As a Singaporean who is trying to lose weight for medical reasons, it helps IMMENSELY. Seeing that big red D on a drink that I'm thinking of getting immediately kills my interest in purchasing it. You even see the labels at bubble tea places and cafes like Starbucks. If I remember correctly out of everything on the menu at Starbucks only 2-3 of the drinks were labeled A which is quite an eye-opener.
@queenvalentina I think putting labels on food helps to hammer home on whether or not you should consume the food and how much. Works for the health conscious.
I don't think the Ozempic shamers mean they are cheating, so much as they find it disengenuous when celebrities claim they lost overnight by healthy habits when their appearance betrays the medication is used. Plus it's expensive and that seems elitist. And the first in line should be diabetics, not influencers. I can't walk for exercise because my feet are 💩.
My feet fail me too…any chance it may be from the western footwear? I recon constraining my foot and not allowing the muscles to move as they should weakened mine… trying to go barefoot at home and wear “barefoot” shoes when out so hopefully they’ll build back the muscle and natural suspension they were supposed to have. 🤞
Yeah, there’s always a minority that’s doing their own bs thing, that exists in all communities and sometimes even ruins their images. But I think the lying grifters that get exposed deserve it 100%. They’re no different from those fitness influencers who secretly do steroids. Always pushing their brands, taking sponsorships and lying to impressionable, desperate people. If it isn’t working, 'you just aren’t doing it right' or 'it’s not enough'.
It sucks because all the issues humans have that their venom is treating can be fixed by humans NOT exploiting animals. People would lose so much weight if they just went vegan, and they wouldn't have to exploit even more animals on top of their diet to fix their health issues.
I have severe idiopathic gastroparesis (paralyzed stomach), which causes slow/delayed gastric emptying, abdominal pain, abdominal cramping, nausea, vomiting, and bowel issues (both extremes). I sat here listening to this and thinking these people are intentionally giving themselves the misery gastroparesis patients deal with on a daily basis. It’s insane.
I have the same due to POTS & CRPS. When my mother was prescribed Ozempic, she could no longer empty and started vomiting. Her health has declined. And her Dr will not take her off of it bc he says she's still not thin enough! Her other doctors and family members have asked her to leave this Dr but it feels like he has some kind of hold over her. I hate watching her get weaker, and her mood is deteriorating. My father is ready to leave bc she's awful to be around since starting the Ozempic. I fear it will cause permanent damage 💔
People like me who have really fast extremely fast gastric emptying, I think this would help me tbh. It usually takes me 2-4 hours to digest a full meal with protein and fiber when it used to take me 5-7 hours. I'm hungry ALL THE TIME!
@@bodyofhope That sounds horrible for your mother, as well as for those who love her. I hope things improve for her soon. Very scary. I also have POTS and CRPS, as well as intractable migraines. Dysautonomia is a beast. I also have Ehlers-Danlos, to complete the bingo card.
It's not at all to the same degree. I took the medication, because I gained a lot of weight and became diabetic, several years after a spinal injury. The spinal injury prevents me from being very active, so my doctor recommended ozempic. I did experience these symptoms at first, but I was still eating similar amounts of food at the start, and the majority of my diet was high protein, high fiber, low fat, so the volume of food I was used to eating was large, which does not work well with having slower digestion. I've since added more fat to my diet, and a bit more refined carbs, to eat less food while also still eating less calories, allowing me to lose weight without feeling sick. I no longer have the cramping, nausea, vomiting or bowel issues, other than my BMs are every other day, where they used to be daily. So if you're doing it right, you're not going to feel terrible.
It's been ridiculously helpful with my PCOS. Not even birth control could regulate my periods and help the symptoms but Ozempic did. I'm regular now. I don't vomit in pain during my periods. I don't get as many migraines and dizzy spells. Cramps are better. And I'm not the only one I know. It's been a laughed at and neglected condition blamed on being heavy or only us women get so who cares but somethings is finally there for us even if it wasn't intended to treat PCOS.
I didn't realise it worked for pcos too. I tried lots of things before I was prescribed metformin, which is also diabetes medication. There really does need to be more research on pros and why diabetes medication works.
It is a life long drug for us girlies who have PCOS. And unfortunately while it can help our symptoms. It’s also something we have to take forever. Ozempic for 1 month is so expensive and the rest of my life I could not afford it.
Have you ever tried a plant based diet? There have been some studies that have linked dairy consumption to having PCOS. The hormones in animal products have been linked to all kinds of other reproductive issues as well as other issues in the human body, like cancer, heart disease and diabetes. A couple weeks after I went vegan my weight went back down to my normal BMI and there it has stayed no matter how many French fries or vegan brownies I eat lol. My periods also got more regular and less painful after I went vegan.
Your long form video content quality is absolute fire. Just completely jam packed with fact after fact. I want to go show these videos to everyone I know and say "THIS IS WHAT I AM TRYING TO TELL YOU GUYS" 😂 Keep up the amazing work, keeping the misinformation at bay!
@@trail.blazerThat is one of several reasons that I opted not to ask for it for myself. We have to fight against age-related muscle loss as it is, starting at a surprisingly young age. I can't justify doing anything to exacerbate that.
At the YTchannel Idaho Bariatric and Metabolic Institute the doctor say the lean mass loss is sometimes so significant that he doesn't prescribe it to his patients anymore. Especially if the patients are a bit older, not old but when they are for instance less able to rebuild the muscle lost. Some have nearly 50% loss of lean mass which could be devastating for an obese woman in menopause who lose say 60 kg. If they need to go off for economic reasons or for complication and regain it's not that weight gain will be 30 kg musclemass. Alan Roberts also point out that the weight loss is not that fantastic compared to those who lose it naturally. The effect also wane off after some 18 months. According to Dr Mike Israetel at Renaissance Periodization channel one should strive to lose approx 1% from start weight per week and after losing 10% one should maintain for about two or three weeks before starting next phase to minimize loss of lean mass (he coaches body builders, a category who care about not losinf muscle when dieting).
some muscle loss is inevitable with weight loss. obese people have muscle because of all the weight they carry around. a doctor that thinks it's better to be over 300 pounds, at risk for diabetes instead of some muscle loss that can be prevented with some weight training I would run from.
It's about the same as the amount you lose from calorie restriction alone. It can be mitigated further by eating high protein and lifting weights. People saying you lose a lot of muscle are ignorant to the studies and to how much you lose with any diet, 30-40% on average.
Jaime French was early to speak out about Ozempic absolutely ruining her GI tract. I believe she was prescribed it for diabetes but decided to come out with her experience after hearing about how it had become trendy.
@@fifilamour1344 ok I mean I can go back and watch the vid again but obesity and type 2 diabetes are usually linked so you’re sort of parsing uselessly. Why would you try to denigrate someone who spoke out honestly about it?
Technically, people can be obese without being diabetic. Obesity can lead to diabetes especially if left untreated, but there are obese people who, after blood work is taken, still don't qualify as having diabetes. @feelthejoy
I've seen 3 people in my personal life try Ozempic. It worked out well for the one who had been through everything else trying to get control of their diabetes, with a lot of diet modifications to compensate for the food sitting in their stomach so long. The other 2 had experiences closer to that of Celina Meyers'/celinaspookyboo's experiences with it. It looks like malnutrition to the point of muscle atrophy felt (homelessness isn't fun, everybody) and I worry intensely about everyone on Ozempic or similar medications. May their doctors care and they be aware.
It sounds like a lot of people are taking way too high doses. It's not supposed to be taken to a point that it gives you gastro intestinal issues. That's like hearing caffeine is good against tiredness, and then drinking 3 days worth in one sitting, and wondering why you feel bad
I have PCOS. I’ve had to fight my weight since I got my period at age 10. Low carb diet seemed to be the only diet that helped, but it’s hard to stick with in our society.
@@Kyla94934 it sure is! Took me to be 40 to finally get treatment and my condition in check. Spironolactone 200 mg/day, Metformin 2,000/day, eating no more than 50 complex crabs a day (no simple sugars) w/ exercise. I also had facial laser hair removal. The internet helped me more than my Doctors, I learned information and brought it to their attention then I got treated. Unfortunately All my friends and family don’t take my low carb diet seriously, it’s so hard when loved ones bring home cakes etc.
@@Harlow_Khmer ok, maybe for you. I should’ve said “for me, it’s hard” it’s not an “excuse” I don’t eat the crap, it’s “hard” mentally “For me” especially after years of an addiction to dopamine from sugar. Also, do you have PCOS? If not 🤫
It’s really difficult when others in your household aren’t on the same diet, or won’t support you staying on it. Or if you’re time poor, since there’s not much in the way of low carb that’s quick to grab.
As someone from Chile, I swear those labels and legislation regarding children-marketed foods work. Yes the school canteens are hella boring now but these kids do not have sugar addiction and they've passed it on to us because everyone drinks flavored waters and zero sugar soda, while back when I was a kid everyone chugged down down 580 ml coca cola bottle like it was nothing.
I’ve never once in the 36 years of my life had a weight issue UNTIL they put me on antidepressants and I gained 100lbs in 5 months. I have a physical job that I had to stop doing bc my body couldn’t take the extra weight. Antidepressants basically ruined my life and ozempic is the only thing that saved it.
So called antidepressants seem to give people additional health problems commonly and for a lot of people either do nothing for their depression or worsen it by making it even more difficult to get out of
I bet ozempic targets the type of hunger that antidepressants increase. Not a doctor but I have been on antipsychotics that do similar stuff to ones eating habits and it really is a bitch to resist that urge to eat more while under that kind of influence.
@@XohjaiSbarkeaterozempic seems to crush cravings, all the cravings. Some people anecdotally reported that they didn’t feel the urge to smoke while on it for example.
100 lbs gain is not normal on an antidepressant. The weight gain associated with these meds is more like 10 lbs, not 100. There’s something else going on with you.
Diagnose with ADHD at 50, weigh ~300 LBS. Trulicity (one of the GLP inhibitors) does nothing to curb my apatite because I am not eating due to hunger, but for dopamine and stress. It does make my blood sugar normal (what it's prescribed for in my case) but it also causes me to gain weight since now Insulin is doing it's job.
@@minkusdraconushi. I understand you. Im 158 lbs and just a little chubby but it makes me feel like shit. food is so delicious and makes me happy too. maybe you manage to find the strength to sneak as much healthy food in there as you can one day :)
Yup, and some weight loss drugs containing stimulants (phentermine) don't work for us. They're more likely to calm us down... speaking from personal experience 😅
Between Hashimoto’s thyroiditis TSH levels never being in optimal range, PCOS, sedentary job, poor quality sleep and healthy/nutrient dense food being so unbelievably expensive. It becomes a second part time job trying to make sure I exercise enough, find healthy foods on sale, keep stress lvls low, get enough sleep and eat more fiber. My doctor had me on metformin as precaution because women with PCOS are likely to become diabetic. It took me a year to realize that medication was causing me to have severe IBS(I thought it was my diet). I’ve since stopped metformin, it’s been nice not to live on the toilet every other day, and I’m on my 3rd week of wegovy. No side effects, so far I’m able to increase my walking steps without being afraid I’m going to shit my pants unlike with metformin. We will see if this medicine helps🤷🏻♀️
You have to be careful your dr should have screened you for your thryoid; these medications can cause tumors on thyroid and is the one major contraindication to prescribing the medication. It also can affect thyroid levels especially during titration period. My endocrine makes me get FULL thyroid blood panel every few months. And prior to start they have to ask your family history about thyroid to see if your qualify to make sure your not at risk of getting tumors on thyroid.
“Ozempic (semaglutide) is contraindicated for patients with a personal or family history of medullary thyroid carcinoma (MTC) or multiple endocrine neoplasia syndrome type 2 (MEN 2). Ozempic also has a boxed warning, the FDA's most serious warning, about the risk of thyroid cancer.” There is a thyroid test they can give you to make sure you’re not at risk for this.
Identifying different types of hunger is a game changer! Its something I've sort of known intuitively but without any validation. Like when I'm emotionally hungry or brain hungry I usually try hydrating or drinking a sparkling water. Also our brain is really not very good at determining hunger vs thirst. Sometimes we feel hungry when we're actually thirsty.
I read about this water drinking a while ago, I tried it, it worked. Terrible headaches because of deshidratation I was confusing with hunger thus eating too much. Most of the time I'm hungry because I'm worried, we've been told to have regular meals which is correct but the word 'meal' is translated in our brain as a lot of food on a big plate. It's been a long time since I've tried to fight against that image and only now I convinced myself that a small meal is equally fine, give the stomach something to do while not overwhelming it with too much food. Yes, it takes time, I don't point to anyone who is considered 'undisciplined' when it comes to overindulging.
I'm glad it worked for you. A lot of people can do well on keto. But it can be a hard diet to do right. I think it works in part because it's so easy to get enough fiber and a lot of the allowed plant foods are very nutritious. When I was on keto I had to do a low saturated fat version. It's next to impossible, so I used the cronometer app. It's free and has settings for keto and it helped me get the right nutritnet when I was on it. I have a diagnosis and treatment, so now I'm not doing that diet anymore, but I learned a lot from keto and it improved the nutritional value of my meals.
Okay so it’s not just me. I’m also a diagnosed ADHD. I stopped taking medication for ADHD a few years ago due to side effects. While on ozempic my ADHD was drastically better. Like my thoughts were just so much clearer and I didn’t understand why, until my ozempic wore off.
Same for me! I've always been a heavy person but never had issues until ended up with diabetes in 2022. My doctor prescribed it and I was on it for almost 2 year. I'm not longer diabetic and did have help in losing over 115 lbs with minimal side effects. My weight loss now is a little slower since I've been off of it (no longer diabetic so insurance won't cover it, which makes sense), but I'm grateful that I was able to use it to get my blood sugar back to normal.
I appreciate the objective video. I went to a mid-level practitioner I've known for a long time professionally. I knew more would be required than just taking a medication. I started seeing a therapist about my relationship with food. I was diagnosed with binge eating disorder by a doctor of psychiatry and now use trizepitide (Mounjaro) to keep the symptoms of my diagnosis at bay, with hopes to work my way out of it over the long term. I've changed my diet and exercise habits. I'm fortunate to have nearly nonaide effects (though it also appears to affect me less than many). Just one man's story. YMMV. Hoping to be there for my family over the long term.
The first red flag I saw was when it first came out with the viral marketing. They made commercial that had people crazy about and talking about how great Ozemic is with out every saying what the drug does. They just said “it’s amazing! It’s great! Talk to your doctor!” They always seemed like snake oil salesmen tactics. Marketing and medico should be be combined. When they are, never trust the product.
Anything the Government says i just do the opposite. I recommend reading “Health and Beauty Mastery” that book is a real eye opener about shocking stuff health industry is doing! I completely changed my habits
@@chaosordeal294 No, when they're suddenly pushing or promoting some idea, that they haven't before, you should be VERY suspicious, and doing the opposite, or just sitting it out, is probably very wise. BTW, not investment advice, but I sold all my Novo Nordisk shares. Bought it ages ago when I was betting on diabetes being the new unwinnable war that only middlemen would profit from, and I was right. 10x my money, time to move on.
You, sir, have perfectly pointed out that that increasing the daily step count and think about the food you eat, will make a progress in weight loss! From my own experience I would say - don't beat yourself since day one, if you drastically change your routine you're more likely to get back into your old habits so start by making small changes. Eventually I got tired of the slow progress so I took it more serious and I'm feeling better than ever - went down from 115 to 95 kg in 1,5 years
I hate that media almost always give shallow reports on medical developments. Everything gets crammed into an elevator pitch and all the nuance is discarded. Thank you for putting that nuance back in. Thanks for also using the word ‘may’ about weight loss in your walking promo. A friend and her husband walked the entire Camino trail without losing more than a few grams. They both came back fitter and mentally healthier though, and that helped with establishing healthier routines that led to long term weight loss. I think it’s great that the role UPF play in obesity is gradually becoming wider known.
Ozempic sadly hasn't made me lose weight... however.. it has reduced my insulin intake by two thirds! As an insulin resistant, insulin dependent T2 diabetic, this is incredible as I was taking around 95+ units of fast acting insulin a day (in order to consume a reasonably healthy diet of around 1200c per day)... now I am taking on average, 30 units per day. I am currently wondering if I should stick with Ozempic or move to Mounjaro. I also have heart failure and a bunch of other things (Ehlers Danlos is the gift that keeps on giving).
Hello fellow Zebra. You might not have lost weight, but by reducing your insulin, you have prevented the insulin weight gain for the future and lowered youd heart disease risk. There maybe an additional 5% extra benefit from Mounjaro, but also slightly more side effects so it's best as a discussion at your next diabetes review depending on all your results.
Same! I've been having to increase my fast acting and still not getting my numbers where they need to be. I tried Ozempic but the nausea was so bad and wouldn't go away. Mounjaro worked though and now we're working on getting me off metformin and may get to a point I only need the Mounjaro and long lasting insulin!
@@eloisepharmacist Thankyou for that, yes I am really pleased to have reduced the insulin, theres a marked improvement in my lymphedema (its still there but I can achieve a vaguely normal ankle appearance, and shift that tight horrible feeling!) too.
@@Letthembelightpeaceonelove Quite possibly not (not american...) balancing what I can eat between the diabetes, gastroparesis, IBS and ARFID and a handful of other 'issues' around food is tricky - too much and it all grinds to a halt and horrific pain... not enough and other sorts of pain. It's a juggling act indeed!
You try to get this medication in the UK. Go on! Try to get an appointment in the first place. I’ve lost 60lbs since February self funding it. My only side effect is being cold. No poops, no nausea. Nothing. Because I’ve titrated steadily. People saying “you will put the weight back on when you stop” … Yeah, same as any calorie deficit diet!! My mental health is better because I am not so anxious going out anymore. I was so self conscious being out because of my size. My knees and back aren’t in pain anymore. Existing in my body is no longer achey just on any given day. My quality of life is better. And I am already more active because of the weight loss. I’d have loved to not be on this. But I needed the help. No shame in that! It’s a tool I use to help me achieve my goals I’ve never got close to before
I've have the same kind of experiences. I'm taking Ozempic for weight loss, and with it, away went pustules that I suffered from. My friend is also on it (Rybelsus, which is a pill form) and she lost weight but also her depressive mood went up and her chronic gingivitis got better. This drug has the potential to make so many persons life better, but the discussion is filled with stories of the 15% of people who had an averse reaction, and the morality talk.
The Maintenance Phase podcast episode on Ozempic is definitely worth a listen. Aubrey and Mike do a phenomenal job talking about the complexity and possible harm behind bringing this drug to market the way it has been.
Lots of great points brought up, especially about the studies that indicated that GLP1 medications like Ozempic are not necessarily the best for all people who are obese. Like WLS, Zepbound (and other weight loss medications) are just a tool that can assist with the lifestyle changes needed for significant and sustained weight loss, but in no way shape or form are they a cure-all for those who just take the medication and do nothing else.I also really appreciate that you called out that it's not always simply about "willpower" when people fail to make the lifestyle changes they need to lose weight. It's a very common misconception, and while I don't doubt that some folks have done well by buckling down and "getting it done" that is largely not the case, especially for those who are morbidly obese. I was recently prescribed Zepbound by my endocrinologist, and will be trying that soon. I am really hoping to receive written diagnostic feedback from a psychologist I saw to start therapy as I know that my un-managed issues (Autism, ADHD, OCD) significantly contribute to the emotional binge eating I do due emotional dysregulation. Executive dysfunction also plays a part in exacerbating it further since it is harder to just *do* the things that I know need doing. Even without the neurodivergent disorders there's stuff I have to work on mentally to stop falling back on unhealthy habits to cope. I don't think people take the psychological component that leads to over-eating/obesity serious enough. I was doing well several years ago with healthy eating, but because I never worked through certain issues, I ended up spiraling after an event and gained all the weight back and then some.
CHILE MENTIONED *ruidos en chileno* Nah but in all seriousness, “don’t focus on what you can lose, focus on what you can gain” really made me think about how I’ve approached weight loss all my life. Thank you very much, Dr Karan
This is a solid video. It clearly lays out the uses, misuses, and side effects of the GLP-1 drugs, while also clarifying the deeper, systemic problem with modern lifestyles that food production and pharmaceutical companies don't want the general public to focus on.
Really happy to see a measured voice filling the void of common sense in the social media space. I feel like you have had to sacrifice your privacy for this. These kickbacks for doctors and catchy branding remind me of the perdue days. I'm not sure if the body dysmorphia crisis in young men is on your radar. Steroid abuse is destroying young men in my catchment. Well done, and good luck. Grizzled ED doc.
@@DrKaranThe body dysmorphic epidemic affects men of all ages, and goes far beyond steroid use and abuse. Much of it stems from the rampancy of heightism and the way that our society effectively tells males from the time they're very young that if they are not tall they are short, and short men are not real men. It tells them this directly and indirectly in a bewildering number and frequency of ways. Look at how often even average height males proactively or preemptively disparage their own height, talk about their "short legs", note that they are "only" a given height in a tone that conveys that height is undesirable. They're conditioned into this behavior.
Ozempic can be manufactured and distributed with marketing at the cost of $5 for a month's supply, but how much they sell it for, $1000 a pop. Land of the free!
That's crazy. I just looked it up and in Australia it's $7.70 for 3 weeks supply for diabetes and $130 for 3 weeks supply for weight loss . Even that seemed expensive to me. But a $1000???? That's insane
@@Umk-p8kNovo Nordisk is not a U.S. company, and it sets the price of a month's supply at $935 before insurance and other rebates. It's price is far lower in the U.S. and elsewhere.
Drug prices don't only cover the cost of manufacturing and marketing. They cover the mind-bogglingly high cost of research, development, testing, and regulatory compliance.
Novo Nordisk spent $5 billion on R&D and is spending another 6 billion to boost production. It also dtayes that 75% of revenue from Ozempic goes into rebates and discounts.
As someone who has been hearing about it so much online, I was starting to think it was just something hyped up like I remember Kalms being when I was young, and I was actually starting to consider looking into getting some. I am no longer going to, now I know these facts, especially as I have a complex medical history. Thank-You very much for this valuable information, I truly appreciate it...and you!
@@Kalightortaio indeed they don't and obesity has many factors. It's connected to hormones, mental health as well as overeating, poor diet and physical activity. However, for many, overeating and physical activity is a major driver and in essence some people may take the drug which will spur them to change lifestyle. Others will take the drug without making changes and these are the ppl who will be dependent. All I'm saying is human nature being what it is, for many a lack of routine and discipline got people in this situation in the first place, we're suddenly expecting with a combination of a drug we'll all develop amazing routines, hence the cashcow argument
@@chuck275people usually gain weight back after dieting. Sometimes people just need to get past a hump. They may have put on a lot of weight when they had a significant life event, like having kids, new career, medical event, etc. Obesity then tends to create a feedback loop. For example, a lack of sleep, which babies are known to cause, can cause weight gain. Weight gain can cause apnea, which results in less sleep, which results in weight gain, on and on and on.
Thanks for this video! I was recently interested in Ozempic because of the promising studies regarding heart disease (runs in both sides of my family), but the price point it's at is out of reach for me and everyone I know, even if it weren't in short supply. I have a hard enough time affording my asthma medication. (In the U.S., so I have to rely on my insurance + out of pocket expenses, no options for subsidized medication for me because I earn too much.) I would love to know more about some of the other off-label uses that are being discovered and the mechanism behind how it works on them, so there might one day be other avenues to pursue for me and people like me. The unfortunate reality for too many Americans is we have to make do with what we can do on our own; medical care is out of reach and medical emergencies financially destroy us.
I considered it, but don't feel that the risks are worth the benefits for me. I know quite a few people using compounded semaglutide through platforms like Hers, and the cost is much lower. Prescription is around $1200 per month, while depending on the length of the subscription you choose through Hers and similar sites, it's as low as $200 per month.
Doesn't this remind anyone when oxicontin was said to be a magic effective med for pain (any pain)... until it wasn't . People taking ozsmpic is pretty much like people taking Adderall or similar to lose weight... you get it back sooner or later. With the cabiat that we know long term effects of stimulants but we don't know the long term effects of ozempic. And before anyone comes up with the BS that this meds have been around since the 2015 or so... so it happened with dermal fillers (even before that date) yet we are starting to learn know that this things stick around in the face for years with unknown long term impact. The body like keep a status quo, if you try to imbalance it, the body will try to adapt. And I read today about all these potential uses for Ozempic in nature, but I am highly skeptical, sorry. DO SPORT! (not a critic to u doc, it's a message to the public).
@@lauraprescott1314 of course, I hope that I am wrong because otherwise it will mean that many many people will suffer the consequences. By the way, amph^^tamines in the 50s were sold like candies to women as wonder cure to look slim and have energy to deal with everything along the day.. we know how that all ended as well. The problem is that big pharma doesn't have a good record to back a good reputation we can rely on.
@@whyme7996 you are absolutely wrong: lipedema is a genetic degenerative and disabling disease affecting one's connective tissue. Fortunately misinformation can be treated with education, which is currently easily accessible on multiple platforms e.g. Google.
Food is crap these days, full of sugars, the soil isn't as dense in nutrients, animals are pumped full of chemicals, antibiotics and hormones, time available to cook, both parents working full time and getting home late will impact on wholesome meals. and butchered by-products of business get upcucled as food.
People fast tracking their way to the body of their dreams. This could never go wrong! That being said, I like your advice about eating veggies, walking, and sleeping.
Yeah I lost weight all right! I was on Rybelsus, an oral form of semaglutide. All I ever took was the 3mg "starter dose." I vomited so badly, I dehydrated, screwed my lytes up, and broke ribs from the force of vomiting! Nope, I'm not doing it! We did a food diary. Most days I barely took in 1300 calories (and I measured and counted everything!). According to my metabolic analysis, I only used 1400 calories at rest. So I should not even be overweight. I exercise, or I can't move (I have Ehlers Danlos Syndrome). So I blessed give up!
Great video! Side note - I think the effect of industrial pollution of air, water, and food is severely underestimated when it comes to the prevalence of obesity. I think we need more research as to industrial additives and possible contaminants in processed food as well as agriculture and livestock, and their potential impacts on obesity. We know that we live in a world that is several times more polluted than even a generation or two ago, and there's no telling what the undiscovered effects may be.
I find the sentence focus on what you can gain instead of what you can lose extremely helpful❤❤❤. Because exercising is painful and stresses me out, if I only consider it to lose weight. But if I think to gain more health or better sleep exercising has an immediate effect, which helps sticking to it.🎉
Can we talk about the INSANE price markup for US import? ‘More Perfect Union’ has a vid explaining it. It’s horrible for our medical insurance in America.
yaaaaay Dr. Karan, this messaging has improved SO much since previous topics on your channel and I'm so grateful to you for using your platform to talk about it. also walking is the best, can confirm. i'm not a skinny person, but walking makes my brain happy. :)
I'm on Ozempic as a diabetic and it's had a reverse effect on me. All the weight I lost before I got in it I've been gaining back. I'm eating like a line backer, and I'm always craving sweets, which I didn't before. I would down gallons of water, and now I'm lucky if I can get down 40 ounces a day. This drug isn't for everybody. I hate it. I have not had any positive effects from this crap. I'll be talking to my doctor to get off of it
I took Ozempic for two weeks. The only side effect my Doctor warned me about was gastrointestinal. I started vomiting once a day after taking it for two days. That progressed to twice a day and on the last day I vomited five times. I suffered from diarrhea twice a day and I totally lost my appetite. I progressed from eating once a day to not eating at all. I am a diabetic and thought that Ozempic could help me reduce my A1-C. I will never take Ozempic ever again. There are no benefits from taking this medication at all. Beware !
If you are diabetic it would be better to use the medicines in your kitchen to reduce your Hba1c rather than use Ozempic. 4 days per week on empty stomach have half teaspoon of overnight soaked fenugreek seeds first thing in morning. Half teaspoon seeds soaked in 100 ml of water. Fenugreek seeds are found in every Indians home. They are bitter but once soaked they are fabulous for diabetics. Do this for one month and check your hba1c. They should come down.
I'm obese, I went on ozempic to help with losing weight and to prevent diabetes starting. It worked OK but then Novo Nordisk took it off the market and I couldn't get it anymore. This caused instant withdrawals. While on it, it stopped most of my hunger but when I went into withdrawal, I experienced all of that hunger come back 10fold. I was in actual pain from starving and no matter how much I ate, the pain would not go away. I was in hell for 3 days like that. I'm not the only one this has happened to either. I'm just so grateful I never got any of the other side effects.
That was a very comprehensive video, not just about Ozempic and similar drugs (never would have suspected the Gila Monster), but also on the worldwide obesity epidemic and its causes. I just wished you would have also included our now constant high levels of stress as it is a strong driver of gaining weight and not being able to lose it even when you are doing "the right thing" aka eating healthier and doing exercise.
Listening to that man talk about what happened broke my heart. That has got to be so traumatic, all because his wife (I'm assuming) wanted to lose weight for her daughter's wedding. That's so upsetting.
I was very overweight until they dx PCOS and got me treated, 6 months later I am about a size 8 and able to comfortably be active. I have adjusted my diet to grain free since PCOS is an autoimmune condition, but I don't eat significantly less than I did before. All this to say, I'm proof that CICO is BS, and being overweight is definitely not a moral failing or necessarily a sign of gluttony.
I was prescribed something similar for my diabetes. Unfortunately, I ended up in ED twice in the same week with projectile vomitting and heart palpitations. Turns out it was stopping food exiting from my stomach.
I have LADA diabetes and was on Victoza and then Ozempic for over 5 years. While it helped with the blood sugar, I had no idea it had a hand in my depression. I have had bouts of severe depression since childhood due to messed up trauma stuff, so it didn't seem out of the realm of normal for me. I had 2 medical procedures earlier this year and was unable to restart Ozempic without TERRIBLE side effects. Slowly, my depression lifted and my GERD disappeared. After about 2 months, I could actually begin to feel true, lasting happiness and joy again instead of the daily (or hourly) passive ideation I had been experiencing. These days I actually WANT and have the energy to move and exercise, I'm craving salad (yep, that's a thing), and my mind is clearer than it has been in a long time. Turns out I just needed to LISTEN to my body instead of trying to numb it, beat it into submission, or punish it for existing. I still have chronic illnesses and neuro-spiciness to tend with, but on the whole, life is getting better.
I think if we’re gonna talk about how these weight loss injections are an issue I think we need to raise the fact that so many medical professionals essentially write off patients because they’re obese. Here’s some examples: A woman in her 20s suffering from severe abdominal pain every time her period rolls around. It took her 16 years to be diagnosed with endometriosis and get treatment. A woman in her late 50s who was told her pain was in her head and she needed CBT. She had a fused spine and calcification in her heart, upper torso and arms. A 35 year old woman with gastric problems who was told that she didn’t look malnourished because of her size. Turned out she had multiple vitamin deficiencies including folate, iron and vitamin D. So many health professionals think “fat” is a cause in and of itself. It’s not.
I love the channel, but I was very unhappy with this video. A few people having adverse effects is not a reason to not take a drug. I was hoping you would have provided a more clear condemnation.
There’s a lot more nuance I added than “don’t take it cos side effects”. Very clearly stated why it’s not beneficial for someone who doesn’t need it for medical conditions and is only doing it for cosmetic reasons..
@@DrKaran thx for the reply. Another issue is obesity is so unhealthy. doesn’t there have to be a risk-reward analysis. Even if these drugs are a little dangerous, they might be less dangerous than being obese. I had a neighbor who was a major heart scientist and they created a process for testing if drugs would harm the heart and it was adopted by the FDA, but then my neighbor discovered that it was such an arduous process for drug companies it would actually slow down new drugs so much it would hurt more people than if riskier drugs just came to market.
'slows down gastric emptying' is otherwise known as reduced gastric motility, and gastroparesis when it gets to the vomiting stage - you'll be throwing up the partially digested contents of a meal you ate 8 hours earlier, you won't be digesting other medication properly making slow/extended release stuff a crapshoot, you feel bloated and bilious all the time and sometimes when it's been 12+ hours of nothing moving the stomach pain gets so bad you've gotta help it to get out IYKWIM. But oh yeah, it DOES cause weight loss and malnutrition! It also causes reflux, including laryngopharyngeal reflux where the acid/bile/vomit makes it up to your throat/mouth and sinuses and can affect the voice dramatically I have it as part of other health issues and it is MISERABLE to live with. I can't imagine subjecting yourself to it willingly
Enjoyed this video! Thank you for putting out safe & honest medical information. There’s so much misinformation these days, and some of it is dangerous.
It annoys me that people will use these "weight loss" drugs to lose a bit of weight because of fashion when diet and lifestyle would have been the best option. My own sister has been using a drug to lose weight despite being at a healthy weight when starting it, and she's paying a lot of money for it every month. I think social media and celebrities just exasperate the issue. Along with our lifestyle. There are people who actually need these drugs, and they can't get hold of them because people who have absolutely no need for them are buying them up because "I want to lose weight without the effort and lifestyle change" - i.e. moving and eating a balanced diet.
I used to take Ozempic then I experienced lightheadedness for the first time and almost crashed on our tiled floor. I would’ve hit my head if I went and I was home alone. It was so scary that I stopped taking it. It also didn’t help me lose weight at all (I’m diabetic but never had sugar drops) so yeah. I’m opting for a better diet and doing more exercise than I used to. It takes a lot of mental battle for me but I need to remind myself I need to do this for my overall health.
Very interesting. Lost 30 kg when I was calorie restricting. 2 years later gained it all back and more. Maintaining and losing needs to be a lifestyle change. Doing intermediate fasting now, 16:8. I like because it enables food freedom . I dont think there can ever be a drug that kills fatcells without a cost… Had family members that reduced their stomach, it does affect your lifestyle habits on day 1 as it forces you to eat less. But give it years and if you do not continue portion controlling you can stretch the stomach… Thank you for spreading awarness doctor that there is no ”miracle cure” or drug to replace healthy habits
I usually just watch your shorts but this long video was awesome. My coworker just told me she went and got the shot. I had heard bad things and this makes me want to do it for myself on my own. I know I'm just being lazy 😅
That's not free. There's a concept in economics called "opportunity cost," meaning what you do with a resource costs all of the potential opportunities that you give up. For regular people, we can apply this to the value of our time. How much is your time worth? If this drug can provide them more valuable opportunities than it costs, then it's worth it to them For example, my daily schedule is 1h to get ready, 9h work, 1.5h commute & drop-off & pick-up kids, 8h sleep, 30m dinner, 30-60m play with kids, 1h kids bed & bath, 1h cleaning, 30m with partner, 30m bedtime. There's no opportunity to take 2 hours out of my day to go to a park daily. This drug is potentially great for people who have jobs and families and have had trouble losing weight.
This video is a true class act. I love how you gave such a balanced view of a powerful tool. You did a great job highlighting its utility while also underscoring the dangers of its abuse as well as ozempic shaming
Well i was thinking about trying ozempic to help me lose some weight but after this vid and some research ill skip that. Btw i like how in every video u promoting healthy lifestyle, exercise and eating quality foods.
HI DOC, Long time viewer, first-time follower. THE WALKING AD 🎉 THE ACCURACY 🎉 I took a "walking for fitness" class in high-school nearly 20 years ago. Best, most accessible movement to most ppl.
Either way. Alot of them are taking it as a short cut to weight loss. I've hear ppl a few years now talking about taking it, cause it's a short cut. From 20 to 40 years-olds.
Uruguay has the same labels as chile in our pre packaged food. It can be quite useful. Although sometimes I completely ignore the labels because I WANT something outrageous. But I eat that knowing the risks.
I think something missing here is yes there are potential harms with these drugs but the harm of obesity is certain and often worse than the risks of side effects for most people 😢
@@DrKaran hello! Yes, I did. My takeaway was the importance of diet and exercise as part of being on these drugs forever. From the book Magic Pill by Johann Hari, it sounded like diet and exercise doesn't really work for most people as the body will push you to maintain your weight e.g. you go for a run and then eat more or eat well and then feel a strong desire to relax. Kurtezaght also did a great video on diet and exercise for weight management. I'm curious to hear your thoughts on these if you're familiar with them. I'll re-watch your video as well in case I missed points in the latter half.
The battle against cigarettes began during a time when most politicians still had some dignity and actually cared about doing some good with the time they had. Not saying all politicians are bad now, but we don’t live in that age any more and there’s too much money being thrown around by big companies just to top it off.
Great video, very informative, very detailed with very good recommendations. Also, can we please get your for walking on tv 7-10 per day on each tv channel?! I must say I grew tired of all the diet fads many years ago, after trialing several- now I follow exactly the steps you've mentioned when I think it's needed and when I can find the strength and focus. That being said there are a lot of people out there that still get sucked into miracle diets/ one super ingredient and I really home more doctors like you will look to educate the masses and promote healthier and more sustainable practices. Thank you for your amazing work and dedication!❤
@@MiguelRodriguez-my3dg nice argument… it’s crazy how messed up the USA medical system is, no other 1st world country has such a need for black market MEDICINE 🙃🙃
I’ve been on it for just over a month, so still not up to the full dose, but for me it’s been amazing, if only because I don’t spend all day every day thinking about food and what I’m going to eat next. It’s so much easier for me to resist sugar. Yes, if I eat things I know I shouldn’t I get nauseous, but I’ve only actually thrown up once (and it was 100% my fault), but it’s SO much easier to resist those foods now. So I’m doing my best to use the time I’m on it to build better habits (stay away from fast food and liquid calories, eat whole foods, cook at home cut way back on ultra processed foods, exercise more, etc), so when I eventually go off of it I’ll already have those habits in place. I hope it works. So now that I’ve gotten over the lethargy stage of the meds, I guess I’ll also take the good doctor’s advice and go for a walk.
Social media circus. Well said, but.. sad truth that people who are more susceptible this influence are also often the once who need to pay more attention to their health (and possible gain/loose weight) . Thank you for this reminder - start small !
This video isn’t going to dissuade anyone from taking ozempic since you haven’t outlined the risks directly attributable to ozempic except some vague association with worsening of peptic ulcer disease. Secondly regardless of the complex causes of obesity it still can be reduced to eating too much and not moving enough
Ozempic should not be taken for vanity. I take it for type 2 diabetes. I was prescribed it in March, when I saw my GP. I was already pre-diabetic and had out on 25 pounds after injuring my Achilles tendon and developing GERD. However, over the previous year I lost 30 pounds with exercise and a changes to my diet Nonetheless, I was still overweight and went from pre-diabetic to diabetic. It took me two months for my insurance company to approve Ozempic as a treatment for diabetes, because so many people were abusing it. And then I had to wait a week to get it from the pharmacy. I am still working on my diet and working out while taking ozempic. Over the summer. I lost 25 pounds. I'm hoping that my A1C will be normal in October, when I see my GP again.
This seems like a perfect drug for diabetes! You don’t need ozympic to lose weight, I have lost 40lbs twice, in 1 year, and kept it off. You need exercise, sleep, and portion control. Lost 40 lbs in 2013, went from 212 to 165, with bodyfat down to 10% And then again in 2023, went from 202 to 165, with bodyfat down to 11% Your body is pretty resilient, give it rest, exercise, meditate and your body will love you, it’s slow but a great process.
Maybe people don’t want to keep yoyo dieting. If you lost it, you gained it back, and will probably gain it back again because our bodies WANT to gain it back and produce more hormones to make us hungry.
@@idunsgarden thats true, in my case I gained it because I had a motorcycle accident and was not able to workout or cook at home. There is no need for yoyo dieting, cook at home, eat vegetables, limit eating fast food and it start showing small results over time, granted you are able to do those things physically. I understand many people dont have the time to cook at home or access to a gym or other things that might make it harder in the first place.
I wrote something really rude initially. Instead, I am simply going to ask you to PLEASE STOP. I know you are just trying to encourage people, but we do not all have the same biology. What is a slow and easy system for you is a process of constant bull riding for me. If I lose focus for a week, get sick, or have a stressful time at work, my body has demonstrated the ability to gain 15 pounds. In just one week. Imagine losing two months of progress every time you have an off day. Some of us DO need wegovy and no amount of encouragement from someone who has never been truly obese (unless you're 5'6", are you particularly short?) will change that.
@@OneDollarWilliam I am not shaming anyone, neither is that my intention. If you suffer from obesity you should absolutely do what your doctor recommends. Obesity can cause many life long issues, and it can cause people not to be able to do things that are essential for a healthy body, like walking, exercise, or even sleep well. So yes there is absolutely need for drugs, and medical treatments to get people healthier. for example people who had bariatric surgery saw reduction in pain and their physical function improved after bariatric surgery. My comment was more towards people whose BMI is 4-6 points above their range, so they resort to extreme measures, which takes the drug away from people / patients who genuinely need it.
Hi Karan, Love your videos and in-depth explanation. I have a request for a video idea regarding the usage of anabolic steroids among the fitness industry and how it is engulfing young people.
On behalf of all dietitians, thank you for properly educating people on so many nutrition-related issues. You’re amazing!
Thanks for the feedback, means a lot especially
From a healthcare colleague!
Singapore now has labels that indicates how healthy drinks are from A to D, so that consumers can make healthier choices when selecting.
As a Singaporean who is trying to lose weight for medical reasons, it helps IMMENSELY. Seeing that big red D on a drink that I'm thinking of getting immediately kills my interest in purchasing it. You even see the labels at bubble tea places and cafes like Starbucks. If I remember correctly out of everything on the menu at Starbucks only 2-3 of the drinks were labeled A which is quite an eye-opener.
@@SycloneDx2 Starbucks isn't even coffee anymore, it's just liquid cake
studies show that putting caloric content on menus hasn’t done anything to make consumers make healthier choices
@@queenvalentinaYes, Canada has calories listed on menus. It does help when making choices.
@queenvalentina I think putting labels on food helps to hammer home on whether or not you should consume the food and how much. Works for the health conscious.
I don't think the Ozempic shamers mean they are cheating, so much as they find it disengenuous when celebrities claim they lost overnight by healthy habits when their appearance betrays the medication is used. Plus it's expensive and that seems elitist. And the first in line should be diabetics, not influencers. I can't walk for exercise because my feet are 💩.
My feet fail me too…any chance it may be from the western footwear?
I recon constraining my foot and not allowing the muscles to move as they should weakened mine… trying to go barefoot at home and wear “barefoot” shoes when out so hopefully they’ll build back the muscle and natural suspension they were supposed to have. 🤞
Oh no. There are definitely some who have called it cheating. I've seen them.
Yeah, there’s always a minority that’s doing their own bs thing, that exists in all communities and sometimes even ruins their images.
But I think the lying grifters that get exposed deserve it 100%. They’re no different from those fitness influencers who secretly do steroids. Always pushing their brands, taking sponsorships and lying to impressionable, desperate people. If it isn’t working, 'you just aren’t doing it right' or 'it’s not enough'.
You should try swimming
I've seen plenty of people accuse ozempic-users of cheating, unfortunately. People can be real shitty 🫠
I did not realize Gila monsters had anything to do with this.
Oh yes
It sucks because all the issues humans have that their venom is treating can be fixed by humans NOT exploiting animals. People would lose so much weight if they just went vegan, and they wouldn't have to exploit even more animals on top of their diet to fix their health issues.
My uncle's girlfriend was on Byetta back before Ozempic came out, and she called it 'lizard spit' because of its origin.
Botox snakes, Ozempic Gila monster.... hummmm.....
@@mugglescakesniffer3943 The reptilians are to blame 😂👽
I have severe idiopathic gastroparesis (paralyzed stomach), which causes slow/delayed gastric emptying, abdominal pain, abdominal cramping, nausea, vomiting, and bowel issues (both extremes). I sat here listening to this and thinking these people are intentionally giving themselves the misery gastroparesis patients deal with on a daily basis. It’s insane.
I have the same due to POTS & CRPS. When my mother was prescribed Ozempic, she could no longer empty and started vomiting. Her health has declined. And her Dr will not take her off of it bc he says she's still not thin enough! Her other doctors and family members have asked her to leave this Dr but it feels like he has some kind of hold over her. I hate watching her get weaker, and her mood is deteriorating. My father is ready to leave bc she's awful to be around since starting the Ozempic. I fear it will cause permanent damage 💔
People will try any shortcut to lose weight except the method that works
People like me who have really fast extremely fast gastric emptying, I think this would help me tbh. It usually takes me 2-4 hours to digest a full meal with protein and fiber when it used to take me 5-7 hours. I'm hungry ALL THE TIME!
@@bodyofhope That sounds horrible for your mother, as well as for those who love her. I hope things improve for her soon. Very scary.
I also have POTS and CRPS, as well as intractable migraines. Dysautonomia is a beast. I also have Ehlers-Danlos, to complete the bingo card.
It's not at all to the same degree. I took the medication, because I gained a lot of weight and became diabetic, several years after a spinal injury. The spinal injury prevents me from being very active, so my doctor recommended ozempic. I did experience these symptoms at first, but I was still eating similar amounts of food at the start, and the majority of my diet was high protein, high fiber, low fat, so the volume of food I was used to eating was large, which does not work well with having slower digestion. I've since added more fat to my diet, and a bit more refined carbs, to eat less food while also still eating less calories, allowing me to lose weight without feeling sick. I no longer have the cramping, nausea, vomiting or bowel issues, other than my BMs are every other day, where they used to be daily. So if you're doing it right, you're not going to feel terrible.
It's been ridiculously helpful with my PCOS. Not even birth control could regulate my periods and help the symptoms but Ozempic did. I'm regular now. I don't vomit in pain during my periods. I don't get as many migraines and dizzy spells. Cramps are better. And I'm not the only one I know. It's been a laughed at and neglected condition blamed on being heavy or only us women get so who cares but somethings is finally there for us even if it wasn't intended to treat PCOS.
I didn't realise it worked for pcos too. I tried lots of things before I was prescribed metformin, which is also diabetes medication. There really does need to be more research on pros and why diabetes medication works.
Does anybody know the mechanism how it can help PCOS?
It is a life long drug for us girlies who have PCOS. And unfortunately while it can help our symptoms. It’s also something we have to take forever. Ozempic for 1 month is so expensive and the rest of my life I could not afford it.
Have you ever tried a plant based diet? There have been some studies that have linked dairy consumption to having PCOS. The hormones in animal products have been linked to all kinds of other reproductive issues as well as other issues in the human body, like cancer, heart disease and diabetes.
A couple weeks after I went vegan my weight went back down to my normal BMI and there it has stayed no matter how many French fries or vegan brownies I eat lol.
My periods also got more regular and less painful after I went vegan.
Nobody would complain about that.
South Park already warned me, so I'm head of the curve
Haha cartman
@@DrKaran is there ozempic for cats? Serious question
@@MaidenHelllFor real I have 4 fatties as we speak😅
Came here to say exactly that.
@@MaidenHelll you need to talk to vet about that.
Your long form video content quality is absolute fire. Just completely jam packed with fact after fact. I want to go show these videos to everyone I know and say "THIS IS WHAT I AM TRYING TO TELL YOU GUYS" 😂 Keep up the amazing work, keeping the misinformation at bay!
Thank you! I’m making a concerted effort to make more detailed long form content but it’s hard work! Expect more like this and more frequently!
And it's still not too long so that it gets overwhelming. It's just right 👍
We appreciate your efforts Dr. K!🙏 Don't feel pressured. We have patience😊
*slowly looks back at the three back to back 4 hour video essays I binge every week*
Long?
You mentioned the percentage of body weight lost on ozempic but there’s no information on how much of that on average is fat vs muscle lost
There appears to be a large amount of muscle loss with Ozempic. One estimate I saw was an average of 39%.
@@trail.blazerThat is one of several reasons that I opted not to ask for it for myself. We have to fight against age-related muscle loss as it is, starting at a surprisingly young age. I can't justify doing anything to exacerbate that.
At the YTchannel Idaho Bariatric and Metabolic Institute the doctor say the lean mass loss is sometimes so significant that he doesn't prescribe it to his patients anymore. Especially if the patients are a bit older, not old but when they are for instance less able to rebuild the muscle lost. Some have nearly 50% loss of lean mass which could be devastating for an obese woman in menopause who lose say 60 kg. If they need to go off for economic reasons or for complication and regain it's not that weight gain will be 30 kg musclemass.
Alan Roberts also point out that the weight loss is not that fantastic compared to those who lose it naturally. The effect also wane off after some 18 months. According to Dr Mike Israetel at Renaissance Periodization channel one should strive to lose approx 1% from start weight per week and after losing 10% one should maintain for about two or three weeks before starting next phase to minimize loss of lean mass (he coaches body builders, a category who care about not losinf muscle when dieting).
some muscle loss is inevitable with weight loss. obese people have muscle because of all the weight they carry around. a doctor that thinks it's better to be over 300 pounds, at risk for diabetes instead of some muscle loss that can be prevented with some weight training I would run from.
It's about the same as the amount you lose from calorie restriction alone. It can be mitigated further by eating high protein and lifting weights. People saying you lose a lot of muscle are ignorant to the studies and to how much you lose with any diet, 30-40% on average.
Jaime French was early to speak out about Ozempic absolutely ruining her GI tract. I believe she was prescribed it for diabetes but decided to come out with her experience after hearing about how it had become trendy.
She was prescribed it for obesity.
@@fifilamour1344 ok I mean I can go back and watch the vid again but obesity and type 2 diabetes are usually linked so you’re sort of parsing uselessly. Why would you try to denigrate someone who spoke out honestly about it?
Technically, people can be obese without being diabetic. Obesity can lead to diabetes especially if left untreated, but there are obese people who, after blood work is taken, still don't qualify as having diabetes. @feelthejoy
Loved the "walking" ad. Recently focusing on increasing my step count to help offset my sedentary work hours. Thanks for the informative video
Welcome my friend!
I've seen 3 people in my personal life try Ozempic. It worked out well for the one who had been through everything else trying to get control of their diabetes, with a lot of diet modifications to compensate for the food sitting in their stomach so long.
The other 2 had experiences closer to that of Celina Meyers'/celinaspookyboo's experiences with it.
It looks like malnutrition to the point of muscle atrophy felt (homelessness isn't fun, everybody) and I worry intensely about everyone on Ozempic or similar medications. May their doctors care and they be aware.
It sounds like a lot of people are taking way too high doses. It's not supposed to be taken to a point that it gives you gastro intestinal issues. That's like hearing caffeine is good against tiredness, and then drinking 3 days worth in one sitting, and wondering why you feel bad
Wtf does homelessness not being fun have anything to do with your comment?
I have PCOS. I’ve had to fight my weight since I got my period at age 10. Low carb diet seemed to be the only diet that helped, but it’s hard to stick with in our society.
PCOS seriously changes how the body functions so that none of the standard advice effing works. It's unbelievably frustrating
@@Kyla94934 it sure is! Took me to be 40 to finally get treatment and my condition in check. Spironolactone 200 mg/day, Metformin 2,000/day, eating no more than 50 complex crabs a day (no simple sugars) w/ exercise. I also had facial laser hair removal. The internet helped me more than my Doctors, I learned information and brought it to their attention then I got treated.
Unfortunately All my friends and family don’t take my low carb diet seriously, it’s so hard when loved ones bring home cakes etc.
It's not hard at all. That's an excuse. It's not hard to eat clean and stay away from processed food..
@@Harlow_Khmer ok, maybe for you. I should’ve said “for me, it’s hard” it’s not an “excuse” I don’t eat the crap, it’s “hard” mentally “For me” especially after years of an addiction to dopamine from sugar. Also, do you have PCOS? If not 🤫
It’s really difficult when others in your household aren’t on the same diet, or won’t support you staying on it. Or if you’re time poor, since there’s not much in the way of low carb that’s quick to grab.
As someone from Chile, I swear those labels and legislation regarding children-marketed foods work. Yes the school canteens are hella boring now but these kids do not have sugar addiction and they've passed it on to us because everyone drinks flavored waters and zero sugar soda, while back when I was a kid everyone chugged down down 580 ml coca cola bottle like it was nothing.
Yeah they totally work!
Those zero sugar drinks usually have artificial sugar that causes cancer. Water is the best drink
@@DrKaranThey work to the degree they socially shame those consuming low-graded food.
I’ve never once in the 36 years of my life had a weight issue UNTIL they put me on antidepressants and I gained 100lbs in 5 months. I have a physical job that I had to stop doing bc my body couldn’t take the extra weight. Antidepressants basically ruined my life and ozempic is the only thing that saved it.
So called antidepressants seem to give people additional health problems commonly and for a lot of people either do nothing for their depression or worsen it by making it even more difficult to get out of
I bet ozempic targets the type of hunger that antidepressants increase. Not a doctor but I have been on antipsychotics that do similar stuff to ones eating habits and it really is a bitch to resist that urge to eat more while under that kind of influence.
A very similar story to me, just on different medications that cause the weight gain..
@@XohjaiSbarkeaterozempic seems to crush cravings, all the cravings. Some people anecdotally reported that they didn’t feel the urge to smoke while on it for example.
100 lbs gain is not normal on an antidepressant. The weight gain associated with these meds is more like 10 lbs, not 100. There’s something else going on with you.
Don't forget that people with neurological "disorders" such as ADHD are more likely to battle with obesity due to dopamine regularity issues
Diagnose with ADHD at 50, weigh ~300 LBS. Trulicity (one of the GLP inhibitors) does nothing to curb my apatite because I am not eating due to hunger, but for dopamine and stress.
It does make my blood sugar normal (what it's prescribed for in my case) but it also causes me to gain weight since now Insulin is doing it's job.
@@minkusdraconushi. I understand you. Im 158 lbs and just a little chubby but it makes me feel like shit. food is so delicious and makes me happy too. maybe you manage to find the strength to sneak as much healthy food in there as you can one day :)
@minkusdraconus What is your diet and exercise routine like, that will make a world of difference.
Yup, and some weight loss drugs containing stimulants (phentermine) don't work for us. They're more likely to calm us down... speaking from personal experience 😅
Between Hashimoto’s thyroiditis TSH levels never being in optimal range, PCOS, sedentary job, poor quality sleep and healthy/nutrient dense food being so unbelievably expensive. It becomes a second part time job trying to make sure I exercise enough, find healthy foods on sale, keep stress lvls low, get enough sleep and eat more fiber.
My doctor had me on metformin as precaution because women with PCOS are likely to become diabetic. It took me a year to realize that medication was causing me to have severe IBS(I thought it was my diet). I’ve since stopped metformin, it’s been nice not to live on the toilet every other day, and I’m on my 3rd week of wegovy. No side effects, so far I’m able to increase my walking steps without being afraid I’m going to shit my pants unlike with metformin. We will see if this medicine helps🤷🏻♀️
You have to be careful your dr should have screened you for your thryoid; these medications can cause tumors on thyroid and is the one major contraindication to prescribing the medication. It also can affect thyroid levels especially during titration period. My endocrine makes me get FULL thyroid blood panel every few months. And prior to start they have to ask your family history about thyroid to see if your qualify to make sure your not at risk of getting tumors on thyroid.
“Ozempic (semaglutide) is contraindicated for patients with a personal or family history of medullary thyroid carcinoma (MTC) or multiple endocrine neoplasia syndrome type 2 (MEN 2). Ozempic also has a boxed warning, the FDA's most serious warning, about the risk of thyroid cancer.”
There is a thyroid test they can give you to make sure you’re not at risk for this.
So I was barely overweight, but had stage 3 fatty liver, so far, it's really helped with my liver enzyme readings.
This was great information. I particularly enjoyed the advertisement for Walking. Pure gold! 😊
Haha awesome!
Identifying different types of hunger is a game changer! Its something I've sort of known intuitively but without any validation. Like when I'm emotionally hungry or brain hungry I usually try hydrating or drinking a sparkling water. Also our brain is really not very good at determining hunger vs thirst. Sometimes we feel hungry when we're actually thirsty.
I read about this water drinking a while ago, I tried it, it worked. Terrible headaches because of deshidratation I was confusing with hunger thus eating too much.
Most of the time I'm hungry because I'm worried, we've been told to have regular meals which is correct but the word 'meal' is translated in our brain as a lot of food on a big plate. It's been a long time since I've tried to fight against that image and only now I convinced myself that a small meal is equally fine, give the stomach something to do while not overwhelming it with too much food.
Yes, it takes time, I don't point to anyone who is considered 'undisciplined' when it comes to overindulging.
I decided to go ketovore. Down 2 sizes in almost a year. Feeling better. I am 68 and was a junk food addict. I really enjoy eating this way.
I'm glad it worked for you. A lot of people can do well on keto. But it can be a hard diet to do right. I think it works in part because it's so easy to get enough fiber and a lot of the allowed plant foods are very nutritious.
When I was on keto I had to do a low saturated fat version. It's next to impossible, so I used the cronometer app. It's free and has settings for keto and it helped me get the right nutritnet when I was on it. I have a diagnosis and treatment, so now I'm not doing that diet anymore, but I learned a lot from keto and it improved the nutritional value of my meals.
Ozempic has helped lower my A1C and thus far I've lost about 13 lbs. What's crazy, its helped with my ADHD big time. Ive had no negative side effects.
How did you find it help with adhd? Had you tried meds for it before?
Okay so it’s not just me. I’m also a diagnosed ADHD. I stopped taking medication for ADHD a few years ago due to side effects. While on ozempic my ADHD was drastically better. Like my thoughts were just so much clearer and I didn’t understand why, until my ozempic wore off.
I have adhd with no need for ozempic, but if this could lead to an alternative adhd med would be soo exciting!
Same for me! I've always been a heavy person but never had issues until ended up with diabetes in 2022. My doctor prescribed it and I was on it for almost 2 year. I'm not longer diabetic and did have help in losing over 115 lbs with minimal side effects.
My weight loss now is a little slower since I've been off of it (no longer diabetic so insurance won't cover it, which makes sense), but I'm grateful that I was able to use it to get my blood sugar back to normal.
Ok but how long have you been on it?
I appreciate the objective video.
I went to a mid-level practitioner I've known for a long time professionally. I knew more would be required than just taking a medication. I started seeing a therapist about my relationship with food. I was diagnosed with binge eating disorder by a doctor of psychiatry and now use trizepitide (Mounjaro) to keep the symptoms of my diagnosis at bay, with hopes to work my way out of it over the long term. I've changed my diet and exercise habits. I'm fortunate to have nearly nonaide effects (though it also appears to affect me less than many).
Just one man's story. YMMV. Hoping to be there for my family over the long term.
The first red flag I saw was when it first came out with the viral marketing. They made commercial that had people crazy about and talking about how great Ozemic is with out every saying what the drug does. They just said “it’s amazing! It’s great! Talk to your doctor!” They always seemed like snake oil salesmen tactics. Marketing and medico should be be combined. When they are, never trust the product.
Anything the Government says i just do the opposite. I recommend reading “Health and Beauty Mastery” that book is a real eye opener about shocking stuff health industry is doing! I completely changed my habits
I got it, one of the best books ive read
Thanks for sharing
Ion think the health industry is the government dawwggg
So you don't worry about germs from raw chicken, like the government says? Smort.
@@chaosordeal294 No, when they're suddenly pushing or promoting some idea, that they haven't before, you should be VERY suspicious, and doing the opposite, or just sitting it out, is probably very wise. BTW, not investment advice, but I sold all my Novo Nordisk shares. Bought it ages ago when I was betting on diabetes being the new unwinnable war that only middlemen would profit from, and I was right. 10x my money, time to move on.
You, sir, have perfectly pointed out that that increasing the daily step count and think about the food you eat, will make a progress in weight loss! From my own experience I would say - don't beat yourself since day one, if you drastically change your routine you're more likely to get back into your old habits so start by making small changes.
Eventually I got tired of the slow progress so I took it more serious and I'm feeling better than ever - went down from 115 to 95 kg in 1,5 years
Some people can't go back to how they used to live. I had to sacrifice gym time once I had kids. The government kinda frowns on child neglect.
I hate that media almost always give shallow reports on medical developments. Everything gets crammed into an elevator pitch and all the nuance is discarded. Thank you for putting that nuance back in.
Thanks for also using the word ‘may’ about weight loss in your walking promo. A friend and her husband walked the entire Camino trail without losing more than a few grams. They both came back fitter and mentally healthier though, and that helped with establishing healthier routines that led to long term weight loss. I think it’s great that the role UPF play in obesity is gradually becoming wider known.
Ozempic sadly hasn't made me lose weight... however.. it has reduced my insulin intake by two thirds! As an insulin resistant, insulin dependent T2 diabetic, this is incredible as I was taking around 95+ units of fast acting insulin a day (in order to consume a reasonably healthy diet of around 1200c per day)... now I am taking on average, 30 units per day.
I am currently wondering if I should stick with Ozempic or move to Mounjaro. I also have heart failure and a bunch of other things (Ehlers Danlos is the gift that keeps on giving).
Hello fellow Zebra. You might not have lost weight, but by reducing your insulin, you have prevented the insulin weight gain for the future and lowered youd heart disease risk.
There maybe an additional 5% extra benefit from Mounjaro, but also slightly more side effects so it's best as a discussion at your next diabetes review depending on all your results.
Same! I've been having to increase my fast acting and still not getting my numbers where they need to be. I tried Ozempic but the nausea was so bad and wouldn't go away. Mounjaro worked though and now we're working on getting me off metformin and may get to a point I only need the Mounjaro and long lasting insulin!
Do you get enough fiber in your diet? Fiber is what's primarily responsible for weight loss, and 90% of Americans don't get enough in their diet.
@@eloisepharmacist Thankyou for that, yes I am really pleased to have reduced the insulin, theres a marked improvement in my lymphedema (its still there but I can achieve a vaguely normal ankle appearance, and shift that tight horrible feeling!) too.
@@Letthembelightpeaceonelove Quite possibly not (not american...) balancing what I can eat between the diabetes, gastroparesis, IBS and ARFID and a handful of other 'issues' around food is tricky - too much and it all grinds to a halt and horrific pain... not enough and other sorts of pain. It's a juggling act indeed!
Love that you included sleep!
:)
Thanks for talking about this latest Hollyweird fad and how dangerous it is.
You try to get this medication in the UK. Go on! Try to get an appointment in the first place.
I’ve lost 60lbs since February self funding it.
My only side effect is being cold. No poops, no nausea. Nothing. Because I’ve titrated steadily.
People saying “you will put the weight back on when you stop” … Yeah, same as any calorie deficit diet!!
My mental health is better because I am not so anxious going out anymore. I was so self conscious being out because of my size. My knees and back aren’t in pain anymore. Existing in my body is no longer achey just on any given day.
My quality of life is better. And I am already more active because of the weight loss. I’d have loved to not be on this. But I needed the help. No shame in that! It’s a tool I use to help me achieve my goals I’ve never got close to before
I've have the same kind of experiences. I'm taking Ozempic for weight loss, and with it, away went pustules that I suffered from. My friend is also on it (Rybelsus, which is a pill form) and she lost weight but also her depressive mood went up and her chronic gingivitis got better. This drug has the potential to make so many persons life better, but the discussion is filled with stories of the 15% of people who had an averse reaction, and the morality talk.
Do you get it from Juniper?
@@Emmuzkaclearly you have no morality.
❤❤❤
Eh. I titrated cautiously but still have nausea and fatigue 5 out of 7 days each week. Let's not play the blame game.
Hi there. I read your book, and I loved it! (Insert 300 red heart emojis here)
Any plans on writing another?
Mayyyyybe…👀. And thank you!!
The Maintenance Phase podcast episode on Ozempic is definitely worth a listen. Aubrey and Mike do a phenomenal job talking about the complexity and possible harm behind bringing this drug to market the way it has been.
Lots of great points brought up, especially about the studies that indicated that GLP1 medications like Ozempic are not necessarily the best for all people who are obese. Like WLS, Zepbound (and other weight loss medications) are just a tool that can assist with the lifestyle changes needed for significant and sustained weight loss, but in no way shape or form are they a cure-all for those who just take the medication and do nothing else.I also really appreciate that you called out that it's not always simply about "willpower" when people fail to make the lifestyle changes they need to lose weight. It's a very common misconception, and while I don't doubt that some folks have done well by buckling down and "getting it done" that is largely not the case, especially for those who are morbidly obese.
I was recently prescribed Zepbound by my endocrinologist, and will be trying that soon. I am really hoping to receive written diagnostic feedback from a psychologist I saw to start therapy as I know that my un-managed issues (Autism, ADHD, OCD) significantly contribute to the emotional binge eating I do due emotional dysregulation. Executive dysfunction also plays a part in exacerbating it further since it is harder to just *do* the things that I know need doing.
Even without the neurodivergent disorders there's stuff I have to work on mentally to stop falling back on unhealthy habits to cope. I don't think people take the psychological component that leads to over-eating/obesity serious enough. I was doing well several years ago with healthy eating, but because I never worked through certain issues, I ended up spiraling after an event and gained all the weight back and then some.
CHILE MENTIONED *ruidos en chileno*
Nah but in all seriousness, “don’t focus on what you can lose, focus on what you can gain” really made me think about how I’ve approached weight loss all my life. Thank you very much, Dr Karan
You’re welcome!
This is a solid video. It clearly lays out the uses, misuses, and side effects of the GLP-1 drugs, while also clarifying the deeper, systemic problem with modern lifestyles that food production and pharmaceutical companies don't want the general public to focus on.
Thanks!
Really happy to see a measured voice filling the void of common sense in the social media space. I feel like you have had to sacrifice your privacy for this.
These kickbacks for doctors and catchy branding remind me of the perdue days.
I'm not sure if the body dysmorphia crisis in young men is on your radar. Steroid abuse is destroying young men in my catchment.
Well done, and good luck.
Grizzled ED doc.
Yes steroid abuse is a topic I want to cover and you’re not the first person in this comment section to ask me this!
@@DrKaranThe body dysmorphic epidemic affects men of all ages, and goes far beyond steroid use and abuse. Much of it stems from the rampancy of heightism and the way that our society effectively tells males from the time they're very young that if they are not tall they are short, and short men are not real men.
It tells them this directly and indirectly in a bewildering number and frequency of ways.
Look at how often even average height males proactively or preemptively disparage their own height, talk about their "short legs", note that they are "only" a given height in a tone that conveys that height is undesirable. They're conditioned into this behavior.
This video is all over the place. It goes from headline to headline to headline without actually getting into the details.
I have been waiting for this video to come out!
Hope you enjoy, it’s one of my
Longer ones!
Ozempic can be manufactured and distributed with marketing at the cost of $5 for a month's supply, but how much they sell it for, $1000 a pop. Land of the free!
That's crazy. I just looked it up and in Australia it's $7.70 for 3 weeks supply for diabetes and $130 for 3 weeks supply for weight loss . Even that seemed expensive to me. But a $1000???? That's insane
@@Umk-p8kNovo Nordisk is not a U.S. company, and it sets the price of a month's supply at $935 before insurance and other rebates. It's price is far lower in the U.S. and elsewhere.
Drug prices don't only cover the cost of manufacturing and marketing. They cover the mind-bogglingly high cost of research, development, testing, and regulatory compliance.
Novo Nordisk spent $5 billion on R&D and is spending another 6 billion to boost production. It also dtayes that 75% of revenue from Ozempic goes into rebates and discounts.
I tried to tell my family that it’s just another fad, and it’s being used wrong, but they just yelled at me
@@OtisCluck Your family sounds like the one in 'Matilda'.
Can we just leave the diabetes medicine for the diabetics for god's sake?
This 👏👏👏
Much cheaper and safer for diabetics to change their diet and lifestyle. Diet + fasting = better health and better bank balance.
As someone who has been hearing about it so much online, I was starting to think it was just something hyped up like I remember Kalms being when I was young, and I was actually starting to consider looking into getting some. I am no longer going to, now I know these facts, especially as I have a complex medical history.
Thank-You very much for this valuable information, I truly appreciate it...and you!
As soon as they stop they put the weigh back on. As doc said 'Ozempic is for life'......this is a cashcow for the pharma firms.
Not everyone goes back to old habits
@@Kalightortaio indeed they don't and obesity has many factors. It's connected to hormones, mental health as well as overeating, poor diet and physical activity. However, for many, overeating and physical activity is a major driver and in essence some people may take the drug which will spur them to change lifestyle. Others will take the drug without making changes and these are the ppl who will be dependent. All I'm saying is human nature being what it is, for many a lack of routine and discipline got people in this situation in the first place, we're suddenly expecting with a combination of a drug we'll all develop amazing routines, hence the cashcow argument
And people usually gain weight back after weight loss surgery. So for life is fine if you can afford it.
@@chuck275people usually gain weight back after dieting.
Sometimes people just need to get past a hump. They may have put on a lot of weight when they had a significant life event, like having kids, new career, medical event, etc. Obesity then tends to create a feedback loop. For example, a lack of sleep, which babies are known to cause, can cause weight gain. Weight gain can cause apnea, which results in less sleep, which results in weight gain, on and on and on.
@@sonicpsycho13 not inconsistent with anything I've said. This is still a major cash machine for the pharma firms....check out the share prices
Thanks for this video! I was recently interested in Ozempic because of the promising studies regarding heart disease (runs in both sides of my family), but the price point it's at is out of reach for me and everyone I know, even if it weren't in short supply. I have a hard enough time affording my asthma medication. (In the U.S., so I have to rely on my insurance + out of pocket expenses, no options for subsidized medication for me because I earn too much.) I would love to know more about some of the other off-label uses that are being discovered and the mechanism behind how it works on them, so there might one day be other avenues to pursue for me and people like me. The unfortunate reality for too many Americans is we have to make do with what we can do on our own; medical care is out of reach and medical emergencies financially destroy us.
I considered it, but don't feel that the risks are worth the benefits for me. I know quite a few people using compounded semaglutide through platforms like Hers, and the cost is much lower. Prescription is around $1200 per month, while depending on the length of the subscription you choose through Hers and similar sites, it's as low as $200 per month.
Doesn't this remind anyone when oxicontin was said to be a magic effective med for pain (any pain)... until it wasn't .
People taking ozsmpic is pretty much like people taking Adderall or similar to lose weight... you get it back sooner or later. With the cabiat that we know long term effects of stimulants but we don't know the long term effects of ozempic. And before anyone comes up with the BS that this meds have been around since the 2015 or so... so it happened with dermal fillers (even before that date) yet we are starting to learn know that this things stick around in the face for years with unknown long term impact.
The body like keep a status quo, if you try to imbalance it, the body will try to adapt.
And I read today about all these potential uses for Ozempic in nature, but I am highly skeptical, sorry. DO SPORT! (not a critic to u doc, it's a message to the public).
God yes, This.
@@lauraprescott1314 of course, I hope that I am wrong because otherwise it will mean that many many people will suffer the consequences. By the way, amph^^tamines in the 50s were sold like candies to women as wonder cure to look slim and have energy to deal with everything along the day.. we know how that all ended as well. The problem is that big pharma doesn't have a good record to back a good reputation we can rely on.
Cabiat= caveat
@@rmitchell8439 lol 🙈
I was thinking about this yesterday... "miracle drug" talk always makes me wonder what the killer hidden effect is ...
PLEASE speak about Lipedema: it's a connective tissue disease, so understudied and so often misdiagnosed as obesity!
trouble is that obesity compounds lipedema.
@@whyme7996 you are absolutely wrong: lipedema is a genetic degenerative and disabling disease affecting one's connective tissue.
Fortunately misinformation can be treated with education, which is currently easily accessible on multiple platforms e.g. Google.
Dr Karan - You should be and your videos, part of the school system. Your no nonsense and truthful content is invaluable!
Just saw a commercial for Ozempic while watching your video...sign of the times I guess. :(
Wow
Thanks for this video. Many of my friends take ozempic for weight loss and refuse to believe that it may cause any harm.
Food is crap these days, full of sugars, the soil isn't as dense in nutrients, animals are pumped full of chemicals, antibiotics and hormones, time available to cook, both parents working full time and getting home late will impact on wholesome meals. and butchered by-products of business get upcucled as food.
People fast tracking their way to the body of their dreams. This could never go wrong! That being said, I like your advice about eating veggies, walking, and sleeping.
Yeah I lost weight all right! I was on Rybelsus, an oral form of semaglutide. All I ever took was the 3mg "starter dose." I vomited so badly, I dehydrated, screwed my lytes up, and broke ribs from the force of vomiting! Nope, I'm not doing it! We did a food diary. Most days I barely took in 1300 calories (and I measured and counted everything!). According to my metabolic analysis, I only used 1400 calories at rest. So I should not even be overweight. I exercise, or I can't move (I have Ehlers Danlos Syndrome). So I blessed give up!
Great video! Side note - I think the effect of industrial pollution of air, water, and food is severely underestimated when it comes to the prevalence of obesity. I think we need more research as to industrial additives and possible contaminants in processed food as well as agriculture and livestock, and their potential impacts on obesity. We know that we live in a world that is several times more polluted than even a generation or two ago, and there's no telling what the undiscovered effects may be.
Lazy people will do anything, other than work on themselves.
I find the sentence focus on what you can gain instead of what you can lose extremely helpful❤❤❤. Because exercising is painful and stresses me out, if I only consider it to lose weight. But if I think to gain more health or better sleep exercising has an immediate effect, which helps sticking to it.🎉
Always about gaining!
Can we talk about the INSANE price markup for US import? ‘More Perfect Union’ has a vid explaining it. It’s horrible for our medical insurance in America.
yaaaaay Dr. Karan, this messaging has improved SO much since previous topics on your channel and I'm so grateful to you for using your platform to talk about it. also walking is the best, can confirm. i'm not a skinny person, but walking makes my brain happy. :)
Thank you Dr. Karan ❤ Your work’s value is unquantifiable.
Thanks :)
Appreciate the extensive research in making this video. Thanks!
Welcome !
I'm on Ozempic as a diabetic and it's had a reverse effect on me. All the weight I lost before I got in it I've been gaining back. I'm eating like a line backer, and I'm always craving sweets, which I didn't before. I would down gallons of water, and now I'm lucky if I can get down 40 ounces a day. This drug isn't for everybody. I hate it. I have not had any positive effects from this crap. I'll be talking to my doctor to get off of it
I took Ozempic for two weeks. The only side effect my Doctor warned me about was gastrointestinal. I started vomiting once a day after taking it for two days. That progressed to twice a day and on the last day I vomited five times. I suffered from diarrhea twice a day and I totally lost my appetite. I progressed from eating once a day to not eating at all. I am a diabetic and thought that Ozempic could help me reduce my A1-C. I will never take Ozempic ever again. There are no benefits from taking this medication at all. Beware !
If you are diabetic it would be better to use the medicines in your kitchen to reduce your Hba1c rather than use Ozempic. 4 days per week on empty stomach have half teaspoon of overnight soaked fenugreek seeds first thing in morning. Half teaspoon seeds soaked in 100 ml of water. Fenugreek seeds are found in every Indians home. They are bitter but once soaked they are fabulous for diabetics. Do this for one month and check your hba1c. They should come down.
I love your clear narrative with a comic twist, thanks doctor Karan
Thank you sir!
I'm obese, I went on ozempic to help with losing weight and to prevent diabetes starting. It worked OK but then Novo Nordisk took it off the market and I couldn't get it anymore. This caused instant withdrawals. While on it, it stopped most of my hunger but when I went into withdrawal, I experienced all of that hunger come back 10fold. I was in actual pain from starving and no matter how much I ate, the pain would not go away. I was in hell for 3 days like that. I'm not the only one this has happened to either. I'm just so grateful I never got any of the other side effects.
That was a very comprehensive video, not just about Ozempic and similar drugs (never would have suspected the Gila Monster), but also on the worldwide obesity epidemic and its causes. I just wished you would have also included our now constant high levels of stress as it is a strong driver of gaining weight and not being able to lose it even when you are doing "the right thing" aka eating healthier and doing exercise.
Listening to that man talk about what happened broke my heart. That has got to be so traumatic, all because his wife (I'm assuming) wanted to lose weight for her daughter's wedding. That's so upsetting.
I was very overweight until they dx PCOS and got me treated, 6 months later I am about a size 8 and able to comfortably be active. I have adjusted my diet to grain free since PCOS is an autoimmune condition, but I don't eat significantly less than I did before.
All this to say, I'm proof that CICO is BS, and being overweight is definitely not a moral failing or necessarily a sign of gluttony.
Amazing video, thank as always for bringing us not only the truth but also small and easy things people can do to improve health
Welcome Gemma!
Thank you for this interesting and very informative video!!🌟
Thank you!
I was prescribed something similar for my diabetes. Unfortunately, I ended up in ED twice in the same week with projectile vomitting and heart palpitations. Turns out it was stopping food exiting from my stomach.
Thank you doctor, now I have better information to inform my patients.
Best of luck!
I have LADA diabetes and was on Victoza and then Ozempic for over 5 years. While it helped with the blood sugar, I had no idea it had a hand in my depression. I have had bouts of severe depression since childhood due to messed up trauma stuff, so it didn't seem out of the realm of normal for me. I had 2 medical procedures earlier this year and was unable to restart Ozempic without TERRIBLE side effects. Slowly, my depression lifted and my GERD disappeared. After about 2 months, I could actually begin to feel true, lasting happiness and joy again instead of the daily (or hourly) passive ideation I had been experiencing.
These days I actually WANT and have the energy to move and exercise, I'm craving salad (yep, that's a thing), and my mind is clearer than it has been in a long time. Turns out I just needed to LISTEN to my body instead of trying to numb it, beat it into submission, or punish it for existing. I still have chronic illnesses and neuro-spiciness to tend with, but on the whole, life is getting better.
I would be scared to take this to lose weight. I'd rather do it the natural way.
For some people it needs to be done in combination with dietary & lifestyle changes
@@DrKaran diet & exercise
I think if we’re gonna talk about how these weight loss injections are an issue I think we need to raise the fact that so many medical professionals essentially write off patients because they’re obese. Here’s some examples:
A woman in her 20s suffering from severe abdominal pain every time her period rolls around. It took her 16 years to be diagnosed with endometriosis and get treatment.
A woman in her late 50s who was told her pain was in her head and she needed CBT. She had a fused spine and calcification in her heart, upper torso and arms.
A 35 year old woman with gastric problems who was told that she didn’t look malnourished because of her size. Turned out she had multiple vitamin deficiencies including folate, iron and vitamin D.
So many health professionals think “fat” is a cause in and of itself. It’s not.
💯💯💯
I love the channel, but I was very unhappy with this video. A few people having adverse effects is not a reason to not take a drug. I was hoping you would have provided a more clear condemnation.
There’s a lot more nuance I added than “don’t take it cos side effects”.
Very clearly stated why it’s not beneficial for someone who doesn’t need it for medical conditions and is only doing it for cosmetic reasons..
@@DrKaran thx for the reply. Another issue is obesity is so unhealthy. doesn’t there have to be a risk-reward analysis. Even if these drugs are a little dangerous, they might be less dangerous than being obese. I had a neighbor who was a major heart scientist and they created a process for testing if drugs would harm the heart and it was adopted by the FDA, but then my neighbor discovered that it was such an arduous process for drug companies it would actually slow down new drugs so much it would hurt more people than if riskier drugs just came to market.
'slows down gastric emptying' is otherwise known as reduced gastric motility, and gastroparesis when it gets to the vomiting stage - you'll be throwing up the partially digested contents of a meal you ate 8 hours earlier, you won't be digesting other medication properly making slow/extended release stuff a crapshoot, you feel bloated and bilious all the time and sometimes when it's been 12+ hours of nothing moving the stomach pain gets so bad you've gotta help it to get out IYKWIM. But oh yeah, it DOES cause weight loss and malnutrition! It also causes reflux, including laryngopharyngeal reflux where the acid/bile/vomit makes it up to your throat/mouth and sinuses and can affect the voice dramatically
I have it as part of other health issues and it is MISERABLE to live with. I can't imagine subjecting yourself to it willingly
03:28 OMG, WTF, I... South park did that in one of the episodes, that is actually real 🤯
Enjoyed this video! Thank you for putting out safe & honest medical information. There’s so much misinformation these days, and some of it is dangerous.
It annoys me that people will use these "weight loss" drugs to lose a bit of weight because of fashion when diet and lifestyle would have been the best option. My own sister has been using a drug to lose weight despite being at a healthy weight when starting it, and she's paying a lot of money for it every month.
I think social media and celebrities just exasperate the issue. Along with our lifestyle.
There are people who actually need these drugs, and they can't get hold of them because people who have absolutely no need for them are buying them up because "I want to lose weight without the effort and lifestyle change" - i.e. moving and eating a balanced diet.
I used to take Ozempic then I experienced lightheadedness for the first time and almost crashed on our tiled floor. I would’ve hit my head if I went and I was home alone. It was so scary that I stopped taking it. It also didn’t help me lose weight at all (I’m diabetic but never had sugar drops) so yeah. I’m opting for a better diet and doing more exercise than I used to. It takes a lot of mental battle for me but I need to remind myself I need to do this for my overall health.
Very interesting. Lost 30 kg when I was calorie restricting. 2 years later gained it all back and more. Maintaining and losing needs to be a lifestyle change. Doing intermediate fasting now, 16:8. I like because it enables food freedom .
I dont think there can ever be a drug that kills fatcells without a cost…
Had family members that reduced their stomach, it does affect your lifestyle habits on day 1 as it forces you to eat less. But give it years and if you do not continue portion controlling you can stretch the stomach…
Thank you for spreading awarness doctor that there is no ”miracle cure” or drug to replace healthy habits
I usually just watch your shorts but this long video was awesome. My coworker just told me she went and got the shot. I had heard bad things and this makes me want to do it for myself on my own. I know I'm just being lazy 😅
I’m dropping less shorts ajd more long form!
$1000/month? You can walk in the park for free and lose weight... what a load of nonsense this is.
That's not free. There's a concept in economics called "opportunity cost," meaning what you do with a resource costs all of the potential opportunities that you give up. For regular people, we can apply this to the value of our time. How much is your time worth? If this drug can provide them more valuable opportunities than it costs, then it's worth it to them
For example, my daily schedule is 1h to get ready, 9h work, 1.5h commute & drop-off & pick-up kids, 8h sleep, 30m dinner, 30-60m play with kids, 1h kids bed & bath, 1h cleaning, 30m with partner, 30m bedtime. There's no opportunity to take 2 hours out of my day to go to a park daily. This drug is potentially great for people who have jobs and families and have had trouble losing weight.
This video is a true class act. I love how you gave such a balanced view of a powerful tool. You did a great job highlighting its utility while also underscoring the dangers of its abuse as well as ozempic shaming
Thank you, striving for nuance as always!
Well i was thinking about trying ozempic to help me lose some weight but after this vid and some research ill skip that.
Btw i like how in every video u promoting healthy lifestyle, exercise and eating quality foods.
HI DOC, Long time viewer, first-time follower. THE WALKING AD 🎉 THE ACCURACY 🎉 I took a "walking for fitness" class in high-school nearly 20 years ago. Best, most accessible movement to most ppl.
Danke!
Either way. Alot of them are taking it as a short cut to weight loss. I've hear ppl a few years now talking about taking it, cause it's a short cut. From 20 to 40 years-olds.
Unfortunately there are no short cuts here without risk
Tell'em Dr K
Uruguay has the same labels as chile in our pre packaged food. It can be quite useful. Although sometimes I completely ignore the labels because I WANT something outrageous. But I eat that knowing the risks.
I think something missing here is yes there are potential harms with these drugs but the harm of obesity is certain and often worse than the risks of side effects for most people 😢
That's exactly right, and it should be between you and your GP to look at the risks vs. rewards.
Did you watch the whole video? That’s essentially the entire point of the video 😂
@@DrKaran hello! Yes, I did. My takeaway was the importance of diet and exercise as part of being on these drugs forever. From the book Magic Pill by Johann Hari, it sounded like diet and exercise doesn't really work for most people as the body will push you to maintain your weight e.g. you go for a run and then eat more or eat well and then feel a strong desire to relax. Kurtezaght also did a great video on diet and exercise for weight management. I'm curious to hear your thoughts on these if you're familiar with them. I'll re-watch your video as well in case I missed points in the latter half.
The battle against cigarettes began during a time when most politicians still had some dignity and actually cared about doing some good with the time they had. Not saying all politicians are bad now, but we don’t live in that age any more and there’s too much money being thrown around by big companies just to top it off.
Old zempic vs new zempic
Great video, very informative, very detailed with very good recommendations. Also, can we please get your for walking on tv 7-10 per day on each tv channel?!
I must say I grew tired of all the diet fads many years ago, after trialing several- now I follow exactly the steps you've mentioned when I think it's needed and when I can find the strength and focus. That being said there are a lot of people out there that still get sucked into miracle diets/ one super ingredient and I really home more doctors like you will look to educate the masses and promote healthier and more sustainable practices.
Thank you for your amazing work and dedication!❤
I genuinely think people selling and taking it off label should be prosecuted.
Cry about it
@@MiguelRodriguez-my3dg nice argument… it’s crazy how messed up the USA medical system is, no other 1st world country has such a need for black market MEDICINE 🙃🙃
@@MiguelRodriguez-my3dg Is this the attention you wanted?
I’ve been on it for just over a month, so still not up to the full dose, but for me it’s been amazing, if only because I don’t spend all day every day thinking about food and what I’m going to eat next. It’s so much easier for me to resist sugar. Yes, if I eat things I know I shouldn’t I get nauseous, but I’ve only actually thrown up once (and it was 100% my fault), but it’s SO much easier to resist those foods now. So I’m doing my best to use the time I’m on it to build better habits (stay away from fast food and liquid calories, eat whole foods, cook at home cut way back on ultra processed foods, exercise more, etc), so when I eventually go off of it I’ll already have those habits in place. I hope it works.
So now that I’ve gotten over the lethargy stage of the meds, I guess I’ll also take the good doctor’s advice and go for a walk.
Interesting..thank you
Welcome
Social media circus. Well said, but.. sad truth that people who are more susceptible this influence are also often the once who need to pay more attention to their health (and possible gain/loose weight) .
Thank you for this reminder - start small !
This video isn’t going to dissuade anyone from taking ozempic since you haven’t outlined the risks directly attributable to ozempic except some vague association with worsening of peptic ulcer disease. Secondly regardless of the complex causes of obesity it still can be reduced to eating too much and not moving enough
Yes I stated as such in the video. Ozempic causes a calorie deficit.
Ozempic should not be taken for vanity. I take it for type 2 diabetes. I was prescribed it in March, when I saw my GP. I was already pre-diabetic and had out on 25 pounds after injuring my Achilles tendon and developing GERD. However, over the previous year I lost 30 pounds with exercise and a changes to my diet Nonetheless, I was still overweight and went from pre-diabetic to diabetic. It took me two months for my insurance company to approve Ozempic as a treatment for diabetes, because so many people were abusing it. And then I had to wait a week to get it from the pharmacy. I am still working on my diet and working out while taking ozempic. Over the summer. I lost 25 pounds. I'm hoping that my A1C will be normal in October, when I see my GP again.
This seems like a perfect drug for diabetes!
You don’t need ozympic to lose weight, I have lost 40lbs twice, in 1 year, and kept it off. You need exercise, sleep, and portion control.
Lost 40 lbs in 2013, went from 212 to 165, with bodyfat down to 10%
And then again in 2023, went from 202 to 165, with bodyfat down to 11%
Your body is pretty resilient, give it rest, exercise, meditate and your body will love you, it’s slow but a great process.
Maybe people don’t want to keep yoyo dieting. If you lost it, you gained it back, and will probably gain it back again because our bodies WANT to gain it back and produce more hormones to make us hungry.
@@idunsgarden thats true, in my case I gained it because I had a motorcycle accident and was not able to workout or cook at home. There is no need for yoyo dieting, cook at home, eat vegetables, limit eating fast food and it start showing small results over time, granted you are able to do those things physically. I understand many people dont have the time to cook at home or access to a gym or other things that might make it harder in the first place.
I wrote something really rude initially. Instead, I am simply going to ask you to PLEASE STOP. I know you are just trying to encourage people, but we do not all have the same biology. What is a slow and easy system for you is a process of constant bull riding for me. If I lose focus for a week, get sick, or have a stressful time at work, my body has demonstrated the ability to gain 15 pounds. In just one week. Imagine losing two months of progress every time you have an off day. Some of us DO need wegovy and no amount of encouragement from someone who has never been truly obese (unless you're 5'6", are you particularly short?) will change that.
@@OneDollarWilliam I am not shaming anyone, neither is that my intention. If you suffer from obesity you should absolutely do what your doctor recommends. Obesity can cause many life long issues, and it can cause people not to be able to do things that are essential for a healthy body, like walking, exercise, or even sleep well. So yes there is absolutely need for drugs, and medical treatments to get people healthier. for example people who had bariatric surgery saw reduction in pain and their physical function improved after bariatric surgery. My comment was more towards people whose BMI is 4-6 points above their range, so they resort to extreme measures, which takes the drug away from people / patients who genuinely need it.
Love this 👏👏👏👏🙏
Hi Karan,
Love your videos and in-depth explanation.
I have a request for a video idea regarding the usage of anabolic steroids among the fitness industry and how it is engulfing young people.
Good video idea!