Live data from Hacker News

How long til we're all on Ozempic?

asteriskmag.com

221–230 of 1001 posts

Re: How long til we're all on Ozempic?

#221
post #56

I’m just as curious as to why some people are so willing to take numerous medications, while others go to any lengths to avoid them. Some people are happy to be on an SSRI, sleeping pill, statin, low dose aspirin, and a few others, and aren’t bothered by this. Other people seem instinctively revolted by prescription drugs, seeing toxins pushed by evil corporations. Is it a trust issue? I personally detest and avoid a…

I'm curious why you include antibiotics in your trusted medications list.

Over the past several years we've found that antibiotics have a huge impact on beneficial microbes in your body which then has downstream impacts on your health [0]. Oddly enough for the topic in this article exposure to antibiotics as a child may be linked to obesity[1]. They are also extremely over prescribed for things like viral illnesses [2].

I personally wouldn't take an antibiotic unless whatever malady I was suffering from was proven to not only be bacterial in origin but likely to progress without treatment.

Regarding your larger point some of the distrust of medications can be related to the fact that people know that medication producers' goal is to be profit for the most part.

Because they are for-profit the medicine producers can't be trusted to produce quality products or to produce products which resolve a problem rather than just reducing symptoms as long as the patient continues to pay for the medicine.

As with other problems we have a low trust society because it's a society built on for-profit enterprises rather than enterprises focused on doing the best thing for society.

0: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8756738/ 1: https://www.nature.com/articles/ijo2014180 2: https://pubmed.ncbi.nlm.nih.gov/37876436/

Re: How long til we're all on Ozempic?

#222

One thing that it seems we are just starting to talk about with these drugs is the associated muscle and bone density loss. I'm concerned that this generation of GLP-1 early adopters will wind up more frail and suffer a lower quality of life in old age as a result.

> One thing that it seems we are just starting to talk about with these drugs is the associated muscle and bone density loss.

Muscle loss is associated with _any_ kind of weight loss.

And GLP-1 drugs _improve_ the bone density: https://academic.oup.com/jcem/article/100/8/2909/2836097 It's likely simply because thinner people naturally move more.

Re: How long til we're all on Ozempic?

#223
post #170

Instead of a system that makes these drug available for purchase, I'd rather live in a system that promotes healthy food and active behavior. Unfortunately, I have to drive everywhere, work too many hours to have free time for recreation and have no idea which government subsidy is going to help big ag likely at the expense of my health. All things being equal, I'd prefer to spend less money on prescriptions and have…

[flagged]

Late stage capitalism is what got us in this place.

Add sugar to everything, advertise anything and everything to kids so they are hooked up early, make healthy food expensive so the poor have no choice but to eat unhealthy and so on. Profit!

Now they'll profit once again at the other end "fixing" the issues they caused in the first place. Genius. There's no limit on human ingenuity when it comes to exploiting others.

Re: How long til we're all on Ozempic?

#224
post #170

Instead of a system that makes these drug available for purchase, I'd rather live in a system that promotes healthy food and active behavior. Unfortunately, I have to drive everywhere, work too many hours to have free time for recreation and have no idea which government subsidy is going to help big ag likely at the expense of my health. All things being equal, I'd prefer to spend less money on prescriptions and have…

[flagged]

> Like..you can't bother to take a walk, eat healthier, so you shell thousands on drugs..

For many of us in the United States (and elsewhere, I'm sure), our built environment makes driving the only feasible mode of transportation. Sure, we can walk for recreation, but at some phases of life carving out that time is extremely difficult.

Regarding food: there are brilliant people devoting their careers to coopting our natural processes to buy their products—and many of those products are unhealthy foods. Fruits and veggies don't have that kind of marketing.

Re: How long til we're all on Ozempic?

#225
post #170

Instead of a system that makes these drug available for purchase, I'd rather live in a system that promotes healthy food and active behavior. Unfortunately, I have to drive everywhere, work too many hours to have free time for recreation and have no idea which government subsidy is going to help big ag likely at the expense of my health. All things being equal, I'd prefer to spend less money on prescriptions and have…

[flagged]

You really shouldn't generalise.

I've been running distance most my life. I stopped when my wife had our first kid to concentrate on working hard and give her as much time off from the kid as I could, then after 6 years I had enough and started running. Two years ago, I hadn't been losing any weight, and I was put on these drugs to help me.

I lost more weight.

I run, walk, and move more than you imagine. It didn't work, but these drugs worked.

Not everything is black and white or fits into your preconceived notions.

Re: How long til we're all on Ozempic?

#226
It will be interesting to see how health insurance companies deal with Ozempic. A few days ago a top article on HN posed the question: Millions of Americans could benefit from drugs like Ozempic; will they bankrupt the healthcare system?

Of course there are many health benefits to losing weight. Given there are clear, healthy, non-drug assisted ways to lose weight, should drug-assisted weight loss be considered an 'elective' procedure, so to speak (similar to liposuction). With so many people qualifying for this drug, would it be fair to increase insurance premiums for overweight individuals? (I say this as someone who could lose a few lbs). Should healthy active folks who keep their weight in-check naturally be required to foot some of the insurance premium bill for those who use this drug to lose weight? If someone rebounds multiple times after going off Ozempic do we continue to collectively pay? Will we be required to collectively pay for people to stay on Ozempic indefinitely to maintain a healthy weight?

https://www.latimes.com/science/story/2024-05-29/will-ozempi...

Re: How long til we're all on Ozempic?

#227

Earlier quoted context omitted.

> "Just eat less and exercise more" is trite. If it were that easy, we'd all be in fantastic shape. Studies show it just doesn't work. There was a massive (18,000,000 people) cohort analysis published in 2023 that showed the likelihood of someone losing 5% of their body weight in any given year was 1 in 11 and the likelihood of going from severely obese to normal weight is 1 in 1667. https://www.ncbi.nlm.nih.gov/pmc/…

It would work if people would actually do it. It 100% works. Human nature is such that people would rather take a drug than change their lifestyle. I've done it myself but it requires a complete realignment of lifestyle to make lasting change.

In 2018 I did an Ironman triathlon. Across 2020 and 2021 I cycled over 20,000 miles. I cycled 200 miles on the hottest day of 2022 in the UK. In 2021 I cycled 200 miles in under 12 hours. In 2023 I ran over 10 half marathons. You simply cannot tell me I didn't completely realign my lifestyle or that I'm not determined.

At my lightest in 2023, I weighed 60kg. Currently I weigh over 95kg. I don't know what else people who hold your view can be told to convince them this problem is not one of willpower. I have the capacity to suffer. I've given up smoking. There is no escape from food.

Re: How long til we're all on Ozempic?

#228

Earlier quoted context omitted.

> "Just eat less and exercise more" is trite. If it were that easy, we'd all be in fantastic shape. Studies show it just doesn't work. There was a massive (18,000,000 people) cohort analysis published in 2023 that showed the likelihood of someone losing 5% of their body weight in any given year was 1 in 11 and the likelihood of going from severely obese to normal weight is 1 in 1667. https://www.ncbi.nlm.nih.gov/pmc/…

Of course, it "doesn't work" because people don't keep it up. I started exercising regularly during covid and didn't stop. I cut out all the soda. It works.

Report back in 10, 15 and 20 years.

Likely, you will at some point revert to unhealthy habits and become fat again.

Long-term weight loss success numbers are abysmal.

Re: How long til we're all on Ozempic?

#229
post #170

Instead of a system that makes these drug available for purchase, I'd rather live in a system that promotes healthy food and active behavior. Unfortunately, I have to drive everywhere, work too many hours to have free time for recreation and have no idea which government subsidy is going to help big ag likely at the expense of my health. All things being equal, I'd prefer to spend less money on prescriptions and have…

If you have an open mind, I'd like to assign you some homework if you like. Take a look around r/zepbound and count the following:

1. Posts from folks who diet+exercise, or who have tried diet/exercise and nothing's worked so they then turned to Zepbound ("excited to hit the gym," "my diet is finally starting to work with Zepbound" and similar)

2. Posts from folks who haven't tried diet/exercise and turned to Zepbound first. (e.g. "I'm excited to eat dessert and laze around on my couch all day!" or "Zep is so much easier than before, no more keto for me" and similar)

Which group do you think would have more posts?

Selection bias probably prevents us from being able to count "Zepbound didn't work for me, but diet and exercise did" posts, which is why i suggest this.

Here's my hypothesis: I think self-control is generally uncorrelated to losing weight. Perhaps it's necessary to have self-control to lose weight "the simple way," but certainly not sufficient. I know lots of friends who've struggled and found it's not so simple.

Re: How long til we're all on Ozempic?

#230

Earlier quoted context omitted.

As with everything I'm sure there is a spectrum. There are surely folks who have food addictions, there are surely folks who are not taking accountability for their habits, and there are possibly folks for whom this could be the best or safest option.

[flagged]

It doesn't follow that your body, when running at a calorific deficit, will continue to run the life support systems at optimal levels. In principle, it's possible (unless you're actually fasting, which is a whole different kettle of fish) for a reduction in energy-in to lead to putting on more weight, if your basal metabolic rate drops more than the food did.

It's complicated. What's true for some people isn't necessarily true for all people. Sure, I'm willing to bet a lot of people – probably most people – are able to choose how fat they are by adjusting their diet and exercise regime, without adverse effects on their health, but that's not a law of biology. I know as many people who struggle to put on weight as struggle to lose it.

Post reply on HN