Well I'm Fat Pt2

[Sig]

You may well doubt someone when they tell you they've done everything as far as diet and excercise is concerned. And I do get that, it's clearly obvious that some people who are overweight are that way because of laziness. But the crucial point here, is that the OP's doctor is not of that opinion, otherwise he/she wouldn't have prescribed the weight loss medicine. When you cast doubt in this way, you're contradicting the professional opinion of someone who knows the full medical history of the person in question and is personally acquainted with them. I do understand your points, they're well made and articulated, but I also hope you appreciate why some of us are uncomfortable with some of the advice that has been offered here, for the reasons stated.

Sinse 2009 ive seen dozens of doctors, in 3 countries, and 4 US states for the same issues. If I had a dollar for all the contradicting and just plain incorrect information ive got from all these doctors, id be very wealthy. Right now in the US a doctor can "earn" up to $400,000 a year prescribing the new weight loss drugs. These drugs are a huge fad and being over prescribed by thousands of doctors. Just 2 years ago doctors told you to eat less and move more to lower blood pressure and lose weight. Now many just suggest drugs.
Again, my entire point here is that when someone says they have tried EVERYTHING to lose weight, but it doesn't work, you really need to wonder.
I have battled with stomach and intestinal issues for 16 years now. I have issues with weight, vitamins, fats, proteins, and many other bodily functions concerning food consumption and absorption. I have seen many doctors, and am currently seeing a couple good ones. The one at Presbyterian hospital in Pittsburgh PA is a gastroenterologist who is renowned for his work with eating disorders and nutrient absorption.
Your body does not produce its own fat. No matter what drugs you're on, what you eat dictates your weight gain or loss. I learned this when I told the #1 weight loss guy on earth that "I can't lose weight no matter what, it must be the drugs im on".
He assured me I was eating too much of the wrong things....he was correct. In my mind I thought I tried everything. Once I started keeping a food journal, I realized I was wrong.
Now I eat pretty much what I want, and im still losing weight. Portion control, number of times a day you eat, snack elimination and 30+ minutes a day of moderate exercise will cause you to lose weight, no matter what drugs you're on.
Its the "I tried everything" that makes me wonder, ive been there.
Look beyond what the "experts" say, and read what actual users are saying about these weight loss drugs.
Doctors are saying that things like "Ozempic Personally" aren't a thing. But thousands of end users are saying its not only real, but has ruined their lives.

 

[FLDRD]

Most "average" Americans don't even eat food, they consume "food-like" imitation products that are void of nutrition and loaded with chemicals that wreak havoc.
Give it a decade and we'll be reading about the damages caused by the current fad of weight loss drugs...

 

[Richmond B. Funkenhouser]

In a few years the lawyers will be all over these drugs with lawsuit commericals and billboards.

But... They'll change the name, and explain how the new drugs are different to keep the machine rolling.

This has already been going on for years, you'd have to be blind not to see it.

 

[woodsroad]

In a few years the lawyers will be all over these drugs with lawsuit commericals and billboards.

But... They'll change the name, and explain how the new drugs are different to keep the machine rolling.

This has already been going on for years, you'd have to be blind not to see it.

It's not like your scenario has never happened before, is it?

 

[hoosierpipeguy]

Sinse 2009 ive seen dozens of doctors, in 3 countries, and 4 US states for the same issues. If I had a dollar for all the contradicting and just plain incorrect information ive got from all these doctors, id be very wealthy. Right now in the US a doctor can "earn" up to $400,000 a year prescribing the new weight loss drugs. These drugs are a huge fad and being over prescribed by thousands of doctors. Just 2 years ago doctors told you to eat less and move more to lower blood pressure and lose weight. Now many just suggest drugs.
Again, my entire point here is that when someone says they have tried EVERYTHING to lose weight, but it doesn't work, you really need to wonder.
I have battled with stomach and intestinal issues for 16 years now. I have issues with weight, vitamins, fats, proteins, and many other bodily functions concerning food consumption and absorption. I have seen many doctors, and am currently seeing a couple good ones. The one at Presbyterian hospital in Pittsburgh PA is a gastroenterologis

who is renowned for his work with eating disorders and nutrient absorption.
Your body does not produce its own fat. No matter what drugs you're on, what you eat dictates your weight gain or loss. I learned this when I told the #1 weight loss guy on earth that "I can't lose weight no matter what, it must be the drugs im on".
He assured me I was eating too much of the wrong things....he was correct. In my mind I thought I tried everything. Once I started keeping a food journal, I realized I was wrong.
Now I eat pretty much what I want, and im still losing weight. Portion control, number of times a day you eat, snack elimination and 30+ minutes a day of moderate exercise will cause you to lose weight, no matter what drugs you're on.
Its the "I tried everything" that makes me wonder, ive been there.
Look beyond what the "experts" say, and read what actual users are saying about these weight loss drugs.
Doctors are saying that things like "Ozempic Personally" aren't a thing. But thousands of end users are saying its not only real, but has ruined their lives.

Great post, thank you.

 

[greeneyes]

"Your body does not produce its own fat."

"Structural dynamics of human fatty acid synthase in the condensing cycle" ... "In mammals, fatty acid synthase (FASN) contains multiple enzymatic domains to catalyse all chemical reactions needed for de novo fatty acid synthesis." Choi, W., Li, C., Chen, Y. et al. Structural dynamics of human fatty acid synthase in the condensing cycle. Nature 641, 529–536 (2025).

"The enzymatic pathway for converting dietary carbohydrate (CHO) into fat, or de novo lipogenesis (DNL), is present in humans, whereas the capacity to convert fats into CHO does not exist." Hellerstein, M. De novo lipogenesis in humans: metabolic and regulatory aspects. Eur J Clin Nutr 53 (Suppl 1), s53–s65 (1999).

*

[Aetna - GIP-GLP-1, GLP-1 Agonists PA] Chronic Weight Management (Adult) - Authorization may be granted when the requested drug will be used with a reduced-calorie diet AND increased physical activity for chronic weight management when ALL of the following criteria are met:

The patient is 18 years of age or older.​

​

The patient has participated in a comprehensive weight management program that encourages behavioral modification, reduced-calorie diet, AND increased physical activity with continuing follow-up for at least 6 months prior to using drug therapy.​

​

The patient has a baseline body mass index (BMI) greater than or equal to 35 kg/m2.​

[SOURCE]

 

[CoffeeAndBourbon]

Just talked with the doctor and he is going to prescribe me a CPAP machine.

Hang in there. I have been obn one for many years. It takes getting used to. It feels like trying to breath with your head out the window of a moving car.

Just trying to breath slow, deep and deliberatly really helped me get used to it. now I find I miss it when it take a quick nap on the couch

 

[JOHN72]

My wife never drank alcohol or smoked. She exercised, lifted weights, and was not overweight. However, she had a problem with ovarian cysts, then diabetes developed. Her brother also had diabetes. In this case, her medical history was not due to a sedentary lifestyle. It could have been hereditary or genetic; I don't know. I have adopted his diet at home, and I do weight training to reduce cholesterol and excess sugar. My glycosylated hemoglobin has decreased compared to other years when I was more sedentary. I wish you all the best, dear friend, and may your health improve greatly.

 

[JOHN72]

I think they should just outlaw sugar and butter... maybe bread too.

Some people apparently act like junkies around the stuff. Haha

It's an absolute damn shame to blame the junk food makers for adding sugar to make the food taste good.

God Almighty...

I love cow butter, and bacon, and tobacco, and bourbon............

 

[SmokingInTheWind]

I love cow butter, and bacon, and tobacco, and bourbon............View attachment 416821

Butter is a great of source fat. It is very healthy for you. I eat about a half pound a week. Big Agriculture has demonized butter so that we will buy their high profit, seed oil based, flavored axel grease and machinery oil (margarine and canola oil).

Same with bacon. I eat lots of it, almost every day for breakfast and snacks. We save the bacon grease and use it for cooking. My daily scrambled eggs or omelettes for breakfast are cooked in bacon grease then I put a big slab of grass fed butter on top.

My health has improved significantly since reducing my carbs and getting off the seed oils. I now weigh what I did when I graduated from high school in great shape back in 1982. YMMV

 

[edger]

Hm.

If you burn more calories than your body needs to sustain itself, it will involuntarily reduce its own size to increase its chances for survival. Without exception.

There are only two ways to do that: Reduce intake, or increase the amount burned.

Meaning while you might have "dieted, worked out, and changed your eating habits for years and still can't lose weight", you haven't done those things enough.

By definition.

It is not an arguable point. Physics is physics.

Not true. Read Gary Taubes’ books.

 

[georged]

Not true. Read Gary Taubes’ books.

Little doubt Mr. Taubes $ell$ a lot of them.

Along with the paranormal authors, the space aliens are living among us authors, the time travel authors, the telekinesis authors, and so on.

I have something for you, in fact. You'll find it fascinating. Become a regular listener, maybe even a regular caller. You'll feel right at home.

Enjoy!

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Get news about the weird and bizarre on Coast to Coast AM from radio host George Noory every night!

www.coasttocoastam.com

 

[Sig]

"Structural dynamics of human fatty acid synthase in the condensing cycle" ... "In mammals, fatty acid synthase (FASN) contains multiple enzymatic domains to catalyse all chemical reactions needed for de novo fatty acid synthesis." Choi, W., Li, C., Chen, Y. et al. Structural dynamics of human fatty acid synthase in the condensing cycle. Nature 641, 529–536 (2025).

"The enzymatic pathway for converting dietary carbohydrate (CHO) into fat, or de novo lipogenesis (DNL), is present in humans, whereas the capacity to convert fats into CHO does not exist." Hellerstein, M. De novo lipogenesis in humans: metabolic and regulatory aspects. Eur J Clin Nutr 53 (Suppl 1), s53–s65 (1999).

*

[Aetna - GIP-GLP-1, GLP-1 Agonists PA] Chronic Weight Management (Adult) - Authorization may be granted when the requested drug will be used with a reduced-calorie diet AND increased physical activity for chronic weight management when ALL of the following criteria are met:

The patient is 18 years of age or older.​

​

The patient has participated in a comprehensive weight management program that encourages behavioral modification, reduced-calorie diet, AND increased physical activity with continuing follow-up for at least 6 months prior to using drug therapy.​

​

The patient has a baseline body mass index (BMI) greater than or equal to 35 kg/m2.​

[SOURCE]

Unfortunately two years of detail research has shown almost ZERO doctors require any lifestyle changes at all whatsoever. Once these drugs were approved by the FDA, the flood gates were open.
The same as with opioids 25 years ago.
The criteria to administer opioids was to try all other methods of pain management.....physical therapy, NSAIDS, weight loss......but as we know, none of that was followed.
Some doctors even opened "pain clinics" where they dispensed up to 90 days worth of Oxycontin with a 30 second evaluation. People traveled hundreds of miles to go to these clinics. Doctors made MILLIONS.
The exact thing is happening now with the GLP-1 drugs. Weight loss clinics are dispensing these drugs with a 1 minute consultation from a Physicians assistant with zero followup, just a quick monthly video appointment for refills.
All that nonsense about "criteria" is, as they say, "for the lawyers".
I personally know 3 people on these drugs. None of them were asked, or followed any criteria before use. They just literally asked their doctor.....three different doctors in three different cities. There are also hundreds of videos of people saying the same things. Many get the prescription with just one video visit. They never even meet the doctor in person.

 

[Sig]

I love cow butter, and bacon, and tobacco, and bourbon............View attachment 416821

You had me at cow butter.

 

[greeneyes]

Unfortunately two years of detail research has shown almost ZERO doctors require any lifestyle changes at all whatsoever. Once these drugs were approved by the FDA, the flood gates were open....
The exact thing is happening now with the GLP-1 drugs. Weight loss clinics are dispensing these drugs with a 1 minute consultation from a Physicians assistant with zero followup, just a quick monthly video appointment for refills.
All that nonsense about "criteria" is, as they say, "for the lawyers".
I personally know 3 people on these drugs. None of them were asked, or followed any criteria before use. They just literally asked their doctor.....three different doctors in three different cities. There are also hundreds of videos of people saying the same things. Many get the prescription with just one video visit. They never even meet the doctor in person.

You can provide links to back up your research if you like. Can't hurt to have your assertions backed up by accredited professionals. Maybe it's true. But the patently false statement you made about humans not making their own fat didn't help your credibility.

But also, even if it were true, so what? What are the doctors going to do? Ask him for surveillance footage from Anytime Fitness? This isn't oxycontin. It's not even an amphetamine appetite suppressant. How many people take statins but still eat high cholesterol food? Or heart medication and still smoke? Or sleeping pills but don't cut out coffee first? Personally I'm outraged, those damned doctors not surveiling us for compliance. Or... did we want the freedom to make decisions about what we do with our own bodies?

We'll all miss Benedictine when he's out pawning his pipes to fund his nefarious weight loss habit. Them there's the inevitable but awful "before-after" mugshot photos.

 

[georged]

Unfortunately two years of detail research has shown almost ZERO doctors require any lifestyle changes at all whatsoever. Once these drugs were approved by the FDA, the flood gates were open.
The same as with opioids 25 years ago.
The criteria to administer opioids was to try all other methods of pain management.....physical therapy, NSAIDS, weight loss......but as we know, none of that was followed.
Some doctors even opened "pain clinics" where they dispensed up to 90 days worth of Oxycontin with a 30 second evaluation. People traveled hundreds of miles to go to these clinics. Doctors made MILLIONS.
The exact thing is happening now with the GLP-1 drugs. Weight loss clinics are dispensing these drugs with a 1 minute consultation from a Physicians assistant with zero followup, just a quick monthly video appointment for refills.
All that nonsense about "criteria" is, as they say, "for the lawyers".
I personally know 3 people on these drugs. None of them were asked, or followed any criteria before use. They just literally asked their doctor.....three different doctors in three different cities. There are also hundreds of videos of people saying the same things. Many get the prescription with just one video visit. They never even meet the doctor in person.

You are being completely unfair to doctors. ^^^^

Have you no empathy?

How else are they supposed to buy expensive cars and homes, and do the whole plush lifestyle thing?

Having an Internet "consultation service" that amounts to---on their end---a cash dispenser that spits out hundred dollar bills 24/7 in their "office" and is connected to their bank account is not just unsurprising, it's necessary. Otherwise their feelings could be hurt and their Life Journey Aspirations would go unsatisfied.

 

[WerewolfOfLondon]

This is now making it sound as though doctors in America are nothing more than money hungry drug pushers. As much as privatised medicine is anathema to me, I have a hard time believing it is quite this bad.

 

[greeneyes]

Apparently doctors in Germany can prescribe placebos to patients without their knowledge. Imagine that!

More placebo use promoted in Germany - PMC More placebo use promoted in Germany - PMC - https://share.google/JLiamjALf70lax3Ke

 

[georged]

This is now making it sound as though doctors in America are nothing more than money hungry drug pushers. As much as privatised medicine is anathema to me, I have a hard time believing it is quite this bad.

Those MDs who work for a practice that is owned by an equity investment company are basically given no choice. "Hit your numbers or there's the door."

There is something of a "time machine" movement of MDs who want to do business the old fashioned way, and who understand and agree going in that the practice will NEVER be controlled by anyone EXCEPT them, but such operations are now showing up in the radar of Big Pharma. Meaning the usual bullshit of paying off legislators to contrive restrictions and prohibitions sufficient to kill the movement is inevitable.

 

[fireground_piper]

This is now making it sound as though doctors in America are nothing more than money hungry drug pushers. As much as privatised medicine is anathema to me, I have a hard time believing it is quite this bad.

A year or so ago, my wife asked her specialist about her weight (she has an autoimmune), and she was offered GLP-1 if she wanted it. Which was crazy because she didn't even ask about it or for it, nor was she interested in it and it was from a doctor we otherwise have a lot of faith in. She was simply asking because she genuinely wanted to know if her current weight was cause for concern because her specific disease, etc. impacts it a lot.

I'm sorry this doesn't make it into a linkable research report to make it true...