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Best weight loss medication 2022? Does Wegovy work?
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- Опубліковано 14 сер 2024
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Dr. Scott Bland is a board certified obesity and family physician striving to increase access to accurate health information.
Disclaimer: All views and information expressed by Dr. Scott Bland are his own and not those of his various employers and/or partners in any endeavor. They do not reflect the official policy or position of the US Army, Department of Defense or the US Government.
The information shared is intended to serve as educational information and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. UA-cam videos are not the practice of medicine. All content, including text, graphics, images, and information is for general information purposes only. Any video or conversation on UA-cam does not replace a consultation with your own physician and does not ever establish a physician/patient relationship under any circumstances.
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*I don't get any money from Wegovy, I'm not that important. I just think the results are interesting and worth considering in the context of your own health needs*
New England Journal of Medicine link to the Wegovy trial:
www.nejm.org/d...
0:00 Wegovy trial results
1:55 Wegovy Cost
2:58 Wegovy side effects
4:00 Realistic weight loss goals
4:30 Does the weight stay off?
#wegovy #weightloss #obesitytreatment
I know a lot of people are excited about the potential for this medication. What are your thoughts? Is this data intriguing enough to have a conversation with your physician?
Scared of side effect
Yes! It worked for me & I never made it to the 2.4 injection. I was 218 lbs in July '21. 7 mos later I was down 86 lbs. I walked 1.5 - 2 miles daily & ate sensibly while fasting (14 hrs between my last & next meal). I had nausea the 1st 2 wks, that was it.
Wegovy saved my life. Insurance didn't pay, however, the manufacturer offered a sizeable discount that allowed me to afford it. I've been off of it for 1 month & I've continued to exercise & am maintaining.
I’m reallt happy you had a good experience. I also love that you are approaching your health from multiple angles. Congratulations!
@@DrScottBland 😊 Thanks!
How are you doing now, 4 months out?
@@cindyleeger I'll actually be 1 yr out on July 27th & I'm doing great, I've lost a total of 102 lbs.
I'm still walking 1 - 1.5 miles daily, but I'm incorporating more Calories into my daily diet because I don't want to lose any more wgt, just maintain. My A- 1C is 5.2 & my body fat is 8% (I'm 58 y.o.). I've still got some aches/pains w/my bad hip, which was a big part of my motivation to drop the wgt. I'd already had 1 hip replacement in 2019. I've got so much more energy now. I was building muscle as I lost wgt so my tone is good & I've got definition in my arms/back & legs. The skin on my thighs is a little Crepey, but IDC. My days of wearing "Daisy Dukes" are long gone😂😉.
@@michelebradley7813 that is a fantastic result, absolutely amazing. I’m so happy you are well and keeping the weight off. I hope it will happen for me too. The medication is very back ordered and I see people not being able to find it. I think in the fall things will be better and that is when I’ll get it. I have an rx, but the pharmacy doesn’t have it. I’ve tried everything, right now I fast 19 hours a day, still very very slow. But I’m not gaining. Your story gives me hope.
I am in my late sixties and was prescribed Ozempic, starting at .25ml and now at .5ml per week. About 1/5 the dose for Wegovy. In the first 120 days I have lost 25 pounds, which is almost 9% of my beginning body weight.
Compared to being famished seemingly every waking hour of my life on the past diets that I have tried, Ozempic seems like a miracle.
I’m really happy you are having a good experience, thanks for sharing
I started at .5mg at 237lbs. in November 2021, and I’m now at 2.4mg and weigh 196lbs. My A1C is normal (it used to be around 6) and my cholesterol is now as low as it was 5 years ago with 41 HDL. Wegovy is amazing, I just wonder if I have to STAY on it or not. Fortunately it’s only $20 a month for me with insurance. But it’s sufficiently impressive that I’d stay on it for life. One shot a week is hardly any inconvenience given its many benefits so far!!!
I’m glad it’s been successful for you. The obesity medicine association has been trying to change public views on this to accepting this a chronic condition that deserve comprehensive and chronic treatment. So far data indicates weight comes back if the medicine is stopped but we’ll see if that changes over time.
Congratulations I’m seriously trying to get back to that size
The medical professionals are always afraid to try new things. Every time I talked to my doctor about weight loss he tells me to go home, diet and exercise. This has been the standard treatment for obesity for over 40 years.......treat yourself. All the while the obesity rate is constantly raising. If this is the real "medical" treatment......then why are there no inpatient obesity clinics (like drug treatment centers) where I can go to get one-on-one coaching with trained fitness trainers, all covered by insurance?
My doctor sent me to a dietician. She showed me a chart on wht to eat, what to avoid, and portion control. She gave me a weekly diet chart that was supposed to to help me. I told her I don't like eating many things on the chart (not by choice, I just don't like them and I gag on them). Her response was that I would have to learn to like them. Really??
I think doctors don't actually want to treat obesity because there is money to be made on taking care of the side affects caused by obesity.
I will be asking my doctor to prescribe Wagovy and see where it goes.
Anectdotally I’m hearing from docs that use it that supplies are coming back to normal levels. Sorry it’s been such a rough time
I first heard about ozempic back in October and have finally taken the steps to start taking wegovy this past Friday. I appreciate your video and others who have depicted their journey because now I'm more prepared for what to expect. I'm excited and I really hope it works well for me but I'm not going to rely on it alone for weight loss.
I’m actually documenting 30 days of calorie restriction now to see what the level of calories prescribed to bariatric patients feels like and document energy/issues faced etc. Good luck on your journey, was finding stock of the medicine hard? In recent times many docs had trouble finding the med
I started with ozempic back in March 2022 am now on wegovy staring weight was 357 I am now at 245 cut soda,fast food ,and alot of carbs out of my diet along with exercise but nothing ridiculous
Thank you for sharing your experience, hope it’s still going well
My Hubby & I are on OZEMPIC, We have chosen to take our injection (Once a week) at night, NO Side Effects. I was the same way with SAXENDA, NO Weight loss, BUT NO Side effects as I took that each night for 6 Months, Just a heads up. xoxo
Appreciate you sharing your experience, I’ve heard some folks are having trouble getting doses due to supply chain issues, have you had any interruptions?
I’m getting Gastric sleeve next month but I’ve been on Contrave since Feb 11 2022. I started at 390(I’m a 44 yr old male, 6’0-6’1) today I’m 319. The medication only cost $99 and I’ve had no side effects. Also insurance(depending on what you have) can pay for it. I’m getting the sleeve because I’m certain I won’t get to 200lb’s on the meds plus I don’t want to be on meds forever. the only problem is that you will have to force yourself to eat. Also one of the medications in the pill is Naltrexone which can help with alcohol addiction. So you really can’t drink on this medication. By the way I am a 100% disabled vet so no I don’t exercise although because my surgery is coming up I’ve been walking more. I have eaten allot healthier but even that wouldn’t of happened without the meds. This is just one medication tho and I’m sure there might be better ones than this possibly even Wegovy but I couldn’t get Wegovy because it was out of stock at the time do to demand. Well I hope this helped and good luck on your wight loss journey.
Really appreciate you sharing and yeah, the supply issue has been a major problem for the obesity medicine docs trying to prescribe it
I just received my 6-wk supply of Ozempic from Marks Marine Pharmacy in Vancouver. It came to $340. My obesity medicine doc sent the script to them and it was much more affordable. My insurance covers Wegovy, but right now there are supply issues and starting dose isn't available yet.
Thank you for sharing, I hope it ends up being helpful to you
Same here
I got my medication for 120CAD for a 3 month supply here in Canada!
Hey Dr Scott. Great unbiased opinion! In the USA it comes with a 'black box warning' for potential thyroid cancer. Kidney cancer in mice was another issue. I am mere opinion as an overweight person who is excited by a drug that can make me lose weight, I know without permanent lifestyle changes, we cannot lose or maintain weight. The long term use of this drug for not what it was intended to do may come with serious and detrimental consequences as cancer doesn't pop up overnight 😔
Yeah, I agree with you the early adopters take all the risk of bad news down the road. It’s a complicated decision
I will start my 1.7mg wegovy on 11/25/21..I started at 215 lbs and Im currently 201lbs..my doctor started me on the .5mg which was okay with me cuse most doctors start patients with .25mg..i pay $25 after my private imsurance and discount coupon are calculated at the drug store saving me $1594🙂..when i get down to my last 2 pens then I call my doctor to start processing my next increase dosage..
It's downright crazy how much some of these meds cost right? But luckily insurance handles a chunk of it and it seems to be giving you the results you are wanting if you're still with it. I hope it gets you where you want to be, thanks for sharing.
Where did you get the discount coupon?
I had never even heard of this medication before…good info!
Yeah, this one is actually pretty new. Even us docs are getting used it
I’ve am in the process of ramping up to the therapeutic dose. My doctor has suggested that I try WEGOVY to spur on the weight loss I required to be able to have the hip replacement I desperately need. If I didn’t have good insurance I could never afford it.
I wish you good luck with it. It’s not a perfect med for everyone but it has been a real game changer for a lot of people. Hope you can get to your goal for the surgery, my mom got a new knee and it really improved her quality of life
Just took my first shot of the .25mg dose over 24 hours ago. I am not sure it is working. I feel a little less hungry but that's about it.
Hope it ends up being helpful to you
@@DrScottBland yep, and for those who might be reading this to get someone’s experience, I just finished the .25mg last week and started the .5mg dose earlier today. I had a very slight stomach ache for an hour but it went away. No real effects so far. I still crave sweets so that hasn’t changed, unfortunately.
I just started wegovy after a year on saxsenda. I lost 75 in a year on saxenda. Moved to wegovy to get 7 day coverage.
Thank you for sharing your experience
Hello, may I ask how come you switched? Asking because I’m wanting to get started and can’t decide which one I should choose my insurance doesn’t cover either one so I’m having to pay out of pocket.
As long as the system lets pharma finance their own studies you should be suspicious. In this study, every researcher was on the payroll of the drug company making it. It’s in their best interests for this to work.
I generally agree with some healthy skepticism in almost all areas of life haha
I anticipate most insurance carriers will not cover it. Big pharma needs us to be sick and obesity is their friend that gets them there. I’m glad some say that insurance is covering but overall I doubt that will be the norm.
Hopefully it will be temporary but right now they just literally can’t keep up with the manufacturing
Agreed
I’ve been taking this medicine since January 2022 and I have lost 20lbs so far. I would have lost more if I’ve Exercise at the beginning. The only side effects is constipation
Thank you for sharing your experience, I’m glad you seem to be happy with it
What does it effect after a while? Liver heart, eye sight,..
The “after a while” question remains to be answered as semiglutide (marketed as both ozempic and wegovy) was first fda apporved in 2017. We’re only 5 years into access for this and don’t have data to answer questions about a lifetime of using the medicine
I’m having side effects right now
I was on this starting Trulicity and then Ozempic for Diabetes. I was losing weight previously then it did drop it more rapidly then plateaued. I was progressively sick, for 6 months , it is a poison.
I'm so sorry you had a rough time with it, hope you are doing better
The side effects concern me😩and once you get off the injections do you end up gaining the weight back?
My understanding so far is the there is regaining if you stop the medicine, the obesity medicine association considers obesity a chronic disease that can require chronic treatment
I just finished, in two months I lost 21 pounds; eating, when I could, the proper human diet (Dr Ken Berry) My stomach shrunk, so I still get full quickly… I do find that I have to be conscious of what I eat… but it is a good booster. ( I was able to get mine for $400, whichnlastest me for two moths from a Weight loss clinic called Metobolic Research Center. Mine came in an insulin type bottle and I drew up what I needed.
I have been Ozempic for 6 Month's 0 weight loss. Ugh do you think if I switch Wegovy will it changes anything?
I’m sorry you haven’t found the answer for you yet, I hope you do soon
@@DrScottBland Thank you.
What happens if you stop taking it
Most data I’ve seen predicts regaining. The obesity medicine association views obesity as a chronic disease that likely requires lifelong treatment to some degree for most patients
Plz sand me weight loss medicine
I don’t distribute medicine through youtube, sorry. This is just an educational channel
I heard magic pill. 🙂
I know some obesity specialists are pretty excited. It's not a perfect medicine but telling a 400lb person they have a legitimate shot at losing 60lbs because of this medicine is big. I have to admit that no one is likely more excited than the stockholders of the manufacturer but the medicine seems to be promising
Do you bleed after you do the injection needle pen?
I am not personally on the medication although I have started patients on it. They say there is a drop or two at most but it hasn’t been a major complaint although none of the people I have started were suffering from a bleeding disorder. There are needleless training pens most offices have access to and I would offer to prescribe and have the patient bring the first “real” pen to the office for supervised injection the first couple of times if they were nervous about it.
Matt, no. I've never seen any blood and honestly, I can't even feel the needle. Its shocking how not-uncomfortable it is. (Ozempic, not wegovy)
@@Becca4.2 really appreciate you sharing your experience to help others
I took my first Wegovy shot yesterday. No pain, no bleeding.
Will Tricare pay for it?
I just checked the tricare formulary tool and it looks like it needs a prior authorization. But as obesity is literally the only disease I’m aware of it being approved for that probably means it could get paid for. We both just learned something
@@DrScottBland thank you so much!! I just made an appointment with my Internist to discuss this.
My insurance needed prior authorization but it was approved.
How much does this medication cost in Australia ?
I’m not in Australia so I inly know what I can find online but it seems like wegovy isn’t available there yet (stories say sometime this year). However it does seem that Australia has ozempic. Ozempic and wegovy are the literal same medicine but packaged at different doses
In Oz, you can get Ozempic 3ml 1.34mg/ml for $161 at Chemist Warehouse.
@@Sam-os1lt man it’s amazing how much difference the cost is in meds when you cross a border
@@DrScottBland totally and it’s A$161 or US$115. This is off label for weight loss, for type 2 the cost is US$29.
Considering Australia is quite an expensive country overall to begin with, the cost in US is absolutely insane. The generic for this is gonna do wonders for millions of people.
@@Sam-os1lt really appreciate you sharing the information
A LOT of nausea... like a LOT. Like - please God - make it end type nausea.
It can be overwhelming for some people unfortunately. Sorry
You need to let your doctor know so he can prescribe something for the nausea and you may need to stay on a lower dose longer. I am no doctor but it is what I have been reading in the comments of other videos from others who use semaglutide.
@@shannoninalaska it is true that some people just can’t tolerate certain doses
Why not reducing weight naturally through East diet plan and some exercises that you enjoy the most and keep yourself healthy and enjoy life.and it will save you a lot
I’m a big fan of lifestyle change as the first treatment plan, but I’m also a big fan of practically admitting many people won’t make that change for any number of reasons. I don’t think this is the best tool in the toolbox but it certainly could be useful to some people
You have to do both once the weight loss slows down. It is a great tool to kick start sluggish metabolism and lose a chunk of weight quickly and easily which can make a huge difference for people who have arthritis and have to lose weight prior to elective surgery but can't exercise much. Good alternative to gut surgery.
@@janemarx1321 those are good points
Some people have medical conditions that make exercising very difficult. And, when you have said medical conditions that affect your quality of life for a LONG time (say over a year) it's pretyty common for depression and overeating to follow. Come back and comment after you've been diagnosed with a chronic illness and had an injury or two that made you disabled for 6 months or longer.
@@AmyLouWho17 I think you highlight a pretty important point that mental health is an often overlooked component of the issue whether cause or effect…I’m sorry it has been a rough time for you