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I think that mass availability of weight loss drugs like Ozempic could be the single biggest transformation of public health in the first world in the last 50 years, on par with the contraceptive pill. I don't think it's possible to tackle this problem from the supply side, previous attempts have failed miserably. Normally I'm not one to have such a cavalier attitude towards this type of intervention, but this is a crisis that warrants an immediate solution. The healthcare savings from this alone could easily be in the billions.

I'm 21 with a BMI of 28, 6'4". I'm pretty sure I have some sort of eating disorder. It is so f*cking hard not to overreat. Ozempic would really help me out here, because willpower alone is not enough for me to fight a billion dollar industry trying its damndest to make me addicted.

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Relying on willpower is usually a failing strategy. Discipline and building healthy habits towards a sustainable lifestyle is usually more successful.

https://davidgoggins.com/book/

Drugs like Ozempic can help to accelerate weight loss, but most patients will regain the weight once they stop taking the drug unless they also make lifestyle changes. Do you want to spend the rest of your life on a drug with some significant side effects? It also tends to cause the loss of lean muscle tissue along with fat, which may not be what you want.

https://peterattiamd.com/ama45/

I would definitely prefer not to be on any drug permanently, but many don't have any negative side effects from glp1 inhibitors. or at least they are very minor. As for loss of muscle mass, I think that is just as reactionary as the whole "ozempic face" thing. which is to say, of course your face looks different if you lose a lot of weight. and of course when you lose weight, you will always lose muscle mass as well. that's just part of losing weight. a good diet can help offset some, but you are going to need some amazing genetics or drugs to maintain muscle while only losing fat.

Loss of lean muscle can be minimized while while maintaining a caloric deficit by keeping protein consumption high and doing frequent hard resistance training. This works for everyone, no amazing genetics required.

https://peterattiamd.com/laynenorton2/

You might want to try that for a few months before turning to a GLP-1 inhibitor.

Minimized yes, but stopped, no.

1. The availability of semaglutide isn't as wide as it could be because it's many thousands of dollars and not universally covered by all health insurance prescription formularies. The poor in the US generally have zero access to it. In addition, there are shortages as mfgrs cannot keep up with demand.

2. Ozempic is for diabetes. Wegovy is for weight loss. Same ingredient, but different doses and different purposes.

There will be an oral form available relatively soon.

I relate to this so much I had a bizarre Split moment and wondered if I had a second personality posting on here without my knowledge.

This has happened to me several times on the internet and it’s a bizarre feeling. It’s weird to think about other people out there in the world living almost the same life trajectory as you

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