I am not opposed to overweight people taking Ozempic (or Xigduo) for losing weight. Because it's literally the only way. Each and every study that follows the participants for more than one year shows that "eating better and doing sports" does not work. Only 1% can keep their weight down. The remaining 99% are split between regaining the weight and gaining more. All diets are risky.

At the same time I would like there not to be a shortage of my life-saving meds.

I hope they ramp up production.

@GreenSkyOverMe for some of us, changes to diet and exercise do work. I recognize that for many it does not. For me, when I feel the need, I can choose to eat like a grown up and lose as much as half a pound a day after the first three days.

Fwiw— I also fully support the key point you make about your medicine being critical and being threatened by shortages.

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@FirefighterGeek @GreenSkyOverMe I think this is what causes weight stigma: most of us have experience making changes to our diet and seeing the effect of those changes, so we think that should just work for everyone. But I have long suspected, and the effectiveness of these drugs confirms, that it’s hormonal changes that drive the weight gain, and you can’t realistically make long term changes in the face of hormones that effect energy storage, cravings, thoughts, and fatigue levels, etc.

@holly @GreenSkyOverMe

We're all different. Some people aren't going to be thin short of medical intervention.

I tend to eat like a 10 year old if I don't pay attention, and if I do pay attention I can drop weight fairly easily.

I'm never going to be thin. It's not my body type. My doc called me a "mesomorph" which means big bone structure, unusually large hands and feet, lots of muscle, and can gain or lose weight pretty easily.

BMI is also B.S. and not applicable to people like me.

@holly @GreenSkyOverMe

The myth that if you're "overweight" it's because you're lazy or eat too many processed foods is most easily proven bullshit when you see things like the "Venus of Willendorf" which is believed to be more than 28,000 years old.

I wasn't there, but I'm pretty sure there wasn't a lot of laying around on the couch and eating snack-cakes and sugar drinks in the year 25000 B.C.E.

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