• SanndyTheManndy@lemmy.world
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    7 months ago

    But what if the medical care is loosing weight?

    What do you expect them to do when a 160kg dude is rolled into the ICU with his third heart attack of the month? A transplant?

    • TheSambassador@lemmy.world
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      7 months ago

      Every time people talk about this, they always envision the most morbidly obese example that they can think of, when we’re really just talking about the average slightly overweight/obese people. Those people often have their actual medical needs ignored by doctors and are given “lose weight” as a cure all. There are literally hundreds of millions of people who experience this.

      • papertowels@lemmy.one
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        7 months ago

        Lose weight often IS the cure-all as obesity is clearly linked to a litany of health issues.

        Do you want to treat the symptom or the cause? Folks can take pain killers for their knees, but the issue here is often that the knees are overloaded with too much weight.

        Idk much about ozempic, but before that, “Lose weight” was rough to hear because a doctor can’t wave a magic wand to fix the patients problems - the patient had to work to fix things. And if you’re honestly putting in the work, eating a healthy diet and exercising and you’re still struggling with weight, then I feel for you, because that suggests there’s a hormonal or other medical cause for the obesity, that the doc needs to go over. However I am certain that the majority of the hundreds of millions of people you cite don’t.

        • ChexMax@lemmy.world
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          7 months ago

          Studies show there isn’t an actual diet people can go on to lose weight and keep it off. The diet just doesn’t exist for the vast majority of people. People gain the weight back almost 100% of the time. The only thing you can do is prevent the weight gain in the first place, which isn’t that simple given our lack of walkable cities, cheap food being the least healthy etc

          Given how seriously bad doctors say obesity is, I don’t understand why people are mad at fat people for taking ozempic.

          Another thing to be mad about: the most expensive component of the ozempic shots is the plastic container it comes in.

          • papertowels@lemmy.one
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            7 months ago

            I’d appreciate it if you can link some examples of those studies.

            When I say “eat a healthy diet”, I don’t mean go on keto. I mean have some fruits and vegetables, and try to limit processed food intake.

            EDIT: like I said, I don’t know much about ozempic so I have nothing to contribute to that end of the conversation, sorry.

            • ChexMax@lemmy.world
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              7 months ago

              Two studies (each reviewing a number of other studies) and an article putting it in lay terms:

              "He and others have estimated that for every two pounds of weight you lose, your metabolism slows by about 25 calories per day, and your appetite increases by about 95 calories per day. So in other words, if you lose 20 pounds, your body will burn roughly 250 calories less each day while craving about 950 calories more.

              To maintain your weight loss through dieting over time, you’ll have to continue eating less while resisting a rising appetite and slower metabolism, which is “increasingly difficult,” Dr. Schur said.

              The drive to eat more is so strong because our brains “sense that our energy stores are being depleted,” she added, and “that’s a threat to our survival.”"

              So diets mostly all work in the short term, but people just return to their top weight over time. Your body is always trying to get you back to your top weight.

              https://pubmed.ncbi.nlm.nih.gov/32238384/

              https://onlinelibrary.wiley.com/doi/abs/10.1111/obr.12949

              https://www.nytimes.com/2024/01/11/well/eat/dieting-weight-loss.html