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GLP-1 pills are coming, and they could revolutionize weight-loss treatment

cnn.com

101–110 of 137 posts

Re: GLP-1 pills are coming, and they could revolutionize weight-loss treatment

#101
post #68

Earlier quoted context omitted.

Sounds worrying to me as it means this is essentially a lifetime drug. As soon as you stop taking it, your appetite returns and so does your old weight. The better option seems to be face the appetite head on rather than putting it on a temporal cage

> Sounds worrying to me as it means this is essentially a lifetime drug. As soon as you stop taking it, your appetite returns and so does your old weight. I see this said all the time about GLP-1 agonists, and it's a mischaracterization. It is true that when you stop taking the drug, your appetite is no longer suppressed, but you can still keep the weight off by eating a sustainable amount of calories. Usually, the b…

> you can still keep the weight off by eating a sustainable amount of calories.

This was always true and we know this is not the reason why people are overweight

Re: GLP-1 pills are coming, and they could revolutionize weight-loss treatment

#103

GLP-1 freaks me out after I read from plastic surgeons that it ages your skin from the inside out.

Plastic surgeons and cosmetic companies are rushing to convince people that the same effects you see from any weight loss are worse with GLP-1 agonists, to court a market with demonstrated willingness to spend money on (among other things) their looks. Plastic surgeons, I expect, are especially concerned about a large reduction in volume of lipo & related procedures, and are eager to get the message out that “no, you…

Yeah, a number of independent plastic surgeons are just coming to the same conclusion then, for people who are still going to see them for excess skin removal. OK, sure.

There was a large amount of skepticism in the original HN thread, but it strikes me as weird and dangerous, along the same lines of COVID-19 deniers.

Re: GLP-1 pills are coming, and they could revolutionize weight-loss treatment

#105
post #102

But why? Just eat no crap and work out. This is long lasting if it's a full life change.

[flagged]

Please don't be snarky or perpetuate flamewars here.

https://news.ycombinator.com/newsguidelines.html

Re: GLP-1 pills are coming, and they could revolutionize weight-loss treatment

#106

[flagged]

Please don't take HN threads on generic flamewar tangents with nationalistic rhetoric. It leads to hell and we'd rather not go there.

https://news.ycombinator.com/newsguidelines.html

Edit: we've had to ask you this before.

Re: GLP-1 pills are coming, and they could revolutionize weight-loss treatment

#107

Earlier quoted context omitted.

> Diet and exercise don't have negative side effects and they are free They're absolutely not free. They fail at a high rate, which incurs medical costs. And when they work, they require--in practice--a lot of follow-up and coaching. It's fairy-tale level mindblowing that we can look at the status quo where nearly half of the industrialised world is obese and get haughty about a drug that medically, demonstrably impr…

Tell me how much does it cost to do push ups? How much does it cost to do squats? Failing at doing any of these does not incur medical costs. And yes, it takes effort and willpower (like anything worthwile in this life). But none of those cost money. It's fairy-tale level mindblowing that we can look at the status quo where nearly half of the industrialised world is obese and get haughty about a free method (see phys…

It takes time and induces brain fog for at least some time after exercise. There are other side effects too.

Re: GLP-1 pills are coming, and they could revolutionize weight-loss treatment

#108
post #106

[flagged]

Please don't take HN threads on generic flamewar tangents with nationalistic rhetoric. It leads to hell and we'd rather not go there. https://news.ycombinator.com/newsguidelines.html Edit: we've had to ask you this before.

I’m commenting on what I’ve actually seen in the US. The portions served when eating out were bigger on average than in most of Europe, and the bread you’re supposed to make savory sandwiches of is somehow sweet in taste.

This has nothing to do with being nationalistic or not. It’s a statement of fact.

It just looks like at least in the US, if you go to the nearest grocery store to buy food or you eat out, and your goal is to decrease caloric intake, you’re playing against a stacked deck, is all I’m saying. You either need to spend extra time, effort, and money to find better places, or overcompensate by exercising extra time.

Re: GLP-1 pills are coming, and they could revolutionize weight-loss treatment

#109
post #4

for those who are interested in a cheaper, partially generic, pill based option for weight loss, i was just referred by a friend to the naltrexone + bupropion + metformin solution offered by hims (not linking because their website is terrible for learning anything without giving all your health info). he lost 30lbs in 3 months on it. i've just started so i cant vouch but just sharing that non GLP1 appetite suppressio…

This is sold as Contrave / MySimba, albeit adding metformin to the mix is a little unusual https://en.m.wikipedia.org/wiki/Naltrexone/bupropion

Some people who come off the GLP-1 meds (acheiving goal weight) are recommended by their docs to take metformin as a maintenance drug to stabilize weight.

Re: GLP-1 pills are coming, and they could revolutionize weight-loss treatment

#110

Earlier quoted context omitted.

There are side effects, but the risk profile is known (is my understanding). It is (at this time) believed to be a forever drug, just like diet and exercise stop working if you stop them. A longer term fix is likely gene therapy (Fractyl Health has a clinical trial in progress, REMAIN-1) vs chronic maintenance. GLP-1s allow us to poke at the human to see what happens. Gene therapy will, hopefully, allow us to impleme…

AFAIK Fractyl's "drug" is not gene therapy but a surgery where they remove part of the lining of your colon. It is not currently possible (nor will it likely be) to use gene therapy for obesity treatments. The technology is not suitable for this kind of medical application. slide 5: https://www.fractyl.com/wp-content/uploads/2024/10/DGVS-2024...

Wasn't my understanding from the contact I spoke to at Fractyl and associated docs. Noted to follow up with a domain expert, appreciate the context. Are you available for a paid 30-60 min conversation on the topic? Attempting to fill knowledge gaps, as I am not an expert.
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