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What Ozempic does to the gut-brain axis

psychologytoday.com

141–150 of 555 posts

Re: What Ozempic does to the gut-brain axis

#141

My insurance stopped covering, now I'm looking at $450 for Zepbound / month. Just the weight coming back is making me more depressed...

Without long term positive dietary changes most people are unlikely to keep the weight off unless you want to take this stuff for life.

Re: What Ozempic does to the gut-brain axis

#142
post #105
post #77

Earlier quoted context omitted.

The idea that appetites are assigned at birth is a bold claim. Is there evidence to support it?

Well, not assigned by the hospital or your parents, but being a DNA-based lifeform a genetic baseline is a safe assumption. Experiences vary after that: https://pmc.ncbi.nlm.nih.gov/articles/PMC3052625/

I think there is much stronger evidence that it is metabolic damage from overconsumption in an earlier stage in life.

Not unlike if you shatter your legs, your recovery may be long and incomplete.

Re: What Ozempic does to the gut-brain axis

#143
post #21

Studies show almost all subjects regained the weight and reversed gains within 2 years. This means underlying issues (e.g., food addiction) aren't being addressed. Short of changing habits, the only maintenance solution is lifelong drug use and that doesn't sit well with me.

Why not? People take depression meds, blood pressure meds, all kinds of meds for their whole life. I'll be on omeprazole for reflux my whole life. It doesn't solve the underlying problem of my gut being prone to overpumping acid into my stomach. So omeprazole is problematic? The underlying issue is being treated, it's treated by taking the drug. It works. It's doing its job. I'd be curious as to how you came to this…

If you can find a way to use your own free will and self-discipline to stop the bad condition then that seems preferable to using a drug. Maybe someone doesn't have the willpower in which case it's good that we have the drug.

With regards to omeprazole, I changed my diet a bit and no longer needed the omeprazole. I don't know exactly what it was, but if you can get off of a drug because you don't need it anymore that seems ideal.

Re: What Ozempic does to the gut-brain axis

#144

Earlier quoted context omitted.

I think there's a distinct difference between taking medicine for things you can fix on your own (diet + exercise) vs things you cannot (excess acid production).

I'm not on GLP-1s, but I've been looking at very seriously because something I can't "fix on my own" is just... always feeling hungry. That's just how my body works. Exercise doesn't help; there's no reasonable amount of exercise that will help with my office-worker stomach wanting 3000 calories a day. So far through my life I've just lived with it and managed my diet as best I can and it just absolutely sucks.

Why would exercise use help? Burning calories makes your body want to eat, obviously - this is how our bodies are supposed to work.

Re: What Ozempic does to the gut-brain axis

#145

Earlier quoted context omitted.

>This idea that Americans are genetically pre-ordained to be fat seems like fanciful thinking. The idea that it being genetic or not should matter is odd? Who cares why people are fat? They inarguably are fat and will by all available evidence be skinnier and healthier on a glp drug. I fail to see the need for additional analysis or consideration? Digging into the root cause or petitioning to tweak the food supply to…

> I fail to see the need for additional analysis or consideration? Having 40% of your population on a lifetime drug seems like it could cause significant issues in the long-term, especially if there are unforeseen longterm side effects. Medical intervention seems like it should be a last resort, not something half the population is subscribed to by default, so if the problem can be addressed by other means, it really…

> especially if there are unforeseen longterm side effects

GLP-1s have been used widely for 20+ years now.

Re: What Ozempic does to the gut-brain axis

#146
post #42

Earlier quoted context omitted.

oh say more?

This is why I took it, auto immune related ME/CFS. Works great. I still get PEM but outside of that I get to live a normal life.

Interesting! Is it possible that you're just eating less of whatever triggers the autoimmune symptoms?

Re: What Ozempic does to the gut-brain axis

#147
post #103

Earlier quoted context omitted.

The evidence of where their fat stores came from?

> evidence of where their fat stores came from? Yes. Specifically, how basal metabolism is not a consciously-controlled rate that modifies itself against diet and exercise to the point that in some people with serious metabolic syndrome it may be impossible for them to lose weight through diet and exercise without suffering nutritional shortfalls. Also, the clinical evidence around what works for people losing weight…

>Yes. Specifically, how basal metabolism is not a consciously-controlled rate that modifies itself against diet and exercise to the point that in some people with serious metabolic syndrome it may be impossible for them to lose weight through diet and exercise without suffering nutritional shortfalls.

The average person does not understand how weight loss works; many people do not know the concept of maintenance calories, and don't know how calorie surplus or deficit works.

Simply putting them on drugs for life isn't a solution. The average person does not have metabolic syndrome, yet the average person is increasingly becoming obese or perhaps already is obese in many countries.

Re: What Ozempic does to the gut-brain axis

#148
post #72
post #48

Earlier quoted context omitted.

This assumes underlying behaviours are core reason. Research (tein, adoption) suggests otherwise

Practically speaking, any person could starve themself (short of death) and lose weight. In almost all cases there is no magic to storing more energy than you need.

Practically speaking any person cannot maintain that for significant length of time. Dieting has like a 99% fail rate by year 2. It’s hard to maintain that for many people — your body will keep you in starvation mode, keep you hungry and hang on to every calorie received.

Re: What Ozempic does to the gut-brain axis

#149
post #21

Earlier quoted context omitted.

Why not? People take depression meds, blood pressure meds, all kinds of meds for their whole life. I'll be on omeprazole for reflux my whole life. It doesn't solve the underlying problem of my gut being prone to overpumping acid into my stomach. So omeprazole is problematic? The underlying issue is being treated, it's treated by taking the drug. It works. It's doing its job. I'd be curious as to how you came to this…

If you can find a way to use your own free will and self-discipline to stop the bad condition then that seems preferable to using a drug. Maybe someone doesn't have the willpower in which case it's good that we have the drug. With regards to omeprazole, I changed my diet a bit and no longer needed the omeprazole. I don't know exactly what it was, but if you can get off of a drug because you don't need it anymore that…

I mean…that’s just like depression medication.

It’s possible to ignore sadness as well as hunger.

Re: What Ozempic does to the gut-brain axis

#150
post #21

Studies show almost all subjects regained the weight and reversed gains within 2 years. This means underlying issues (e.g., food addiction) aren't being addressed. Short of changing habits, the only maintenance solution is lifelong drug use and that doesn't sit well with me.

Why not? People take depression meds, blood pressure meds, all kinds of meds for their whole life. I'll be on omeprazole for reflux my whole life. It doesn't solve the underlying problem of my gut being prone to overpumping acid into my stomach. So omeprazole is problematic? The underlying issue is being treated, it's treated by taking the drug. It works. It's doing its job. I'd be curious as to how you came to this…

No, the symptom is being treated, not the underlying issue. And that's ok, but treating the underlying issue, when possible, is better, as the problem ceases to exist.
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