it with ozempic. I do make sure to eat my protein first and excersize almost every day including weights and walking.
Love the long-form content! Keep it coming please!
Will do!
Wow, remember being a teen in late 60's and 70's people used Insulin and speed. Sad doesn't work. Nothing changed. Thank you for bringing this crisis to light.
As someone who used to be 350lbs when he was 13-14, tracked by his pediatrician, and now I'm 30~ at 180lbs at max, I have extra abdominal skin that has tightened up over time but some of it can never be resolved, I need to gain enough muscle to fill it in, or get it removed.
I am eligible for this treatment and to have it funded as I'm in Canada/Ontario, the main reason why I can is because there is an actual professional tracking my weight through my younger years, and I have seen doctors sporadically since which can be referenced which shows **I maintained the weight loss**, which is the problem Ozempic will cause.
People on Ozempic will have no coverage for vanity related skin issues because they cannot show they have maintained the weight loss, and theres also a good chance a large amount of doctors WON'T work on them at all, as there is a large risk of complications with a person with no actual control of their weight and who simply takes pharmaceuticals to shed fat.
This is the biggest issue that Ozempic will offer. Also, natural weight loss will always trump any shortcut, especially a shortcut that may end up consuming essential fats necessary for development. Is it breaking down all fat based vitamins like vitamin D? That would SEVERELLY cripple the immune system. Is it breaking down stores of fat in the heart and other fatty tissue localized in the area? Is it breaking down cholesterols in the brain which make up 20% of the brain?
The real weight loss master is effort + HMB (hydroxymethylbutryate in calcium salt form), which has been proven to actually be super beneficial for noobs/people restarting exercising after not exercising for a long time/etc. It also helps with actual arterial cholesterol levels as well.
TL;DR: The actual effort put into losing weight needs to be there, the mind changes with the body with natural progression, with Ozempic, this is a dangerous road with soo many unknowns. It reminds me of the endocrine disorder medication that became a norm for bodybuilders to abuse, SARM's. Hell, bodybuilders are taking stem cells, humiston has a video on it.
TL;DR: I used to be 350lbs at 4'11 at 14 YO, I'm basically half of that now for the last decade and can prove it. People losing weight on Ozempic can't prove they maintained the weight loss and are not going to have any type of health coverage and will pay entirely out of pocket, and its not guaranteed that they can maintain the loss if they aren't changing the way they live, increasing energy output, etc.
Exercising on Ozempic also sounds horrible as hell, probably burn fat based vitamins as I said earlier.
PSA: If you ever decide to try HMB-CA (it will likely be a calcium salt, anything else is a lie/scam, like "free acid", etc), mix it with sweet juice only, it may still destroy the taste of it. This IS THE WORST **TASTING** SUPPLEMENT EVER, it's a butyric compound so it has the wonderful pukey taste, smell, etc. If its not mixed with sweet juice, you will regret it. DO NOT PUT INTO PROTEIN SHAKES, YOU WILL BE DUMPING IT AND I DON'T BLAME YOU.
It's just a leucine metabolite that we only create small amounts of, I have supplemented like 5g a day in the past of it though so its super safe lol, just tastes like absolute hell. Like acidic puke with a hint of apple. No, I'm legitimately not joking.
Yeah, how soon before the lawsuit commercials "Did you or a loved one take Ozempic?..."
I’m curious, how many physicians/surgeons take the same prescriptions they prescribe?
This was extremely helpful thank you. I’m always looking for pharma companies and abuse of prescriptions.
Who’s the best?? You da best Dr. K❤
Thank you for your brilliant quality videos! I always thought that your content desrve far more views, and now it is happening! I am so happy for you!
I had a doctor prescribed me Topamax for weight loss. It's a migraine drug. It gave me brain fog and I struggled with simple daily task. I learned that sometimes the side effects are worse than the original problem.
I'm on that and WeGovy (another form of Semiglutide) and it works well for me. I hope I don't get this brain fog everyone keeps talking about with Topamax
You forgot the Ephedra craze of the early 2000s.
Maybe I cut this out in the full edit .:so many things to include!