Tips and Tricks for Using Semaglutide: Ozempic and Wegovy
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- Опубликовано: 29 мар 2022
- Tips and Tricks for Semaglutide, Ozempic and Wegovy
Hi, I am Dr. Craig Primack, and today I'm coming to you from Scottsdale Weight Loss Center. It has been quite some time since I've done a medical minute.
Semaglutide
So this weight loss drug is called semaglutide. It is a GLP-1 style drug. What does that mean? So semaglutide comes in two forms. The first form is something called Ozempic, in this blue pen. And the other one is called Wegovy, in the white pen. It is the same drug, although it is a different delivery system.
You and I both have a hormone called GLP-1. It comes from the small intestine, the ileum, the area right past the stomach. The way I think about it is as food goes through the stomach and gets to the small intestine, the body is absorbing it. Even though that's not exactly what it's doing, it kind of says that "I'm full" and sends a hormonal signal to the brain that tells your body "I'm full" so you don't go out and get more food right away, because it's working on absorbing that food right then and there.
The half life, so the amount of time that this hormone lasts in your system, half of it is gone in two minutes. And another quarter of it would be gone in a little bit later. So in a couple minutes, let's call it 10 minutes or less, that hormonal signal is completely gone. This is an artificial form of the drug GLP-1 called semaglutide. And the half life is a week long. It lasts in your system for a week at a time. So your body fuels fullness all the time. That is a great benefit for many of us in weight loss.
Tips and Tricks
So I'm going to show you a few tips and tricks I've learned throughout the last year. The first part is when should I take this drug? It is a once a week drug. When you read the package insert, it takes between one and three days to fully kick in. So I love to have my patients use this drug on a Wednesday. Why on a Wednesday? Because it takes between one and three days, so by Friday night, it's fully kicked in. It's fully kicked in through the rest of your... If there is social eating on the weekend, social eating. And then in the beginning at the lower doses, it may start to wear off before the end of your week. So maybe that's one day before on a Tuesday. Tuesday's typically not a big eating day. So first thing is Wednesday.
Ozempic
So the first one, Ozempic, you actually have to put a needle on. And what I'll show you is it has a cap on it right now. You take the cap off, you take this little needle and there's two pieces of plastic on the needle. You screw it on very simply. There's this first cap you take off right there. There's a second cap that you take off right there. And you guys can't see it, but this is a 32 gauge tiny, tiny needle. The next you do is you look at this little window where there's a zero. The first time you ever use the pen, you prime it by putting it to these first two little dots and you push the button and it goes back down to zero. That's before you even give yourself a dose.
The next time you do it, you turn it all away, let's do it that way, to 0.25, which is about 18 clicks here. These little clicks. That may come into use in the future if we decide to try to adjust your dosing at all. But you put it at 0.25. You put this tiny little needle usually in your abdomen. It can go also in your thigh or arm and you push the button down. And as you can see, it goes all the way back to zero. When it goes back to zero, you then count to 5. 1, 2, 3, 4, 5, and you are done. Find a Sharps container. Or what I tell a lot of people is take an old medicine bottle, the yellow with the safety cap that's empty. Take this little needle off. Just like that. And throw it in your safety container. When it is full, then take it back to your pharmacy. So you do have to use, or at least touch the outside part of the needle on this one.
Wegovy
On Wegovy, another version of this, this is an auto injecting needle. You can see there's a little window here. What I have found is the best place to put this one, even though it can be in your abdomen or your arm, it is in your thigh when you're sitting in a chair. So you pull the plunger out and I'm going to show you the little window and pretend my thigh is my arm right here. And you push it down, you're going to hear two clicks. You're going to hear a click right away. You're going to see this little yellow bar. It's going to go about three quarter. Click again, and then move a little bit more. When it is done moving after the second click you are done, you never saw a needle and you have the full dose in you.
Both of these medicines are adjusted somewhat differently, so please ask your medical professional what is the best way to do that. Hopefully this has helped you a little bit learn something about semaglutide, a great drug for many of us here in weight loss. I will be back soon with another medical minute.
I took my 7th dose of Ozempic yesterday. I haven't had a single bad side effect. My experience has been completely favorable. I wrote my doctor a thank you letter!
Thanks for sharing
Wegovy really helped me… I had a really bad relapse with bulimia…I haven’t been bulimic in years 😭 I couldn’t stop eating. Binge eating was taking over my life..and I was always exhausted..it was getting in the way of everything. I was on welbutrin and phentermine and both were ineffective. Wegovy really brought me back and helped me with the weight I gained
wow! Amazing and thanks for sharing your struggles and successes
I like to take Ozempic at bedtime on Thursday night so the side effects don't show up until Sat and Sun when I'm not working. By Monday I'm fine.
This is one way to do it. Thanks for sharing
Thank you for sharing. I was taking it Thursday am and now it’s Friday at work so nauseous !
Same here!
FUCCC I took it wednesday and tomorrow I have my 2nd day of college ajssbsiwbwowbdid
I take it on sunday night before bed. Any issues like nausea are not present. The constipation - now that is a BIG issue!! Ive been stopping Ozempic for 1-2 weeks, go, then restart. I was doing 0.5 mg for >6 months, lost some weight, A1C only down .2 points. BS still ~122. I do NOT watch my diet, exercise and drink wine every night! UMMV!!
For anyone considering taking Ozempic, do not be afraid of the needle. I put off doing the first injection for weeks after I got mine for the first time. I felt really embarrassed when I finally did it because the needle is so small and painless I had doubts I'd done it correctly.
Totally Agree. Its a pretty tiny needle.
Yes me too 👀
Thank you Doctor Primack for such comprehensive information. I just subscribed to your channel 😀
I really appreciate this interesting information. Thank you.
Thank you. This was informative.
Thank you Doctor! No one told me about how to prime it!
Thank you! Very helpful
Thank you for this informative Medical Minute! I currently take my Ozempic on Thursdays, and will now switch to Wednesdays. I appreciate you taking the time to share with us!
I just started my first dose and it’s Wednesday!!!! So happy I watched this.
Ozempic just about did me in, Had lower back pain, had MRI and was told back is shot, was sent to pain specialist and received shots in spine for 2 months, temp relief for couple days, back did not improve and noticed getting weaker & more tired ( pretty much was more comfortable laying down )after 4 mths I looked up side effects of Ozempic ( for my diabetes ), went from 8.2 to 7.5, seen Ozempic caused my symptoms so stopped taking it, has been 3 wks, lower back and weakness seems to be improving but Pharmacist says it takes 5 wks for it to clear your system. I hope these issues are from the 1.0 mg Ozempic shot and not some type of cancer, will find out when I do blood work the middle of the month at the VA !
OMG..im doing it wrong... I never knew about the prime!!! Thank you!!
number 1 thing that gave me better outcome from wegovy was injecting twice weekly instead of once same dose total weekly but split into 2 times weekly. keeps the apetitte low
and 0 cravings :) and yes its safe just make sure you don't go any higher in dose then you already are
Thought about this
Thanks for sharing this information great info ❤❤
Hey Doctor Primack, many thanks for the video - super helpful. I take 1mg Ozempic but wish to raise my dose in the coming months, so can I technically move across to 2.4mg wegovy or would I have to start again with a low dose of wegovy? Are the interchangeable because in essence they are the same drug, right?
As always I cannot comment directly on your care but what I can say is that Ozempic and Wegovy are both the same drug= semaglutide but just in different delivery devices. Ozempic comes in several doses as does Wegovy but the doses are not exactly the same. For Ozempic, usually my patients go from 0.25mg to 0.5 to 1mg to 2mg (if needed) and for Wegovy, it also starts at .25, 0.5 then 1mg and then there is a 1.7mg and then a 2.4mg dose. At the end of the day, it depends on several factors as to what you are treating. Ozempic is approved for diabetes and Wegovy is approved for obesity management. Your insurance company may or may not cover each one and a prior auth from your physician may be necessary.
Do you have any personal opinions on average sized individuals using ozempic to reach their thinner, goal weights? Just curious.
You can put the plastic caps back on the Needle of the Ozempic pen then pull it off.
A general rule in medicine is to not recap needles, it’s when people tend to get needlesticks. It’s not dangerous when it’s your own needle, but it will still hurt 😀
@@doctorprimack174 I am not convinced that You are a medical doctor... NO doctor would ever recommend to take the needle off the pen - without putting the cap on the needle before.. sorry... This is a dangerous handling for beginners - to show it the way You did it!
@@lasignoraluna2367 Honestly, NEVER recap a needle! It is the number one reason people get needle sticks.
@@lasignoraluna2367no never recap a needle! That is one of the first things they will teach about them, we were even told that in our CNA class even thought we didn’t give the shots.
Hi,,,should I consult the dr first?or it’s ok if buy it directly
This medicine is by prescription only. I suggest finding an obesity medicine physician who is located near you to discuss if its the best medicine for you.
I just started this today 🎉
Me too! Yesterday was my first dose!
7 Months now since your post... How did it all work out? Would you recommend it?
7 Months now since your post... How did it all work out? Would you recommend it? @@sunshinegypsea
@@justinmertz6408 yes ! My employer insurance didn’t cover wegovy so I have been using ozempic. Works well
For my latest dose, my pen did not leave any sort of puncture mark on the skin of my abdomen, just a circle from the outer ring. The plunger also moved much more slowly than usual. Is it safe to assume that it did not inject properly?
In the past, there have been a couple times when I did not feel the effects of the Wegovy at all for that week, so I believe it is not consistently injecting.
As a general rule, I think the Wegovy pen is best injected sitting in a chair and injecting into one's thigh. The stomach is too soft to have the pen properly inject all the time.
@@CraigPrimackMD That makes perfect sense. Thank you!
Thank you for the video! The first time that I use my Wegovy pen (first week) when I injected I heard a first click and after a second click and my second week When I injected it happened that did not work the same it did so many clicks and all the dashed mark appeared going to 0, I thought it did not worked so I did it again... I think I injected two doses instead of one... it is possible?
Hi. The pen can be a bit tricky. I recommend my patients to inject it into their anterior thigh. Please ask your prescribing physician what they think is best for you. There is only one dose per pen so you cannot overdose on a single pen.
I start mine on a Thursday at 9:20 am
Taking ozempic for Two months. Has helped diabetes but no weightless even tho I eat half as much. What is the problem.
Dr. Primack.. thank you for your video. I am on my 10th week of semaglutide. I have only lost 9 lbs. My dr explains that I gained muscle. I was 163 now I am 153. I need to lose at least 20 more lbs. I am on a .75 dose as she has increased it each month. The worst side effect is heartburn...all the time. I don't have much of an appetite which is great. My meal sizes are drastically reduced. How long do you think it will be before I see significant weightloss. I would love your opinion. Thank you, Linda
Linda, best answer is that I don’t know. The medicine decreases appetite and the diet is why
You lose weight. I get pretty aggressive with diets and my patients lose rather quick. Please ask your physician to help you predict. All people at Scottsdale weight loss lose an average of 12 lbs the first month as an example. Good luck
Aloe Vera juice from your health food store helped me with heartburn. Take Semaglutide on Wednesday night so it is mitigated while you sleep. My tips, these helped me.
@@dlaru1376 Thanks for your personal experience. There are many over-the-counter medicines made specifically for heartburn. I usually will recommend one of those as we know the benefits and side effects. Please discuss this with your prescribing physician. If they use a lot of semaglutide in their patients, they should have a LOT of experience with this.
I did my first dose today and realized I did it wrong. I did not take the plastic cap off of the needle. Should I redo it? I’m not sure if it went in or not.
If the plastic cap was on the needle, then you did not get the medicine. Unfortunately, this happens quite often. Yes, seems like you should redo it.
I did that too my first time. I just used the needle (the right way lol ) the second week. I was worried I wasted a week but I was still able to get a half a dose at the end.
So what is the recomended dose to start with?
I appreciate your note but cannot comment on that without establishing a medical consult with you. I am sure your physician can direct who prescribed it can better help you with that
I have been on Ozempic since Dec 2021. Started with .25, then .50 and now am on 1.0. It caused severe constipation ,so my doctor advised to break the dose and have .50 twice a week. I have it on Tuesday and Friday. Only problem is I have not lost one ounce since end of April . My doctor says it’s ok as long as I don’t put on weight. I need a second opinion from you…what do you 🤔?
Eat less calorie dense food
@@TheDogDad most people did that by the time they were prescibed this
Yes, decrease your calories, eat more protein and increase your activity level as much as possible according to your doctor's orders.
@@alexandraalbertz1442 fasting days reset plateau
@@Brainjoy01 no, Intried fasting and really did not feel-good on that.also, with Semiglutide you eat less, doing fasting on top of thatnis not good
are there suppliments and vitamins that are good to take to offset the lack of food I'm eating?
I take it for type 2
This is a great question. One of the ways that I address it is by using medical grade meal replacements, not the protein shakes that you get at the grocery store or costco. Otherwise, its very dependent on you, your medicines and what your diet is lacking. Much more complex than a post on a youTube video. 🙂
@@doctorprimack174 Are there any medical-grade meal replacements that you recommend?
@@KIAS1 Great Question. Because one of the benefits of medical-grade meal replacements are that you can use them as a full meal replacement (replace all your food for a period of time) usually at a very reduced calorie level (that should be monitored by a physician for safety), you cannot buy these meal replacements from the grocery store. Grocery store meal replacements are not made to replace more than a meal or 2 each day. They do not usually have all the required nutrients to support your health. Medical grade are just that, provided by a trained medical professional, optimally who is certified by the American Board of Obesity Medicine and who will provide you a comprehensive weight loss plan.
I am on Wegovy but had to skip 2 weeks because i was on other medication to treat an infection. Can I pick up were I left off or do I have to start all over again? I’m currently on the 1.7 dose.
Hi. Unfortunately, unless I am your physician, I cannot answer specific medical questions. I suggest your ask your physician about it 👍
Did your insurance help pay
Did insurance help pay
Did insurance help pay
Hi Doctor, please can you help me with the answer what's happened to me? I start with Wegovy 0,25 mg and I vomiting everything I eat, it is normal? I can't do anything.
What’s the best way to split doses? Started 3 months ago .25, .5, then 1mg. I also started my dosage on a Wednesday morning because that’s the day I got the prescription and it has worked well, I’m down 23 lbs. For me it starts working about 24 hours after injection. Not hungry in the morning, just a cup of coffee. I eat at around noon then dinner at 6pm. The meals aren’t very big, because it feels like your previous meal is still slow to empty from your stomach. It’s an 18 hour fast each day.
What I notice is by Monday, I’m hungry in the morning and Tuesday my appetite has increased even more. Im upping to 2mg this next Wednesday. I feel that 1mg has worked well until the 6th and 7th day, why not split doses to every 4 days. Needles are a one time use.
Hi. Sounds like its going well. I wont tell you what to do but will say I have had several patients take 2 half doses a few days apart and it worked well for them. Good Luck!
I have been using GLP-1 Semaglutide compound for 6 months and have increased the doses as prescribed. Now I'm taking the 2.4 mg weekly injection but even though my appetite has dropped I'm not losing weight. We didn't eat much even before but with menopause I gained about 40lb on my stomach and hips. Why am I not losing weight? What am I doing wrong? Do I need to follow a specific diet in addition to taking Semaglutide? Please help.
Hi. I recommend finding an obesity medicine physician or if you are in Arizona give me a call. They will look at your diet, exercise, other medicines , etc and evaluate what you need to do to get you on track.
I use the Wegovy with phentermine especially for the first few days when you have extreme fatigue!
@trishonya Does that not make you sick?
@@sunshinegypsea no not really I’ve used the compounded version and it was mixed with B-12 I tolerated it very well.
@@trishonya You get Phentermine alongside wegovy? Interesting.
Yes that's what my doctor is prescribing. Most people are loosing 3-5 pounds a week.
@@Btj87 yes it works great together I think especially if you do phentermine 37.5mg/Topimax 50mg it’s amazing you really have to make yourself eat or drink your meals…you will see a 5-7 pound weight loss in a week!
So I am taking Wagovy now for 2 weeks.. I take it Wednesday night however I get moderate gas or burping some water retention a little bit of stomach pain but the acid reflux is terrible.. what would be the Fix for that? It keeps me up all night and very painful
Randy, unfortunately I cannot comment directly on your medical care as I am not involved but I know that many people are instructed to take acid blockers when they complain of acid reflux. Please ask your clinician or obesity medicine specialist who prescribed your Wegovy what they recommend for you specifically. If you live in AZ, please let me know as my practice and our 5 full time obesity medicine clinicians are licensed only in AZ. Best of luck to you, Dr. P
I take teaspoon of warm baking soda water .
@@bluskies8612my mom taught me that years ago whenever you get painful air in the digestive, baking soda & warm water helps..... I take .25 for 2weeks now & I take it on Wednesday a few hours after that shot I get super bloated, it can get painful, sometimes I roll onto my ecesrsize ball to push down on my stomach, I'll also try alovera as sometimes i get heartburn & I'll go back to baking soda & warm water to help get out the air ...
I've been trying real hard to drink a gallon of water a day sometime I do sometimes I don't. I'm considering going up to .5 this coming week. Hope it'll keep working or work faster.
@@doctorprimack174
Do you think it's safe to take both Ozempic and Qsymia?
Theoretically yes and they will work well together in the right person. Its not for everyone but many will need more than one medication for weight loss. Hope that helps
@@CraigPrimackMD Thank you very much! The first few weeks were challenging but I made it through. After 8 months of numerous Diabetes meds and insulin, my lab results are fantastic, but it all came with a heavy price - over 53 lb weight gain.
@@dianaoliver8493 Congrats!-- Way to go!!
@@dianaoliver8493 weight "gain" ?
Can you take Ozempic with Phentermine?
As a general recommendation, there is no contraindication to the combo of Ozempic with phentermine. I can’t recommend it for you as I don’t know your medical history, but as always, talking to your obesity medicine specialist is the best way to proceed.
Considering the medicine is viable up to 6 weeks could i turn the injector 12 clicks instead of 18 clicks and use the does for 6 weeks ? If i cant find the dose i need and have to buy a bigger dose. Thanks.
Hi. You may have an idea that others are doing. Please speak to your prescribing physician for ozempic to determine the best way to adjust it. If you doc can’t answer that question, look for a board certified obesity medicine clinician
I just have insulin needles and have no idea how to get the semaglutide and water into the needle? 🤷🏽♀️😩help
I am not sure what you are referring to as the “water” but the ozempic pen has a fitting for a standard pen needle. Hope that helps.
The only medication I take is Levothyroxine 50 Mcg 1 apill a day. Can I take Ozempic with this medication. Thank you.
Yes, theoretically there are no contraindications between Semaglutide and levothyroxine
@@doctorprimack174 Thank you for your help.
Did you start Ozempic? I am on same thyroid medication.
@@TWuttz112 yes I have been on it for a year and I’ve lost 70 pounds.
@@cordellnoble2819 Awesome! Thank you for the update.
I have not felt any diff. This is my 4 dosage .25, is that normal ? When will I feel full ? I do get headaches..
.25mg is just the start.
0.25mg is the starter dose. some people (who are very sensitive to this med), feel it right away. Some take a while and there are a few people who dont respond. Please speak with your physician about what you are feeling (or not feeling) and come up with a good treatment plan.
please tell me how i can get it.
Hi. Well it’s only by prescription so you need to see a physician, Someone who is preferably obesity medicine certified.
If you live in AZ, I have 4 offices around the valley.
I’m on Ozempic and it’s giving me severe nausea. I’ve lost 13 lbs. I’m managing by drinking glucerna because I’m trying to lower my a1c. I want to change my day because I cannot eat until much at all until 6 days. I’m changing to Sunday for my shots. I’m exercising and staying away from sweets etc.
I suggest you call your prescribing physician about your nausea. It is a very common side effect. I have a lot of things that I recommend to my patients to treat it. Best of luck to you.
I’m on Ozempic and I’ve heard you won’t have severe nausea if you inject it in your thigh. I was using my thigh and nausea subsided. Then I forgot on my second shot of .5 .Big mistake, so I’m going to go back to using my thigh. I’ve lost 26 lbs. I’ll be back.
@@sparks8934 unfortunately, I haven’t seen the location of injection change the nausea at all. Skipping or changing doses surely can. There are many things we can do to help the nausea like use medicines or adjust dose a bit. Good luck.
Thank You for your comments. I’ve lost 30lbs. I have taken a smaller dose and skipped a few day. With ok from my physician. Im still adjusting to Ozempic and hope I can find a happy medium. It’s a remarkable drug, I still must restrict carbs so I’m happy with the results I’ve gotten.
@@CraigPrimackMD thank you for your encouragement, I’m still trying.
Is it safe to mix semaglutide and phentermine?
hard question to answer. Theoretically yes it may take more than one medicine to properly treat ones weight. That being said no anti-obesity medication should be prescribed without knowing the whole medical history of the patient and there are times when this would work and times when it would not.
I take adderral for adhd and ozempic. It is the perfect mix for me.
Now - what to do about the wretched nausea and vomiting?
Talk to your doctor who has prescribed it. There are several easy things to help it.
Ginger pills helped me
None of this was either a tip or trick regarding either medication.
I am on Ozempic myself.
These are standard instructions on their use, which is informative for people not wanting to read the basic instructions that comes with the medication.
A tip or trick would be something like figuring out which injection site (per individual) has lesser side effects, e.g. nausea, eructation, stomach pain, dyspepsia, etc....for example, if I do an abdominal injection I have severe nausea, sometimes vomiting, and diarrhea, whereas if I do a thigh injection the symptoms are much less severe, if any at all that week.
I’ve noticed that injecting it into my abdomen is total nausea, when I use my thigh it is a difference I’m less nauseous. It may not work for everyone (that tip) but it does make a difference for me. I hope it helps someone.
Thank you! That is the type of help I came here to look for.
One huge difference is you have to push Wegovy pen extremely hard into your leg or arm. It will not work in my stomach.
Agree, I fell the wegovy pen is best sitting down and injecting right into upper thigh.
In the stomach you will have more side effects 😮
@@GIGIBEP LiamRR, I have heard that here and there but honestly, medically, have no idea how that is even possible. It is absorbed from a subcutaneous injection to go into bloodstream. It then travels to the brain to do the majority of its work.
I did not have any trouble with the syringe. You can't be cavalier or non-committal with the syringe. You have seen many injections given you by various medical professionals. Be prudent and forceful with the injection as if you are giving yourself an important shot. Once the shot is finished check the site for leakage or a slight drop of blood and you will be fine.
Lots of Zofran and Omeprazole to help with side effects
No heart problems for sure. Blood pressure may increase mildly for a few days in some people but still a great combo
I had to start Omeprazole for the heartburn Wegovy gives me.
I took my Ozempic the first time on December 10, 2023. That was the only time until today. The first time I was deathly sick by the 2nd day and was throwing up, extremely sleepy, a bad headache and it disrupted by sleep. I was sick and unable to eat for at least 5 days. However, I may have, by a bad coincidence, had a touch of a stomach virus. My husband ended up sick a few days later. That being said I was scared to death to take it again until yesterday (Friday) 1-26-24. I was wanting to take a half dose to see what that would do. My pen is marked with the .25 dosage but I counted the clicks to it and there were 36. So I dialed to .25 and then backed it back 15 clicks and injected in my thigh. I feel like I did get the medicine (but I'm still not sure), I had slight headache last night and this morning and my sleep was disrupted like the last time. But no bad vomiting or even stomach upset. My question is: should I take another half dose maybe Tuesday or try to take a full .25 dose next Friday. I'm still nervous to take the full dose. Thanks in advance if someone sees this question :).
Hi. As I am not your treating doctor, please reach out to your treating doctor and ask them the proper way to dose this. If they are not a resource for you, you need a new doctor. If you are in Arizona, my practice does nothing but stuff like this and would be a good fit. Good Luck!
I did talk to my doc. I'm now up to .5 and doing fine. Thank you@@CraigPrimackMD
If the medication stays in your body for a week then could you have a reaction or side effects to it for a week? Or does that vary from person to person?
Hi and great question. Yes, if the medicine half life is a week--the benefits (and potential side effects) will last a week or more.
@@CraigPrimackMD Thank you for getting back to me 🙂
What is the number after you’ve reached the top? I’m on number three for the month. But then I’m on Already prepared, semaglutideI at number 4. I stay on one number for a whole month before I step up. And I have no idea how high up these numbers go when you plateau and stay where you are to maintain. Does anyone know? Ps. I am having terrible constipation with it, but no real side effects than that.
Hi. Not sure what numbers you are referring to. Ozempic and Wegovy are dosed in mg. My suggestion is that you see a physican that specializes in weight loss. If you live in AZ, my practice would be happy to see you. if you are not in AZ, then please visit www.obesitymedicine.org and click on the clinician finder to find someone near you. They would be able to help you out to maximize the weight you are losing or want to lose
My friend only need to loss 40lbs is this ok for him to take
Best answer is to find an obesity medicine doctor for a full evaluation and a comprehensive weight loss program. Look at www.obesitymedicine.org and find a clinician part of the website
Why did my doc, say No exercise the first month??
hi. I cannot comment specifically nor have any obvious reasons that your doctor would have recommended that. Please ask them specifically as they know your medical background. For a general recommendation, I almost NEVER recommend that my patients DON'T exercise during weight loss or maintenance. Usually but not always, more exercise is better.
I need you as my dr
How do I deal with constipation while using Ozempic???
Constipation is definitely a side effect of Semaglutide containing products. I suggest you speak with your prescribing physician. Those of us who use this drug a lot have many easy tips and tricks for constipation
I do ozepic..I've been on it and it helped curved my appetite which I need..but after not taking it for 3 weeks and went back on it...now my body acts like it's immune to it by 30% ..I dnt feel fuller like I did before
Hello. I hope you can help me. This has happened to me. I don’t even have the negative side effects as before (mostly constipation). Did you resolve this issue?
That's what happened with topamax for me.
I have no disease like diabetes...I want to eat it for only weight loss...can i
Best thing is to discuss this with a obesity medicine clinician. Wegovy also known as semaglutide is approved for weight loss. You do not need to have diabetes.
I have been on Ozemptek since March. I am not losing weight at all. I do not understand. Eating 1200 calories a day. I am now on 1.5 dosage
Those are really terrible results. I suggest seeing/consulting with an obesity medicine physician to see why you have been unable to lose weight. Look at the physician finder at www.obesitymedicine.org
4 months on Ozempic.25 nothing. Went to .50 and nothing. I have now gone to 1 mg. No results. I’m ready to give it up. And I’m not that overweight just would like to lose 10 or 15 pounds.
Sorry to hear. Seems like you need a comprehensive program with someone like me who does this full time. Time to figure out if the problem is that the medicine is not working, your diet, or some thing else.
@@CraigPrimackMD thank you for your reply. I don’t eat much and Ozempic made my appetite wane but I guess that wasn’t enough. Incomprehensible.
I started Ozempic about18 months ago and over 6 months I lost 14 kgs. Then unscrupulous doctors began to prescribe it for their patients and so there was none available in 🇦🇺. I have started again now April 2023 after having gained 3 kgs.
I don’t think any of us like unscrupulous doctors.. Good luck with round 2!
The supply problem impacted many other countries too... not sure about "unscrupulous" doctors when the problem really started (even WITHOUT prescriptions for diabetes or obesity) with people paying full out of pocket, and they were "first serve" before insurance patients or REAL prescribed patients... Sorry to hear that u regain some of the lost weight. In my case, I have lost all the extra weight I had lost (almost 27kgs) in 9 months, and my A1C and glucose levels are perfect. My appointment is next week and I am not sure in which direction my doctor will lead me to.
They all say it's because people were taking Ozempic who shouldn't but I guess that it wasn't enough Ozempic for all the diabetics and obese people in the first place. But I guess when you put it like that it's not dramatic enough to be in the headlines
The fact that doctors and pharmaceutical research think that 'fullness' is the cause/solution to weight loss is disappointing. Most of us do not feel hungry. We eat normal amounts of food if not less. Yet our bodies retain the weight. Wegovy is a disappointing waste for those of us who struggle fighting bodies that just decide to pile on the pounds.
You also have to remember your body reacts to the amount of activity you’re doing. For some ppl you have to do both. Most ppl are just dependent on the medication
We consciously hv to change the way we eat. Take note of why we eat outside of hunger. Be deliberate. Many of us emotionally eat / stress eat. This is a hard, learnt, habit to change, but possible. I know. I use to emotionally eat. I’d recommend therapy to recognize and change behavior associated with eating and Nutritionist . I think Semaglutide is going to save many lives. All other weight loss prescriptive meds are stimulating-not heart friendly. In fact worsen many cardiovascular d/o in some instance. Conversely Ssmaglutide is leading to Weight loss and lessening risk factors. My POV.
It is different for everyone. I was like you and did not eat much and gained a lot of weight but now at my age (in my 60s) I always feel hungry and never stop eating. It is terrible. I started Wygovy.
I don’t eat much but I still have the food noise in my brain telling me to eat the wrong things sometimes. This helps quiet that inner voice down.
Great answer! @@sassytee0722
without it i would be eating almost 3500 calories a day.
🙂
Never again! I took the first shot on a Thursday afternoon. By Saturday morning I began vomiting and continued to vomit for 18 hrs straight. My husband was out of town and I was alone with my young daughter. I considered calling an ambulance. Literally, I vomited for 18 hrs straight!!! I felt terrible for over a week. Warning to the wary. This drug is not worth the risk.
I’m on 6 weeks, 4 of .25, 2 .5, haven’t lost an oz at 1500 calories a day. Wegovy.
Please ask your physician to help you with diet. 1) your calories may not be low enough for your metabolism 2) you may not actually be on 1500 calories 3) something else specific to you and your health/medicines/sleep. If your physician cannot help, please seek out an obesity medicine certified physician. It’s what we have been trained to figure out. Good luck!
@@CraigPrimackMD yeah we did that for 3 months prior, that’s the only way Blue Cross would approve it.
This makes me insane...this is for people who have diabetes! There is a shortage for people who have diabetes. Because of ones who want to lose a little bit of weight.
Lisa, completely understand your frustration as my patients with diabetes cannot get it easy either. Most pharmacies in AZ are now fully stocked! Good Luck 🍀
Well from my understanding ozempic is for diabetes patients. Wegovy is for weight loss. Same drug but different forms/brands. Semaglutide isn't only for diabetes.
@@slmsfamily Unfortunately, (and I surely do NOT agree0 but this drug is only covered if you have diabetes. It doesnt make sense but that is currently the way insurance works. There may be other ways to get it or a similar drug that is not full price. Please talk to your closest Obesity Medicine Physician. You can use the physician finder at www.obesitymedicine.org
Get over it. Obesity causes just as many problems at diabetes. Obesity is a disease too. Alot of people have to lose more than just a little weight!
There is not a shortage of this medication for people with diabetes. Medications can be prescribed off label. This is prescribed off label.
Are u a computer
What do you mean??????
No 😀
@@doctorprimack174 lol
I am not convinced that You are a medical doctor... NO doctor would ever recommend to take the needle off the pen - without putting the cap on the needle before.. sorry... This is a dangerous handling for beginners - to show it the way You did it!
Don't be such a baby
And also, the majority of doctors DO NOT give shots, they give orders for their nursing staff to carry out. Have you ever had a shot given by a doctor?? Didn't think so
Plus.... no medical professional would tell someone to recap a needle...
Do you have any personal opinions on average sized individuals using ozempic to reach their thinner, goal weights? Just curious.
This is a great question. Someone has to be considering all the things that go into their current weight. Consider diet, exercise, sleep, stress, etc. If you have done all that and still desire a little bit of weight loss, the consideration of meds is something that you can discuss with your clinician. Its a much more complex answer than just a yes or no. Good Luck to you.