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Senior Member
Join Date: Jun 2011
Posts: 13,473
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The default drug most people’s minds go to is Ozempic but I’ve heard of people having good results with Mounjaro, too. Then there’s topiramate, which is inconsistent in that regard but does often, as a side-face, cause weight-loss in the first year of taking it. That might not be ideal for people who are skinny to begin with and if anything could do with putting on a bit of weight, all in the name of treatment of migraines/seizures (which are some of the main reasons people take topiramate) or sweat-control (very off-label niche, but happens). When it does work, it can work terrifically for dramatic weight-loss (I’m talking as much as a couple of stone in 3 months), but it’s not guaranteed to do that or even anything. There’s always been that subsection who only lose a few pounds, or nothing at-all. But probably about 60%, still, I would say lose significant amount of weight on topiramate, especially if they were overweight to begin with). And either way, it comes at the cost of some horrible side-effects that make it difficult to tolerate. So it’s a gamble, and one you’ve got to choose carefully, if you want to be about that life.
I can imagine the potential side-effects of injections of this Ozempic not being pretty but if you need it, you need it, so long as it doesn’t kill you, and there’s nothing-else you can do about it but force yourself to exercise/hit the gym for too long and go on diets. When someone needs to lose a couple of stone, surgery or medication can come into it quite a bit sometimes. And realistically for most people, especially when you’re working full-time and have a family/kids, it would just take too long doing it strictly by diet and exercise alone. That works when you need to lose, like, 2 stone. For people who actually need to lose, like, 5 or 6 stone or something, it’s … yeah. It’s just that getting a prescription for things like topiramate is difficult when it comes to weight-loss. It’s prescribed very commonly just for that in the U.S. (which we all know has a much bigger obesity-epidemic than us) but not so much in the U.K., because it’s off-label and U.K.-doctors like to stick to certain guidelines which don’t lend themselves to using serious neurological drugs just for the sake of weight-loss. So sometimes people will buy it off online pharmacies but not be able to consistently afford it every month if they’re struggling a bit, or just don’t have the disposable cash. Ozempic and Mounjaro are more accessible to the general public, and I know that for Ozempic, at-least some of the time, you can get bumped up the waiting-list for it and held in more priority if you have a history of certain mental-health/mental-health-adjacent conditions, which don’t necessarily have to be severe by default. Could be just mild OCD.
The Cambridge 1:1 diet is also a good natural way to do it, because it actually works and can cause dramatic weight-loss week-by-week, but diets like that are very difficult to do, so for some people it just doesn’t stick. But on a diet like that for a couple of months, coupled with those medications I mentioned earlier, including Ozempic (especially by injection), and maybe Xenical to shift just a few more pounds (even at the cost of non-oily stools that don’t have people producing diarrhoea by-default whenever they want to do a number-2, and find themselves really needing toilet-wipes as much as tissue-paper), who knows what could happen? I can’t say anything for-sure but it does feel like that could lead to rapid weight-loss and exceed the target at-least some of the time. And obesity’s a health-problem that leads to other health-problems and can even stop a lot other medications from working as well as they would at a healthier weight-baseline. So it can be for a really good cause, all-these medical weight-loss interventions. Yes, some people do it out of insecurity about their looks and figure but people will abuse anything. And even, and especially, those people deserve love and compassion, not judgment and scrutinisation. And naturally not everyone will abuse it. Medications like phentermine (an appetite-suppressant that’s often baked into topiramate when it’s a weight-loss prescription), additionally, might get people to a place where their attitude towards food accommodates for periods of diet and fasting within them, because their feelings about food in-general are dampened for as long as they’re on that medication, if they’re going roundabout the whole thing in a healthier, less jump-to-Ozempic-straight-away type-thing. Maybe they all coalesce into one holistic paradigm of weight-loss when they all merge together. But whether they start with Cambridge 1:1 dieting or not, deciding to go down the Ozempic-route is … their choice. It’s not for us to judge. It’s weight-loss. They’re not chasing a destructive high. And obviously there can be nuance around how some of these medications can be mixed and matched, and natural limitations in and around that, but in theory, a lot of people might end up on that, full-stack. It might not be that risky but until that becomes something more people have done we can’t really know that for sure.
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Last edited by Redway; Today at 06:21 PM.
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