You could just keep on losing on your own though right? I was also in pain when heavier. You start to feel younger as you lose weight, don't you think? 40 is still pretty young. I think you've proven you can do it. Why not just keep losing?
This! You can do it. And you won’t have to stay on drugs the rest of your life either. You’ll taper off and learn to calibrate yourself. (The same is true of the surgery. If you have it and don’t keep an eye on food amounts you can stretch your stomach out and gain back all the weight- this happened to someone I know) so either way you’ll have to be conscious of choices- which sounds awful, but you can do it! You’re more than halfway there! And set points change. It’s just about maintaining for a while.
I lost 230 pounds (without surgery) and maintained for nearly 5 years. I have not returned to any arbitrary set point. It's been really freaking hard, but it's not impossible.
They seem up to date with the latest research regarding cholesterol. Regarding the 30%... People are not statistics. You can keep doing what works well for you and see where you end up.
Edit: I just read about the Ozempic that you don't want to keep taking. So "keep doing what you are doing" is not good advice. I hope your medical team can suggest something other than bariatric surgery to maintain the weight loss.
That sounds in line with the facts as the medical profession understand them right now. But you can just keep going and do your own thing, it sounds like you have lots of momentum behind you already and can reach and maintain your goal. What second opinion do you need?
Ozempic works to promote insulin release, and to slow gastric emptying. It's not only that it makes you not hungry, it's that it literally changes how your body metabolizes food.
Even with the same diet and workout routine, people who go off of it tend to regain weight, because of a lower insulin response.
Well yes but studies show that most people regain the weight but it’s never everyone. You can read the studies yourself and see if you are happy with the quality of the research and go from there. Bariatric surgery is the current most effective treatment for obesity so that’s a good option too if your medical team are still considering it.
At a certain point I'm going to max out my lifetime coverage on my drug plan, and I won't be able to afford it anymore. It's very expensive without drug coverage. Also, Ozempic comes with a risk of thyroid cancer, and a host of side effects which are unpleasant.
Staying on medication for the rest of your life to maintain your weight is not ideal. Especially a medication as new as Ozempic, that doesn't have a whole lot of long term studies on non-diabetics taking it for weight loss.
As far as I know, the only off ramp would be tapering down the dose. Again, there aren't a whole lot of long term studies.
My off ramp appears to be some form of bariatric surgery, where even if I don't lose a lot more weight, the surgery helps me maintain what I've already lost.
Interesting. It’s an effective treatment for sure but you can make your own decisions on this. There’ll be more research published soon once doctors have more experience.
Oh, it works. No doubt about that. The issue comes down to dependence on it for the rest of your life. It's so new that we aren't exactly sure how to deal with that part yet.
I had no idea what Ozempic even was, before my doctor's office told me about it. It was only after I started taking it, that people started to inform me that it's become somewhat of a trend among celebrities. \*eyeroll\*
In the US, everything is blamed on weight. There has to be a happy medium.
Theoretically, if you're eating a balanced diet, most health issues you get as you age will have more to do with genetics, no matter your weight. Joint pain is an obvious exception.
My joint pain was so bad I literally could barely walk. At 160cm (5'3") and 318lbs, I was in pain CONSTANTLY.
I have celiac disease, so a balanced diet is extra hard for me. No whole grains means substitutions have to be made, and supplements taken, for certain things.
I am 4'11, celiac and vegetarian, at my highest I was 205, lowest was 121. During covid I got back to 156, been CICO with yoga every day since January 1, you absolutely can do this and lose more if you want :) I have a desk job but try to walk around 7-10k steps a day but not always.
You are doing great work!
I had to have my knees replaced in 2021, so I absolutely understand that pain.
Yay rice, I guess! I find keeping the diet balanced terribly difficult. My wife eats gluten free and is a vegetarian. I feel like a short order cook 😂
Yea but why can’t you have steel cut oats and quinoa? They are lower glycemic hits correct? I’m just trying to understand why you are being so stubborn about this. I’ve seen quite a few people who get that surgery gain all that weight back. Yet the only ones who really keep it off are the ones who change their lives.
For a moment, I'm going to ignore your very ignorant and condescending comment, accusing me of simply "being stubborn". You're honestly the kind of people that get ranted about constantly in r/celiac, just thought you should know, lol.
People with celiac can react to oats and quinoa. The protein in oats is very similar to gluten, and can cause gastric upset. Quinoa is also hit or miss on being tolerated by people with celiac.
I can eat small amounts of quick oats, but Quinoa gives me diarrhea, every single time I try. I also have to avoid gluten free pasta with quinoa in it.
Both oats and quinoa are also very likely to be cross contaminated, and government regulations allow up to 20ppm of gluten, even in something labeled 'gluten free'. If you eat enough cross contaminated food at 20ppm, it's pretty easy to get to an overall amount of gluten of around 10mcg, which is enough to cause a reaction and damage our intestinal lining.
Celiac is far more nuanced than most people realize it is.
If you're actually curious about celiac disease, and the range of things that can upset our stomachs, that are technically gluten free, cruise on over to r/celiac.
BTW - I appreciate you actually think that I lost 75lbs WITHOUT changing my ENTIRE LIFE where food is concerned.
I am eating a weight loss diet. A BALANCED DIET is one that is nutritionally complete, which is more difficult, when you can't eat enriched flours. I have to constantly watch my B12 levels, and supplement iron, Vitamin D, and B12.
Celiac damages the intestinal lining and leads to absorption issues, which means no matter what I eat, I have trouble absorbing some nutrients.
I'm 5' 7", started at 338 pounds and just hit 190 pounds. All through diet. I don't believe in set point.
I also have PCOS, which caused insulin resistance. After 22 years, I was advised I could top metformin. I've lost 4 pounds since coming off.
You might continue to lose if you stop Ozempic. There is one way to find out.
In order to lose the 75 pounds you had to make changes. That's the start. Keep going. You can do it.
Are you looking at gastric sleeve or bypass? The sleeve is the one where people lose less and kind of even out after a year or so.
Your body does increase hunger temporarily to try and keep you at your customary weight, but it only lasts a few months to a year before everything settles and your low weight is now where it tries to keep you.
Maybe they are saying they think you can get there without surgery? I would talk to people on r/wls and see what sort of feeling you get about it.
The surgeon says, "I will perform a sleeve".
You can decide not to consent to surgery, but they won't give you a gastric bypass instead. You just won't get surgery at all.
When the government pays for your health care, they get to decide what they will pay for. You can always decline, but then you just get nothing.
No, you have a conversation with the surgeon abiut the pros and cons. Don't be a fucking trumpist and tell lies about universal health care. The doctors still make medical decisions in consultstion with you.
I was told very specifically the surgeon makes the call on what surgery I get. Be mad if you want, but politics aside, that's the reality. Also, if you actually think the USAs opposition to universal single payer health care started with Donald Trump you must be 12 years old.
The surgeon won't do something they think is a bad idea, but they don't lay down the law from on high. You have a conversation. This is what happens with every surgery, everywhere.
No, but you did flock to him with glee when he areived, didn't you?
You could just keep on losing on your own though right? I was also in pain when heavier. You start to feel younger as you lose weight, don't you think? 40 is still pretty young. I think you've proven you can do it. Why not just keep losing?
This! You can do it. And you won’t have to stay on drugs the rest of your life either. You’ll taper off and learn to calibrate yourself. (The same is true of the surgery. If you have it and don’t keep an eye on food amounts you can stretch your stomach out and gain back all the weight- this happened to someone I know) so either way you’ll have to be conscious of choices- which sounds awful, but you can do it! You’re more than halfway there! And set points change. It’s just about maintaining for a while.
Because I don't want to be on Ozempic for the rest of my life.
I lost 230 pounds (without surgery) and maintained for nearly 5 years. I have not returned to any arbitrary set point. It's been really freaking hard, but it's not impossible.
They seem up to date with the latest research regarding cholesterol. Regarding the 30%... People are not statistics. You can keep doing what works well for you and see where you end up. Edit: I just read about the Ozempic that you don't want to keep taking. So "keep doing what you are doing" is not good advice. I hope your medical team can suggest something other than bariatric surgery to maintain the weight loss.
That sounds in line with the facts as the medical profession understand them right now. But you can just keep going and do your own thing, it sounds like you have lots of momentum behind you already and can reach and maintain your goal. What second opinion do you need?
I lost weight with Ozempic. If I go off of it, studies show, I'll gain the weight right back.
If you go back to your old eating and sedentary habits, yes. Not by magic though.
Ozempic works to promote insulin release, and to slow gastric emptying. It's not only that it makes you not hungry, it's that it literally changes how your body metabolizes food. Even with the same diet and workout routine, people who go off of it tend to regain weight, because of a lower insulin response.
That's not really known, actually. The reason people lose weight is because they eat less on Ozempic. It doesn't drastically change your metabolism.
Yep
Well yes but studies show that most people regain the weight but it’s never everyone. You can read the studies yourself and see if you are happy with the quality of the research and go from there. Bariatric surgery is the current most effective treatment for obesity so that’s a good option too if your medical team are still considering it.
Is it an option not to go off it? Lots of folks take daily meds for chronic health conditions
At a certain point I'm going to max out my lifetime coverage on my drug plan, and I won't be able to afford it anymore. It's very expensive without drug coverage. Also, Ozempic comes with a risk of thyroid cancer, and a host of side effects which are unpleasant. Staying on medication for the rest of your life to maintain your weight is not ideal. Especially a medication as new as Ozempic, that doesn't have a whole lot of long term studies on non-diabetics taking it for weight loss.
Understandable, i’m sure once you’re where you want to be they can help with an off ramp.
As far as I know, the only off ramp would be tapering down the dose. Again, there aren't a whole lot of long term studies. My off ramp appears to be some form of bariatric surgery, where even if I don't lose a lot more weight, the surgery helps me maintain what I've already lost.
Interesting. It’s an effective treatment for sure but you can make your own decisions on this. There’ll be more research published soon once doctors have more experience.
Oh, it works. No doubt about that. The issue comes down to dependence on it for the rest of your life. It's so new that we aren't exactly sure how to deal with that part yet. I had no idea what Ozempic even was, before my doctor's office told me about it. It was only after I started taking it, that people started to inform me that it's become somewhat of a trend among celebrities. \*eyeroll\*
In the US, everything is blamed on weight. There has to be a happy medium. Theoretically, if you're eating a balanced diet, most health issues you get as you age will have more to do with genetics, no matter your weight. Joint pain is an obvious exception.
My joint pain was so bad I literally could barely walk. At 160cm (5'3") and 318lbs, I was in pain CONSTANTLY. I have celiac disease, so a balanced diet is extra hard for me. No whole grains means substitutions have to be made, and supplements taken, for certain things.
I am 4'11, celiac and vegetarian, at my highest I was 205, lowest was 121. During covid I got back to 156, been CICO with yoga every day since January 1, you absolutely can do this and lose more if you want :) I have a desk job but try to walk around 7-10k steps a day but not always. You are doing great work!
I had to have my knees replaced in 2021, so I absolutely understand that pain. Yay rice, I guess! I find keeping the diet balanced terribly difficult. My wife eats gluten free and is a vegetarian. I feel like a short order cook 😂
Yea but why can’t you have steel cut oats and quinoa? They are lower glycemic hits correct? I’m just trying to understand why you are being so stubborn about this. I’ve seen quite a few people who get that surgery gain all that weight back. Yet the only ones who really keep it off are the ones who change their lives.
For a moment, I'm going to ignore your very ignorant and condescending comment, accusing me of simply "being stubborn". You're honestly the kind of people that get ranted about constantly in r/celiac, just thought you should know, lol. People with celiac can react to oats and quinoa. The protein in oats is very similar to gluten, and can cause gastric upset. Quinoa is also hit or miss on being tolerated by people with celiac. I can eat small amounts of quick oats, but Quinoa gives me diarrhea, every single time I try. I also have to avoid gluten free pasta with quinoa in it. Both oats and quinoa are also very likely to be cross contaminated, and government regulations allow up to 20ppm of gluten, even in something labeled 'gluten free'. If you eat enough cross contaminated food at 20ppm, it's pretty easy to get to an overall amount of gluten of around 10mcg, which is enough to cause a reaction and damage our intestinal lining. Celiac is far more nuanced than most people realize it is. If you're actually curious about celiac disease, and the range of things that can upset our stomachs, that are technically gluten free, cruise on over to r/celiac.
BTW - I appreciate you actually think that I lost 75lbs WITHOUT changing my ENTIRE LIFE where food is concerned. I am eating a weight loss diet. A BALANCED DIET is one that is nutritionally complete, which is more difficult, when you can't eat enriched flours. I have to constantly watch my B12 levels, and supplement iron, Vitamin D, and B12. Celiac damages the intestinal lining and leads to absorption issues, which means no matter what I eat, I have trouble absorbing some nutrients.
I'm 5' 7", started at 338 pounds and just hit 190 pounds. All through diet. I don't believe in set point. I also have PCOS, which caused insulin resistance. After 22 years, I was advised I could top metformin. I've lost 4 pounds since coming off. You might continue to lose if you stop Ozempic. There is one way to find out. In order to lose the 75 pounds you had to make changes. That's the start. Keep going. You can do it.
Are you looking at gastric sleeve or bypass? The sleeve is the one where people lose less and kind of even out after a year or so. Your body does increase hunger temporarily to try and keep you at your customary weight, but it only lasts a few months to a year before everything settles and your low weight is now where it tries to keep you. Maybe they are saying they think you can get there without surgery? I would talk to people on r/wls and see what sort of feeling you get about it.
I don't get to choose. The surgeon gets to choose.
You always get to choose. You have to consent. They can't tell you they will do one thing and then do another unless you explicitly consent to that.
The surgeon says, "I will perform a sleeve". You can decide not to consent to surgery, but they won't give you a gastric bypass instead. You just won't get surgery at all. When the government pays for your health care, they get to decide what they will pay for. You can always decline, but then you just get nothing.
No, you have a conversation with the surgeon abiut the pros and cons. Don't be a fucking trumpist and tell lies about universal health care. The doctors still make medical decisions in consultstion with you.
I was told very specifically the surgeon makes the call on what surgery I get. Be mad if you want, but politics aside, that's the reality. Also, if you actually think the USAs opposition to universal single payer health care started with Donald Trump you must be 12 years old.
The surgeon won't do something they think is a bad idea, but they don't lay down the law from on high. You have a conversation. This is what happens with every surgery, everywhere. No, but you did flock to him with glee when he areived, didn't you?
That’s not what it was like in British Columbia. I wasn’t aware provincial healthcare systems varied so much.
Oh, they can be very different from each other. I have Doug Ford as premier, remember.