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Ozempic is changing the foods Americans buy

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Re: Ozempic is changing the foods Americans buy

#631

Yet they seem to be spending more in restaurants: > Ozempic Users Actually Spend More Dining Out. > ..In casual dining establishments, they spend 25% more than non-GLP-1 households do, the market researcher says. Data firm Numerator shares similar findings, noting that while GLP-1 users report eating out less and cooking at home more, their spending says otherwise: “Verified purchase data reveals that their fast-food…

Wow, it's hard to think of a better example of a correlational study measuring something that would obviously be confounded by the thing being studied. Don't forget that most GLP-1 users are obese and many will continue to be after treatment (as it only causes a reduction in 10%-20% of body weight). And they're rich. So the headline is "rich obese people spend more in restaurants than average". No shade on people tak…

> as it only causes a reduction in 10%-20% of body weight

This was simply when the studies ended. Weight loss for most definitely tails off, but doesn't completely stop if you continue longer than the 18mo SURMOUNT-4[0] study went for with Tirzepatide.

I also do not know if this was patients going on maintenance dosing, staying the same, or ramping up doses to the full 15mg max dose. Would need to re-read it as it's been some time.

fwiw Tirzepatide is actually around 25% average loss vs. 20%. My anecdotal evidence from my peer group shows that the vast majority can go further than 25% (if needed) and then maintain it - but that does require significant lifestyle changes to maintain. The few who simply kept eating junk but less of it had far less drastic results.

I do consider it a performance enhancing drug for dieting due to that fact. Those that use it as one tool of many seem to do incredibly well. Those that use it as the only tool have much worse outcomes. No surprises there, but it was surprising to me how durable so far those who decided to make life changes have stuck with it now over the course of around 3+ years.

My random guess would be that if you use it to break habits and establish new ones, you tend to become a super responder. I like to tell people it was perhaps roughly 60% of my weight loss (36% or so, but I tapered off due to hitting my goal) was due to the drug, 40% due to other factors like eating better and creating new workout habits. The drug simply made it much easier than previous attempts at dieting, and the results turned into a feedback loop.

Another pet theory of mine is that if you use it to break a food addiction, you end up being able to stay on the wagon easier. This is based on other life experiences with other substances - the longer you stay off, the easier it becomes (for most) to abstain. Especially if you create new habits in their place. I no longer crave those late night taco bell runs like I once did even when (mostly) off the drug itself.

[0] https://pubmed.ncbi.nlm.nih.gov/38078870/

Re: Ozempic is changing the foods Americans buy

#632

Earlier quoted context omitted.

Why is taking it for weight loss such a bad thing? It improves quality of life, health, reduces risk when surgery is needed, etc., etc. Why create a new account just to litigate how statistically relevant the grandparent comment's anecdote is?

>It improves quality of life, health, reduces risk when surgery is needed, And as pointed out elsewhere in this thread, needs to be taken forever as the vast majority of patients regain most or all of the weight they lose after taking GLP-1s. >Why create a new account just to litigate how statistically relevant the grandparent comment's anecdote is? Red herring. My account was not created today, I’ve participated in…

I don't think "medication stops working when people stop taking it" is really a terrible thing.

Re: Ozempic is changing the foods Americans buy

#633

Earlier quoted context omitted.

> they don’t have the discipline and motivation to maintain the weight loss That argument has been tried for years and yet it fails nearly 100% of the time. Should we be trying something different than claiming it's a moral issue? Or is that too scientific?

Why do we need to try anything? This comes down to individualism versus collectivism. Besides, the logical consequence of the portion of my comment you highlighted is that the majority of GLP-1 patients will need to be on these drugs forever to maintain these benefits long-term. We have precisely one trial of 5+ years of patients taking liraglutide, and ~2 years for semaglutide. Some side effects and long-term conseq…

>This comes down to individualism versus collectivism.

All fun and games until it costs every individual a massive amount.

Re: Ozempic is changing the foods Americans buy

#634
post #250

Earlier quoted context omitted.

What kind place were you eating at the puts sauce on steak? Are you complaining about a BBQ restaurant, they are notoriously unhealthy.

One of those places, was a very fancy restaurant in Washington DC, with photos of presidents dining there hung on its walls. So, let’s not act like it’s not something normal there. These sugary sauces are everywhere in the USA. From low level to high level eating places.

Putting sauce on steak is blasphemy for a lot of people. It's not something normal unless it's the customer adding it to their own meat.

Re: Ozempic is changing the foods Americans buy

#635
post #115

Earlier quoted context omitted.

My brother was on it for a bit (and should go on it again) and the thing he noted was that it makes it easy to not eat but it gives you no useful habits to keep that up because it's so easy. Which makes sense. I still calorie count everything generally because I know I'll let myself creep portion sizes unchecked.

I don't think it's natural (in the sense of defining health) for adequate homeostasis to require special rituals and constant attention.

>I don't think it's natural

Natural is a fair part of your population starving every winter.

Re: Ozempic is changing the foods Americans buy

#636

Earlier quoted context omitted.

I don't think it's natural (in the sense of defining health) for adequate homeostasis to require special rituals and constant attention.

Agreed 100%. I think if your strategy for maintaining a good diet relies on weighing food and counting every last calorie, you are inevitably going to fail. Something more fundamental, natural, habit forming, whatever -- that will be the right answer. Naturally trim people don't count calories to stay that way, either.

>Naturally trim people don't count calories to stay that way, either.

Wouldn't it be funny if we discovered that naturally trim people just produce more hormones like glp...

Re: Ozempic is changing the foods Americans buy

#637

Earlier quoted context omitted.

JFC you do understand that not everyone in America is a software engineer like you who is well compensated and has a proper work/life balance? There are tons of people in America that are just ground into the dirt day in day out with no end in sight. Have some empathy.

Sure, i'm not arguing against that. What I'm arguing against is the statement "there's nothing to do but eat and consume junk media"; That's simply not true, there is plenty to do, and a lot of it is not cost prohibitive.

I wish I could see you try to tell this to my father when he was working manual labor. I'd pay money.

Manual labor which was so grueling that he had sue his company in order to retire early because he could literally no longer walk and required surgery to remove the extreme bowing in his legs.

You could come in, look at the latest Creosote burns on his skin, and tell him that something-- anything! --would be better than watching an hour of Football.

And, while you're at it, you could try to convince him that smoking's bad too.

Re: Ozempic is changing the foods Americans buy

#638

Just a reminder there are no shortcuts; doing the work to actually heal yourself and fast, etc. will always beat this sort of thing in the long run.

"Heal yourself" is an emotional relative.

If epigenetic markers have activated there is no meditating them "off". Many other factors existthat foster diverse set of biological traits that are not toggled off by sitting by water.

Don't play doctor online as observers may be confused and make poor choices relative their unique circumstances.

Stick to over-charging people wracked with guilt and seeking salvation, and the bizarre longtermism you think you're bringing to fruition. Gonna stick around 10,000 years to ensure it all goes according to plan?

Re: Ozempic is changing the foods Americans buy

#639
Becoming addicted to food can seriously wreck your life. Nothing makes every aspect of your life harder than being fat. And it just sneaks up on people because no one talks about it, like alcohol, it’s just a thing people assume you will do.

When I’m hungry, I eat, and that’s it, I don’t think about food until hours later when I get hungry again. It blows my mind that there’s people that just never stop thinking about food, even shortly after they’ve eaten, even when they’ve had their fill. We don’t have to live this way. Try to think about food less, it starts in the mind.

Re: Ozempic is changing the foods Americans buy

#640

Earlier quoted context omitted.

Not GLP-1, but moved onto an OMAD diet which is essentially a 23hr daily fast with nothing but neat espresso, cigarettes and water in between - although occasionally I have a small treat or sugary drink. But now I eat almost exclusively at restaurants and enjoy it, and overall it's cheaper than cooking at home given wastage with many ingredients and desire for variety. I do eat very simply though, usually south & eas…

How can eating at a restaurant be cheaper than at home? Could you give examples?

My local Indian restaurant offers tiffin service for CAD 250/month. That's enough food for my wife and I for lunch on the 5 out of 7 days of the week included in the price (and we usually have leftover Naan each day that we can snack on in the evenings). I would be hard pressed to walk out of a grocery store in Ontario buying fresh ingredients for that level of variety for 20 days out of the month. We can easily spend more on groceries each month for the 10 days that we do actually cook for ourselves.

Granted, this setup does require that you do like Indian food and don't mind having the bulk of what you eat each month generally be of that cuisine. But in our case the restaurant has enough variety that with both of us having a different dish for each meal there are enough dishes to choose from that we don't have to eat the same thing more than once all week.

With all that said, we haven't even talked about how there is no cooking or cleanup involved either, so there are massive time and convenience benefits as well.

But I can appreciate that not everyone would be satisfied with this.

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