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califsleevin
on 9/28/21 10:00 am - CA
Topic: RE: ozempic?

I would have some serious doubts about it.

It is, and has been a somewhat popular thing amongst family docs to prescribe off label diabetes drugs such as ozempic or byetta for weight loss, as they do have that side effect along with their effect on diabetes. However, they are not certified for use as a weight loss drug (why it's an off label use) so the longer term effects have not been tested and verified (you're being a lab rat.) Given the size of the potential market for weight loss vs. simple diabetes, they are no doubt being tested for that purpose with the intent of being certified for it. Also, being off label, will your insurance pay for it, if you aren't diabetic? If you research it more closely, I suspect that you will find that the weight loss effect is temporary, as long as one is on the drug, and weight will come back once one is off the drug. Since you have a regain problem, this does not look like a compatible use of the drug.

Of greater concern, is in how this drug works. It slows the release of food into your intestines which helps blood sugar control, and also the insulin spikes that can lead to more rapid hunger and over eating, presumably by slowing the action of the pyloric valve that meters stomach contents into the intestines. Great. Problem is that you don't have a pyloric valve in your active GI tract - it's been bypassed along with the majority of your stomach when you had your RNY; Will this drug even work in a bypass patient, whether for diabetes or hunger control? Has it even been tested on bypass patients? Does your family doc really understand what was done to you when you had your RNY, and does he understand how the drug works (or is he just taking the word of the drug salesman that visits his office dispensing goodies in exchange for writing Rx? I don't know the answers to all of these questions (though I have my suspicions) but they are things I would seriously be asking before getting involved with this line of treatment. If it was your bariatric program suggesting it because they have used it on patients similar to you with some success, that would hold a bit more weight (so to speak) in my mind.

Another consideration is the "five year rule." This is a informal conservative medical practice that holds that one should avoid medications within five years of their certification. The reasoning is that drugs are certified on the basis if a few thousand (2-4,000 typically) patients using the drug for a few months or maybe a year or so. If all goes well, it is certified for sale and then you see hundreds of thousands to millions of people taking the drug, and that is where those occasional rare but serious side effects can show up that could cause the drug to be pulled from the market. If there are existing drugs on the market that treat your problem with minimal or acceptable side effects, one should go with them in preference to the new kid on the block; if the new drug works substantially better than those that are existing, or without notable side effects, then it can be worth the risk. But it is not something one should go into blindly, or assume that the newest is the best - it might or might not be.

Side note - I had the same pitch given to me by a doc (not my PCP or surgeon) regarding Byetta before I had my VSG. The drug has changed now (same basic mechanism, though) but the sales pitch is the same.

1st support group/seminar - 8/03 (has it been that long?)  

Wife's DS - 5/05 w Dr. Robert Rabkin   VSG on 5/9/11 by Dr. John Rabkin

 

ShandrewsCA
on 9/28/21 8:40 am - Coeur D Alene, ID
Topic: RE: Sleep meds after weight loss surgery?

Looking through my previous posts and saw this reply. I was just curious if you started taking this, and if it helped you?

Pre-RNY Weight: 280 lbs (09/14/05)

Lowest Post-Op Weight: 140 lbs

Starting Ozempic Weight: 180 lbs (08/26/22)

Week 1 Weight: 174 lbs (09/02/22)

Partlypollyanna
on 9/28/21 6:27 am
RNY on 02/14/18
Topic: RE: ozempic?

If it's optional and you don't feel good about it, I'd just say no -- on the other hand, you do know the things that worked for you in the past and if it helps with the willpower to give you a kick start, that could be a good thing! Maybe research how long it takes to get therapeutic levels and then set yourself mini goals around that and just used it for a bit?

Good luck finding what works for you now!

HW: 306 SW: 282 GW: 145 (reached 2/6/19) CW:150

Jen

Lucile777
on 9/27/21 8:23 pm
Topic: ozempic?

I went to my family doctor today. He's not impressed by my regain. I started at 285. Was 270 at RNY surgery. I weigh 209 today. My lowest was 161. So I'm up 48 lbs from my lowest. Today he recommended I go on Ozempic to loose weight. He said "it will change my relationship with food." Hmmm... we've heard THAT before. Anyone else on Ozempic to deal with regain? I really don't feel on board with this. Nothing like back to the basics right?

sweetpotato1959
on 9/27/21 11:42 am
Topic: RE: I am having a panic

Please be more concerned about getting in your fluids and your proteins as you are prescribed.... i had a different surgery a long time ago.. generally f you have something that will hurt you, you will KNOW it sooner rather than later.

Denise
hollykim
on 9/23/21 2:44 pm - Nashville, TN
Revision on 03/18/15
Topic: RE: Is there such a thing?
On September 22, 2021 at 11:27 PM Pacific Time, Want2beMe wrote:

I drank 80oz of water today and I plan to drink 32oz more. Is there such a thing as drinking to much water?

I'm supposed to have 3 dairy snacks, but im full and don't think I can eat a dairy snack before 8pm. Does this mean I'm susceptible to having hunger pains or eating more tomorrow?

while it is technically possible to drink too much wAter and there is a term for that, but I can't think of it right now, it would be way mor wAter than 130+ oz, it would be in the GALLONS range. You are good to go.

 


          

 

(deactivated member)
on 9/23/21 7:43 am
RNY on 01/01/14
Topic: RE: I am having a panic

I did everything wrong and even failed 2 drink enough liquids and ended up in the hospital on an IV. But no leak so don't worry you'll b fine .

(deactivated member)
on 9/23/21 7:14 am, edited 9/23/21 12:32 am
RNY on 01/01/14
Topic: RE: Failure

You CAN succeed at this !

Losing all the weight you want n staying long term emotionally and physically healthy is up 2 U !

First key is movement. Making movement a first priority every time you wake up ( no forcing just get out there for ten minutes and then allow yourself to go home or continue exercising if you?re enjoying it ) is everything. You?ll lose twenty lbs and look fantastic before you blink .

second ... no matter what anyone recommends listen to your common sense regarding food .

There?s a heck of a lot more forgiveness if you choose to eat low fat . Truth is the average American diet is ridiculously high in fat and contains giant portion sizes enough for an entire family and is crazy high calorie.

If you try to eat the way you always did you?re gonna get what you always got - fat!

Fried foods , ice cream , ? fast foods ? road food and slider foods have to be off the menu .

But it?s a proven fact .... you stop eating any item for six weeks your body forgets it and you won?t have that craving .

I couldn?t eat ?breaded? and fried foods if you paid me -literally. I couldn?t eat anything from a seven eleven or Mickey DS . Nor should I want to - a supermarket with salads and fresh juices is just right around any corner. Chinese takeouts with healthy cheap lunch specials are everywhere. I always ask for no oil and lots of condiments to make the food tasty as compensation. Some restaurants will even give you no rice or noodles but just more fresh veggies for no extra cost.

This surgery works and will continue working but how well is up to you .

You have to appreciate the once in a lifetime chance your lifesaving WLS gave you.

This is IT ! Just do what you agreed to before the surgery... you knew your eating and exercising habits were going 2 permanently have 2 change

. Most WLS patients end up backsliding and even heavier because they refuse 2 change their habits. It?s really tragic don?t be a statistic. Hugs

(deactivated member)
on 9/23/21 5:48 am
Want2beMe
on 9/23/21 5:02 am
VSG on 08/17/20
Topic: RE: Is there such a thing?

Thanks for the responses. I was a little worried that the Water intake was to much, but relieved to hear it's ok. As for my dairy snack, I'm only going to eat if I feel hungry not because I'm supposed to have a dairy snack. I think drinking a lot of fluids and having a healthy supper eliminated the night time snack.

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