Here’s my newest FREE Meal Plan (High Protein Mediterranean with some Intermittent Fasting)- thomasdelauer.com/MediterraneanFasting/ Please enjoy it as a thank-you for subscribing to my channel and my newsletter!
your understanding on the insulin secretion from GLP-1 is wrong - which is very common. the release of insulin gets faster when the beta cell GLP-1 receptors get triggered. but not more insulin. it is less insulin. there studies regarding this and the show a very nice graph. that shows a higher insulin spike but it was way shorter. and the AUC (area under the curve) showed that the total amount of insulin was lower over a longer period. this is part of the weight loss. with more total insulin you get fatter and not slimmer!
Wow Thomas is looking really old in his face these days, not as bad as Paul Saladino but still aging quicker than his actual age. Maybe he should change up his diet (more fate needed), put less strain on his body with workouts and stop fasting.
I've been on mounjaro for 20 months because my physician called me about my blood results, indicating I would have a heart attack or stroke in 6 months without lifestyle changes. My physician decided to put me on mounjaro. My weight was 480 lbs with A1C of 6.9 and a body fat percentage of 48.7%. Today, I weigh 299 lbs with A1C of 5.1 with a body fat percentage of 26.0%. I'm off my high blood pressure medication and no more joint pain. I use mounjaro with strength training 5 times a week with a daily 45-minute walk. I feel so blessed to have my health back. I feel amazing.
That’s great. A lot of these people won’t understand what you were experiencing and will call you lazy. Sometimes we just need the little extra push and as much help as We can get. Yes these medications may have side effects that we don’t even know about. But in your case you had to make a choice between a death diagnosis, and a medication that could help you get started in the right path. I believe you made the right choice. My only advise to you is to use this medication as a tool to teach you how to eat correctly and start exercising slowly till your life is completely changed and you no longer need any medication. The point of this medication should be a help to transform your habits.
I started tirzepitide 15 months ago and lost nearly 200 lbs in the first 10 months. I know that i lost a ton of muscle mass even with resistance training added in. However, I would say for Me, i wont speak for anyone else, getting the weight off quickly, being able to move more freely and because of that, add in more activity was more important to me than the possibility of losing muscle mass. Maybe its short sighted, but, I think me at 180 lbs going to the gym training to build muscle, is a lot more healthy than a1c through the roof at almost 400lbs, still struggling to do things a "more natural way." I doubt i would have ever done it after a decade plus of trying alternatives.
Awesome you are making so much progress. My wife says it helps her not to think about food so much. I think we are all so different and if it helps people get started and see some quick progress they will stick with it.
@righthalfthetime-do4nt thanks! I can definitely agree with your wife about the not thinking about food part. It's been a game changer for me. Everyone has different health goals and journeys, but I will say watching Thomas's videos help keep us all pointed in the right direction, which is just a better/ more healthy version of ourselves.
@@RollingRocke"Everyone has different health goals and journeys," exactly, well said. I used to be obese and although I didn't take Ozempic, the diet that worked for me _worked for me_ and we're all different. Congratulations on your weight loss, isn't it a great feeling!
Dropping muscle mass won’t kill you. Obesity will. Once you can move better you can gain appropriate muscle mass back. Consider all the social influencers promoting calorie restriction for longevity. They are not worried about above average muscle mass. It’s all about nutrition and movement.
My ex was complaining how better quality food was so expensive and wants to go on ozempic for like $1350 a month. Seems like a pretty common thought process.
As a practicing endocrinologist, I am a doctor and prescribe these medication’s frequently to make my patients more metabolically healthy. I emphasize all the points that you discussed, and it does help them preserve muscle mass. The problem is prescribing physicians don’t discuss the importance of nutrition and resistance training, when using these medication.
If they had focused on nutrition and resistance training initially, they would not need these medications. But you can't get some people off the couch.
Had a whole lot to do with the fact that drs don't get hardly any nutritional training in medical school and because they ONLY know how to use meds to treat people, they just ASSUME they're being lazy, when they're just given wrong dietary advise.
@@Fenn2026Agreed a lot of weight gain is tied to genetics and aging also obese people will burn less resting calories then those with normal BMI after exercise making it less efficient, no to mention post exercise hunger.
I cut out junk food, I eat whole food, and as minimally processed food as I can. My clothes fit again, and my pants are actually falling off. No Ozempic.
Five years ago I commuted to work, sat most of the day, ate out nearly every day, and ended up hitting the heaviest weight I've ever been (215 lbs, 5'9"). I started to lose it before the pandemic hit, but when it did I found myself working from home, where I've been ever since. I started preparing my own meals, working out regularly, walking frequently, and jogging. Lost about 10 lbs a year and now am about the same weight I graduated from high school at (several decades ago), and feel like I'm 30. Basically the cure, or the fix, is to retire from our sick society and take control of your life. Unfortunately the number of people who want to do this is fairly small, and the number who can is even smaller. Now that a combo meal at McDonalds is about $20, a lot more people may be pushed in this direction. They may find it burdensome, but it will be the best thing that ever happened to them, as the pandemic was to me.
@@damiku-8866 congrats!! I was them. There was something always preventing me from just doing it. I took a week made my diet plan, which is really a lifestyle change not a diet and started losing 10 pounds a month. I eat a lot of proteins, spoonful of vegetables with each meal, eggs, half of avocado, nuts, etc. I recommend people take their time and prepare the change. You have to follow certain eating habits on Ozempic anyway. Gradually introduced intermittent fasting and walking. Nothing over the top But it made a big difference in my life. Good luck everyone.
That’s amazing! I hear so many stories like yours. I no longer have high cholesterol due to Ozempic and my periods are regular (I have PCOS which makes them irregular),
I have binge eating disorder and Ozempic has quieted the “food noise” from my brain. I was 414 pounds. I’m down to 364 pounds (losing about 5 pounds per month). I’m looking forward to being able to walk unassisted again!!! And yes, I do work out with a trainer.
I’ve been on semaglutide for 2 years now. I have not lost any muscle. I work out 4-5 days per week at orange theory and also do 5k’s. I do not have Ozempic face. My ha1c, glucose and insulin are amazing now. I’m also a health coach for a wellness company and have MANY patients on semaglutide. I don’t have one with “Ozempic face.” I also have had probably 4-5 people who had vomiting on semaglutide, so we switched them to tirzepatide (Mounjaro) and they were fine. It’s been a life changing medication for so many!
@@droojohnson yep, if you do it the legit way through a weight loss clinic they give you dexascans or InBody scans to keep up with your body composition every 3 months. If anyone is concerned, and doesn't have the option of a weight loss clinic, or a doctor willing to refer them for a dexa scan, some local gyms offer InBody scans as well with a personal trainer analysis.
@@archerandthemouse I started Ozempic because of my blood sugar. My dad and grandmother were both diabetic. I was in the pre diabetic category. Had been on metformin for 8 years and it did nothing so I wanted to try Ozempic when it came out. It also helped with my portion control. Even though I eat healthy I was eating too much. Even too much of a good thing is too much.
I lost 22% of my total body mass, 59lbs in 15month. 32% body fat down to 18%… No Semaglutide or any other weight loss supps except caffeine. I just ate properly, 3x week full body strength training, 10k steps a day minimum and I followed most of the advice Thomas gives daily. I also watched his content multiple times a day to stay motivated. I’m at the 2yr mark now, weight is still off and stronger than ever. LMNT, taurine, green tea, 200g protein a day and also blueberries when I have a sweet tooth are daily mandatories too. Thomas, keep up the great work and content! You’ve helped change my life and saved my career.
It depends on how you diet. Rapid weight loss means you will typically retain less muscle. Slow controlled weight loss who is hitting their macros while on a slight caloric deficit will retain far more muscle.
@@EAlc-f9t Is 2 pounds a week slow and controlled, while in a caloric deficit, and hitting my macros, and going to the gym 3 times a week? Well then I am slow and controlled on Zepbound. 20 down, 80 to go. No side effects, no misery, no keto.
You might want to do your research because GLP-1 agoists are extremely Cardiac-Protective! I am Type-2 Diabetic and my doctor prescribed me Mounjaro last fall. Aside from all the improvements I have experienced specifically regarding diabetes before I had even lost ten pounds my blood pressure had gone from 165/90 down to 123/78 which was absolutely stunning.
Years ago I had a Dr that put me on a cocktail of off label meds for weight loss. I was skinny for the first time in my adult life. I felt like crap though. And when I stopped them, I gained most of the weight back. This was my personal experiment on why there's no magic pill for me. I needed lasting changes to my lifestyle, healthier eating, more movement & therapy for my stress in an abusive relationship. Everyone is different & I can see the benefits for someone who's so overweight that it's life threatening. As with any medication, each person most weight the pros & cons in their individual situation. These sorts of videos give more information on making the decision that's right for you. For me, it's a no. I'd never use anything like this again.
I started Mounjaro and don't regret it. I have struggled with BED my entire life as well as depression and alcoholism. Within the first week my desire for alcohol - zero, I've had no binges either, I just don't find that kind of food appealing so I'm eating a lot healthier, and I've weaned off my antidepressants for the first time in years. I didn't expect to feel such a drastic change in a month, my QOL has improved so much! I have lost 7kgs over the month and while there has been muscle loss too, my physical and mental health has vastly improved.
N=1 lost 125lbs to my target weight on Mounjaro. Maintaining and even lost 5lbs more while off for over six months. Couldn’t have done it without Mounjaro!! Best thing I ever did. Allowed me to change my diet, exercise and weight training when nothing else worked!!
I've been on Trulicity for a year. Lost 40lbs and my A1c dropped from 8.4 to 5.5. I used to get nausea, but eventually figured out that it was all about what I was eating. Eating too much and eating too much carb heavy food makes me nauseous to the point where I would have to throw up to feel better. Changed to a high protein, fiber diet and the nausea went away. Started actually weighing and tracking my food. I can still indulge in carbs on special days like holidays without getting sick. I wouldn't say I have ''Ozempic Face." But my face is for sure thinner from the weight loss.
losing 40 lbs, wonderful.a1c now perfect, however, it should not have taken you a whole year to lose 40 lbs. You must be eating too much calories. I take 10 mgs Jardiance, 1 pill metformin er 500 with dinner and just ride my indoor bike 20 mins weekdays, and eat high fiber low carb. I have been losing 2 or more lbs each and every week. Maybe your thyroid is out of whack, that was my initial problem. it wrecked everything. now I'm good. lost a total of 106 lbs. gained 40 back during covid. now lost half in less than 2 months. my a1c was 7.4. I know it will be less than 6 at month 3, cuz whenever I do a test, my meter ranges from 4.6 to 5.2 * this is canadian. perfect results.
On Mounjaro for what it was designed for Genetic insulin resistance and type two diabetes. Don’t have a lot of weight to lose. Only lost 15 lbs in 8 months. Could stand to lose about 15 more, but totally okay if I don’t. Keto diet, but modified with higher protein and also practice IF. No nausea, no vomiting, no negative side effects so far. A1C is 5.1. I feel better than I have felt in years.
Mounjaro is the best one. Least side effects. Im on it now and only issue I have is acid reflux the first few days of the shot. A1C is down to 4.7 and Ive lost 36 pounds.
So, I’m a T1 diabetic that’s been on mounjaro for several months. It has had a huge impact on my blood glucose even as a T1. Doc and I didn’t expect it to be that significant. I generally run a 500-1000 calorie deficit. I aim for 170gr of protein per day. I’m down 13% with minimal muscle loss so far but then, about 2% of the weight was muscle. I push pull legs at least once a week. So that is obviously helping keep this in check. Basically, they’re prescribing this and there isn’t enough education on maintaining muscle mass and proper diet. People want to take the pill and then continue to eat like shit. As it is, what I do is based on my own knowledge plus the help of your channel, Renaissance Periodization and Nippard.
Please have a ct scan of your liver and pancreas. Same thing happened to my sister. Please get checked. A liver function blood test isn’t conclusive, don’t rely on thi😢test. You must look at the ct scan
I lost 40+ pounds through time restricted eating and regular dog walking (always did the dog walking-just made sure to take one 4-5 mile long walk most days). Over 65. No side effects.
@@Sacarat no, didn’t gain it back. It gave me the kickstart I needed and I didn’t get Ozempic face. One of the best side effects was the aversion to alcohol.
Good for you the only thing I want to add is that it seems like the reason why people lose so much weight is because even a binger like me could not eat if I wanted to 🤢🤮. I guess all I’m trying to say is it’s still calorie restriction it’s just easier to restrict when you can’t keep food down or want to eat!
@@ryanlewandowsky2077 I think it works at a more scientific level to do with controlling glucose levels and glucose spikes. I have never been a big eater or eaten poorly. I am a woman and in my forties so there are always hormonal challenges. What actually piled my weight on was a severe burn out which was actually a physical burnout not a mental one. It landed me with crippling anxiety which is never bad in my life. It all hit me in a week. Then my doctor over prescribed me with anxiety meds. 40mg which was double what I should have been on. At the time I had no clue. If he had me on 100mg I would have done what he said. Then I broke my ankle… this wasn’t a case over uncontrolled eating. But I do get your drift this is the case for some. Reducing alcohol was probably a huge factor because it prevents fat loss. Though I wasn’t drinking huge amounts it was regular red wine with my meal kind of thing. I have an added complication which I’ve only just sealed with medically. It’s called LIPOEDEMA. Most doctors, at least in Australia don’t know what this condition is. It affects 1 in 10 women. It’s genetic. I am not going to explain this but for any women who read this and have fat they cannot lose on their legs, hips and butts, including arms eventually (there are more factors) look up this condition. It’s taken me 40 years of wondering what was wrong with me for no matter how hard I worked out or healthy I ate I could not lose this weight. This is scientific so please do your research. Perhaps your spouse struggles this way. Honestly, knowing what this condition is, is a game changer. I will say it again LIPOEDEMA.
I have no problems on Oz. No side affects. Lose it slowly, high protein and exercise. I started slowly.. better than all the health issues with obesity. I like it.
I have nothing to say about Tirzepatide but great things am losing the weight beautifully and I feel amazing. Since I started I feel healthier. I Started on Feb 1 24 down 43 lbs so far I love the way I look now. So grateful 😊🎉
I believe the poison is in the dozing. Maybe these side effects are brought about because the dosages are too high. Along with lack of strength training and diet in high quality protein and veggies and fruit.
Spent 25 years trying to loose weight; tried every healthy eating plan out there and various workouts. It either didn’t work or I couldn’t stick w it as I’m a carb addict. Trizepitide helped me w carb sugar addiction. Lost 55 pounds!!! Zero stomach issues. My calves and legs are still muscular. But did loose butt muscle but also never had a butt and sit all day, so…now do pilates 4-5x a week to tone. I wish people would realize many of us are heavily addicted to sugar/bad carbs and you cannot “diet” that addiction away but these meds 100% help!
The doctor tried to put me on Semagultide and I refused, cut out sugar, eating whole food and cutting processed food, and exercising 3 times a week for 50 minutes. It has been 14 weeks and I am down 18-19 pounds, 10 inches and gain 4% muscle and my blood work has improved across the board. I’m really sedimentary and recovering from a car accident so anyone able can do this. If possible try to eat better and move more for your overall health ❤
I took Ozempic and about 2 months later I hade horrible gastro that lasted 2 weeks. My mum suspected that because it takes so long to clear the stomach on this drug, if you eat something bad it has more time to stay in your system and cause problems.
I recently started Oz to get my A1C down. I am well into my workout regiment of 5-6 days a wk, including 3-4 of those days being resistance training. I make sure to supplement, protein, EAA's, vitamins and water. I also make sure to eat at least 1600 cal per day to make sure that I'm not starving myself. doing regular resistance training should counter the muscle loss from being on Oz for the purposes of diabetes, right? my goal is to get my glucose back down to a sub 6 and build muscle while losing fat.
It may not be for everyone but Mounjaro damn near saved my life. It’s been a game changer as a tool in my arsenal to get back on track with my health goals post menopausal, post cancer, and working on staying symptom free with autoimmune arthritis. Now back down to the starter dose as my maintenance for now. (Luckily I started with a high level of muscle from early training.) But thank you for letting people know about this danger. 😃
Fellow Mounjaro taker here. I think quite often men underestimate the devastating effects of hormone imbalances that are unique to women, resulting from problems or changes in our reproductive systems. These problems present immense challenges for weight loss. In general, men have an easier time losing weight than women anyway, but you add something like PCOS or menopause to the mix, it's damn near impossible to lose a significant amount of weight without practically killing yourself. Mounjaro has been a gamer-changer for me as well, but I also agree that these drugs aren't for everyone and if you can do it yourself, it's better. Every individual has to make their own risk/benefit assessment and determine if going on one of these drugs is right for their situation. For me it was, do I keep watching my weight and A1C climb despite my best efforts and keep getting sicker and sicker, or do I take a chance on one of these drugs to help me take back control? I don't know what the effects will be long term, and I'm nervous about that, but for now I feel I made the right decision.
@@The-Sneaky-Vampire APPLAUSE. The anti-Ozempic ppl, like the anti-GH ppl, want everyone to do things the "natural" way, but that is not possible for everyone. This "natural" crowd overwhelmingly consists of men, and typically younger athletic men -- like Attia. A male athlete like Attia cannot understand how difficult it is for people who do not have his enormous advantages.
@@alan2102X I mean no disparagement to men overall nor to anyone who has the ability to do it naturally, but there is definitely a disconnect experientially. Thank you for your kind support. ☺
Mounjaro did not work for me - I ended up twice in ER with excruciating pain - developed gallbladder stones. I would not recommend it to anyone. I get that many are losing weight on it but the pain I went through was worse than giving birth. If you are lucky that you get to lose the weight and not develop such a bad side effect then you are really lucky. I guess one will not know until they try, each body is different. If you do not have insurance never take the chance because the ER visits are extremely expensive around $30K per visit!
@@ForPeaceOnly Gallstones are not an uncommon thing in people losing weight very rapidly. How many GLP-1 adverse effects are due to ppl taking high doses and losing weight too fast? IDK, but probably a lot.
If you do muscle training its not true.. I've gained 5 pounds of muscle the last year by training, and been on Ozempic for like 2 years, because of diabetes...
I’m taking semaglutide. I’m running an experiment on myself. I’m an experienced lifter - been training over 10 years. I’m 210 lbs, 5’7”, around 30% body fat. I gained about 30 lbs in the last five years - some muscle, no doubt, because my lifts have improved - and I attribute this to increased calorie intake from the stress of starting a business and having two kids. I’m still lifting 3x per week and I’m taking semaglutide. I’m curious to see if I see much muscle loss. Will check back in and let you know 😅
Hey Rick I'm in the same boat. I have been lifting for many years and eating right but just can';t get rid of the gut no matter what . I would like to drop 20 pounds and I'm going to experiment with GLP1 also. Good luck
I take Semaglutide and started working out 5 days a week with 10 minutes of cardio. Lost 80 lbs but have gained lots of muscle mass. I've seen people take it but don't work out they do look sickle. I take ammonia, protein, vitamins .
Correction: at the 3:12 mark, you say "...lost 15 POUNDS of muscle", while the video showing an excerpt of the study shows "The change in body weight from baseline to week -15.3 KG (kilograms) in the semaglutide group..." So what is the real 'poundage' of muscle loss?
Not sure Thomas cared about accuracy and science....he has a team...they make scripts for him....hes here to make money....he's not someone you should take health advice from.....he's on steroids and starves himself.
@@defeqel6537 why would you get advice from Thomas delauer at all? The guy is an actor...not an intellectual....he takes steroids and starves himself.to stay lean because this is.HIS MONEY He doesn't care.about health and is just reading scripts that his team makes for him
That highlighted section was talking about overall weight loss not muscle loss. Don’t know why he highlighted that part when not talking about that but, anyway.
@@jennifermarlow. Yep. The key seems to be SHORT PULSES, like IF, or water fasting for 3-4-5 days, stuff like that. Or extreme calorie restriction for similar periods. Longer extreme restriction can cause problems, but the short stuff works good. Go hard and heavy for a short time, then back off and stabilize, then go hard and heavy again.
@@jennifermarlow.that’s awesome! The point may still stand though. When you lose weight you lose muscle, and probably bone density as well. Maybe you didn’t. Hopefully you didn’t lose bone density at 66 years old. That’s very important. Load bearing activity increases bone density🙂
I believe that those who take shortcuts doing hard things miss at least half of the benefit of the result. Building the proper mindset necessary for long-term success carries over into every other aspect of your life. Persistence, endurance, discipline above and beyond what most people around you posses.
I’m on mounjaro and it’s fantastic. Not just for weight loss, but more importantly, for inflammation. I’ve been in agony with my back for 10 years. After one week on mounjaro it went away! In the UK it’s about £100 a month…so totally worth it for me! I always ate healthily (super healthily) and exercise a lot..so I didn’t need to change my lifestyle ❤ No side effects.
I’m very curious about this as I, hoping that’s a positive side effect for me. What I’m wondering is if you’ve had talks with any doctors about microdosing for inflammation.
I was overweight and prediabetic. Whole foods, limit seed oils, low carb, sunlight, regular light exercise and stretching, and i am healthier than i was at 30 (63 now). No drugs for me.
There’s many other reasons glp-1 agonists work. Not related to insulin sensitivity. Weight loss always causes an amount of muscle loss along with fat loss. Nadolsky is correct. If you look at the studies. The studies show people are then able to exercise easier, this also has an effect on the family leading them to also exercise. There are many other positive effects of Glp-1 agonist, Gip agonists, positive heart effects, kidney effects, less food noise, less compulsive behaviors.
I'd love to hear more about the positive kidney effects. I've been looking into Doc prescribing for 80 yo w one kidney. he does weight train already. trying to drop 20 for breathing easier reasons.
So I would ask those critics of glp 1 agonists to research proper dosing. Most initial doses of the injectable given are way too high as a starting dose. Women who have experienced the misery of perimenopausal/menopausal hormonal weight gain and insulin resistance (significant abdominal weight gain despite "doing everything right' - speaking from experience here) are a population that seems to get ignored in this conversation. Not everyone using glp 1's needs to lose 100+ pounds due to poor lifestyle. Dr Tyna Moore lists some great studies in her extensive research on peptides.
In the British press headlines today some of our top cardiologists are now claiming sensation early results for the treatment of heart conditions. They are claiming the drug could be as revolutionary a treatment as statins and should be a treatment of choice in the future!
Yeah, it’s obesity treatment so only obese people should use it and it’s temporary. It’s a means to an end, it’s a valuable medicine for some people. It’s effective and comparativly safe
Hoping to get sleep back into my equation very soon. Waking up 1am for work is very hard no matter what time you try to get to sleep. Moving from 1am to 5am will be huge difference for my circadian rhythm. Right now I get 4 hours on a good night.
I started ozempic. I immediately had severe constipation problems. I eat a good percentage of spinach, squash, broccoli, etc. I was going 3-4 days constipated pain. So I finally convinced my doctor to stop his advice. I felt back to normal in about a week. Do the doctors receive a “kick back” for prescribing it?
Semaglutide is not patented. It is not even a drug, but an endogenous peptide produced by the body. The delivery method (the auto injector) is patented. You can easily get semaglutide prescribed from a compounding pharmacy and do the small injections once per week yourself, and it will cost you about twenty bucks a month.
It is the delivery method that is patented--the auto injector. Semaglutide is actually affordable if you have a doctor prescribe it from a compounding pharmacy and inject yourself. I'm talking about $20 bucks per month for a reasonable dose. The reason why the compound semaglutide is not patentable is because it is an endogenous peptide produced by our bodies.
No we don’t receive a kickback. That’s illegal. It works in over 95% of our patients. There are patients that just cannot tolerate it. But I would like you to realize that doctors are human and in reality, you can take a lower dose to start out. Have you ever drank 1/2 of a container of water by chance? You probably have. It’s the same thing with medication. You don’t always need a full tablet of medication (that’s why tablets are sometimes scored?) or a full typical dose. Everybody has different amount of GLP receptors. Humans are inherently lazy because we don’t have to hunt or gather for our food. On top of that, our food is of rather poor quality. Your body is actually going after nutrients - First - so the cells and the system can operate well overall. Then probably calories. But there is plenty of stored energy in a body to last quite a while. it’s much easier and more effective to eat a diet that is more vegetarian based. Good quality meat or eating eggs in moderate amounts. With our patients, we generally want them to eat around 0.6 to 0.8 g Protein per pound of weight per day, drink 100 ounces of water per day and get 30 minutes of strength training with full body three days per week. It doesn’t have to be super intensive. When you have a catabolic state that these medications can cause (since you’re eating less) - your body goes into a state of distress, thinking it’s dying. So the adrenal stress is already being caused by diet so aggravating it with overtraining will make it worse. *Moral of the story is that think of this medication like a full plate of food. You don’t have to eat the whole plate and you don’t have to take the full dose in the beginning. It has a click dosing system…
@@trentknight8661 jeez, Doc, tell me everything you know. Yes, I started with a small dose. Yes, my portions with Whole Foods were smaller. Always included leafy greens and fibrous veg. And, 3-4 days of painful and difficult constipation. I refuse to take trendy medications and advice on health issues from Oprah or Kelly Clarkson.
I tried saxenda it gave me really bad side effects, mainly bloating couldn't do anything, thanks to you and Dr berg I learned about keto, now I am 13 months in keto + IF down 53kg, not so far from my target weight.
Some of that “muscle” loss is inter muscle fat from metabolic syndrome. Awake doctors are changing peoples lives with low dose Ozempic. I wouldn’t be to quick to right it off yet. Low dose seems to have no side effects.
I started out 225lbs at 26% body fat and after 4 months on a low dose of tirz was 205 at 21% body fat which showed up as a 1.5 lb increase in lean body mass. After another month and a half I was checked again and had gotten down to 201lbs and was at 21% bodyfat with approximately another 1 lb increase in kean muscle mass. My Last checkup at 7 months has me at 199lbs and 17% body fat with another 1 lb increase in lean body mass. I am 50 years old. I work out and eat clean but was having metabolic issues and was unable to get my weight down. My wife was having the same issue. For us it was the answer to a long struggle and we did not increase our dosage but rather kept adjusting our lifestyle as we felt better. That is the key to not losing muscle. High protein, go slow on the weight loss, increase your activity. Fitness guys and lazy doctors have a lot of partial information so do your research and know that there is literally "no free lunch." It takes lifestyle changes.
Ozempic for me is perfect at .5mg. Almost 2 months, no bad side effects, and I've lost 10 lbs. My ravenous hunger is completely gone. I eat 160 grams of protein per day, strength train, and have only lost 1 lb of muscle. The nausea is from pigging out, so just don't overeat.
Yeah, only people I see really complaining about it are the edge cases (which every medicine has) and people who haven't ever taken it. Study after study is showing its effectiveness and potential life extending benefits. Everything from reduction in cardiovascular disease, diabetes, brain deterioration and even addiction to nonfood substances.
Just one correction sorry. You’re more than just some dude on the internet! The work you do, the research you do makes so much difference! I’m grateful ☺️🙏🏾
Thank you!! Ozempic is a tool, not a replacement for better food choices and exercise. I have taken Ozempic for quite a while now, with no ill effects. My A1c went down, and I lost weight. ANY medication comes with a certain amount of risk. I wish people would educate themselves as far as pros and cons and not jump on the villifying Ozempic bandwagon.
I’d like to hear more about ozempic and intermediate fasting, like this video. Thank you for this info. I am a 73 year old woman starting a strength training routine.
I'm only on the beginning dose and it's really helping me not crave sweets so much. I'm no longer gaining weight rapidly like I was post hysterectomy. I eat a lot of protein and now that I can exercise I am using weights.
You are in a similar situation to my mother, she also had a hysterectomy and low doses of semaglutide (given by me) have really helped her kickstart her weight loss.
I am borderline diabetic. I did have a crappy diet before. Now I have lean proteins, veggies and fruit, and limit my carbs. After 2 months I feel much better and am noticeably thinner. It’s not easy, but it’s worth it.
Any weight loss is going to include muscle loss. No one bats an eye at bariatric surgery. I will gladly give up 6 pounds of muscle to lose 200 pounds of fat and get my A1C down, while developing a better relationship with food.
Very informative. I take everything Thomas has to say into consideration. He does the research. He reads and understands the literature. Thank you for sharing.
Mitopure is ridiculously expensive. They have to bring the price point down at least to a third of current pricing. Their charging "magic supplement" prices.
I have no idea where you got the idea the participants lost 15 lb of muscle during the treatment. I read the study, it doesn't list any numbers about muscle mass loss, it only mentions that they did lose some lean mass. The figure you keep showing doesn't even say what you are claiming, it's talking about total body mass and it says 15 kg not lb...
Good catch - lean tissue doesn't necessarily mean ONLY muscle. You also lose vascular tissue, cellular membranes, and even your organs shrink a little bit as you downsize the rest of your body.
@@katarh right, but my point is the numbers he "quotes" are wrong, not only is he saying LBs rather than KG, making me doubt he really even read this stuff, but that figure isn't referring to lean mass, it's referring to total weight, so there is no way to know how much was lean or not. It's such a blazing error I don't know how it let this get released on youtube.
It’s common sense obese people, who CLEARLY ARENT WEIGHT TRAINING OR EXERCISING, are losing muscle.. along with fat.. BECAUSE EVERYONE who looses weight looses muscle.. I enjoyed the video but when he’s pushing some supplements at the end.. I start to ask questions.. 😂😂😂😂
Muscle loss is not a symptom to Ozempic, it is a symptom of a sedentary lifestyle while using Ozempic ... proper exercise is always essential especially when losing weight.
Age 28 i weighed 230 pounds with a bmi somewhere between 30 and 40 today i stand at 168 pounds and 13% body fat at 34 years of age... im in better shape than the majority of guys in their early 20's . I perform at the level of a pro athelete 2x10-15 mile rucks + 30 pounds weekly. With 3 hard days of calisthenics resistance training weekly. In the last 2 years i tore a rotator cuf (6 month recovery) and got upcer in my left eye along with a nasty sinus infection causing me vertigo (3month recovery) my body fat was tested yesterday... we dont need anything but ourselves
I've been on ozempic I also take Testosterone. I'm losing weight slower than most people. I think this is because I focus on protein and I believe the Testosterone is helping me maintain my muscle mass. I push dumpsters around daily and haven't seen any decrease in my strength. I also don't know anyone with vomiting and nausea. No pooping is my issue and have to take miralax daily.
I Have Lost a Lot of Muscle Mass on ozempic. I am looking to come off Ozempic due to HbA1C being back in normal range. I have lost muscle mass in my face also. I will be getting back into the gym, sleeping more and taking these supplements. See how I look in 3-6 months
Nope. It is just the beginning of Ozempic. This is going to be sold and sold hard. I expect it to be on the FDA list of approved childhood treatments and get exemption from claims of compensation.
My doctor recommended i start taking ozempic for fat loss ( this is before it got popular) i said no thanks ill lose weight the natural way and ive lost weight ( not as much as i wantbut still pretty good) and im glad i didn't take it ill stick to natural weight loss thanks
Well obviously the doctor was wrong... he thought that you did not have the stamina for fatlose yourself.... But you did obviously... NOT. Why the fuck go to a doctor if you know in advance what to do WITHOUT a doctors advice. THE DOCTOR WOULD NOT RECOMMEND THIS IF YOUR ARE NOT OVERLY OBESE!
A 1% reduction in HbA1c is significant? Hardly! It's completely insignificant. I'm Type 1 45 years and have developed stubborn, hereditary metabolic issues of late. Ozempic is my miracle drug with almost no side effects. Can't speak highly enough of it! It definitely has its place.
I've been on the carnivore diet for 3 months. I started at 205 pounds and now 181. Im a 61 yo female and have visibly gain muscle mass. I've never been hungry, eat all I want and haven't felt this good in 20 years.
I have type 2 diabetes and was on ozempic for almost a year and I quit because it was not working for me anymore. I never lost a lot of weight and I was having to take insulin and had trouble with muscel loss. I now have no problem with my sugars since. I now take berberine to help me.
I’m so happy u have no idea what ravenous hunger feels like. My bias is very natural based. I literally do everything “right”. Nothing suppresses my appetite. My input always matches my out. All Zep Bound does is reduce my hunger to a normal person. But like I said I have everything else dialed in. I used it for a year and lost 70lb while maintaining my strength and muscle. I haven’t taken it in 6 months and haven’t gained an ounce. And guess what….my hunger hasn’t come back.
@@geekspeak1066 Comment was related to society as a whole, and not individuals: If we as a society, were focussed on addressing root causes it may have become apparant what ravenous hunger may be attrbutable to (deficeincies, gut microbiom etc.) If it were me, I would still speak to a high quality functional medicine doctor to possibly get some answers
Good info, but the title seems like click-bait. If muscle loss on ozempic is the same as other weight loss interventions, why is this significant? Questions I would like to see addressed are: does using glp1 agonists cause your body to down regulate its own natural production like with TRT? And, can using compounded GLP1 products at a lower dose be safer and better?
Lean muscls is incredibly important for all assets of life. You dont need to look like a bodybuilder but you should be able to walk up an incline without melting. That is horrifying news. I'm glad i take accountability for my life and dont look for shortcuts at the expense of longevity. Trading obesity for anorexia is not the play. Get healthy habbits, track your calories, get counciling to overcome any emotional attachments for food and stay away from fad diets. You will be fine. I just lost 40lbs naturally over 7 months. It took work, it took dedication, but i did it myself and i now have ideal health markers. Dont be a sheep, its benicial for the health care system to treat rather than prevent.
@@nik07nik you're right, not many people care to take care of themselves and prefer a life a mediocracy, I don't blame you, it's easier to follow the herd which has become obese by choosing highly processed foods over healthy foods. It's funny that people care enough to seek out life altering drugs and fad diets but not enough to take a few minutes and learn the staples of being healthy.
@@Girthquake9 Sorry pal, just read thorough these post and everyone want to talk about their weight loss (horrible term it should be fat loss) Bragging about getting out of problem they created by their own sloth, gluttony and stupidly .
@@nik07nik while I agree it's not much to brag about, it can hopefully be a motivating success story for others that keeps them away from prescription drugs
@@Girthquake9 it’s the virtue signaling culture… Look at me look at me look at me… You don’t mention that you were the fool who got yourself into that place to begin with
You looking for a summary? I've got you covered, you beautiful, lazy genius. GLP-1 receptor agonists, like Ozempic, help with weight loss and glucose control but can cause muscle loss, often noticeable as "OIC face." Studies, such as those in the New England Journal of Medicine and Diabetes, Obesity, and Metabolism, show significant weight loss and reduced HbA1c levels. Common side effects include nausea (11-20%) and vomiting (10%). Experts, including Dr. Peter Attia, are concerned about the significant muscle loss observed in users. To prevent muscle loss, resistance training is crucial, along with supplements like Urolithin A, Taurine, EAAs, and Creatine. Prioritizing sleep and protein intake is also vital. Proper exercise, nutrition, and supplementation can help mitigate muscle loss during weight loss with GLP-1 agonists.
I couldn’t handle the side effects of wegovy and ozempic. Horrible headaches and nausea that didn’t diminish with continued use. I am now just increasing my activity with resistance training and cleaning up my diet..
I personally believe that it has more to do with lifestyle choice. The body is fantastically adaptive. If you're in a caloric deficit, and don't exercise or challenge your body, your body will selectively get rid of that which is most metabolically expensive, which is muscle tissue. However, if while you're in a caloric deficit, you can put a significant strain on your body physiologically through exercise, you will signal to your body that you still need the muscle in question, and you will preferentially lose fat. I've been on Tirzepatide for 7 weeks, I've lost 17 pounds, but am eating at least 200g of protein per day, walking at least 4 miles per day, and have continued to lift weights just as heavy as I did prior to my weight loss journey. So far I haven't lost any strength, which would seem to indicate I have not lost much, if any, muscle. I am however going to get a DEXA scan here in the next couple of weeks just to make sure.
Significant muscle loss on a GLP 1 is completely optional, as you mentioned. Prioritize protein, strength train, and get good sleep. They are game changing if you do those things.
Personally I did a glp1 injection for 4 months and it has left me from a fasting glucose of around 80 to now 110 after stopping use. I have never seen this effect talked about, very strange since with weight loss you would think you would be better with insulin resistance.
What exercise build facial muscles, as this is one of the points you bring up regarding muscle loss. Alternatively, how can one avoid facial muscle loss while on Ozempic?
I sincerely appreciate your information. I mean that wholeheartedly. I am a 12-year laparoscopic band patient who officially has been told to have the band removed. I will be doing so at the end of July. That being said, I proceeded to see my PCP today for My annual visit, I'm about 85 lb overweight. Long story short, she said after the band comes out she wants me to start on wegovy. My labs are perfect except for some slight anemia. Cholesterol is great. My blood pressure is completely normal even though I'm overweight. I have no comorbidities and I take no medications only supplements. I go to the gym 5 to 6 days a week. I am extremely hesitant about the wegovy. Why is it necessary for me? I know three people very close to me who have had extreme adverse effects. One had visual disturbances that have not resolved even after stopping the medication, the other one who is a brittle type 2 diabetic, in her thirties, is about to have a J tube placed because she is unable to empty her gastric contents, and the other one has had severe abdominal pain and had to stop. I don't know where to go with myself.
Yes, this is the idea, I believe, correct me if I'm wrong but I think the medication reduces hunger but does not induce weight loss by itself, the weight loss comes from eating less food because the patient feels less hungry.
I agree exercise is so important. I have exercised for many years. I am now starting my journey on wegovy. I have taken protein supplements and creatinine for a long time. I walk for an hour everyday and weight training for about an hour everyday 4-5 times a week. Hoping for amazing results. Thanks for the great info.
The problem is not that you lose muscle mass , the problem is where you lose that muscle mass. And from what i see online is mostly small core muscles that are hard to train or to regain back , im pretty sure that's not how you lose muscles on a normal dieting plan.
"Ozempic face" happens to ANYBODY who loses a lot of weight whether it's from gastric bypass, gastric sleeve, weight watchers, Jenny Craig, keto, Atkins, intermittent fasting, carnivore etc.
True. May maybe if a really young person lost slowly, they may not start looking gaunt. When I was 34, I began yoga and working, eating better again, and lost some weight. I remember my dad saying, "you've lost enough weight, you're starting to look gaunt."
A family member came down with Crohns disease after surgery in June. He has lost 40+ pounds in less than three month, also is an older adult who was fairly active and what we would consider healthy prior to this. He eats very little protein, barely any fat. That combined with his inactivity, he has lost most of his muscle. I’ve bought him protein drinks, encouraged him to take supplements and do some strength training. Losing so much weight in such a short period of time is a stress on the body. It is so important to keep up the proteinintake and do muscle strengthening while losing the weight, especially in people who are less active
I quit smoking Nov 1 & gained 25+ lbs. I started to get serious about losing the weight because I was miserable a few weeks ago. I’m down almost 8 lbs from cutting out sugars & simple carbohydrates. I feel great & my energy is returning. I won’t trade one drug for another. The pharma & legal drug industry is no different than the drug cartels. Disgusting.
Everyone misses the point that this is not a drug for people looking to just lose 25 stubborn pounds. This is a drug for people with DISEASES such as diabetes 1 & 2, PCOS, etc that have pushed peoples body chemistry into the obese or morbidly obese category. There is a time and place for this.
At my current age and composition, at best, I will lose fat and muscle in a cut at a ratio of about .5-.7 kg muscle mass for every 1.0 kg of fat per week. Usually scaled down from that a bit. That is "muscle mass" as measured by the dorky smart scale, though, which includes water and glycogen, etc., in the tissue. Not sure about actual fiber loss. It comes back fast, in a similar ratio in the other direction. Just looking at rough figures.. 15 lbs is only around 7 kg, and we are talking about people who lost over 50 lbs (~25 kg) of fat. That seems pretty standard for people at high fat percentages.
A lot of your videos are informative. This one is misleading. You keep saying muscle wasting - which implies a disease process. That is not what is happening - people who lose weight quickly lose muscle. I have lost 120 lbs using a glp-1; when I noticed strength loss I focused gym time on resistance training and increased protein intake. I continued losing weight albeit more slowly - body composition has changed and am seeing gains in muscle mass and strength. All my numbers are well within normal ranges and I am in the best shape of my life. Would not have happened without glp-1’s. Most of the problems I see are the people taking the med, making no changes in their nutrition or exercise regimen. GLP-1’s should be used as the catalyst to make the necessary changes to get your life on track. You still have to put in the work, these meds just give you a slight edge when done properly IMO
Completely agree. I am diabetic with mobility issues thst stop me exercising much so added bonus it helps blood sugar but personally the real result is not being driven by a constant hunger.
Yeah, I resistance train and eat a high protein diet always. When on a cutting phase I take semaglutide at low doses and it makes dieting much easier and costs me about ten bucks a month
Nothing misleading about it. muscle is getting broken down if you dont lift weights, thats a fact, this isent new. The question is if they would have lost 15.4 kg of muscle in the same timespan, if they wasent on ozympic. ( and if they would have lost the same amout of weight the natural way ) What tomas is saying is super important that everyone knows, as it really seems like people believe that these weight loss drugs, is magic, and they come with no side effects, and that is just NOT true. I wont call it misleading, as the result is true, maybe worded wrong.
I agree completely. I've been on Tirzepatide for 7 weeks, I've lost 17 pounds, but am eating at least 200g of protein per day, walking at least 4 miles per day, and have continued to lift weights just as heavy as I did prior to my weight loss journey. So far I haven't lost any strength, which would seem to indicate I have not lost much, if any, muscle.
Here’s my newest FREE Meal Plan (High Protein Mediterranean with some Intermittent Fasting)- thomasdelauer.com/MediterraneanFasting/ Please enjoy it as a thank-you for subscribing to my channel and my newsletter!
your understanding on the insulin secretion from GLP-1 is wrong - which is very common. the release of insulin gets faster when the beta cell GLP-1 receptors get triggered. but not more insulin. it is less insulin. there studies regarding this and the show a very nice graph. that shows a higher insulin spike but it was way shorter. and the AUC (area under the curve) showed that the total amount of insulin was lower over a longer period. this is part of the weight loss.
with more total insulin you get fatter and not slimmer!
@@stefanweilhartner4415just
😊
@@stefanweilhartner4415ah very interesting. Thanks for enlightening!
Wow Thomas is looking really old in his face these days, not as bad as Paul Saladino but still aging quicker than his actual age. Maybe he should change up his diet (more fate needed), put less strain on his body with workouts and stop fasting.
I've been on mounjaro for 20 months because my physician called me about my blood results, indicating I would have a heart attack or stroke in 6 months without lifestyle changes. My physician decided to put me on mounjaro. My weight was 480 lbs with A1C of 6.9 and a body fat percentage of 48.7%. Today, I weigh 299 lbs with A1C of 5.1 with a body fat percentage of 26.0%. I'm off my high blood pressure medication and no more joint pain. I use mounjaro with strength training 5 times a week with a daily 45-minute walk. I feel so blessed to have my health back. I feel amazing.
That’s great. A lot of these people won’t understand what you were experiencing and will call you lazy. Sometimes we just need the little extra push and as much help as We can get. Yes these medications may have side effects that we don’t even know about. But in your case you had to make a choice between a death diagnosis, and a medication that could help you get started in the right path. I believe you made the right choice. My only advise to you is to use this medication as a tool to teach you how to eat correctly and start exercising slowly till your life is completely changed and you no longer need any medication. The point of this medication should be a help to transform your habits.
Should try just eating meat for a month. It might sound crazy but that's how I lost 30kg and turned my life around
@@Jason31256I know a vegan who did the same thing!
Very happy for you!
Yea good luck with the long term side effects ….
I started tirzepitide 15 months ago and lost nearly 200 lbs in the first 10 months. I know that i lost a ton of muscle mass even with resistance training added in. However, I would say for Me, i wont speak for anyone else, getting the weight off quickly, being able to move more freely and because of that, add in more activity was more important to me than the possibility of losing muscle mass. Maybe its short sighted, but, I think me at 180 lbs going to the gym training to build muscle, is a lot more healthy than a1c through the roof at almost 400lbs, still struggling to do things a "more natural way." I doubt i would have ever done it after a decade plus of trying alternatives.
Awesome you are making so much progress. My wife says it helps her not to think about food so much. I think we are all so different and if it helps people get started and see some quick progress they will stick with it.
@righthalfthetime-do4nt thanks! I can definitely agree with your wife about the not thinking about food part. It's been a game changer for me. Everyone has different health goals and journeys, but I will say watching Thomas's videos help keep us all pointed in the right direction, which is just a better/ more healthy version of ourselves.
@@RollingRocke"Everyone has different health goals and journeys," exactly, well said.
I used to be obese and although I didn't take Ozempic, the diet that worked for me _worked for me_ and we're all different. Congratulations on your weight loss, isn't it a great feeling!
Come back in 2 years to tell us how your life is then.
Dropping muscle mass won’t kill you. Obesity will. Once you can move better you can gain appropriate muscle mass back. Consider all the social influencers promoting calorie restriction for longevity. They are not worried about above average muscle mass. It’s all about nutrition and movement.
My ex was complaining how better quality food was so expensive and wants to go on ozempic for like $1350 a month. Seems like a pretty common thought process.
He would be better off fasting.
Wow I didn’t know it was that much.
Yo this hit hard and is so true! We always strive for the easier way, while deviating from the more feasible way avenue.
“My ex”
Good decision 👍
You can get it way cheaper than that. I'm talking less than $120 per month
As a practicing endocrinologist, I am a doctor and prescribe these medication’s frequently to make my patients more metabolically healthy. I emphasize all the points that you discussed, and it does help them preserve muscle mass. The problem is prescribing physicians don’t discuss the importance of nutrition and resistance training, when using these medication.
If they had focused on nutrition and resistance training initially, they would not need these medications. But you can't get some people off the couch.
What was the long term side effects? Or don’t they talk about it in medical literature? Don’t trust them after COV-VID lies.
@angelaadams3625 that is not true and very ignorant of you.
Had a whole lot to do with the fact that drs don't get hardly any nutritional training in medical school and because they ONLY know how to use meds to treat people, they just ASSUME they're being lazy, when they're just given wrong dietary advise.
@@Fenn2026Agreed a lot of weight gain is tied to genetics and aging also obese people will burn less resting calories then those with normal BMI after exercise making it less efficient, no to mention post exercise hunger.
I cut out junk food, I eat whole food, and as minimally processed food as I can. My clothes fit again, and my pants are actually falling off. No Ozempic.
same here
💯
Five years ago I commuted to work, sat most of the day, ate out nearly every day, and ended up hitting the heaviest weight I've ever been (215 lbs, 5'9"). I started to lose it before the pandemic hit, but when it did I found myself working from home, where I've been ever since. I started preparing my own meals, working out regularly, walking frequently, and jogging. Lost about 10 lbs a year and now am about the same weight I graduated from high school at (several decades ago), and feel like I'm 30. Basically the cure, or the fix, is to retire from our sick society and take control of your life. Unfortunately the number of people who want to do this is fairly small, and the number who can is even smaller. Now that a combo meal at McDonalds is about $20, a lot more people may be pushed in this direction. They may find it burdensome, but it will be the best thing that ever happened to them, as the pandemic was to me.
@@damiku-8866 congrats!! I was them. There was something always preventing me from just doing it. I took a week made my diet plan, which is really a lifestyle change not a diet and started losing 10 pounds a month. I eat a lot of proteins, spoonful of vegetables with each meal, eggs, half of avocado, nuts, etc. I recommend people take their time and prepare the change. You have to follow certain eating habits on Ozempic anyway. Gradually introduced intermittent fasting and walking. Nothing over the top But it made a big difference in my life. Good luck everyone.
I need to do this again it feels so good to not me suffering from inflammation
“If you have taken Ozempic you may be entitled to compensation” coming soon
You, or your deceased loved one, took Ozempic most likely.
That’s already on tv. I work in healthcare and those ads run constantly. It’s for people who experienced organ system damage due to Ozempic.
Yep
👍
no kidding
I’m on Mounjaro for T2 diabetes. My A1C went from 11.9 to 5.3. No side effects. Using this drug is worth it for me.
That’s amazing! I hear so many stories like yours. I no longer have high cholesterol due to Ozempic and my periods are regular (I have PCOS which makes them irregular),
Same here! Unfortunately, it hasn’t helped with weight loss, but it does a great job with managing glucose levels.
How long did it take to get your result?
@@noblumoon 3 months
Type 2 diabetes and PCOS are basically caused by being fat 🤣🤣💚
I have binge eating disorder and Ozempic has quieted the “food noise” from my brain. I was 414 pounds. I’m down to 364 pounds (losing about 5 pounds per month). I’m looking forward to being able to walk unassisted again!!! And yes, I do work out with a trainer.
Goood jobb!! Proud of you!
🎉 awesome
Thats great your losing the weight. Are you working w anyone to dive into emotional reasons for the binge eating? 😊
Eating disorders are hell. Congratulations on your success so far. You can beat this problem
Some people just have brains that work against them, and it's really cool that this drug can assist.
I’ve been on semaglutide for 2 years now. I have not lost any muscle. I work out 4-5 days per week at orange theory and also do 5k’s. I do not have Ozempic face. My ha1c, glucose and insulin are amazing now. I’m also a health coach for a wellness company and have MANY patients on semaglutide. I don’t have one with “Ozempic face.” I also have had probably 4-5 people who had vomiting on semaglutide, so we switched them to tirzepatide (Mounjaro) and they were fine. It’s been a life changing medication for so many!
Do you get DEXA scans to measure your muscle mass? There's no other way to accurately assess that.
BS
@@droojohnson yep, if you do it the legit way through a weight loss clinic they give you dexascans or InBody scans to keep up with your body composition every 3 months. If anyone is concerned, and doesn't have the option of a weight loss clinic, or a doctor willing to refer them for a dexa scan, some local gyms offer InBody scans as well with a personal trainer analysis.
Perhaps some of these celebs have Ozempic face because they've had buccal fat removal. The latest trend in Hollywood.
@@archerandthemouse I started Ozempic because of my blood sugar. My dad and grandmother were both diabetic. I was in the pre diabetic category. Had been on metformin for 8 years and it did nothing so I wanted to try Ozempic when it came out. It also helped with my portion control. Even though I eat healthy I was eating too much. Even too much of a good thing is too much.
I lost 22% of my total body mass, 59lbs in 15month. 32% body fat down to 18%… No Semaglutide or any other weight loss supps except caffeine. I just ate properly, 3x week full body strength training, 10k steps a day minimum and I followed most of the advice Thomas gives daily. I also watched his content multiple times a day to stay motivated. I’m at the 2yr mark now, weight is still off and stronger than ever. LMNT, taurine, green tea, 200g protein a day and also blueberries when I have a sweet tooth are daily mandatories too. Thomas, keep up the great work and content! You’ve helped change my life and saved my career.
well done. you're a good role model for others in your life hopefully.
You were dumb enough to get fat dont brag that you lost it.
Everybody loses muscle if you are on a strict diet. I lost a ton of muscle doing super strict keto.
It depends on how you diet. Rapid weight loss means you will typically retain less muscle. Slow controlled weight loss who is hitting their macros while on a slight caloric deficit will retain far more muscle.
15% of adipose tissue is lean mass! All these obese people think they're Mr Universe under the fat because they don't know this!
@@EAlc-f9t Is 2 pounds a week slow and controlled, while in a caloric deficit, and hitting my macros, and going to the gym 3 times a week? Well then I am slow and controlled on Zepbound. 20 down, 80 to go. No side effects, no misery, no keto.
Not true
I did too
How about the REAL QUESTION 👀.
The effect on CARDIAC ❤️ MUSCLE 👀 ???
Logically its lost at the same rate, take Ozemoic with Oxandralone to save muscle...Including you heart
Great question!
The new discovery is OZEMPIC reduces heart issues but 25%.. so…
You might want to do your research because GLP-1 agoists are extremely Cardiac-Protective! I am Type-2 Diabetic and my doctor prescribed me Mounjaro last fall. Aside from all the improvements I have experienced specifically regarding diabetes before I had even lost ten pounds my blood pressure had gone from 165/90 down to 123/78 which was absolutely stunning.
Years ago I had a Dr that put me on a cocktail of off label meds for weight loss. I was skinny for the first time in my adult life. I felt like crap though. And when I stopped them, I gained most of the weight back. This was my personal experiment on why there's no magic pill for me. I needed lasting changes to my lifestyle, healthier eating, more movement & therapy for my stress in an abusive relationship.
Everyone is different & I can see the benefits for someone who's so overweight that it's life threatening. As with any medication, each person most weight the pros & cons in their individual situation. These sorts of videos give more information on making the decision that's right for you. For me, it's a no. I'd never use anything like this again.
I started Mounjaro and don't regret it. I have struggled with BED my entire life as well as depression and alcoholism. Within the first week my desire for alcohol - zero, I've had no binges either, I just don't find that kind of food appealing so I'm eating a lot healthier, and I've weaned off my antidepressants for the first time in years. I didn't expect to feel such a drastic change in a month, my QOL has improved so much! I have lost 7kgs over the month and while there has been muscle loss too, my physical and mental health has vastly improved.
🎉🎉🎉
N=1 lost 125lbs to my target weight on Mounjaro. Maintaining and even lost 5lbs more while off for over six months. Couldn’t have done it without Mounjaro!! Best thing I ever did. Allowed me to change my diet, exercise and weight training when nothing else worked!!
Great job
But what all the side effects that they are hiding.
@@HorseRadish403 I have been taking Mounjaro for 5 months 40 pounds lighter ...only side effect is sulphur burps on and off....
I've been on Trulicity for a year. Lost 40lbs and my A1c dropped from 8.4 to 5.5. I used to get nausea, but eventually figured out that it was all about what I was eating. Eating too much and eating too much carb heavy food makes me nauseous to the point where I would have to throw up to feel better.
Changed to a high protein, fiber diet and the nausea went away. Started actually weighing and tracking my food. I can still indulge in carbs on special days like holidays without getting sick. I wouldn't say I have ''Ozempic Face." But my face is for sure thinner from the weight loss.
losing 40 lbs, wonderful.a1c now perfect, however, it should not have taken you a whole year to lose 40 lbs. You must be eating too much calories. I take 10 mgs Jardiance, 1 pill metformin er 500 with dinner and just ride my indoor bike 20 mins weekdays, and eat high fiber low carb. I have been losing 2 or more lbs each and every week. Maybe your thyroid is out of whack, that was my initial problem. it wrecked everything. now I'm good. lost a total of 106 lbs. gained 40 back during covid. now lost half in less than 2 months. my a1c was 7.4. I know it will be less than 6 at month 3, cuz whenever I do a test, my meter ranges from 4.6 to 5.2 * this is canadian. perfect results.
🤣🤣🤣 you could have just eaten less without pharmaceuticals
On Mounjaro for what it was designed for Genetic insulin resistance and type two diabetes. Don’t have a lot of weight to lose. Only lost 15 lbs in 8 months. Could stand to lose about 15 more, but totally okay if I don’t. Keto diet, but modified with higher protein and also practice IF. No nausea, no vomiting, no negative side effects so far. A1C is 5.1. I feel better than I have felt in years.
Mounjaro is the best one. Least side effects. Im on it now and only issue I have is acid reflux the first few days of the shot. A1C is down to 4.7 and Ive lost 36 pounds.
@@plontkegurl9529 Congratulations! ♥️
So, I’m a T1 diabetic that’s been on mounjaro for several months. It has had a huge impact on my blood glucose even as a T1. Doc and I didn’t expect it to be that significant. I generally run a 500-1000 calorie deficit. I aim for 170gr of protein per day. I’m down 13% with minimal muscle loss so far but then, about 2% of the weight was muscle. I push pull legs at least once a week. So that is obviously helping keep this in check.
Basically, they’re prescribing this and there isn’t enough education on maintaining muscle mass and proper diet. People want to take the pill and then continue to eat like shit.
As it is, what I do is based on my own knowledge plus the help of your channel, Renaissance Periodization and Nippard.
Ozempic hurt me really bad. I never made it to weight loss dose… i stopped after a few weeks and now six months later relentless abdominal pain….
Thanks for your testimonial. I was always curious but scared. Glad I haven't tried it out.
Please have a ct scan of your liver and pancreas. Same thing happened to my sister. Please get checked. A liver function blood test isn’t conclusive, don’t rely on thi😢test. You must look at the ct scan
I lost 40+ pounds through time restricted eating and regular dog walking (always did the dog walking-just made sure to take one 4-5 mile long walk most days). Over 65. No side effects.
I’m sorry this happened to you. Sounds painful and scary.
Haha. And all you had to do is start exercising and stop eating like a 🐖.
I was prescribed this by an endocrinologist before I’d ever heard the name of it. I lost 15kg. Yes, I had nausea, but I have no regrets.
I’m curious. It seems many people gain the weight back when they quit. Were you able to avoid that? If so, that’s awesome.
@@Sacarat no, didn’t gain it back. It gave me the kickstart I needed and I didn’t get Ozempic face. One of the best side effects was the aversion to alcohol.
Good for you the only thing I want to add is that it seems like the reason why people lose so much weight is because even a binger like me could not eat if I wanted to 🤢🤮. I guess all I’m trying to say is it’s still calorie restriction it’s just easier to restrict when you can’t keep food down or want to eat!
@@ryanlewandowsky2077 I think it works at a more scientific level to do with controlling glucose levels and glucose spikes. I have never been a big eater or eaten poorly. I am a woman and in my forties so there are always hormonal challenges. What actually piled my weight on was a severe burn out which was actually a physical burnout not a mental one. It landed me with crippling anxiety which is never bad in my life. It all hit me in a week. Then my doctor over prescribed me with anxiety meds. 40mg which was double what I should have been on. At the time I had no clue. If he had me on 100mg I would have done what he said. Then I broke my ankle… this wasn’t a case over uncontrolled eating. But I do get your drift this is the case for some. Reducing alcohol was probably a huge factor because it prevents fat loss. Though I wasn’t drinking huge amounts it was regular red wine with my meal kind of thing. I have an added complication which I’ve only just sealed with medically. It’s called LIPOEDEMA. Most doctors, at least in Australia don’t know what this condition is. It affects 1 in 10 women. It’s genetic. I am not going to explain this but for any women who read this and have fat they cannot lose on their legs, hips and butts, including arms eventually (there are more factors) look up this condition. It’s taken me 40 years of wondering what was wrong with me for no matter how hard I worked out or healthy I ate I could not lose this weight. This is scientific so please do your research. Perhaps your spouse struggles this way. Honestly, knowing what this condition is, is a game changer. I will say it again LIPOEDEMA.
I have no problems on Oz. No side affects. Lose it slowly, high protein and exercise. I started slowly.. better than all the health issues with obesity. I like it.
I have nothing to say about Tirzepatide but great things am losing the weight beautifully and I feel amazing. Since I started I feel healthier. I Started on Feb 1 24 down 43 lbs so far I love the way I look now. So grateful 😊🎉
How much did you exercise while taking it? I’m learning now, I’m waiting on getting approved for it. Your help is appreciated :)
I believe the poison is in the dozing. Maybe these side effects are brought about because the dosages are too high. Along with lack of strength training and diet in high quality protein and veggies and fruit.
Spent 25 years trying to loose weight; tried every healthy eating plan out there and various workouts. It either didn’t work or I couldn’t stick w it as I’m a carb addict. Trizepitide helped me w carb sugar addiction. Lost 55 pounds!!! Zero stomach issues. My calves and legs are still muscular. But did loose butt muscle but also never had a butt and sit all day, so…now do pilates 4-5x a week to tone. I wish people would realize many of us are heavily addicted to sugar/bad carbs and you cannot “diet” that addiction away but these meds 100% help!
Have you stopped the medication? Did the addiction come back?
Exactly carb and sugar addiction is REAL. I hate when people make a judgement oh just exercise and eat better. It's not that easy for some people jc.
The doctor tried to put me on Semagultide and I refused, cut out sugar, eating whole food and cutting processed food, and exercising 3 times a week for 50 minutes. It has been 14 weeks and I am down 18-19 pounds, 10 inches and gain 4% muscle and my blood work has improved across the board. I’m really sedimentary and recovering from a car accident so anyone able can do this. If possible try to eat better and move more for your overall health ❤
I took Ozempic and about 2 months later I hade horrible gastro that lasted 2 weeks. My mum suspected that because it takes so long to clear the stomach on this drug, if you eat something bad it has more time to stay in your system and cause problems.
I recently started Oz to get my A1C down. I am well into my workout regiment of 5-6 days a wk, including 3-4 of those days being resistance training. I make sure to supplement, protein, EAA's, vitamins and water. I also make sure to eat at least 1600 cal per day to make sure that I'm not starving myself. doing regular resistance training should counter the muscle loss from being on Oz for the purposes of diabetes, right? my goal is to get my glucose back down to a sub 6 and build muscle while losing fat.
It may not be for everyone but Mounjaro damn near saved my life. It’s been a game changer as a tool in my arsenal to get back on track with my health goals post menopausal, post cancer, and working on staying symptom free with autoimmune arthritis. Now back down to the starter dose as my maintenance for now. (Luckily I started with a high level of muscle from early training.) But thank you for letting people know about this danger. 😃
Fellow Mounjaro taker here. I think quite often men underestimate the devastating effects of hormone imbalances that are unique to women, resulting from problems or changes in our reproductive systems. These problems present immense challenges for weight loss. In general, men have an easier time losing weight than women anyway, but you add something like PCOS or menopause to the mix, it's damn near impossible to lose a significant amount of weight without practically killing yourself. Mounjaro has been a gamer-changer for me as well, but I also agree that these drugs aren't for everyone and if you can do it yourself, it's better. Every individual has to make their own risk/benefit assessment and determine if going on one of these drugs is right for their situation. For me it was, do I keep watching my weight and A1C climb despite my best efforts and keep getting sicker and sicker, or do I take a chance on one of these drugs to help me take back control? I don't know what the effects will be long term, and I'm nervous about that, but for now I feel I made the right decision.
@@The-Sneaky-Vampire APPLAUSE. The anti-Ozempic ppl, like the anti-GH ppl, want everyone to do things the "natural" way, but that is not possible for everyone. This "natural" crowd overwhelmingly consists of men, and typically younger athletic men -- like Attia. A male athlete like Attia cannot understand how difficult it is for people who do not have his enormous advantages.
@@alan2102X I mean no disparagement to men overall nor to anyone who has the ability to do it naturally, but there is definitely a disconnect experientially. Thank you for your kind support. ☺
Mounjaro did not work for me - I ended up twice in ER with excruciating pain - developed gallbladder stones. I would not recommend it to anyone. I get that many are losing weight on it but the pain I went through was worse than giving birth. If you are lucky that you get to lose the weight and not develop such a bad side effect then you are really lucky. I guess one will not know until they try, each body is different. If you do not have insurance never take the chance because the ER visits are extremely expensive around $30K per visit!
@@ForPeaceOnly Gallstones are not an uncommon thing in people losing weight very rapidly.
How many GLP-1 adverse effects are due to ppl taking high doses and losing weight too fast? IDK, but probably a lot.
If you do muscle training its not true.. I've gained 5 pounds of muscle the last year by training, and been on Ozempic for like 2 years, because of diabetes...
I’m taking semaglutide. I’m running an experiment on myself.
I’m an experienced lifter - been training over 10 years. I’m 210 lbs, 5’7”, around 30% body fat.
I gained about 30 lbs in the last five years - some muscle, no doubt, because my lifts have improved - and I attribute this to increased calorie intake from the stress of starting a business and having two kids.
I’m still lifting 3x per week and I’m taking semaglutide. I’m curious to see if I see much muscle loss.
Will check back in and let you know 😅
Hey Rick I'm in the same boat. I have been lifting for many years and eating right but just can';t get rid of the gut no matter what . I would like to drop 20 pounds and I'm going to experiment with GLP1 also. Good luck
And? Update …
I take Semaglutide and started working out 5 days a week with 10 minutes of cardio. Lost 80 lbs but have gained lots of muscle mass. I've seen people take it but don't work out they do look sickle. I take ammonia, protein, vitamins .
Is that a typo, or do you really take ammonia?
@@higherresolution4490You need Ammonia only when you are Not Eating a Proper Human Diet 🥩🐟🧈🥓🥚
He obviously is a VEGAN
Yup. U def should have resistance training and eat enough proteins and healthy fats to minimize muscle loss
@@higherresolution4490 Probably aminos
@@higherresolution4490 He is likely referring to AMINOS, zero chance he takes ammonia 🤡🤡🤡
Correction: at the 3:12 mark, you say "...lost 15 POUNDS of muscle", while the video showing an excerpt of the study shows "The change in body weight from baseline to week -15.3 KG (kilograms) in the semaglutide group..." So what is the real 'poundage' of muscle loss?
Yeah I caught that too!
15.3kg x 2.2 = 33.66lbs
Thomas, the study said they lost 15kg, not 15 lbs. 15kg is about 33lbs. Look at time signature 3:05. Even more disturbing...
Not sure Thomas cared about accuracy and science....he has a team...they make scripts for him....hes here to make money....he's not someone you should take health advice from.....he's on steroids and starves himself.
But it didn't seem to say anything about lean mass, the highlight just mentioned body weight
@@defeqel6537 why would you get advice from Thomas delauer at all? The guy is an actor...not an intellectual....he takes steroids and starves himself.to stay lean because this is.HIS MONEY
He doesn't care.about health and is just reading scripts that his team makes for him
That highlighted section was talking about overall weight loss not muscle loss. Don’t know why he highlighted that part when not talking about that but, anyway.
WOW
There's no shortcuts in weight loss, everything has consequences. Steady weight loss is the only way with long term success.
@@jennifermarlow. Yep. The key seems to be SHORT PULSES, like IF, or water fasting for 3-4-5 days, stuff like that. Or extreme calorie restriction for similar periods. Longer extreme restriction can cause problems, but the short stuff works good. Go hard and heavy for a short time, then back off and stabilize, then go hard and heavy again.
@@jennifermarlow.that’s awesome! The point may still stand though. When you lose weight you lose muscle, and probably bone density as well. Maybe you didn’t. Hopefully you didn’t lose bone density at 66 years old. That’s very important. Load bearing activity increases bone density🙂
@@jennifermarlow. Then you can keep on believing that because thats what you did. Breakfast is a scam, literally.
I believe that those who take shortcuts doing hard things miss at least half of the benefit of the result. Building the proper mindset necessary for long-term success carries over into every other aspect of your life. Persistence, endurance, discipline above and beyond what most people around you posses.
@@hamsandwich4451 Blah blah blah, me, me me
Here’s what I learned from this video. Thomas delauer’s biceps are freaking huge!
I’m on mounjaro and it’s fantastic. Not just for weight loss, but more importantly, for inflammation. I’ve been in agony with my back for 10 years. After one week on mounjaro it went away! In the UK it’s about £100 a month…so totally worth it for me! I always ate healthily (super healthily) and exercise a lot..so I didn’t need to change my lifestyle ❤ No side effects.
I’m very curious about this as I, hoping that’s a positive side effect for me. What I’m wondering is if you’ve had talks with any doctors about microdosing for inflammation.
Urolithin A is available from MANY different places. Curious on What makes this brand worth 100 bucks more.
Because they're a sponsor... 🤑
I was overweight and prediabetic.
Whole foods, limit seed oils, low carb, sunlight, regular light exercise and stretching, and i am healthier than i was at 30 (63 now).
No drugs for me.
There’s many other reasons glp-1 agonists work. Not related to insulin sensitivity. Weight loss always causes an amount of muscle loss along with fat loss. Nadolsky is correct. If you look at the studies. The studies show people are then able to exercise easier, this also has an effect on the family leading them to also exercise. There are many other positive effects of Glp-1 agonist, Gip agonists, positive heart effects, kidney effects, less food noise, less compulsive behaviors.
I'd love to hear more about the positive kidney effects. I've been looking into Doc prescribing for 80 yo w one kidney. he does weight train already. trying to drop 20 for breathing easier reasons.
So I would ask those critics of glp 1 agonists to research proper dosing. Most initial doses of the injectable given are way too high as a starting dose. Women who have experienced the misery of perimenopausal/menopausal hormonal weight gain and insulin resistance (significant abdominal weight gain despite "doing everything right' - speaking from experience here) are a population that seems to get ignored in this conversation. Not everyone using glp 1's needs to lose 100+ pounds due to poor lifestyle.
Dr Tyna Moore lists some great studies in her extensive research on peptides.
In the British press headlines today some of our top cardiologists are now claiming sensation early results for the treatment of heart conditions. They are claiming the drug could be as revolutionary a treatment as statins and should be a treatment of choice in the future!
I know a couple of people on it who are loving it. If it works for people with food addiction, I’m all for it.
The people who financially benefit from others being overweight, (like this guy) hate the glp meds.
Seems like remaining obese is the higher risk.
Yeah, it’s obesity treatment so only obese people should use it and it’s temporary. It’s a means to an end, it’s a valuable medicine for some people. It’s effective and comparativly safe
@@user-nz4ux4cw2z It's for diabetes.
Yes it's worse, but not actually exercising and using these drugs long term is worse. A lifestyle change is mandatory for actual results.
Amen.
Or having the muscle mass of a 80yo
Hoping to get sleep back into my equation very soon. Waking up 1am for work is very hard no matter what time you try to get to sleep. Moving from 1am to 5am will be huge difference for my circadian rhythm. Right now I get 4 hours on a good night.
I started ozempic. I immediately had severe constipation problems. I eat a good percentage of spinach, squash, broccoli, etc. I was going 3-4 days constipated pain. So I finally convinced my doctor to stop his advice. I felt back to normal in about a week. Do the doctors receive a “kick back” for prescribing it?
If the drug is still patented, you can bet your ass they receive kickbacks for prescribing it.
Semaglutide is not patented. It is not even a drug, but an endogenous peptide produced by the body. The delivery method (the auto injector) is patented. You can easily get semaglutide prescribed from a compounding pharmacy and do the small injections once per week yourself, and it will cost you about twenty bucks a month.
It is the delivery method that is patented--the auto injector.
Semaglutide is actually affordable if you have a doctor prescribe it from a compounding pharmacy and inject yourself. I'm talking about $20 bucks per month for a reasonable dose.
The reason why the compound semaglutide is not patentable is because it is an endogenous peptide produced by our bodies.
No we don’t receive a kickback. That’s illegal. It works in over 95% of our patients. There are patients that just cannot tolerate it.
But I would like you to realize that doctors are human and in reality, you can take a lower dose to start out. Have you ever drank 1/2 of a container of water by chance? You probably have. It’s the same thing with medication. You don’t always need a full tablet of medication (that’s why tablets are sometimes scored?) or a full typical dose. Everybody has different amount of GLP receptors.
Humans are inherently lazy because we don’t have to hunt or gather for our food. On top of that, our food is of rather poor quality. Your body is actually going after nutrients - First - so the cells and the system can operate well overall. Then probably calories. But there is plenty of stored energy in a body to last quite a while. it’s much easier and more effective to eat a diet that is more vegetarian based. Good quality meat or eating eggs in moderate amounts. With our patients, we generally want them to eat around 0.6 to 0.8 g Protein per pound of weight per day, drink 100 ounces of water per day and get 30 minutes of strength training with full body three days per week. It doesn’t have to be super intensive. When you have a catabolic state that these medications can cause (since you’re eating less) - your body goes into a state of distress, thinking it’s dying. So the adrenal stress is already being caused by diet so aggravating it with overtraining will make it worse.
*Moral of the story is that think of this medication like a full plate of food. You don’t have to eat the whole plate and you don’t have to take the full dose in the beginning. It has a click dosing system…
@@trentknight8661 jeez, Doc, tell me everything you know. Yes, I started with a small dose. Yes, my portions with Whole Foods were smaller. Always included leafy greens and fibrous veg. And, 3-4 days of painful and difficult constipation. I refuse to take trendy medications and advice on health issues from Oprah or Kelly Clarkson.
I tried saxenda it gave me really bad side effects, mainly bloating couldn't do anything, thanks to you and Dr berg I learned about keto, now I am 13 months in keto + IF down 53kg, not so far from my target weight.
Some of that “muscle” loss is inter muscle fat from metabolic syndrome.
Awake doctors are changing peoples lives with low dose Ozempic. I wouldn’t be to quick to right it off yet. Low dose seems to have no side effects.
Yes most ppl who start at higher doses have the most side effects.
yes my smart Doc says he only does low dose for 6 months. of course protein and resistance training. I have not tried yet.
What’s a low dose?
I started out 225lbs at 26% body fat and after 4 months on a low dose of tirz was 205 at 21% body fat which showed up as a 1.5 lb increase in lean body mass. After another month and a half I was checked again and had gotten down to 201lbs and was at 21% bodyfat with approximately another 1 lb increase in kean muscle mass. My Last checkup at 7 months has me at 199lbs and 17% body fat with another 1 lb increase in lean body mass.
I am 50 years old. I work out and eat clean but was having metabolic issues and was unable to get my weight down. My wife was having the same issue. For us it was the answer to a long struggle and we did not increase our dosage but rather kept adjusting our lifestyle as we felt better. That is the key to not losing muscle. High protein, go slow on the weight loss, increase your activity. Fitness guys and lazy doctors have a lot of partial information so do your research and know that there is literally "no free lunch." It takes lifestyle changes.
Ozempic for me is perfect at .5mg. Almost 2 months, no bad side effects, and I've lost 10 lbs. My ravenous hunger is completely gone. I eat 160 grams of protein per day, strength train, and have only lost 1 lb of muscle. The nausea is from pigging out, so just don't overeat.
Yeah, only people I see really complaining about it are the edge cases (which every medicine has) and people who haven't ever taken it. Study after study is showing its effectiveness and potential life extending benefits. Everything from reduction in cardiovascular disease, diabetes, brain deterioration and even addiction to nonfood substances.
@@nicholascolletta1777
The person you are replying to is the edge case.
Rip to your kidneys. Not only are you taking that trash but throwing 160g of protein on top
@@MiLitioN
Protein doesn't damage the kidneys.
@JasonBuckman ok my man. When you wanna come back to reality let us know.
Just one correction sorry. You’re more than just some dude on the internet! The work you do, the research you do makes so much difference! I’m grateful ☺️🙏🏾
And how much protein did they eat? How many did resistance training? Again, why not tell people how to take it properly?
Thank you!! Ozempic is a tool, not a replacement for better food choices and exercise. I have taken Ozempic for quite a while now, with no ill effects. My A1c went down, and I lost weight. ANY medication comes with a certain amount of risk. I wish people would educate themselves as far as pros and cons and not jump on the villifying Ozempic bandwagon.
This! Yes!
I’d like to hear more about ozempic and intermediate fasting, like this video. Thank you for this info. I am a 73 year old woman starting a strength training routine.
I'm only on the beginning dose and it's really helping me not crave sweets so much. I'm no longer gaining weight rapidly like I was post hysterectomy. I eat a lot of protein and now that I can exercise I am using weights.
Don’t worry, keep the protein intake high and move forward. If you start feeling badly or see any red flags, stop.
You are in a similar situation to my mother, she also had a hysterectomy and low doses of semaglutide (given by me) have really helped her kickstart her weight loss.
Good don't skip exercise,and get off ASAP
I took myself off of it after 3 years. I started having digestive problems.
I'm 20kgs down after three months on the carnivore diet. Good food and some exercise is all you need.
I am borderline diabetic. I did have a crappy diet before. Now I have lean proteins, veggies and fruit, and limit my carbs. After 2 months I feel much better and am noticeably thinner. It’s not easy, but it’s worth it.
Any weight loss is going to include muscle loss. No one bats an eye at bariatric surgery. I will gladly give up 6 pounds of muscle to lose 200 pounds of fat and get my A1C down, while developing a better relationship with food.
Me too!!
Very informative. I take everything Thomas has to say into consideration. He does the research. He reads and understands the literature. Thank you for sharing.
Mitopure is ridiculously expensive. They have to bring the price point down at least to a third of current pricing. Their charging "magic supplement" prices.
The problem is the dosing is far higher than it needs to be.
I have no idea where you got the idea the participants lost 15 lb of muscle during the treatment. I read the study, it doesn't list any numbers about muscle mass loss, it only mentions that they did lose some lean mass. The figure you keep showing doesn't even say what you are claiming, it's talking about total body mass and it says 15 kg not lb...
Good catch - lean tissue doesn't necessarily mean ONLY muscle. You also lose vascular tissue, cellular membranes, and even your organs shrink a little bit as you downsize the rest of your body.
@@katarh right, but my point is the numbers he "quotes" are wrong, not only is he saying LBs rather than KG, making me doubt he really even read this stuff, but that figure isn't referring to lean mass, it's referring to total weight, so there is no way to know how much was lean or not. It's such a blazing error I don't know how it let this get released on youtube.
It’s common sense obese people, who CLEARLY ARENT WEIGHT TRAINING OR EXERCISING, are losing muscle.. along with fat.. BECAUSE EVERYONE who looses weight looses muscle.. I enjoyed the video but when he’s pushing some supplements at the end.. I start to ask questions.. 😂😂😂😂
Can you post a link to the study? 😊
Muscle loss is not a symptom to Ozempic, it is a symptom of a sedentary lifestyle while using Ozempic ... proper exercise is always essential especially when losing weight.
I love your channel. Have you seen the news in the UK. They are saying that it has other benefits and these are from studies also...
Age 28 i weighed 230 pounds with a bmi somewhere between 30 and 40 today i stand at 168 pounds and 13% body fat at 34 years of age... im in better shape than the majority of guys in their early 20's . I perform at the level of a pro athelete 2x10-15 mile rucks + 30 pounds weekly. With 3 hard days of calisthenics resistance training weekly. In the last 2 years i tore a rotator cuf (6 month recovery) and got upcer in my left eye along with a nasty sinus infection causing me vertigo (3month recovery) my body fat was tested yesterday... we dont need anything but ourselves
I was on Keto before. Now I'm using Ozempic and feel great. Thank you Thomas!
I've been on ozempic I also take Testosterone. I'm losing weight slower than most people. I think this is because I focus on protein and I believe the Testosterone is helping me maintain my muscle mass. I push dumpsters around daily and haven't seen any decrease in my strength. I also don't know anyone with vomiting and nausea. No pooping is my issue and have to take miralax daily.
Repopulate your gut microbiome with good quality probiotics.
I Have Lost a Lot of Muscle Mass on ozempic. I am looking to come off Ozempic due to HbA1C being back in normal range.
I have lost muscle mass in my face also.
I will be getting back into the gym, sleeping more and taking these supplements.
See how I look in 3-6 months
Nope. It is just the beginning of Ozempic. This is going to be sold and sold hard. I expect it to be on the FDA list of approved childhood treatments and get exemption from claims of compensation.
I appreciate this video, thank you 🙏🏾
My doctor recommended i start taking ozempic for fat loss ( this is before it got popular) i said no thanks ill lose weight the natural way and ive lost weight ( not as much as i wantbut still pretty good) and im glad i didn't take it ill stick to natural weight loss thanks
Well obviously the doctor was wrong... he thought that you did not have the stamina for fatlose yourself.... But you did obviously... NOT. Why the fuck go to a doctor if you know in advance what to do WITHOUT a doctors advice. THE DOCTOR WOULD NOT RECOMMEND THIS IF YOUR ARE NOT OVERLY OBESE!
Can’t thank you enough for this information!
A 1% reduction in HbA1c is significant? Hardly! It's completely insignificant. I'm Type 1 45 years and have developed stubborn, hereditary metabolic issues of late. Ozempic is my miracle drug with almost no side effects. Can't speak highly enough of it! It definitely has its place.
But this might put big Pharma and Thomas out of a job😉
@@amydean269 highly doubt it.
I've been on the carnivore diet for 3 months. I started at 205 pounds and now 181. Im a 61 yo female and have visibly gain muscle mass. I've never been hungry, eat all I want and haven't felt this good in 20 years.
Whole food keto, carnivore, or Mediterranean diet + intermittent fasting are what you need to manage your weight, and it's 100% natural
I have type 2 diabetes and was on ozempic for almost a year and I quit because it was not working for me anymore. I never lost a lot of weight and I was having to take insulin and had trouble with muscel loss. I now have no problem with my sugars since. I now take berberine to help me.
This is what happens when we look for short-cuts instead of actually fixing the problem!
this is what happens when people abuse a drug meant for diabetes, not weight loss
I’m so happy u have no idea what ravenous hunger feels like. My bias is very natural based. I literally do everything “right”. Nothing suppresses my appetite. My input always matches my out. All Zep Bound does is reduce my hunger to a normal person. But like I said I have everything else dialed in. I used it for a year and lost 70lb while maintaining my strength and muscle. I haven’t taken it in 6 months and haven’t gained an ounce. And guess what….my hunger hasn’t come back.
@@geekspeak1066 Comment was related to society as a whole, and not individuals: If we as a society, were focussed on addressing root causes it may have become apparant what ravenous hunger may be attrbutable to (deficeincies, gut microbiom etc.)
If it were me, I would still speak to a high quality functional medicine doctor to possibly get some answers
It's going to be a lifesaver for many people.
Facts💯
Resistance training….add more protein and cut out the junk foods, high glycemic foods
So take protein, urolithin a, creatine, taurine and possibly mild steroids along with ozempic. Also lift weights.
Good info, but the title seems like click-bait. If muscle loss on ozempic is the same as other weight loss interventions, why is this significant? Questions I would like to see addressed are: does using glp1 agonists cause your body to down regulate its own natural production like with TRT? And, can using compounded GLP1 products at a lower dose be safer and better?
Lean muscls is incredibly important for all assets of life. You dont need to look like a bodybuilder but you should be able to walk up an incline without melting. That is horrifying news. I'm glad i take accountability for my life and dont look for shortcuts at the expense of longevity. Trading obesity for anorexia is not the play. Get healthy habbits, track your calories, get counciling to overcome any emotional attachments for food and stay away from fad diets. You will be fine. I just lost 40lbs naturally over 7 months. It took work, it took dedication, but i did it myself and i now have ideal health markers. Dont be a sheep, its benicial for the health care system to treat rather than prevent.
Blah blah blah...No one cares
@@nik07nik you're right, not many people care to take care of themselves and prefer a life a mediocracy, I don't blame you, it's easier to follow the herd which has become obese by choosing highly processed foods over healthy foods. It's funny that people care enough to seek out life altering drugs and fad diets but not enough to take a few minutes and learn the staples of being healthy.
@@Girthquake9 Sorry pal, just read thorough these post and everyone want to talk about their weight loss (horrible term it should be fat loss) Bragging about getting out of problem they created by their own sloth, gluttony and stupidly .
@@nik07nik while I agree it's not much to brag about, it can hopefully be a motivating success story for others that keeps them away from prescription drugs
@@Girthquake9 it’s the virtue signaling culture… Look at me look at me look at me… You don’t mention that you were the fool who got yourself into that place to begin with
How many walnuts and pomegranates do I eat per serving to get the same effect as this supplement?
Not worth what risk? The risk of staying obese is pretty bad as well.
My mom 100kg heavy and has been takingozempic since 6 months and has lost only 10 kilos in this time because somehow she can't stop eating
You looking for a summary? I've got you covered, you beautiful, lazy genius.
GLP-1 receptor agonists, like Ozempic, help with weight loss and glucose control but can cause muscle loss, often noticeable as "OIC face." Studies, such as those in the New England Journal of Medicine and Diabetes, Obesity, and Metabolism, show significant weight loss and reduced HbA1c levels. Common side effects include nausea (11-20%) and vomiting (10%). Experts, including Dr. Peter Attia, are concerned about the significant muscle loss observed in users. To prevent muscle loss, resistance training is crucial, along with supplements like Urolithin A, Taurine, EAAs, and Creatine. Prioritizing sleep and protein intake is also vital. Proper exercise, nutrition, and supplementation can help mitigate muscle loss during weight loss with GLP-1 agonists.
I couldn’t handle the side effects of wegovy and ozempic. Horrible headaches and nausea that didn’t diminish with continued use. I am now just increasing my activity with resistance training and cleaning up my diet..
I switched to mounjaro sooooo much better
I personally believe that it has more to do with lifestyle choice. The body is fantastically adaptive. If you're in a caloric deficit, and don't exercise or challenge your body, your body will selectively get rid of that which is most metabolically expensive, which is muscle tissue. However, if while you're in a caloric deficit, you can put a significant strain on your body physiologically through exercise, you will signal to your body that you still need the muscle in question, and you will preferentially lose fat.
I've been on Tirzepatide for 7 weeks, I've lost 17 pounds, but am eating at least 200g of protein per day, walking at least 4 miles per day, and have continued to lift weights just as heavy as I did prior to my weight loss journey. So far I haven't lost any strength, which would seem to indicate I have not lost much, if any, muscle. I am however going to get a DEXA scan here in the next couple of weeks just to make sure.
What about GLP-1 mixed with TRT and weight training? Wouldn't that be the best combination for older men at least?
Significant muscle loss on a GLP 1 is completely optional, as you mentioned. Prioritize protein, strength train, and get good sleep. They are game changing if you do those things.
If people were actually prepared to do those things, they’d lose weight without it and without the associated risks.
Personally I did a glp1 injection for 4 months and it has left me from a fasting glucose of around 80 to now 110 after stopping use. I have never seen this effect talked about, very strange since with weight loss you would think you would be better with insulin resistance.
Thomas keeps saying pounds but all of the highlighted text says kg?
It was lbs on the muscle loss. The highlighted portion is showing total weight loss in KG
What exercise build facial muscles, as this is one of the points you bring up regarding muscle loss. Alternatively, how can one avoid facial muscle loss while on Ozempic?
Remove all processed food from the Super Markets!
I sincerely appreciate your information. I mean that wholeheartedly. I am a 12-year laparoscopic band patient who officially has been told to have the band removed. I will be doing so at the end of July. That being said, I proceeded to see my PCP today for My annual visit, I'm about 85 lb overweight. Long story short, she said after the band comes out she wants me to start on wegovy. My labs are perfect except for some slight anemia. Cholesterol is great. My blood pressure is completely normal even though I'm overweight. I have no comorbidities and I take no medications only supplements. I go to the gym 5 to 6 days a week. I am extremely hesitant about the wegovy. Why is it necessary for me? I know three people very close to me who have had extreme adverse effects. One had visual disturbances that have not resolved even after stopping the medication, the other one who is a brittle type 2 diabetic, in her thirties, is about to have a J tube placed because she is unable to empty her gastric contents, and the other one has had severe abdominal pain and had to stop. I don't know where to go with myself.
1:38 So they reduced the calories by 500 calories a day?
Yes, this is the idea, I believe, correct me if I'm wrong but I think the medication reduces hunger but does not induce weight loss by itself, the weight loss comes from eating less food because the patient feels less hungry.
I agree exercise is so important. I have exercised for many years. I am now starting my journey on wegovy. I have taken protein supplements and creatinine for a long time. I walk for an hour everyday and weight training for about an hour everyday 4-5 times a week. Hoping for amazing results. Thanks for the great info.
The problem is not that you lose muscle mass , the problem is where you lose that muscle mass. And from what i see online is mostly small core muscles that are hard to train or to regain back , im pretty sure that's not how you lose muscles on a normal dieting plan.
Id love to hear what your advice is for hard gainers (ectomorphs)
"Ozempic face" happens to ANYBODY who loses a lot of weight whether it's from gastric bypass, gastric sleeve, weight watchers, Jenny Craig, keto, Atkins, intermittent fasting, carnivore etc.
That is very true.
People are always going to hate.
True. May maybe if a really young person lost slowly, they may not start looking gaunt. When I was 34, I began yoga and working, eating better again, and lost some weight. I remember my dad saying, "you've lost enough weight, you're starting to look gaunt."
A family member came down with Crohns disease after surgery in June. He has lost 40+ pounds in less than three month, also is an older adult who was fairly active and what we would consider healthy prior to this. He eats very little protein, barely any fat. That combined with his inactivity, he has lost most of his muscle. I’ve bought him protein drinks, encouraged him to take supplements and do some strength training. Losing so much weight in such a short period of time is a stress on the body. It is so important to keep up the proteinintake and do muscle strengthening while losing the weight, especially in people who are less active
I quit smoking Nov 1 & gained 25+ lbs.
I started to get serious about losing the weight because I was miserable a few weeks ago. I’m down almost 8 lbs from cutting out sugars & simple carbohydrates. I feel great & my energy is returning. I won’t trade one drug for another. The pharma & legal drug industry is no different than the drug cartels. Disgusting.
Everyone misses the point that this is not a drug for people looking to just lose 25 stubborn pounds. This is a drug for people with DISEASES such as diabetes 1 & 2, PCOS, etc that have pushed peoples body chemistry into the obese or morbidly obese category. There is a time and place for this.
@@PeleLua1 there are better ways.
What’s the difference between big pharma & the drug cartels?
The drug cartels don’t force their drugs on you.
At my current age and composition, at best, I will lose fat and muscle in a cut at a ratio of about .5-.7 kg muscle mass for every 1.0 kg of fat per week. Usually scaled down from that a bit. That is "muscle mass" as measured by the dorky smart scale, though, which includes water and glycogen, etc., in the tissue. Not sure about actual fiber loss. It comes back fast, in a similar ratio in the other direction. Just looking at rough figures.. 15 lbs is only around 7 kg, and we are talking about people who lost over 50 lbs (~25 kg) of fat. That seems pretty standard for people at high fat percentages.
A lot of your videos are informative. This one is misleading. You keep saying muscle wasting - which implies a disease process. That is not what is happening - people who lose weight quickly lose muscle. I have lost 120 lbs using a glp-1; when I noticed strength loss I focused gym time on resistance training and increased protein intake. I continued losing weight albeit more slowly - body composition has changed and am seeing gains in muscle mass and strength. All my numbers are well within normal ranges and I am in the best shape of my life. Would not have happened without glp-1’s. Most of the problems I see are the people taking the med, making no changes in their nutrition or exercise regimen. GLP-1’s should be used as the catalyst to make the necessary changes to get your life on track. You still have to put in the work, these meds just give you a slight edge when done properly IMO
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Completely agree. I am diabetic with mobility issues thst stop me exercising much so added bonus it helps blood sugar but personally the real result is not being driven by a constant hunger.
Yeah, I resistance train and eat a high protein diet always. When on a cutting phase I take semaglutide at low doses and it makes dieting much easier and costs me about ten bucks a month
Nothing misleading about it.
muscle is getting broken down if you dont lift weights, thats a fact, this isent new.
The question is if they would have lost 15.4 kg of muscle in the same timespan, if they wasent on ozympic. ( and if they would have lost the same amout of weight the natural way )
What tomas is saying is super important that everyone knows, as it really seems like people believe that these weight loss drugs, is magic, and they come with no side effects, and that is just NOT true.
I wont call it misleading, as the result is true, maybe worded wrong.
I agree completely. I've been on Tirzepatide for 7 weeks, I've lost 17 pounds, but am eating at least 200g of protein per day, walking at least 4 miles per day, and have continued to lift weights just as heavy as I did prior to my weight loss journey. So far I haven't lost any strength, which would seem to indicate I have not lost much, if any, muscle.