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GLP-1s are breaking life insurance

glp1digest.com

211–220 of 640 posts

Re: GLP-1s are breaking life insurance

#211
post #38

Earlier quoted context omitted.

Can you explain what sucks about being on the prescriptions?

I'm just reporting my cached knowledge of people saying they experienced some adverse side effects. Also injections are not fun, even though they are probably a lot less annoying than they look.

There's an auto-injector mechanism, at least with my brand; you don't need to needle yourself

Re: GLP-1s are breaking life insurance

#212

Earlier quoted context omitted.

It's a maintenance medicine, not a cure, so if people stop taking it, they return to the same problems they had without it.

> if people stop taking it, they return to the same problems they had without it Source? Everyone I know who stopped taking it rebounded a bit, but not to where they were. And no literature shows 100% rebound to my knowledge.

I mean roughly in reference to the underlying mechanism it directly addresses, not all the downstream effects. And even that was, admittedly, sloppy, because there's some complex feedback loops involved. I guess it would be more accurate to say it is a maintenance medicine and not a complete cure, and so stopping taking it unmasks the continuing condition that is treating.

Re: GLP-1s are breaking life insurance

#213

Earlier quoted context omitted.

> if people stop taking it, they return to the same problems they had without it Source? Everyone I know who stopped taking it rebounded a bit, but not to where they were. And no literature shows 100% rebound to my knowledge.

I mean roughly in reference to the underlying mechanism it directly addresses, not all the downstream effects. And even that was, admittedly, sloppy, because there's some complex feedback loops involved. I guess it would be more accurate to say it is a maintenance medicine and not a complete cure, and so stopping taking it unmasks the continuing condition that is treating.

> stopping taking it unmasks the continuing condition that is treating

Some of the prediabetics I knew who stopped taking it (N = 2) stopped being prediabetic (N = 1).

Re: GLP-1s are breaking life insurance

#214
No mention of Common Side Effects in the discussion? It was pretty predictable (at least for someone healthcare-field [discovery + regulation]-adjacent all my life), but touched on the notion that the miracle wonder drugs are a provider's worst nightmare. It's a business

Re: GLP-1s are breaking life insurance

#215

The problem (not new with GLP-1s) is that people lose weight, get life insurance, and then regain. The biggest part of that equation is regain part. Most people quit GLP-1s because of costs. Let's fix that.

Are the long-term (>20 years) effects of taking GLP-1s really all that well understood? Because that's kind of what you're suggesting here.

Making millions of people dependent on a drug to maintain basic health does not strike me as the best of ideas regardless. I understand why it's a good idea for many from an individual perspective and I'm not judging anyone, but from a societal perspective it does not seem like a reasonable solution.

Re: GLP-1s are breaking life insurance

#216
post #38

Earlier quoted context omitted.

Can you explain what sucks about being on the prescriptions?

Hi there - Mounjaro user here. I've been using it for about a year at this point. I feel sick for three days in a row after taking it. Even after several months on the same dose. I get horrible gut cramps, sour stomach, near constant nausea, and occasionally vomiting and diarrhea. I have to take my shot on Thursday night because I'll feel bad the next day and supremely sick the next two days. If I took it earlier or…

I don't know how overweight you are, but could you not just reduce the dose to get fewer side effects & still have reasonable weight loss? & Did you try other GLP-1s?

Re: GLP-1s are breaking life insurance

#217

This blog post is flawed. "Life insurers can predict when you'll die with about 98% accuracy." Is not even properly framed and is found nowhere in the cited report. Predictions of when you will die need a range in order to be attached to a number like accuracy. The attached report is not about this but about population-level mortality trends.

Yeah was skimming that report too and it doesn't look even related to that claim.

Re: GLP-1s are breaking life insurance

#218

Earlier quoted context omitted.

How often do people control their own diets? That assumes they buy and cook all their own food, which is only true if you live on your own.

> How often do people control their own diets Maybe I live in a bubble, but I don’t put stuff in my body unwillingly, so yes I control my diet. It also isn’t rocket science, I know doughnuts have a shit ton of calories and vegetable shortening which will clkg your arteries, so I don’t eat doughnuts. I don’t have to look at the packaging. Maybe the missing part is a proper education on nutrition in school, but we live…

> Maybe I live in a bubble, but I don’t put stuff in my body unwillingly, so yes I control my diet.

The example I'm thinking of is cultures with near-religious obligations to listen to their parents. Like Italian-Americans all act like they'd die if they ever ate less than all of their grandmother's cooking or ever changed any of the traditional recipes. Even though the recipes were all invented in 1970 in NYC and have inhumanly large amounts of carbs.

Re: GLP-1s are breaking life insurance

#219
post #38

Earlier quoted context omitted.

Can you explain what sucks about being on the prescriptions?

Hi there - Mounjaro user here. I've been using it for about a year at this point. I feel sick for three days in a row after taking it. Even after several months on the same dose. I get horrible gut cramps, sour stomach, near constant nausea, and occasionally vomiting and diarrhea. I have to take my shot on Thursday night because I'll feel bad the next day and supremely sick the next two days. If I took it earlier or…

These are pretty extreme side effects for being on the drug thus long.

What dosing are you on? If you’re still doing 2.5mg (smallest available in the auto injectors) perhaps try a compounding pharmacy for a month or two and you can experiment with lower doses and a different dosing schedule?

During my peak weight loss period I found that matching my injection schedule to the 5 day half life of Tirzepatide and adjusting the dose downwards to match this schedule helped with any side effects - including the “fading” of effects those last 2 or 3 days for me. There are half life calculator spreadsheets available on the internet that can help dial it in and keep your theoretical concentration more flatline vs peaks and valleys.

The current dosing regime is based on the single FDA trial that LLY did and is certainly not going to be the common practice a decade from now. It’s largely designed around patient compliance than anything else.

That said - everyone responds to this drug much differently. My little group I’m in is all over the map. Some folks lose weight consistently with tiny doses every 2 weeks, some are going above the recommended maximum weekly dose.

I also found food choices matter. A lot. The best part of tirz for me was being given mental space to stop eating shit food and start eating “clean” consistently. When on high dosing I absolutely would have a bad day if I decided to take my shot and then eat a typical American diet later.

The primary mode of action from the drug is simply you eat less. But it shouldn’t be due to you feeling too sick to keep anything down. That sounds pretty horrible.

Re: GLP-1s are breaking life insurance

#220

I was on Mounjaro for two months. I was also dieting and walking 10k steps a day. I lost 25 lb and my A1C went down to 5.0 from 5.7. All my cholesterol numbers were in range. I stopped taking it and lost 25 more. I haven’t regained the weight. People who gain it back did not learn the lesson and did not effectively change their habits. You need the discipline - and a good support system. But if you don’t have that an…

I lost almost 15 kg (~33 lbs) over the last two months and I didn't even try that hard. I never had problems with my weight, but over the last few years it slowly crept up to ~107kg (at ~1.95cm), at which point I realised I had to do something. Reasonably sure I could do a The Machinist Christian Bale if I wanted to.

I also quit smoking with relatively little effort twice (once in my early 20s, and then again a few years ago after I picked up smoking again during COVID). It wasn't easy-easy, but if I hear the struggles some other people go through, it was relatively easy.

Some people are just wired different. I have plenty of other issues, but on this sort of thing, for whatever reason I seem to be lucky.

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