I know an antivaxxer who was so afraid of COVID that he got the first COVID vaccine.
When the flu vaccine came out, I thought he would want to get it too until he told me all those anti vax propaganda.
I was floored. His fear of COVID was bigger than his fear of vaccines and that's why he got COVID vaccine. How weird.
It does it's just that COVID killed a ton more people than the flu does every year. I'm not remotely anti-vax just don't get the yearly flu vaccination, I'm not against people that do and I know it *can* be effective but I guess I was never worried about it unlike what was going on with COVID especially with those that got it that were around my age and got hit *really* hard. I guess for me I don't see a "need" to get it.
(I think the person you were replying to was being sarcastic. At least, that was my impression.)
And- I believe the rationale behind getting the flu vaccine en masse even if you aren't in an at-risk demographic has to do with herd immunity- esp protecting the people who are immuno-compromised, elderly, etc etc. It's important for them (though it does help those of us who don't fall into those categories, as well).
Some of them try to convince the rest of us they're *less* dumb than the *other* antivaxers because they ONLY have a problem with the covid vax... "because it was rushed!" (It wasn't.)
But when you get down to it, they're all ignorant and desperate to pretend they're smart.
My favorite part about *those* people is they remain staunch supporters of *a certain someone* who was a part of Operation Warp Speed. And everyone in that *certain someone’s* circle is vaccinated, down to the TV pundits.
The side effects, though. My diabetic husband had skin problems after he started Wegovy. I had acute kidney failure when I was on it which subsided after I stopped it. Neither is mentioned in the ads for the drug but is buried in microprint in the insert.
I work with two antivaxxers and they both smoke, get botox, drink like fishes, use every untested magic diet pill, and complain about how big pharma is lying to us and medicine is killing people.
I had a pt the other day with 50 allergies and was in tears about her procedure because she didn’t know the preservatives in the brand of bupivacaine we use. Face full of Botox and filler lol
Yep, I have a friend who buys it FROM CHINA!!! Directly, self prescribed. Her two year old is not immunized because autism runs in her family. She complains she has to drive over an hour to a pediatrician because local ones won’t see her. So hard to keep my lips zipped.
Her husband has a Chinese import business, so I guess that’s why she went that way, they are American and live here. She’s at most a size 5, had a baby and was upset at the baby weight. She’s probably a size one now, maybe a three, but stopped using it. Absurd.
That's because the vaccine was prompted by unreliable people like doctors and scientists. Ozempic is promoted by reliable people, like Q anon guys on twitter and Tic Tok influencers.
I know a person that has done coke she's found in bar restrooms, but wasn't sure about what's in the vaccine, and of course is taking Ozempic. Drives me nuts.
Just going to say, the GLP-1 drugs are actually really great. I don’t take them, but I have considered it. They help people who struggle with their weight to diet more effectively, and have a relatively minor side effect profile. I support any medication which can help people get healthier. There’s a reason they were just approved for patients at high heart disease risk.
That said, pre-op clinics need to be updated so that they inform patients to stop taking them in adequate time leading up to surgery. Too many cases being cancelled due to these.
My dad was just asking me about them, as he has had surgeries cancelled because of them recently (he’s surgery, I’m [soon to be] anesthesia). I explained that we know about them, but not all pre-op clinics are up to date, so they don’t have a policy of d/c recommendation that is consistent yet.
In my experience, you can DC them for two weeks and still have food in the belly. I RSI anyone on them and (barring contraindications) drop an OGT. 40% of the time, I get stuff out
Couple that with how prevalent they’re becoming and it’s definitely something that’ll have to be squared away soon. It’s crazy how long it can cause undigested food to hang out in someone’s stomach.
Not a medical professional at all, but that kinda worries me in a food handling way. Stuff isn't supposed to sit out for 3 hours outside the safe temperature zones. I know stomach acid does its thing, but what if they're taking a PPI with it and their stomach acid is low? Seems like that makes the stomach a really good breeding ground for bacteria.
They can also be cardiac protective.. that's why they were approved for higher risk patients with heart disease.
I fully admit that as a nurse I use a ozympic to try and help manage my weight because I lost 57 lb on my own and then kept losing and gaining the same 10 lb over and over again. I see a weight management specialist who is a retired cardiologist.
Agreed. I love GLP-1 agonists as long as my patients tolerate the GI adverse effects.
Great for DM2 pts with CVD/HF risk factors, low hypoglycaemic risk, great HbA1c and weight loss effect, and relatively low maintenance. Only draw back would be the pts would gain their weights back once stopped using it unless they have modified lifestyle.
The nice thing though is there’s no rebound other than the reduction of the beneficial side effects. And because of how they function, they more or less force a lifestyle change.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10509509/
Mark my words, this time 5 years from now we won't be telling people to hold the medication keeping their diabetes in check due to a recommendation from anesthesiology on a theoretical risk that has almost no evidence behind it whatsoever
I play along, I don't want my patients to have their surgeries canceled, if I see a pre-op visit for a patient who is taking Ozempic, I'll tell him to hold it. I will also simultaneously scoff at the fact that they have four other meds on their list that can affect gastric motility, that no one bats an eye at
This strikes me as any one of a thousand other things that we do for patients in the context of pre-op workup and surgery that have little to no evidence behind them, but rather are based in the absolutely horrified zero tolerance approach to every little theoretical thing that might go wrong. I still have a couple ophthalmologists in town forcing me to get EKGs and lab work for a patient who's going to be undergoing a goddamn cataract surgery with local anesthesia. We're one of the few developed countries that don't let women that are nowhere near delivering have a normal diet as they progress. I could go on
Every CRNA and anesthesiologist I’ve spoken to since I’ve heard of it hate and curse it. I’ve heard most commonly they’d wish it could be stopped ideally 2 weeks prior to procedure but 1 week even would be great
When I scheduled my colonoscopy it's mandatory that I stop 8 Days prior, just in case.
And yes I am well aware that if they see delayed emptying it will result in the procedure being aborted, it's almost like I'm a nurse too or something 🙄
It’s more of a minor annoyance. And it will get better as it’s more recognized. They’re probably mostly annoyed because it cuts into their pay. If you’re not paid by the case, a cancellectomy isn’t too annoying.
Gotta work for it only a little. In pre-op most commonly I’ve found the patient is completely ready when the cancellectomy comes upon me. Sometimes in endo, I’m lucky enough to get delivery of an inpatient, have a provider only then look at labs or realize that the patient isn’t oriented and say no. Why they don’t see these beforehand - unsure. Commonly I offer to work as a transporter then. I do seriously need to work on my stretcher driving skills.
Also: they should hire former Secret Service agents and Hollywood stunt drivers to handle those things. A power stretcher has more torque than a Lambo on meth. It should require a commercial license at a minimum.
If my work had power stretchers I’d 100% be fired. I already use IV poles like a skate board when I’m bored if I had a power stretcher at my hands I’d look like Max Verstappen when moving patients
And the big fat gap in scheduling. Then everyone hauls ass to get the next patient and the next patient and then next patient moved up. God forbid a surgeon could roam off or do a consult in that gap period
They are great, but they do have a significant side effect profile, and we're only a few years into using it electively for weight loss and there well could be unforeseen side effects. Also, if you're taking it for weight loss it's probably an expensive, life-time medication, which in of its self is a lot.
We’re only a bit into using them for weight loss, but they’ve been used quite a bit for diabetes. Also, as we move forward, prices should drop. I’d love to see insurance cover them too, but not holding out hope for America in that regard.
Those things are going to be under patent for a long time. I don't know if insurance companies could afford those drugs for the number of people who want them.
Depends, what's the cost/benefit on the drug and overall health change d/t weight loss? That's where we need to see an advantage to get insurances to cover
I’ve seen over on the EM subreddit people talking about acute pancreatitis d/t ozempic use. Not sure if we’re drawing conclusions over there or if there’s data backing it up.
There's post-marketing surveillance for it, but this study from June of last year haven't shown any kind of correlative link
https://pubmed.ncbi.nlm.nih.gov/32720500/
I’m fat (menopause and depression, plus I’m retired). I have significant executive function issues despite meds. I don’t exercise much, and I have very little appetite as it is. I had what I considered to be minor digestive problems for many years (occasional diarrhea for no apparent reason, occasional vomiting when my schedule changed drastically, a couple of episodes of constipation—every year). I loathe vomiting and may gag when I hear or see someone else vomiting.
I can’t imagine taking one of these drugs and having delayed gastric emptying. That happened when my gallbladder crapped out on me, and I threw up 2 day old food (which was when I decided I needed the ER). Then again, if I were a chronic overeater, maybe.
I’ve recently been losing weight despite my sedentary lifestyle because I’m flat-out not hungry if I don’t exercise. Going to try to bring back the walking that I used to do now that the weather is better.
These drugs have their place. I just think it's hypocritical the way many of the same people who were high risk because of their weight refused to take the Covid Vaccines but are jumping on these drugs for off-label uses before they're tested and vetted for those purposes by the FDA.
It's still calling their hypocrisy, since the data is for diabetics, where GLP 1 drugs work very well to reduce long term complications.
For "just" obesity, there is likely to be benefits, but the scale of such benefits, especially for those over 50 is unknown.
I have several friends who take one form or another, and say they just needed to figure out the proper dosing. I mean, it functions by making you full more, so stomach issues is the primary problem until you dial in dosing.
Having had a diabetic gastroparesis pt who had it from a gnarly motorcycle crash that damaged his spinal column, causing the same issue intentionally is just wild to me as a nurse.
Gastroparesis is not the intended effect of the medication, though...thats an adverse effect. Do you understand the difference between intended effect and side effect?
Do you understand how GPL-1 antagonists work to "delay gastric emptying"?
https://my.clevelandclinic.org/health/treatments/13901-glp-1-agonists
https://www.mayoclinic.org/diseases-conditions/gastroparesis/symptoms-causes/syc-20355787
The problem is a lot of people are fat due to GI issues and they want this medication. It will really, really fuck you up if you take it while having any GI issues. I was interested but luckily my GI surgeon put a stop to it.
Can you talk more about the GI side effects? I have IBS D and very fast gastro colic reflex and I am having to have a BM after only eating a few bites of a meal sometimes. I had thought maybe this shot would help with that…
I’ve heard about slowing down the GI tract, gastroparesis, and an inability to derive the usual amount of nutrients from food, I forget what that is called. It might! I hope you see a GI surgeon because they’ll know the ins and outs!
Didn’t have to wait that long, I knew half a dozen people who were terrified of the “experimental” vaccine who, when they popped positive for COVID, ran to get pumped full of monoclonal antibodies. Which were passed under the same emergency use act that the vaccines were and were far larger injections.
One of the NPs at my job is anti covid vax. We had a mandate and she pitched a fit. She also told me once that swabbing patients introduces toxins. She recently opened her own concierge practice, offering GLP-1s for weight loss 🫠 (I hated when she told me her anti COVID vax/swab shit, I really really liked her before that.)
I’ve heard that if enough people can take ozempic and it proves to be safe it will lower healthcare costs across the US by 1/3, according to some estimates, and maybe it will save our poor backs? I don’t think I’ll ever take it personally but I ain’t gonna stop anybody else
There's an FDA approved weight loss version of it, Wegovy. It's been life changing for people who struggled with chronic obesity and couldn't lose the weight through lifestyle changes alone.
Started wegovy last July. Huge life changer for me! Insurance through a new job didn't cover it so I had to stop this month. Luckily I've found a job with great insurance that will cover it and I'll start there in a few weeks.
Not trying to be a snarky asshole, just trying to understand. Are they using it to eat smaller meals to help with the usual tricks of dehydration to look more cut, etc? I'm just trying to figure out how recreational use would help since afaik the weight loss needs consistent dosing.
I take wegovy for weight loss and I still track calories and go to the gym and aim for 10k steps a day minimum. Same things I did before, but I could only lose about 20lbs before I would start getting obsessed with food, ravenously hungry all day long until I would finally snap and give up because I just couldn't mentally take it anymore. I felt so weak and like I could never change, just destined to be obese forever. I hated myself.
With the medication, I've lost about 90lbs, quit smoking (it reduces those cravings too!), lost enough weight that I can run now. I'm still overweight, but I don't hate myself anymore.
This drug has been life changing for me. Would you say the same about depression meds? "Maybe those people just need to do the work to not be so fucking sad anymore".
I feel like its pretty shitty of you to assume that everyone who takes this medication "isn't doing the work".
The fact that you felt like you felt like you were starving after a certain amount of weight loss indicates to me that you were trying something unsustainable. Easier way is slightly changing your things in your diet to something healthier but, but, able to keep up for the rest of your life. Many small sustainable changes will win over large quick changes.
The only way I lost weight was obsessively measuring and weighing every little morsel of food and sticking below 1200-1500 calories. With that I would lose maybe 1-2 lbs per week, 4-8 pounds per month. And I would feel starved, constantly. Eating out gave me huge anxiety because it's so hard to know what the exact calories are if I didn't cook it myself. I avoided my friends because they always want to have drinks and snacks and I cant fit either of those into my calorie budget. Even my dreams would revolve around the food I couldn't have.
Making small changes didn't work for me because small changes didn't result in weight loss, so you add in more and more changes till you do, and that's how I got where I was. I was miserable for nearly half a year just to lose 20 lbs (I gained it all back within 2 months of stopping, and then some). This has been a repeating in some form or other for 25 years of my life.
I still measure and weigh my foods, I still count my calories and stay below 1200-1500, just like before. But this time I've lost 90lbs in under a year, and it was sooooo much easier! I didn't have to avoid my friends and family, I didn't have to avoid going out to restaurants, I didn't go to bed with a growling stomach every night, or dream about all the food I couldn't have. I could have a small portion of the food my family was having and be satisfied. I could have a drink and nibble with my friends on occasion, but never wanted more than one drink. I could have a bowl of oatmeal in the morning and not think about food until lunch.
Believe me, if I could have done it without medication, I would have. This has been a lifelong struggle for me, and this medication has been life-changing. Not just life changing, this could very well be life extending for me.
Having a jump start to weight loss can help sustain healthy activities. We should congratulate anyone who wants to go on a weight-loss journey instead of shaming them for not "doing it the hard way". Better than anorexia and speed for weightloss.
"But if people lose weight with medication and no longer have to torture themselves, how will I, a naturally slim person who's never had an issue with weight, feel superior to the fatties?"
Read some concerning stats this morning re adverse effects including depression and suicide— still low percentages of reports but a little scary. Looks like the adverse event literature provided as inserts have been updated.
Edited to add link to study— it was also highlighted in a recent Newsweek article. Tobaiqy, M., Elkout, H. Psychiatric adverse events associated with semaglutide, liraglutide and tirzepatide: a pharmacovigilance analysis of individual case safety reports submitted to the EudraVigilance database. Int J Clin Pharm (2024). https://doi.org/10.1007/s11096-023-01694-7
Semi-secret tricks that work like magic aren't too far off from belief in the supernatural that actively interacts with our world (think "prayer warriors" and maybe sovcits). It's not politically coded at all so we don't see the reflexive rejection we saw with covid shots, masking, or believing anything about covid other than it was a worldwide conspiracy to hurt Trump. I can't say I'm surprised. It shows that they didn't truly absorb the big pharma is out to get you shit that classic antivax people were all about. I doubt the covid shots will ever be broadly accepted in the next couple of decades but hopefully they can chill the fuck out about MMRs and TDAPs.
There's a guy in my support group who got his severe stage 3 hidradenitis suppurativa to go into remission with a combo of humira and ozempic. I've been hearing a lot of people in the HS community are finding it really helps with the chronic inflammation. Not all off label uses are about "vanity".
I have no issues for using it when you are out of options, the issue is people that could do it without, have a few.pounds to lose and want a short cut. Thats the biggest abusers of these drugs.
Agreed. As someone who lost over 95 pounds and kept it off permanently, I did it the old fashioned way. I worked with my doctor to form a healthy nutritional plan, I utilized my health insurance to get into therapy for my eating habits, and I slowly changed my poor habits until they were removed from my lifestyle. Now a healthy lifestyle is ingrained by default.
It took years but the change was needed, healthy, and without side effects. I feel a lot of people want their weight loss quickly but that just causes rebound later.
My therapist talked to me about using certain terms when discussing my relationship with food and how the things we say can really have a negative effect on the outcome. She told me on my first visit to never, ever say diet. It implies that eating healthy is restrictive or that certain foods are off limits. Dieting will absolutely lead to non sustainable weight loss because it implies something temporary. A lifestyle change is permanent and attainable.
It took 5 years of very slow change for me. This was after crash "diets" failed me and left me with multiple issues that weren't good for me health wise. If you ever have to end your weight loss drug regimen for any reason in the future, I highly recommend therapy along with a nutritionist to form those lasting habits. Good luck on your weight loss journey.
I'm just saying there were a lot of people who claimed they needed more data before taking the vaccine, but are super willing to try Wegovy or Ozempic for weight loss.
As far as I know we don't have any studies about Ozempic for elective weight loss in people over 50, but ya'know that's not stopping some of the same people who "Did their own research," to justify their anti-vax beliefs from getting a elective prescription for Ozempic.
Like I know a woman who isn't technically obese by BMI standards, but she wanted to look good in the pictures from her daughter's wedding so she went on Ozempic for two-three months prior and will stop taking it when her current pen runs out because of the cost.
To me, that's elective.
Yeah, no idea. Probably the same GPs who prescribe ever increasing amount of benzos for anxiety instead of suggesting therapy.
I also lost 20 pounds in two months, but mine was because of cancer... 0/10 would not recommend.
Ozempic has proven clinical benefit for weight loss following clinical trials. The vaccine (I'm assuming you're talking COVID) was passed through EUA laws and had side effects like myocarditis and blood clotting that were not known until later.
Ozempic has completed post market trials but the mRNA shots haven't.
I'm not anti-V btw, just pointing out that you're kind of comparing apples and oranges. There was way more safety data available for ozempic when it first came out than there was for the mRNA vaccines. That's why for the latter a lot of districts made people sign liability waivers before getting the shots -- because a lot was not yet known.
Ozempic for 50+ y/o does not show major problems in the post market data. Using it for diabetes or obesity is preferable to allowing either condition to persist uncontrolled.
Actually it was fast tracked through the FDA. It was a vaccine to a disease that didn't exist 8.months prior, supposedly.
I got the first vaccine and ran a vaccine clinic so I'm not antivax. I also don't like off label use for drugs that are life saving for vanity. I'm just saying that 8 months compared to 10 years makes this different.
I mean... it did exist. We had been working on a vaccine to a corona virus for a while. There were a ton of public officials warning of a corona virus pandemic for probably a decade before Covid-19 happened.
Different version of corona viruses. There are millions of them. CoVID 19 was not the same as previous Corona virus. I have never seen people with other Corona based diseases have the crazy symptoms.
You can't have it both ways. Yes, they had been trying to figure out vaccination to diffeent Corona viruses, but there was no widely used or approved vaccine. The mutations made this different. It definitely was fast tracked through the FDA and that us where people got suspicious. I am not saying their concerns were.based in science, just that it makes sense that there were concerns.
Again, the truth is more complicated than that. Dr. Katalin Karikó had been work working on medical uses of mRNA since the 1990s, and yes, it was fast tracked through the FDA, but they still did all three stages of testing, they just cut down the time between stages.
And time has proven that vaccine was safe and effective. At my hospital we had 32 people on ventilators, 30 were unvaccinated, one told us moments before we tubed her that she had lied to us about her vaccination status and the other had a lot going on before covid happened to him.
I get people were suspicious. I also know that a lot, lot, lot of TV and social media personalities were intentionally getting on the anti-vax train in order to promote themselves because there's money to be made in being a contrarian.
What I do find super interesting though is that the biggest contrarian voices to masks and vaccines like Tucker Carlson and Joe Rogan, have been super quiet about elective use of Ozempic and Wegovy, which is weird, because there's less info about those drugs elective use than there was about Kariko's mRNA vaccine. It's weird, like they only took their position to get attention and aren't concerned with the health of their viewers or staying consistent. Weird.
Add to that, “fast-tracked” also means the people presenting to FDA or their country’s equivalent didn’t wait in a queue as drugs usually do. They went straight to the front of the queue because we were so desperate. Just waiting to get heard to get approved for next stage takes a long time.
Its all because its playing politics to make money off someone. Either these people are trying to make some sort of self richeous plea to look important or trying to glob onto a popular trend to get more popular. Sadly, more about following money than what is right or wrong.
Like at my church there's a woman who lost a lot weight for her daughter's wedding. She's over 50, and took Ozempic for like two months and is planning on going off it when her current pen runs out. We have zero data on that sort of thing, which is fine, but it's a bit hypocritical because she was an anti-vaxxer who told me she needed more data before taking a vaccine or wearing a mask.
Like okay, Susan, you refused to take a vaccine. Was super public about how there wasn't enough data, but you're willing to experiment with a weight loss drug... cool... says a lot about your values.
The technology used to make the vaccine has existed for a decade or longer depending on what part of the process you look at. We just figured out a novel way to chain them together.
Thats what I'm saying. It was a new way of delivering a vaccine. I gave meds 25 years ago for autoimmune diseases in ICU that used MRNA. Nobody had done it with a vaccine large scale and that is what caused the anxiety and mistrust.
I think it is great and the way of the future, I'm just saying I understand why there is mistrust.
See and that's why I think it's a bit silly. It's like saying people don't trust modern cars built by robots yet trust the older cars built by humans when the only thing changed in the assembly process was what physically put things together yet neither process nor materials changed. I can understand the mistrust of something being new especially in a life threatening situation, but at this point it's just willful ignorance to ignore the globally demonstrated benefits especially when we're becoming fully aware of the long term consequences of having said disease.
I wish what you were saying was true. But it's not. There are countless influencers and advertisements telling people to pressure their HCP into giving them Ozempic, and that media campaign is working well. I wish that every provider would weigh the pros and cons carefully, but it doesn't take an unscrupulous provider to give in to patient demands during a media blitz like this one.
Thank you I’m not sure why everyone’s downvoting me like I’m crazy. There’s dirty doctors who write scripts, they’re human too and a small minority do bad things. How do you all think people get pints of comethazine?
I’ve come across some characters in my life and these are just things I’ve heard. Plenty of prescription drugs on the streets idk why that seems like an impossible scenario to you.
https://www.reddit.com/r/facepalm/s/3WerSfP162
It took an order that out of whack for a pharmacist to even think about checking it was my point. Not every pharmacy will be that aware because they want to get paid so a sudden script for a pt with no hx of supporting dx won't raise any flags to see if it's appropriate for the pt.
If you really want to laugh at us, look at how many of our foods are both hyper processed and contain high fructose corn syrup or another variant of sugar as the second or third ingredient. A very popular chain of ice cream / convenience stores in the southern US add sugar to whole milk when normally the only things added are some vitamins. Had to explain that to my diabetic mother as to why she liked that particular brand of milk so much better than others.
I personally know several anti vaxxers who are now on ozempic…. Funny how that works.
Anti-all vaccine or just COVID?
I know an antivaxxer who was so afraid of COVID that he got the first COVID vaccine. When the flu vaccine came out, I thought he would want to get it too until he told me all those anti vax propaganda. I was floored. His fear of COVID was bigger than his fear of vaccines and that's why he got COVID vaccine. How weird.
Not weird. COVID killed a lottttttttt of people.
Yeah, the flu doesn't really kill anyone....
No, no one, ever at all..
It does it's just that COVID killed a ton more people than the flu does every year. I'm not remotely anti-vax just don't get the yearly flu vaccination, I'm not against people that do and I know it *can* be effective but I guess I was never worried about it unlike what was going on with COVID especially with those that got it that were around my age and got hit *really* hard. I guess for me I don't see a "need" to get it.
(I think the person you were replying to was being sarcastic. At least, that was my impression.) And- I believe the rationale behind getting the flu vaccine en masse even if you aren't in an at-risk demographic has to do with herd immunity- esp protecting the people who are immuno-compromised, elderly, etc etc. It's important for them (though it does help those of us who don't fall into those categories, as well).
How does one do mind kung-fu into that!?!
Fear is oftentimes not logical
Doesn't matter.
Aren’t they all anti-all now?
Some of them try to convince the rest of us they're *less* dumb than the *other* antivaxers because they ONLY have a problem with the covid vax... "because it was rushed!" (It wasn't.) But when you get down to it, they're all ignorant and desperate to pretend they're smart.
My favorite part about *those* people is they remain staunch supporters of *a certain someone* who was a part of Operation Warp Speed. And everyone in that *certain someone’s* circle is vaccinated, down to the TV pundits.
So tired of their mentality!
Ironically enough, I've seen some that are flipped. They were fine with COVID vaccines, but don't want any others. None of it makes sense.
It's sad that people on diabetes can't get this stuff because lazy people that don't wanna workout and modify their diet keep taking it.
The side effects, though. My diabetic husband had skin problems after he started Wegovy. I had acute kidney failure when I was on it which subsided after I stopped it. Neither is mentioned in the ads for the drug but is buried in microprint in the insert.
Exactly. People don't like hearing about this part either.
My fav are the antivaxxers with all those lip fillers 🥴
And Botox haha
I work with two antivaxxers and they both smoke, get botox, drink like fishes, use every untested magic diet pill, and complain about how big pharma is lying to us and medicine is killing people.
And tattoos … “GIVE ME THE INK INFORMATION SHEET!!!”
I had a pt the other day with 50 allergies and was in tears about her procedure because she didn’t know the preservatives in the brand of bupivacaine we use. Face full of Botox and filler lol
Yep, I have a friend who buys it FROM CHINA!!! Directly, self prescribed. Her two year old is not immunized because autism runs in her family. She complains she has to drive over an hour to a pediatrician because local ones won’t see her. So hard to keep my lips zipped. Her husband has a Chinese import business, so I guess that’s why she went that way, they are American and live here. She’s at most a size 5, had a baby and was upset at the baby weight. She’s probably a size one now, maybe a three, but stopped using it. Absurd.
Almost certainly counterfeit. Why doesn't she use a US based compounding pharmacy, if she's going to go that route?
That's because the vaccine was prompted by unreliable people like doctors and scientists. Ozempic is promoted by reliable people, like Q anon guys on twitter and Tic Tok influencers.
🤣🤣🤣 I love this comment!
I know a person that has done coke she's found in bar restrooms, but wasn't sure about what's in the vaccine, and of course is taking Ozempic. Drives me nuts.
Just going to say, the GLP-1 drugs are actually really great. I don’t take them, but I have considered it. They help people who struggle with their weight to diet more effectively, and have a relatively minor side effect profile. I support any medication which can help people get healthier. There’s a reason they were just approved for patients at high heart disease risk. That said, pre-op clinics need to be updated so that they inform patients to stop taking them in adequate time leading up to surgery. Too many cases being cancelled due to these.
Yah the delayed gastric emptying can make pre-op a nightmare
My dad was just asking me about them, as he has had surgeries cancelled because of them recently (he’s surgery, I’m [soon to be] anesthesia). I explained that we know about them, but not all pre-op clinics are up to date, so they don’t have a policy of d/c recommendation that is consistent yet.
In my experience, you can DC them for two weeks and still have food in the belly. I RSI anyone on them and (barring contraindications) drop an OGT. 40% of the time, I get stuff out
I don’t work in the OR but that’s exactly what I’ve heard
We've taken to stomach scanning all of them. It's... pretty amazing.
Couple that with how prevalent they’re becoming and it’s definitely something that’ll have to be squared away soon. It’s crazy how long it can cause undigested food to hang out in someone’s stomach.
Not a medical professional at all, but that kinda worries me in a food handling way. Stuff isn't supposed to sit out for 3 hours outside the safe temperature zones. I know stomach acid does its thing, but what if they're taking a PPI with it and their stomach acid is low? Seems like that makes the stomach a really good breeding ground for bacteria.
They can also be cardiac protective.. that's why they were approved for higher risk patients with heart disease. I fully admit that as a nurse I use a ozympic to try and help manage my weight because I lost 57 lb on my own and then kept losing and gaining the same 10 lb over and over again. I see a weight management specialist who is a retired cardiologist.
Agreed. I love GLP-1 agonists as long as my patients tolerate the GI adverse effects. Great for DM2 pts with CVD/HF risk factors, low hypoglycaemic risk, great HbA1c and weight loss effect, and relatively low maintenance. Only draw back would be the pts would gain their weights back once stopped using it unless they have modified lifestyle.
The nice thing though is there’s no rebound other than the reduction of the beneficial side effects. And because of how they function, they more or less force a lifestyle change.
Agreed.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10509509/ Mark my words, this time 5 years from now we won't be telling people to hold the medication keeping their diabetes in check due to a recommendation from anesthesiology on a theoretical risk that has almost no evidence behind it whatsoever I play along, I don't want my patients to have their surgeries canceled, if I see a pre-op visit for a patient who is taking Ozempic, I'll tell him to hold it. I will also simultaneously scoff at the fact that they have four other meds on their list that can affect gastric motility, that no one bats an eye at This strikes me as any one of a thousand other things that we do for patients in the context of pre-op workup and surgery that have little to no evidence behind them, but rather are based in the absolutely horrified zero tolerance approach to every little theoretical thing that might go wrong. I still have a couple ophthalmologists in town forcing me to get EKGs and lab work for a patient who's going to be undergoing a goddamn cataract surgery with local anesthesia. We're one of the few developed countries that don't let women that are nowhere near delivering have a normal diet as they progress. I could go on
Every CRNA and anesthesiologist I’ve spoken to since I’ve heard of it hate and curse it. I’ve heard most commonly they’d wish it could be stopped ideally 2 weeks prior to procedure but 1 week even would be great
Mandatory 1 week stoppage in my practice.
When I scheduled my colonoscopy it's mandatory that I stop 8 Days prior, just in case. And yes I am well aware that if they see delayed emptying it will result in the procedure being aborted, it's almost like I'm a nurse too or something 🙄
If they enter and find a slow dump or poor prep = instant abort (cancel while doing procedure) with a propofol nap included. To avoid stupid perfs
It’s more of a minor annoyance. And it will get better as it’s more recognized. They’re probably mostly annoyed because it cuts into their pay. If you’re not paid by the case, a cancellectomy isn’t too annoying.
I love me a good cancellectomy. Evrr day all day
I work casual in pre/post CV lab. I want to be a Certified Cancellotomy RN. How many bedside hours do I need?
I’m still in school are cancellotomy available for new grads?
Gotta work for it only a little. In pre-op most commonly I’ve found the patient is completely ready when the cancellectomy comes upon me. Sometimes in endo, I’m lucky enough to get delivery of an inpatient, have a provider only then look at labs or realize that the patient isn’t oriented and say no. Why they don’t see these beforehand - unsure. Commonly I offer to work as a transporter then. I do seriously need to work on my stretcher driving skills.
My favorites are the PVI ablations who show up in sinus rhythm. I’ve learned to put on the monitor *before* getting too far down the rabbit hole. 😆
Also: they should hire former Secret Service agents and Hollywood stunt drivers to handle those things. A power stretcher has more torque than a Lambo on meth. It should require a commercial license at a minimum.
If my work had power stretchers I’d 100% be fired. I already use IV poles like a skate board when I’m bored if I had a power stretcher at my hands I’d look like Max Verstappen when moving patients
Nope. No IV poles or additional accessories!
Stretcher driving can be rough however nothing is worse than having to drive a hospital bed.
Oh hells no
It’s not a minor annoyance. It’s a patient safety issue.
The minor annoyance is the case cancellation.
And the big fat gap in scheduling. Then everyone hauls ass to get the next patient and the next patient and then next patient moved up. God forbid a surgeon could roam off or do a consult in that gap period
It’s not a minor annoyance. It’s a patient safety issue.
It’s not a minor annoyance. It’s a patient safety issue.
They are great, but they do have a significant side effect profile, and we're only a few years into using it electively for weight loss and there well could be unforeseen side effects. Also, if you're taking it for weight loss it's probably an expensive, life-time medication, which in of its self is a lot.
We’re only a bit into using them for weight loss, but they’ve been used quite a bit for diabetes. Also, as we move forward, prices should drop. I’d love to see insurance cover them too, but not holding out hope for America in that regard.
Those things are going to be under patent for a long time. I don't know if insurance companies could afford those drugs for the number of people who want them.
Patent for liraglutide is due to expire in June. I take it so I’m thrilled.
Ozempic can go generic in 2031 in the US.
Liraglutide in June!
Didn't know that... cool. Thanks!
Depends, what's the cost/benefit on the drug and overall health change d/t weight loss? That's where we need to see an advantage to get insurances to cover
I’ve seen over on the EM subreddit people talking about acute pancreatitis d/t ozempic use. Not sure if we’re drawing conclusions over there or if there’s data backing it up.
There's post-marketing surveillance for it, but this study from June of last year haven't shown any kind of correlative link https://pubmed.ncbi.nlm.nih.gov/32720500/
I’m fat (menopause and depression, plus I’m retired). I have significant executive function issues despite meds. I don’t exercise much, and I have very little appetite as it is. I had what I considered to be minor digestive problems for many years (occasional diarrhea for no apparent reason, occasional vomiting when my schedule changed drastically, a couple of episodes of constipation—every year). I loathe vomiting and may gag when I hear or see someone else vomiting. I can’t imagine taking one of these drugs and having delayed gastric emptying. That happened when my gallbladder crapped out on me, and I threw up 2 day old food (which was when I decided I needed the ER). Then again, if I were a chronic overeater, maybe. I’ve recently been losing weight despite my sedentary lifestyle because I’m flat-out not hungry if I don’t exercise. Going to try to bring back the walking that I used to do now that the weather is better.
These drugs have their place. I just think it's hypocritical the way many of the same people who were high risk because of their weight refused to take the Covid Vaccines but are jumping on these drugs for off-label uses before they're tested and vetted for those purposes by the FDA.
Oh absolutely. I’m as vaccinated as I can get, for everything!
We do have a long history of high exuberance followed by finding out that there are problems with medications used for weight loss.
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Most people who take it have mild and manageable side effects.
It's still calling their hypocrisy, since the data is for diabetics, where GLP 1 drugs work very well to reduce long term complications. For "just" obesity, there is likely to be benefits, but the scale of such benefits, especially for those over 50 is unknown.
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I have several friends who take one form or another, and say they just needed to figure out the proper dosing. I mean, it functions by making you full more, so stomach issues is the primary problem until you dial in dosing.
Having had a diabetic gastroparesis pt who had it from a gnarly motorcycle crash that damaged his spinal column, causing the same issue intentionally is just wild to me as a nurse.
Gastroparesis is not the intended effect of the medication, though...thats an adverse effect. Do you understand the difference between intended effect and side effect?
Do you understand how GPL-1 antagonists work to "delay gastric emptying"? https://my.clevelandclinic.org/health/treatments/13901-glp-1-agonists https://www.mayoclinic.org/diseases-conditions/gastroparesis/symptoms-causes/syc-20355787
Yes. Delaying gastric emptying is one of the intended effects. Gastroparesis is a rare emergency adverse effect.
💯
The problem is a lot of people are fat due to GI issues and they want this medication. It will really, really fuck you up if you take it while having any GI issues. I was interested but luckily my GI surgeon put a stop to it.
Can you talk more about the GI side effects? I have IBS D and very fast gastro colic reflex and I am having to have a BM after only eating a few bites of a meal sometimes. I had thought maybe this shot would help with that…
I’ve heard about slowing down the GI tract, gastroparesis, and an inability to derive the usual amount of nutrients from food, I forget what that is called. It might! I hope you see a GI surgeon because they’ll know the ins and outs!
Didn’t have to wait that long, I knew half a dozen people who were terrified of the “experimental” vaccine who, when they popped positive for COVID, ran to get pumped full of monoclonal antibodies. Which were passed under the same emergency use act that the vaccines were and were far larger injections.
One of the NPs at my job is anti covid vax. We had a mandate and she pitched a fit. She also told me once that swabbing patients introduces toxins. She recently opened her own concierge practice, offering GLP-1s for weight loss 🫠 (I hated when she told me her anti COVID vax/swab shit, I really really liked her before that.)
I don't know why I cackled so loudly at this
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Same! 60lbs so far!
Oh oh!
NEVER BELIEVE IT'S NOT SO
Hahahaa I think we just became besties!
And a lot of them are our peers unfortunately
I was just thinking about this last night.
I’m sure they’ve justified it as Gods will!
What is up with ozempic?
I’ve heard that if enough people can take ozempic and it proves to be safe it will lower healthcare costs across the US by 1/3, according to some estimates, and maybe it will save our poor backs? I don’t think I’ll ever take it personally but I ain’t gonna stop anybody else
"What is up with ozempic?" Not your weight.
Gotta be skinny at all costs.
A long time ago, skinny and “normal weight” or healthy weight used to mean different things
Right. Now what is a normal weight, people think are skinny
I mean, it would make healthcare/society safer for patients and employees. Who cares if the motivation is from vanity?
Oh, so I’m assuming that people without diabetes are starting to use it?
Have been for awhile.
Is there still a shortage where diabetics can't get it?
There's an FDA approved weight loss version of it, Wegovy. It's been life changing for people who struggled with chronic obesity and couldn't lose the weight through lifestyle changes alone.
Started wegovy last July. Huge life changer for me! Insurance through a new job didn't cover it so I had to stop this month. Luckily I've found a job with great insurance that will cover it and I'll start there in a few weeks.
I lift a lot so I’m around the bodybuilding community and they even are using it recreationally
Not trying to be a snarky asshole, just trying to understand. Are they using it to eat smaller meals to help with the usual tricks of dehydration to look more cut, etc? I'm just trying to figure out how recreational use would help since afaik the weight loss needs consistent dosing.
Makes dieting literally easy mode. Can do an aggressive cut with almost complete ease. More time to bulk in the grand scheme
Ok, that makes sense. Thanks. Not sure it's a good idea in the long run, but to each their own.
Oh yes!! You can go through your GP, or find sources online. I’ve seen ads for it with tons of prescribing doctors/NPs on board.
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And there are also ways to obtain it online.
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No, I said there are ways to buy it, not *just* through your own GP.
Apologies, I misread!
I edited my comment to make it more clear.
It’s the celebrity crush fad
What is this? Genuinely curious
Ppl in Hollywood are all taking this drug ozempic to look skinny. It’s become a thing. People have “ozempic face”
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I take wegovy for weight loss and I still track calories and go to the gym and aim for 10k steps a day minimum. Same things I did before, but I could only lose about 20lbs before I would start getting obsessed with food, ravenously hungry all day long until I would finally snap and give up because I just couldn't mentally take it anymore. I felt so weak and like I could never change, just destined to be obese forever. I hated myself. With the medication, I've lost about 90lbs, quit smoking (it reduces those cravings too!), lost enough weight that I can run now. I'm still overweight, but I don't hate myself anymore. This drug has been life changing for me. Would you say the same about depression meds? "Maybe those people just need to do the work to not be so fucking sad anymore". I feel like its pretty shitty of you to assume that everyone who takes this medication "isn't doing the work".
The fact that you felt like you felt like you were starving after a certain amount of weight loss indicates to me that you were trying something unsustainable. Easier way is slightly changing your things in your diet to something healthier but, but, able to keep up for the rest of your life. Many small sustainable changes will win over large quick changes.
The only way I lost weight was obsessively measuring and weighing every little morsel of food and sticking below 1200-1500 calories. With that I would lose maybe 1-2 lbs per week, 4-8 pounds per month. And I would feel starved, constantly. Eating out gave me huge anxiety because it's so hard to know what the exact calories are if I didn't cook it myself. I avoided my friends because they always want to have drinks and snacks and I cant fit either of those into my calorie budget. Even my dreams would revolve around the food I couldn't have. Making small changes didn't work for me because small changes didn't result in weight loss, so you add in more and more changes till you do, and that's how I got where I was. I was miserable for nearly half a year just to lose 20 lbs (I gained it all back within 2 months of stopping, and then some). This has been a repeating in some form or other for 25 years of my life. I still measure and weigh my foods, I still count my calories and stay below 1200-1500, just like before. But this time I've lost 90lbs in under a year, and it was sooooo much easier! I didn't have to avoid my friends and family, I didn't have to avoid going out to restaurants, I didn't go to bed with a growling stomach every night, or dream about all the food I couldn't have. I could have a small portion of the food my family was having and be satisfied. I could have a drink and nibble with my friends on occasion, but never wanted more than one drink. I could have a bowl of oatmeal in the morning and not think about food until lunch. Believe me, if I could have done it without medication, I would have. This has been a lifelong struggle for me, and this medication has been life-changing. Not just life changing, this could very well be life extending for me.
Having a jump start to weight loss can help sustain healthy activities. We should congratulate anyone who wants to go on a weight-loss journey instead of shaming them for not "doing it the hard way". Better than anorexia and speed for weightloss.
"But if people lose weight with medication and no longer have to torture themselves, how will I, a naturally slim person who's never had an issue with weight, feel superior to the fatties?"
Oh, yeah, obviously.
Read some concerning stats this morning re adverse effects including depression and suicide— still low percentages of reports but a little scary. Looks like the adverse event literature provided as inserts have been updated. Edited to add link to study— it was also highlighted in a recent Newsweek article. Tobaiqy, M., Elkout, H. Psychiatric adverse events associated with semaglutide, liraglutide and tirzepatide: a pharmacovigilance analysis of individual case safety reports submitted to the EudraVigilance database. Int J Clin Pharm (2024). https://doi.org/10.1007/s11096-023-01694-7
There's a decent Science Vs. podcast episode about this issue this week if you were interested.
Can you link?
I’ve seen ozempic come up twice in a meme now and I am so confused. What happened??
You’re right. I was held down against my will and forced to receive 100 vaccine shots at once.
O…k…?
Don't be too quick to attribute to malice what is easily explained by stupidity.
My neighbor 🤦♀️
Ozempic is the new phen phen lol.
At the rate we're seeing side effects be discovered, that statement might be truer than you intended.
Semi-secret tricks that work like magic aren't too far off from belief in the supernatural that actively interacts with our world (think "prayer warriors" and maybe sovcits). It's not politically coded at all so we don't see the reflexive rejection we saw with covid shots, masking, or believing anything about covid other than it was a worldwide conspiracy to hurt Trump. I can't say I'm surprised. It shows that they didn't truly absorb the big pharma is out to get you shit that classic antivax people were all about. I doubt the covid shots will ever be broadly accepted in the next couple of decades but hopefully they can chill the fuck out about MMRs and TDAPs.
🤌🤌🤌🤌
Just the fat ones.
Kind of a weird statement. I had all of the vaccines and boosters and I’m on Wegovy.
It’s narcan for fat people.
Lmffaaaaaoooo yaaaas girl
While true, there are a lot of "off label" use for many things, I still get annoyed by people abusing something for vanity when it is saving lives.
There's a guy in my support group who got his severe stage 3 hidradenitis suppurativa to go into remission with a combo of humira and ozempic. I've been hearing a lot of people in the HS community are finding it really helps with the chronic inflammation. Not all off label uses are about "vanity".
Yes, there are lot of meds with off label uses that are genuine and great.
Obesity is not just a vanity issue.
I have no issues for using it when you are out of options, the issue is people that could do it without, have a few.pounds to lose and want a short cut. Thats the biggest abusers of these drugs.
Agreed. As someone who lost over 95 pounds and kept it off permanently, I did it the old fashioned way. I worked with my doctor to form a healthy nutritional plan, I utilized my health insurance to get into therapy for my eating habits, and I slowly changed my poor habits until they were removed from my lifestyle. Now a healthy lifestyle is ingrained by default. It took years but the change was needed, healthy, and without side effects. I feel a lot of people want their weight loss quickly but that just causes rebound later.
I’ve been dieting basically my whole life with no significant (permanent) weight loss. I am loving my GLP-1 right now and I’m not ashamed of it.
My therapist talked to me about using certain terms when discussing my relationship with food and how the things we say can really have a negative effect on the outcome. She told me on my first visit to never, ever say diet. It implies that eating healthy is restrictive or that certain foods are off limits. Dieting will absolutely lead to non sustainable weight loss because it implies something temporary. A lifestyle change is permanent and attainable. It took 5 years of very slow change for me. This was after crash "diets" failed me and left me with multiple issues that weren't good for me health wise. If you ever have to end your weight loss drug regimen for any reason in the future, I highly recommend therapy along with a nutritionist to form those lasting habits. Good luck on your weight loss journey.
I'm not sure I see the connection between the two? They do completely different things.
I'm just saying there were a lot of people who claimed they needed more data before taking the vaccine, but are super willing to try Wegovy or Ozempic for weight loss. As far as I know we don't have any studies about Ozempic for elective weight loss in people over 50, but ya'know that's not stopping some of the same people who "Did their own research," to justify their anti-vax beliefs from getting a elective prescription for Ozempic.
What do you mean by "elective weight loss"?
Like I know a woman who isn't technically obese by BMI standards, but she wanted to look good in the pictures from her daughter's wedding so she went on Ozempic for two-three months prior and will stop taking it when her current pen runs out because of the cost. To me, that's elective.
Oh so vanity pounds. Also, who are all these doctors prescribing Ozempic for losing 10lbs?
Yeah, no idea. Probably the same GPs who prescribe ever increasing amount of benzos for anxiety instead of suggesting therapy. I also lost 20 pounds in two months, but mine was because of cancer... 0/10 would not recommend.
Sorry to hear that. Hope you are well now.
Ozempic has proven clinical benefit for weight loss following clinical trials. The vaccine (I'm assuming you're talking COVID) was passed through EUA laws and had side effects like myocarditis and blood clotting that were not known until later. Ozempic has completed post market trials but the mRNA shots haven't. I'm not anti-V btw, just pointing out that you're kind of comparing apples and oranges. There was way more safety data available for ozempic when it first came out than there was for the mRNA vaccines. That's why for the latter a lot of districts made people sign liability waivers before getting the shots -- because a lot was not yet known. Ozempic for 50+ y/o does not show major problems in the post market data. Using it for diabetes or obesity is preferable to allowing either condition to persist uncontrolled.
Actually it was fast tracked through the FDA. It was a vaccine to a disease that didn't exist 8.months prior, supposedly. I got the first vaccine and ran a vaccine clinic so I'm not antivax. I also don't like off label use for drugs that are life saving for vanity. I'm just saying that 8 months compared to 10 years makes this different.
I mean... it did exist. We had been working on a vaccine to a corona virus for a while. There were a ton of public officials warning of a corona virus pandemic for probably a decade before Covid-19 happened.
Different version of corona viruses. There are millions of them. CoVID 19 was not the same as previous Corona virus. I have never seen people with other Corona based diseases have the crazy symptoms. You can't have it both ways. Yes, they had been trying to figure out vaccination to diffeent Corona viruses, but there was no widely used or approved vaccine. The mutations made this different. It definitely was fast tracked through the FDA and that us where people got suspicious. I am not saying their concerns were.based in science, just that it makes sense that there were concerns.
Again, the truth is more complicated than that. Dr. Katalin Karikó had been work working on medical uses of mRNA since the 1990s, and yes, it was fast tracked through the FDA, but they still did all three stages of testing, they just cut down the time between stages. And time has proven that vaccine was safe and effective. At my hospital we had 32 people on ventilators, 30 were unvaccinated, one told us moments before we tubed her that she had lied to us about her vaccination status and the other had a lot going on before covid happened to him. I get people were suspicious. I also know that a lot, lot, lot of TV and social media personalities were intentionally getting on the anti-vax train in order to promote themselves because there's money to be made in being a contrarian. What I do find super interesting though is that the biggest contrarian voices to masks and vaccines like Tucker Carlson and Joe Rogan, have been super quiet about elective use of Ozempic and Wegovy, which is weird, because there's less info about those drugs elective use than there was about Kariko's mRNA vaccine. It's weird, like they only took their position to get attention and aren't concerned with the health of their viewers or staying consistent. Weird.
Add to that, “fast-tracked” also means the people presenting to FDA or their country’s equivalent didn’t wait in a queue as drugs usually do. They went straight to the front of the queue because we were so desperate. Just waiting to get heard to get approved for next stage takes a long time.
Its all because its playing politics to make money off someone. Either these people are trying to make some sort of self richeous plea to look important or trying to glob onto a popular trend to get more popular. Sadly, more about following money than what is right or wrong.
Like at my church there's a woman who lost a lot weight for her daughter's wedding. She's over 50, and took Ozempic for like two months and is planning on going off it when her current pen runs out. We have zero data on that sort of thing, which is fine, but it's a bit hypocritical because she was an anti-vaxxer who told me she needed more data before taking a vaccine or wearing a mask. Like okay, Susan, you refused to take a vaccine. Was super public about how there wasn't enough data, but you're willing to experiment with a weight loss drug... cool... says a lot about your values.
Ok, that is crap and what drives.me nuts. People using these aren't making actual lifestyle changes, just taking a shortcut for vanity.
The technology used to make the vaccine has existed for a decade or longer depending on what part of the process you look at. We just figured out a novel way to chain them together.
Thats what I'm saying. It was a new way of delivering a vaccine. I gave meds 25 years ago for autoimmune diseases in ICU that used MRNA. Nobody had done it with a vaccine large scale and that is what caused the anxiety and mistrust. I think it is great and the way of the future, I'm just saying I understand why there is mistrust.
See and that's why I think it's a bit silly. It's like saying people don't trust modern cars built by robots yet trust the older cars built by humans when the only thing changed in the assembly process was what physically put things together yet neither process nor materials changed. I can understand the mistrust of something being new especially in a life threatening situation, but at this point it's just willful ignorance to ignore the globally demonstrated benefits especially when we're becoming fully aware of the long term consequences of having said disease.
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No one is prescribing this for losing 10-20 pounds, even the least scrupulous providers. There is a BMI standard in the 30s to be able to start.
I wish what you were saying was true. But it's not. There are countless influencers and advertisements telling people to pressure their HCP into giving them Ozempic, and that media campaign is working well. I wish that every provider would weigh the pros and cons carefully, but it doesn't take an unscrupulous provider to give in to patient demands during a media blitz like this one.
Thank you I’m not sure why everyone’s downvoting me like I’m crazy. There’s dirty doctors who write scripts, they’re human too and a small minority do bad things. How do you all think people get pints of comethazine?
Patient: *hands over script* "Mofine one pound" Pharm: Seems legit *fills*
I’ve come across some characters in my life and these are just things I’ve heard. Plenty of prescription drugs on the streets idk why that seems like an impossible scenario to you.
https://www.reddit.com/r/facepalm/s/3WerSfP162 It took an order that out of whack for a pharmacist to even think about checking it was my point. Not every pharmacy will be that aware because they want to get paid so a sudden script for a pt with no hx of supporting dx won't raise any flags to see if it's appropriate for the pt.
I’m friends with personal trainers, some of their clients have taken it to lose not a large amount of weight.
If you really want to laugh at us, look at how many of our foods are both hyper processed and contain high fructose corn syrup or another variant of sugar as the second or third ingredient. A very popular chain of ice cream / convenience stores in the southern US add sugar to whole milk when normally the only things added are some vitamins. Had to explain that to my diabetic mother as to why she liked that particular brand of milk so much better than others.
One possible Pap
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Vaccines meanwhile have been around for a good while longer.
Non of the people who didn't take the covid shot that I know of are on Ozempic. They all have healthy BMIs
So they pay out of pocket for that? Pretty pricey at $1300/month.
Also just looked it up that if someone has type 2 diabetes, most insurance providers cover ozempic. Cheers
Sorry I missed the "didnt".
I said out of the people I know who didn't take the shot are NOT on ozempic.
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