Ozempic, Wegovy, GLP-1 meds / compounded semaglutide

Of course, one can find literature to back up any position on the internet or in journals.

Also, it seems, consensus amongst scientists is becoming less of a thing lately.

??

That inability to maintain muscle while losing weight is part of the reason so many ppl gain so much weight after they stop taking Wegovy or Ozempic. They stop taking the drug because they lost the weight, their metabolism isn’t as high as it once was because they lost the muscle, and the weight comes back on.

I was talking to a family doctor about this topic 3 weeks ago.

It’s a bitch to try to put muscle back on in one’s 50s, after losing it through sudden weight loss.

The doctor I spoke with said that people need to be doing weight training while taking moderate amounts of whatever drugs, so they maintain their muscle while losing the weight.

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Again, you are writing a very general statement (scientists) and then backtracking it to something very specific and small sub-group focused (some scientists around covid)

It was an example…


I will say no more.

This is why people on a GLP-1 regiment are often encouraged to eat a high protein diet and emphasize weight training (to the exclusion of aerobic exercise, yes, to the “exclusion”).

There is a line of thought in the medical community that people over 50 should never be on a diet to lose weight, but only a diet to maintain (or if possible gain) muscle.

In many ways, sarcopenia is much more detrimental than obesity for the elderly.

I haven’t heard of that applying to people over 50, when so many people nearing 50 are suffering from metabolic syndrome.

Over 70, sure, I can see that.

But I guess there are lots of schools of thought out there.

I didn’t learn anything in the video I didn’t already know.

But whether one is trying to lose weight or not, weight lifting and strength training are both essential for older folks like us, bc muscle loss and bone deterioration are both a thing — whether we’re losing weight or not.

A brandnew gym just opened down the road from us, and we’re here for it. :man_lifting_weights:t2:

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And then you add in (for half of us) the increase in visceral fat due to hormonal changes.

And its now been proven that visceral fat does not respond to caloric deficit…it can be reduced, but eat less and move more isnt the answer.

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If it were, the entire diet industry would cease to exist :wink:

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EXACTLY. But its all in our heads and its just the way it is to get older and maybe we need to talk to a therapist.

(For the non-US folks, this is a summary of women’s health care here. We could walk into the ER with a bleeding chest wound and they’d tell us it’s all in our heads)

By the way…take a look at Dr. Mary Clare Haver. She has a lot to say and it makes a lot of sense.

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Well we’re just being hysterical dontcha know? :wink:

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Do you have a source or citation for that?

I am not trying to disputative (honestly), but this is the first that I have heard of this.

Thank you.

Its because its a part of womens health and menopause has received an utter lack of attention u til very recently.

Google menopause and visceral fat and there are now plenty of recent studies. Gen X women, bless us, arent taking being ignored and are i sisting that this be addressed.

Dr. Mary Clare Haver (referenced above) is one of the voices in the void, and her website has tons of references.

TL;DR - it can be address via diet, but eat less and exercise more isnt the answer.
TL;DR

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But there are also studies which show visceral fat and calorie deficit are also linked. You make it sound like it is very clearly “settled” scientifically which is definitely not the point

Thanks, I have seen those studies and am familiar with them.

I think if we take a so-called “meta analysis” of all these studies regarding menopause vis-a-vis visceral fat vis-a-vis calorie restriction and diet, we can safely say that with respect to menopausal cohorts, it is generally less effective for diet and exercise to reduce visceral fat, but nonetheless diet and exercise are still effective, just less so.

Fair?

No, as I said before, the studies indicate that itcan be addressed via dietary changes, but visceral fat does not respond to calorie deficits.

This is the issue.

Its a different type of fat that shows up aggressively regardless of calorie intake or expenditure. And it fights best efforts to be rid of it by simply eating less and moving more. Absolutely none of the diets we relied on in our younger years works.

And we have been shamed about our weight by society and our doctors (and the vile bitch who lives in our heads and says things to us we would never tolerate from anyone else) and those who have not and never will actually walk through menopause…

So studies and education and (studies strongly suggest and THANK HEAVENS that more research is being done) that yes we need tochange how we eat, but that this is 100% not our fault nor something we need to have explained to us like we are stupid.

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Again. What you eat, not how much.

That’s not what current science says where both play a role - how much and what you eat