The “Dark Side” Of Ozempic (HEALTH PROFESSIONAL EXPLAINS)
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- Опубліковано 21 лип 2024
- If you or a loved one has thought about taking Ozempic or any other similar weight loss drugs, you are going to want to watch this video until the very end. Today, I am going to explain what Ozempic is, how it works for weight loss, and what you should consider if you are taking or thinking of taking semaglutide based drugs.
Ozempic is the brand name for the drug semaglutide, falling under the GLP-1 drug class. Some of these drugs you might know by the name of Ozempic, Wegovy, and Trulicity. These drugs are used to control weight loss in users using a different method than previously applied drugs. Instead of using amphetamine based drugs that essentially “sped up” the calories-out portion of the calories-in-calories-out equation, they are used to control the calories-in portion.
These new drugs, such as Ozempic, are now manipulating the calories-in half of the equation by controlling appetite at the neurological level as well as delaying gastric emptying to help you feel more full for longer periods of time, again helping to curb appetite.
For those that need Ozempic medically, this drug has been an absolute game changer. While being able to combat the weight gain that is associated with type 2 diabetes, it is able to do so without the worrying side effects of other drugs.
I find it common, sometimes even coming from myself, that people are quick to blame someone being overweight for their lack of dedication and effort to combat their severe weight issue. However, that is not always the case - they might be doing the same thing that everyone else is doing in their pursuit of weight loss. The problem is, they could be such a metabolic mess, that despite their best efforts, they just can’t achieve the same results as someone else.
While the intended use of Ozempic is noble and helpful, the misuse of the drug is rampant. People are running to using semaglutide products such as Ozempic in a pursuit of losing 10 lbs for their upcoming vacation. This has resulted in issues for the people that actually need the drug, namely: a supply shortage along with the price of the drug skyrocketing making it less affordable to those that really need it.
Now, this brings forward the issue of the unintended side effect of Ozempic and similar weight loss drugs; where is that weight coming from? is it all fat, or is it something more? You might not know this, but a significant amount of weight loss does not simply come from fat stores, but also from lean muscle tissue. This becomes a major problem for anyone taking these drugs and is something that they need to be made aware of.
In any case of weight loss, there is going to be a portion of that weight that comes from body fat and a portion that comes from muscle as well. However, it is up to you to maximize fat loss while minimizing muscle loss. With drugs like Ozempic, the weight loss is rapid making it hard to control just how much muscle you are losing along with the fat being burned.
Studies have shown that taking weight loss drugs like Ozempic resulted in a loss of muscle tissue being between 25-35%
That’s not good.
In my profession, if I were responsible for someone losing 25-35% of muscle mass, that would be cause for major concern. This would actually lead to the presence of a skinny-fat physique, which is something that is undesirable. Someone who is skinny fat does not have that is lower bodyweight, but does not carry any significant muscle mass.
The problem with being skinny fat, especially at the end of a weight loss journey, is that there is a limited supply of metabolically active tissue. This means that if you were to resume eating the way you were before, you’d be packing on fat just quickly as you did before you started your path to losing weight.
The trick? Start strength training.
The benefit of strength training is that it gives you metabolic forgiveness; the more lean muscle you carry, the less effect food has on you metabolically. You can have that cheat meal without as much worry than if you were not training. If you focus on your efforts in the gym and rely less on drugs like Ozempic, you are helping yourself metabolically, aesthetically, and you are leaving more of the drug available to those that actually need it.
Make sure to keep watching to the end to hear about how important your nutrition is in your pursuit of weight loss. It can't be overlooked even for a second.
The Truth About Ozempic - athleanx.com/x/ozempic
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I'm a 35-year-old guy who started taking Ozempic a year ago because I was on the brink of diabetes. The improvement was immediate-it transformed my life, boosting my energy and self-esteem, which encouraged me to start exercising. This led to a weight loss of 60 pounds!
Your channel then became my guide on how to exercise correctly, helping me build muscle. Honestly, I've never felt better. Although I still have a journey ahead, my body fat percentage is now 22%, a significant drop from 35% a year ago. My latest blood tests show everything is normal, my glucose levels are excellent, and I'm no longer considered pre-diabetic. So, I completely agree with you! For those who need this medication and are willing to improve their lifestyle, not just use it as a crutch for poor eating habits, it can be a game-changer. You just have to approach it the right way.
By the way, the doctor is now lowering my dosage and I should stop taking it in 3 to 6 months depending on how things go :)
Good on you man. Inspiring.
Great work!!
Good job. Keep up the good work!
I’m a surgeon and I can tell you that there is huge value to Ozempic and Mounjaro when used with exercise and dietary modification. Studies have shown that both medicines decrease the risk of adverse cardiovascular events such as heart attack and stroke. There are a number of second generation medicines currently in Phase II trails that are even better than the dynamic duo. Once you reach your desired weight, drop to a maintenance dose and stick with it for life!!!
Hairline is bulletproof
It's closing in!
Must be ai generated… too perfect
Down to watching this video..
Crawl back into your hole.
That's Italians for you
I've been on Ozempic for a while. I was prescribed it because my A1C was 8.3 and is now down to 5.0. With that being said, I made the mistake of basically starving myself because I was never hungry. I engage in weight training 5 days a week and while I lost a bunch of weight, I wasn't seeing any gains. Now I force myself to eat high protein meals to build muscles and I don't use the scale as a success indicator, I look at how my clothes fit and what I see in the mirror. If you are just starting to take the drug and do weight and cardio training, be sure to eat!!
You know diabetes is cured by consuming a pound of sugar per day? I’m not even joking. Look into some of Georgi Dinkov’s stuff here on UA-cam
how much did you take. dosage wise
@@cwhiting Most people find that even less than 1 ml is enough to completely suppress their appetite.
As an anesthesia provider, GLP-1 drugs like Ozempic make our job much more difficult. These drugs delay gastric emptying to keep you full longer. Many patients present with full stomachs even after days of no eating which presents risks of stomach contents entering the lungs during anesthesia
This is interesting, never would have thought of this problem, and those that take the drug are more likely to need your services. Thank you for sharing.
You can do stomach cleaning and colon cleaning mandatory before the anesthesia then for those
The delay is only about 2 days and just about everyone on these drugs who pays attention now knows to stop using a week prior to surgery.
Not for sudden emergency surgeries @@VernCrisler
Not all surgeries are planned. I imagine that is the circumstance that the Dr may be describing. For example- I had no plans for my appendicitis surgery. 😅😮
Always love the sit down videos
In the past year, I've rotated thru a bariatric clinic and endocrinology as an NP student. It's hard to get people to make lifestyle management changes when they are off the charts, like their Hg A1c is >10-13%, BMI is >50 or 60. I had a patient with a BMI of almost 70 last week, and the typical person at that stage unfortunately needs so much more help than just getting a dietician consult. Meds like semaglutide or tirzepatide can be very useful for these people.
My father and uncle both got pancreatitis from ozempic. I worked my ass off to lose 200 lbs without weight loss surgery or medications like ozempic. I feel wondrrful. Im off insulin now, my a1c is 5.2 and im looking into getting skin removal surgery.
Please be incredibly careful with ozempic. If it helps you, great. But the side effects can be terrible. Use it responsibly if you choose to use it.
Would you coach me thru zoom and email im in need of help from a person that did it im determined
Nice video Jeff.! You made some valuable information available here!
Great video. No outlandish clams or scare tactics just giving the best info he can compile and letting the people decide themselves. Props
I must have missed the part where he talks about clams.
🥟🦪
@@Aggravath to be fair, most clams are pretty outlandish...
Thanks for the excellent explanation of these drugs. I am a 5'9", 54yr male that a year ago weighed 230lbs and had an A1C of 12.5. I have been Type2 diabetic for 10 years and was able to control my sugar with diet and taking Metformin. The last couple of years this stopped working. Last March my Dr had me start Mounjaro (similar class of drug to Ozempic). After 6 months, I was down to 175lbs and my A1C dropped to 4.9. Around this time is when I noticed I was not able to do the same physical activity as before. I had lost a lot of muscle mass as well as the fat. After talking with several people from work about "working out", they shared the 1gm of protein per lb of body weight to increase muscle with me. After doing a lot of Youtubing, I found your channel and started learning more about eating right as well as starting body weight exercises. After the last 4 months, I am now down to 165, 13.5% body fat, and gaining my strength back. I feel better than I have in years and could not have done it without the medication and the knowledge about what to eat and how to exercise.
Definitely need more people within the fitness industry addressing these kind of things.
Agreed. I have a brother in-law that took up a Tik-Tok challenge and quite literally gave himself Rhabdomyolysis because he didn't know what the f*** he was doing. Understand this: you can actually *die* from that, even if you don't it's a checkmark on your health and fitness, and it is sure as he** going to mess up your future training. The world of fitness has gone mad ever since the idiocy that was Crossfit, and it just seems to get worse. I am afraid we will have an entire generation that are joint-broken and physically destroyed before they even get to the good parts of life.
@@user-ly3pn7qx2j What's the challenge?
They probably are. This video is artificially not reaching as many people as usual. It wasn’t even in my sub feed.
So non doctors should speak on this as expertise with zero medical field experience?
Kara Corey Fit Life (Dietitian) did a great video on this topic a while ago
As always Jeff…great info!
Seeing this reminded me that there are some things some of us naturally struggle more with. I haven't been able to find any good videos on two subjects that would probably help loads more people than just me. The first would be a good video showing kids 11/12 years of age how to properly start working out. Things like what movements they absolutely should not do, and a good idea of exercises that will help them the most during development. The second is something for those of us with permanent and potentially degenerative damage (in my case, shoulders, back, knees) that will still allow us to be healthy while taking our injuries into account. I can't stand the times where one day in the gym, or even doing simple things around the house mean I'm in enough pain that activity for another couple of days is excessively painful. I'm not just talking about the normal physical therapy stuff that I've been through several times over, but something that is supposed to kill some fat (helpful to reduce weight on joints with issues) and build muscle. Thanks for the honest videos and good advice over the years.
Do you sit a lot? In my case, I was obsessively pursuing a career that involved sitting at a computer ALL DAY. I forgot how to walk properly and stand properly. It’s still not perfect but the solution was to identify what needed to be loosened, what needed to be strengthened. I had to document it all and keep revising it. I narrowed it down a few stretches I do every day to stay pain free. And a few posture reminders.
Hydrotherapy is a great way to engage in exercise while reducing the load on joints. Also consider finding a physiotherapist that doesn't use nocebic language, as often terms like degenerative damage can lead to fear avoidance issues which can lead to further disuse which will only compound your problems. In cases where the damage to joints is degenerative such a osteoarthritis, loading the joints is still important as the cartilage between joints receives its nutrients through mechanisms which are triggered by the joint being under load. Obviously being in pain for days after doing exercise isn't fun, so it's important to find exercises that are less aggravating, or to reduce the intensity of the ones you are already doing until your body adapts.
As a diabetic who just started your workout program, this is one of the best videos Athlean-X has ever done. Thank you for acknowledging the struggle of weight loss and the unspoken issues associated with Ozempic use by non-diabetics.
t1 or or 2
Ozempic is not suggested for people with T1 diabetes. T1 will require different kinds of insulin for treating the disease itself, but this could be useful for someone who is struggling with their insulin resistance/bad blood glucose management and has T1 diabetes. However, there is not much evidence or studies about how Ozempic might effect those with T1 diabetes, and it could even be dangerous. @@johnpaulsousa913
@@johnpaulsousa913 Ozempic is not recommended for Type 1 diabetics. Ozempic® is not for use in people with type 1 diabetes.
It is not known if Ozempic® is safe and effective for use in children under 18 years of age.
The bigger issue is providers don’t know that Wegovy is the weight loss brand. I strongly believe a lot of times Ozempic is overprescribed because providers don’t know the other name of semaglutide. Tough thing is… even for those with very high BMIs insurance may not cover anything but Ozempic
@@taiwandidnt3790 you nailed it. Even Trulicity and Mounjaro aren't covered to the degree that Ozempic is. People also don't understand that Ozempic isn't just an appetite suppressant; it actually stimulates the release of insulin to help lower blood sugars. If you are a non-diabetic on Ozempic, you risk hypoglycemia.
I am on this medication and I have not experienced any of these side effects. Couple of points. I have kept my dose at lowest effect dose. I strength train 3 days a week. I keep my protein intake high. My weight loss is avg 1 lbs a week. I have not experienced muscle loss. This is confirmed via dexa scans. The benefit of this drug is the mental side for me. It killed my binge eating. It killed food fomo.
Great job!
Thank you for sharing, thus is my problem. Food adiction
Great job but how does a dexascan confirm no muscle loss when its used for bone density? Have you tried a body composition analysis to measure skeletal muscle mass, fluid weight and body fat percentage?
I’m the same 0.25 has no side effects, goal is to do cardio always throughout the future when stopping cutting weight along with 3 hard training days
Excellent presentation. Thank you.
I’ve been on Mounjaro for diabetes since Nov 22, 2022 and I have lost 105 lbs. My A1C is now 5.0 and my cholesterol is well within range for the first time that it has ever been checked (1st checked in 2018). I have kept my protein to 100 grams a day and did strength training 4 days a week. I changed my eating to eat healthy while eliminating sugars, fried and processed foods. It has been a process that I have worked extremely hard for. Your channel has been a part of that process by teaching me a lot about how to train and how to eat. Mounjaro has been a miracle drug for me but many don’t change their eating patterns and don’t do the work, they still eat the greasy foods only less of it and still see weight loss. These are the people with lean muscle loss…..
Fantastic work!
I've had a similar experience.
Where you taking both diabetic medication and mounjaro? Or just mounjaro?
Great video and information. I get asked about this often and this answers everything very well!
as an RN, I appreciate this informative video. I love how you break down the information. You are so knowledgeable and logical. Love this and will be sharing with all of my colleagues. Thanks a ton!
Thanks Jeff for this video 👍 Someone close to me is just about to start this drug (for the right reasons) and this will reinforce the need for protein and exercise. Well timed, informative, no jargon.
Amazing video. Thank you.
Im type 2 age 55 on Ozempic. Im 5’11 and 190 from 245. Jeff is right-I lost a ton of muscle with the weight. Side effects suck-lots of gas, bloating, burping and constipation at times. Doctor said this drug will protect kidneys and heart too-which Im curious that Jeff did not mention. I had thyroid cancer so Im nervous about that on this as well. Im a college coach and would hate to get skinny fat. So you will lose wait when you have stomach discomfort-who wants to eat on a sour stomach? Hoping this is just my personal experience but i thought I would share.
A plant-based diet for the prevention and treatment of type 2 diabetes
www.ncbi.nlm.nih.gov/pmc/articles/PMC5466941/
"Multiple potential mechanisms underlie the benefits of a plant-based diet in ameliorating insulin resistance, including promotion of a healthy body weight, increases in fiber and phytonutrients, food-microbiome interactions, and decreases in saturated fat, advanced glycation endproducts, nitrosamines, and heme iron."
4 month wegovy user here. Everything that you're saying here is spot on. I've gone from 30+% body fat, down to 24% in just those 4 months. Down 45ish pounds. No longer pre-diabetic. Kidney and liver values are normal. Cholesterol is normal. To say that this is a lifesaver is not an overstatement.
But I'm also using this as a way of making lifestyle changes. I hit the gym 3-4 times a week, I've shifted to eating high protein and lower carb. I've given up soda. My alcohol intake is a FRACTION of what it used to be. With all of that, according to my last scan, my lean muscle loss was around 5 pounds. So a little over 10 percent of total loss. A little higher than I'd like, but I'm not going to complain about it. Once I'm at my goal weight, I'll start trying to bulk up somewhat to build it back up.
Jeff, been with you since 2013, ELEVEN years! You've changed my life more than any other person im not literally related to. Thank gou so so much for everything.
Good video.
When taking semaglutide people should also be aware that other possible side effects are medullary thyroid cancer, pancreatic cancer, acute pancreatitis, gallbladder stones, and gastroparesis (paralysis of the stomach that does not necessarily resolve after you stop taking the medication).
These conditions can greatly diminish the ability to digest and absorb nutrients (acutely and/or chronically), as well as send you to the emergency room or worse.
Semaglutide has been on the market for less than a decade. It has not been adequately researched in the myriad populations now taking it, so this is likely not an exhaustive list of potential side effects. We will know much more in 10 or 20 years when consumers discover them through use.
I’ve had to take multiple people off Ozempic due to acute kidney injuries (ultimately dehydration-related usually). The majority of patients I see on it tend to do okay at least for now, however I do think it is being wildly overprescribed.
In terms of how much protein to take in, KDIGO guideline for a diabetic patient is 0.8 g/kg body weight daily, however data is so varied on this subject
@athleanx can you do a video on the best strength training for martial arts like boxing, grappling or mma
Thank you for making this video !!
Thank you for making this video Jeff. I’ve been wondering about muscle mass and protein intake due to low calories and weight loss. 👍🏼
Thanks for the info Jeff!
Scary stuff😬
OK, I'm 70, diagnosed T2 diabetic 25 years ago. I have managed to stay off insulin with diet and various drugs. At 60 I was driving Uber and sitting on my butt all day. My A1c started climbing. I heard a commercial for CrossFit over 50 program, figured this should be a laugh, gave it 2 weeks (of a 6 week program). I did it for 5 years, A1c dropped to normal levels. Huzzah! Then Covid hit. Twice. I experienced what is known as Post Exertion Malaise (PEM). Essentially, physical exertion results being physically and mentally wasted for days. I thought I was being lazy. I was never diagnosed as it was unrecognized (as many of the Covid effects were, still are). After a ton of reading, I realized what had/was happening. And now that they have identified it, research is showing that Covid may have physically altered my musculature to the point that more physical activity (intense training) would exasperate my physical condition. As my A1c has resumed it's climb, my endocronologist has put me on Ozempic to help control the diabetes. I need to get back into the gym, but quite frankly I'm concerned about worsening my physical structure. Looks like I'm kinda between a rock and a hard place. Long walks for now . . .
Jeff, excellent and extremely informative presentation. Keep up the good work, it is appreciated. MSD
It's good that you're looking out for those people and trying to help them that need the medication
You’re Awesome! Thanks for all you do ❤
Love love love you❤...very informative and engaging😊Thank you
This video just straight up isn’t popping up in my subscription feed
Same 🤔
Mine neither! I usually get Jeff’s videos up at the top of my youtube page
Possible targeting?
It popped up in mine but I'm guessing it's because of the content. Algos don't like people telling truths trying to help people..thanks Jeff
My family doc suggested this drug to get my weight back in check, thank you for addressing this.
Thank you so much for showing these facts. Many have not seen the research
Love these types of videos at the desk like I'm getting a talking to or consultation.
I have T2D and Ozempic has changed my life. Not much weight loss but glucose levels are normal. It is a life saver.
In obese and diabetics their natural GLP1 is usually not functioning properly, also influencing insulin secretion. Healthy people who want just shed a few pounds with otherwise healthy hormonal system are asking for a trouble. And those see more negative side effects, especially when wegowy has more of 5he hormone they don't need than diabetics in ozempic.
You realise it can cause cancer right?
That will change anyone’s life
@@marcusherts9345which cancer is it contributing to, specifically?
@@lovejoy1311 Possible thyroid tumors/cancer, pancreatitis cancer, hypoglycemia, gallbladder issues, kidney failure
@@marcusherts9345 Diabetes already changed their life and is also one of the risk factors for cancer. One in two people will soon face a cancer diagnosis. That ozempic cancer is rare, but diabetes wreacking havoc in people is widespread. I inject myself with immunosuppressants that could cause some forms of cancers too, among other diseases like MS, but not doing so I would face other health issues, pretty painful and debilitating. Everyone has to weigh pros and cons, what is more urgent for them.
Very well explained!
Finally an unbiased video showing both sides of the equation. Most are scare tactic click bait videos.
Well explained.
enjoy your drugs.
I’m 6’1 45yo started SemaGlutide 02/2023 @ 318lbs by 11/2023 was 194lbs. Yes I started working out and riding my bike 10-30miles everyday rain or shine. It’s changed my life and I’m grateful for it. Yes you have to make a lifestyle change
What was the name of the bike you used?
No shortcut will get you to maintain your body well. It's not a toy either to drag around like that.
I find that cutting out all processed sugar and time-restricted eating has been hugely beneficial. If you can combine some kind of food intake control with fitness, you're likely golden. But you also have to learn to let go of the bad.
I think you make many great points. Another issue is people more concered with the outside total weight, ratehter than their blood test and other results. I think the issue with Ozempic wont be side effects for most people but the known effect which is a loss of muscle tone. He is also right about skinny fat.
Thank you. I work out 4-5days a week, I'm 56 and I've been doing this for a while. I cannot seem to drop below 200lbs @ 5'10" (Currently I'm 210) and was thinking about trying one of these drugs. I dropped below 195 for a bit while taking TRT (pellets in my buttocks) but it made my PSA level rise by one full point over the course of a year. I'm supposed to be taking metformin for my elevated A1C. After a hard push on a set or hard run in the elliptical I became extremely lightheaded and dizzy. I have sense switched to Ceylon Cinnamon and changed a lot of my diet.
Thank you, Jeff, for this video.
Oh, you'll definitely drop the weight on these drugs.
I listened to a lot of channels I suggest you check out mind pump there great and they talk about reverse dieting and it does work I did this for my mother who is 70 check out
Try Berberine with policosanol it may help, but also ruthlessly root out sugar in your diet. HFC is terrible and it's in everything. They now label it "corn sugar". Maltodextrin is also likena sugar. Increase fat intake, healthy fats like in salmon or in avacado if you don't want too much animal fat and DO NOT snack.
I had tipped over into obesity and couldn’t lose the weight on my will power alone so I used semaglutide for just over a year and it was life changing. I lost almost 60 lbs and my energy, confidence, and happiness sky rocketed. I changed my gluttonous indulgent eating habits and now off the med and the new habit of eating healthy portions stuck. I might have lost some muscle since I’m thin yet still have fat on me. Strength training suggested here seems something I definitely want to get into not only for now, but old age quality of life as explained.
I am 57 and strength train since my twenties. I am lean and in the best shape ever. I train with all the youngsters in the gym and they ask for my advice. Eat clean and strength train.
Jeff is the Grandmaster! Great video and information!
This was a great video. Thanks
This is good. Thank you. I work with an excellent physical therapist who has helped me learn how to and stay motivated in working out and what Jeff C. supports my learning! ❤ Make this drug available to those who need it and everybody else get yourself a good trainer! ❤
I'm diagnosed with Diabetes Mellitus T2 and my endocrinologist prescribed Ozempic but I just can't buy it anywhere legally.
Nutritionist gave me a diet that I adhere to strictly and so far, combined with light weight and cardio exercises, I went from 320lbs to 280lbs in just over a month. My t-shirt size went from 20 to 16 and while I'm still fat as frak, I do look a bit leaner now.
Considering that there are other DT2s that might need this drug more than me, now I'm not sure if I should be using it at all.
Groupon
The published studies with semaglutide/tirzepatide have so far not included groups that were doing resistance training and eating sufficient protein. Weights and protein should prevent lean mass loss while taking these meds.
They do, but only in the short term. Eventually, a caloric deficit will halt any muscle gains.
@@VernCrisler it's only a caloric deficit until weight loss stabilizes, otherwise you'd keep losing until you turn to dust.
@@davin8r Yes, but your body won't care how your weight stabilizes. In a caloric deficit, it can either get energy from fat or from lean mass. You wouldn't want the latter, and that's why bodybuilders go into a bulking phase.
@@VernCrisler There's no caloric deficit once the weight loss stabilizes. The stabilization means that by definition there is no longer a caloric deficit (calories in = calories out). To bulk, would have to do your best to increase caloric intake even if not hungry.
@@davin8r Yep, but I'm talking about the process of getting TO a maintenance phase. Some people may pick a target maintenance weight which might actually be at an unhealthy level. (For instance, I think Jeff's maintenance level is way too low.) And I agree that a caloric surplus is necessary for building muscles in the long term.
Hey Jeff I live near the pizza capital of the world here (GO Huskies) and been following you for years. I'm 57 and have battle my weight for almost 3/4 of my life. I've been working out steady for the past 8 years 5 days a week and my diet is been better but losing weight or body fat has been a super slow process. Currently 248lbs and 27 percent body fat with 105 lbs muscle. Mounjarno is my miracle drug that has helped me to start losing some serious weight I was 270lbs in October. So yes for me the A1C agonist has helped and wish insurance would cover it. Keep doing what you do, love to come down to meet you and Jessie with my son. We need some help and a nutritionist.
Good video. A very balanced presentation of the facts.
I'm currently on Mounjaro, which is very similar to Ozempic. In July 2023, I was 399.8 pounds at 6'2" and was diagnosed with Type II Diabetes with an H1C of 7.6. Additionally, all of my labs were trash. Things weren't looking good. I was aware of the weight-loss benefits of Mounjaro in that it could help curb hunger. But I wasn't delusional: I knew that I had to radically change what I ate if I was going to have any kind of meaningful results. Long story short, I didn't get to enjoy that side effect. Instead, I had to use brute force to fight the urge to eat, and I was constantly hungry all the time. I was eating lean beef, berries, and vegetables almost exclusively. I didn't go full keto (didn't want to), but I did go protein-heavy. During this time, I was also not really able to work out because my lower back would flare up from having to carry all of that extra weight. As of December 2023, my H1C was 5.2, and I am no longer diabetic, not even pre-diabetic. ALL of my labs are within normal range, and I lost 90 pounds. As of today, my weight is 279. 80 pounds to go!
One of my goals was to be able to get back into the gym. Part of my plan was to track my body composition. What I can say is that with all of the weight I lost, I only lost 2% of lean mass. This isn't meant to be self-congratulating, but I think I am one of the few that used the drug as intended and got great results. My PCP said that I was the first patient that he's heard of that had my kind of results. Most people on these drugs lose about 20 pounds, plateau, and then stay on the drug forever. I'm trying to get to me goal weight as safe and as fast as possible so that I can get off this stuff. I think if more people had that mindset, then the drugs wouldn't be getting as much stigma as they are as some sort of miracle drug that will do the hard work for you. It won't
If you made it this far, thanks for your time!
Thank you for sharing your experience. Awesome work too! You are doing great!👊
Congratulations! So many people think Mounjaro is a magic pill, but all the instructions for the medication say it is an ADJUNCT to diet and exercise. That means it's not a SUBSTITUTE for the hard work of diet and exercise. As far as discontinuing the drug, that's a complex matter. If you have Type 2 diabetes, you may have to stay on the drug for quite a while. For obesity, you may need to stay on it long enough to reach your maintenance weight and stay with that weight for a year or so. Because, those who go off the drug say the hunger noise comes back with a vengeance.
I think many of us are far more sympathetic to people who have a far greater need to use these vs someone who wants to lose a small amount of weight.
Good job, friend! Keep it up and keep the faith. Health is wealth! Literally!
@@VernCrislerit’s not a pill
Have you seen if there is (edit) any data regarding potential loss of cardiac muscle from the usage of semiglutides?
There is no evidence of this. In fact, all the studies indicate these drugs result in cardiovascular improvement.
😄
Good insights!
Close friend of mine on this has had two MAJOR health incidents. He had a life threatening gallstone from either the rapid weightless or the ozempic directly. After an injection three months later his digestive system went into paralysis and he was hospitalized for 6 days until it came back.
When it comes down to choosing between medication and lifestyle modification to achieve the same aim, it is always to prudent to choose the lifestyle modification. While the latter may require more discipline and it maybe slower, it comes with far fewer side effects, and you can be prouder of achieving your goal, because you did it with your own sheer will and determination, instead of relying on a pharmacy as your savior.
For some people, their body's fat set point never adjusts to their lower weight, causing hormonal imbalances and never-satiated hunger even for years after weight loss. Such drugs are not some pharmaceutical shortcut, but a treatment for constant hunger.
ya that's all nonsense. where were all these people 75 yeas ago? You're all just addicted to chemicals in processed foods, and you don't want to put the work in to getting over that. so you welcome a new addiction, as if that's going to work out well over the course of your life. good luck@@godminnette2
Yep. I've cut sugar, chocolate, candy, ice cream, and many carbs, and I'm happy to report, that I've gained a pound. I have a food addiction. I could use this to curb my appetite and get on a high protein diet. I also have aching joints and back, and my cardio game is weak at 265 lbs. There are a lot of poisons in our food that affect us differently.
Good job, thanks for posting, important for people to know. I tried the stuff for a couple of months and couldn't stand it, just didn't feel right. Glad I quit! End of the day, no getting around putting in the gym work and eating more sensibly. By the way, thanks for your words on obesity. In my +50s now and having dealt with weight issues most of my life, I generally don't give a flying foxtrot anymore what people think, but people in the training and healthcare community really need to understand that for many of us, obesity is not a lifestyle choice, but a metabolic condition that can be challenging to deal with. - PS: Peter Attia discussed Ozempic fat to muscle loss ratio in one of his podcasts last year. His numbers are even higher, with a 1:1 ratio not uncommon.
Interesting information man!
I would love a video that can discuss a bit more about Rhabdomyolysis. Only once did I have a brush with it. I was training for a TKD tournament and was training all day long with very little breaks. Nothing major came from it, but I did need to visit the ER. And now as an adult training for the fire service, I am wondering what else we can do to avoid it other than proper hydration and electrolyte levels.
Any input would be very helpful!
Thanks to you and a few other channels I went into my journey more informed and with a plan. I intermittent fasted, managed my macros, and made sure to incorporate a workout routine.
The first six month I lost 50lbs with about 5% of that being muscle mass. the last six months I've lost 20lbs whilst adding muscles.
Thanks.
Thanks for this Jeff. It's important information that people need to know.......the positives and negatives of using these medications and knowing who they are really intended for!! 👍
Jeff once again proving that he's the GOAT when it comes to physical therapy and metabolic health!
Please make more videos like this ❤
Thank you for giving an intelligent and informative video on ozempic. I love your videos and training. Cheers.
Except he left out things like the massive reduction of visceral fat or the reduction in cardiac events. He likes to tell you all the bad things without addressing the good. Do you know how many people die from aspirin every year?
I appreciate you saying about the struggles. Due to meds for other reasons, even cutting junk out of my diet, eating so much better and doing cardio/weights. My weight just refuses to budge. Sucks, but my strength and stamina are improving. So they are the metrics I am holding on to and improving.
I do want to say, these drugs are really good for those who are really obese and are struggling. It's better than doing surgery. It's not perfect. But it's the lessor evil between staying super obese or surgery. But they amount of people on it to lose 10 kilos or less is insane.
did you even read what he said?@@chadbevensonenson5482
Good on you making progress in lifestyle. Don't let losers keep your progress down. Keep at it mate
I appreciate whaat you have achieved so far. Great job. Next step for success could be keeping track of calories (if not done already). Happy healthy living!
I've had problems loosing weight , healthy diet , working out etc , it was only when I focused on balancing blood sugars did I see a difference, once I was able to balance my blood sugars the weight starts dropping off and my energy levels went up, so do some research get some advice on how to achieve this if you succeed it'll be a game changer , good luck buddy .
Have you ruled out the numbers not moving due to your composition actually getting better? That is, you gaining muscle faster than losing fat?
I've been following your channel and going through your marvellous content for years, Mr Cavaliere! The gains I've had seem hard to believe even today. I would, however, like to request you to do a video on workout routines for children aged 12 and under. How should I kick start a child's journey towards fitness, without putting him /her at risk of injury? Thanks!
They're supposed to be playing at that age. It's psychological problems that they don't want to play
This is great info. I have been considering jumping on this train, but haven't because I have SIBO. My research says side effects include gastrointestinal issues. The thing with my SIBO is that for some reason I absorb more calories from the same foods as others. I have never had issues with losing weight, but since SIBO it is nearly impossible to lose weight. I am often at too much of a calorie deficit. Some days only one meal of protein, veggie, rice or potato. I am in the gym at least 3 days a week and pushing to lift heavier each time. I gained probably 10 extra pounds after hip surgery in December. I am now starting to slowly lose weight and I am able to lift again. I'm 61 and have been an athlete all my life; college tennis, mixed martial arts, ironman triathlete, cyclists, runner. I don't think the calorie deficit is working and am now trying to get more and more protein. I weighed in at 171 this morning. How the heck can I eat 171grams of protein? Would love some input from you. You are one of the rare fitness/nutrition individuals who seem to care more about knowledge than just selling.
jeff never disappoint when it comes to information
You can only believe that if you believe he tells the whole truth, and in this instance he leaves out a shit ton of good and over exaggerates the bad.
@@eugenestoverplease make a video about all the good stuff this drug carries long term, considering its only been out a short-while in real life terms.
@@zelmulec72 If you have to rely on others to provide you with info, you'll never learn. There is a ton of info on this drug you just need to take the time and look for it. Besides NOTHING I would say would sway your opinion on it. Read the medical journals everything you need to know is there.
Just make sure to workout and get enough protein while on these drugs. I've been on wegovy 2 and a half months and lost weight but did not lose muscle or strength. I eat 30-40% of my calories from protein and work out 4-5 days a week.
Jeff, here’s the answer. It’s called a combination treatment. Semaglutide and EmSculpt, the first and only technology FDA approved to cause hypertrophy and hyperplasia to the muscle. Please do another video explaining this, theres tons of peer reviewed and published clinical studies to help prove your point. I love this video, I love the information delivered to the people taking this drug, as well as aging, but they also NEED to hear the solutions. PLEASE Jeff 🙏🏼
I was considering Ozempic until I realized what it was. Do you have any advice on a planar plate tear? I have been trying to recover for months and it feels like im going backwards at times. I also seem to have tendon injuries all the time (over many years)
Whenever any new treatment, drug, or supplement comes out, it is always best to be a late-adopter. It’s just a shame that not all of us are old enough to remember the lessons of Fen-Phen.
Holding out I want be be on wegovy but my doc said I lost 40 lbs on my own just keep going and lose the weight even though my bmi over 30 even with the weight loss
Wife came out of diabetes 2but they wanted to start her on trials of the drug. She read about it and the effects and refused, although pressured by the doctors !!! Decided to keep watching her diet and lose weight naturally. Main criteria is she came out of the diabetes and any extra weight did not need drugs
Best bet is to stay away from doctors unless Absolutely necessary and then diligent research to find a good one. There are so many destructive, lazy, greedy doctors out there
Wish that were true of the vast majority...
it is a tragic and sad reality that a lot of people are overweight and not able to watch what they eat. Exercise, and diet are crucial. I know someone who went on Ozempic and there was no noticeable change over the course of months. Drugs are not fool proof. Diet and exercise are still the kings of weight loss.
@@winstonvontoast6163 I just had lunch with a coworker that went on semaglutide for the last 6 months and had negligible weight loss and has since moved on to other methods. But, it appeared that she didn't modify her diet enough. Where I had 6 eggs and nothing else since I am on the carnivore diet, she had French toast with jam and hash browns, and one egg. It is very hard for many who associate high carb foods with enjoyment. I struggle and my mind trick is to convince myself that I had enjoyed the sugary stuff in my past and I have retained those memories so that I can relive the enjoyment at-will without putting it into my mouth.
Been on stuff for my eczema - ie injections and got all of the major side effects. So always read about the side effects before you commit and make sure your bloods get monitored - before you take the medication, during and when you come off.
I didn’t even see this video in my feed 4 days ago.. big P must have ties to YT.
Very interesting and informative video. Skinny fat is not the way to go as we age. Bending or crouching down to tie shoelaces, or pick up even light objects should never be taxing. Use it or lose it!
Great video! Very educational! Unfortunately we live in a world of short cuts. People only want the quick results with minimal effort as possible.
This drug helped me go from 440 lbs to 210 lbs. It’s an absolute life saver. Yes, it has side effects like all drugs do but considering how many people are using it, it doesn’t appear to be very frequent. I’m just a data sample of one, but lean muscle mass has not been an issue for me. But that’s also why I’m training strength.
Congratulations!
It’s interesting to me how these types of videos make the assumption that these drugs are only being used by people trying to lose 10lbs. That’s a ridiculous assertion. I’m also on semaglutide. I’ve lost 40lbs and have another 80lbs to go. I have taken prednisone for the last 6 years and no matter how hard I’ve tried I’ve been unable to lose more than 8-10lbs on my own. I eat high protein, go to the gym 3-4 days/weeks for strength training, cardio at home.
Fat people aren’t stupid and we don’t need to be condescended to by every person on UA-cam with an opinion about GLP-1s. These drugs are life saving and life changing. I think I’ve hit the point where, unless you have experienced what it’s like to be on them I’m simply not interested in your musings on the subject anymore.
@@BoringTroublemaker Well said...congratulations on the weight loss and hope you achieve your maintenance goal.
In the US it seems to be so easy to get a prescription for everything even legal narcotics like xanax or Oxy but do you need prescription for this drug?
@@aramisone7198 Yes, but you may be able to get semaglutide it as a "research chemical" from a chemical company without needing a prescription.
Great video. Thank you
I have read however, that if you continue strength and weight training that muscle loss is not really happening anymore than the average it would if you were in a calorie def. ?
Not gonna mess with my digestive system
Thank you for the informative video brother! Gives me additional insight as I’m researching and providing information to the people I train! My main concern is in addition to the high loss of muscle tissue, it can possibly lead to a higher chance of certain cancers!
No.
WRONG!!! And if your clients are that worried about a little bit of muscle loss then they really shouldn't be on Sema of add in some Nandrone to combat the loss. The more you know....
Jeff, can you talk about emotional eating and how to stop? I am very close to my goal body but I am fighting my self every day to not eat my comfort foods( for me it's sweets). I tried to "let myself" have a few stuff i was craving because everyone says "it's all about balance" but honestly, once I start, I can't stop till I am almost nauseous. It's emotional. It's more than craving it. It took me long to even figure that out.
The reason I was able to get this far was by fighting it all together but I don't know if that's sustainable. Help! I would HATE to go back to my old body.
Jeff, I am turning 50 in a few months, and I am on my weight loss journey. I recently bought a Weider 8530 home gym from a friend. It has bench, butterfly, lat pull down, leg lifts, squat, and what I call the jet pack for knee raises and leg raises. It also has a low row/pull for curls etc. Based on those exercises available, which I intend to do with regularity, and with the cardio I have already started doing including walking, and the thousands of steps I get at my customer service work, am I missing anything? I do have dumbbells here, if triceps or something are necessary, but I kind of think the lat pulldown would cover that?
Nice summary. I've struggled to control my type-2 diabetes for years. My former injectable medication was taken off the market, and I have had to switch to Ozempic. So far so good, but it is very discouraging to learn that people are somehow getting prescriptions for Ozempic when they don't actually have type-2 diabetes. These people would see better wait-loss results if they followed your advice for workouts and building muscle strength. I watch your videos every week and have benefitted tremendously from your advice. All the best, from one Italian-American to another!
Wishful thinking sir. Some people I'm sure need this to drop weight. Alot don't but just don't care enough to do it on thier own
I sm not sure if a physiotherapist is the best person to be giving advise on Medications. Please speak to your doctor.
Not rocket science here bro . He showed medical studies too. Relax.
I'm not sure doctors know much. I work with a ton of them and they are mostly encounter bots. they push meds and immunizations.
lots of people have problems with these. And MDs don't have to take a single class in nutrition.
@@Savage-hc2vj go for it bro. If you like to get medical advise from a physio that's fine, you should perhaps see a priest for legal advise next.
curious if something like hmb and creatinine would help counter act somewhat
My split:
Day 1: Head
Day 2: Shoulders
Day 3: Knees
Day 4: Toes
Day 5: Rest
Day 6: Knees
Day 7: Toes
For people with significant amounts of weight to lose, type 2 diabetes, hypertension etc, this drug can be a lifesaver. It needs to be a part of the solution though, not all of it. Exercise and lifestyle changes are essential too. Remember all medications have side effects too, it’s a case of risk vs benefit. Think of it as a tool in the toolbox, not the only option
It ONLY needs to be a part of the solution if you have type 2 diabetes or you are obese! And your doctor will be the one to decide to put you on this drug if this is in fact the case; but for *everyone else* , this drug is a huge L! You'd have to be a moron to be taking this drug for any other reason
I'm a nurse and my philosophy is medication should be a last resort. If your diabetes is out of control take your insulin regularly and consistently as recommended but no lie. That just delays the bad stuff type 2 diabetes is reversible but you have to watch what you eat. After that exercise and you'd be surprised after a few months to a year you might be stable enough to just take oral hyperglycemic medications rather than get a shot or 2 or 3 a day
@@XblacklightZ Really, you're a nurse? Insulin is a medication done 2 or 3 times a DAY. These GLP-1 / GIP drugs do a better job than insulin, and lots of luck in reversing Type 2 diabetes. The injection is once a WEEK.
They need councelling not more drugs
@@winstrolchurchill821councilling does nothing to alleviate someone feeling hunger for nearly every waking hour.
This is great message. People should give their 100% at achieving things naturally before ever going to any amount of drugs.
Harsh. Would we say that to an alcoholic or a smoker?
Some people will just not be able (or allowed) to consistently follow the good advice given here about strength training, cardio and diet. I have someone like this in the family: work and commute hours are long + kids to look after + severe eyesight problems preclude weight training + years of bad nutrition add up to over 120kg BW.
Some diet cleaning up is already happening but the starting point is very poor.
If he waits much longer to lose the fat, it may mean his retirement won't last long.
If he goes for constant kcal deficit without drugs, I can't imagine the impact on mood and work.
Taking medication to help control the appetite and help forget about bingeing makes a lot of sense. Rejecting "any amount of drugs" would reduce longevity and years in good/OK health.
The best athleanx video in a looong time.
Thank you for reminding me of things I know, but don’t wanna hear. There is no cheat code when it comes to health.
Skinny fat is still an improvement for most people being prescribed wegovy.
Also studies have shown that people who stop wegovy/ozempic generally gain back all the weight, so its not really a medication that you're ever suppose to stop taking.
And that's how the Big Pharma Cartel wants it!
ive been taking ozempic since April 22 and since lost 85lbs with diet and weight training.
Yay!
enjoy your life-long drug addiction. The company LOVES you.
I noticed the muscle loss but got it all back using mitopure. Although I stopped ozempic due to digestive issues.
Superb take on how to lever a wonderful drug to get better health without developing a dependency.
No what needs to be talked about is how you can get stomach paralysis that can happen were you will have to blend and drink your food the rest of your life. Check out the class action suit that’s coming.
And it’s permanent
I am not a doctor, but I am an ICU Nurse who has extensive experience with rhabdomyolysis.
Rhabdo is caused mostly by a build-up of proteins in the blood that damage the kidneys. Muscle is made of proteins (obviously), which are released into the bloodstream as the muscle breaks down.
Or death of cells in general, such as in lymphoma treatments, or massive acute hemolysis.
Very interesting about the amount of lean body mass loss on this drug. But is there any studies on people using Ozempic/semaglutide while doing resistance training 3x a week and getting at least 1.2g per kg of protein per day? Does the resistance training and protein protect against that lean body mass lost, or is it baked into the cake with this drug?
I have diabetes which is why I am on it but low dose. Trying to get off once I'm under a certain glucose level. I also use your program 6 days a week for a year and half straight. Seeing results.