Ozempic, GLP-1 and other modern diabetes / weight loss medications

besserheimerphat

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Fix the food industry first. That's going to give us the best overall results.
It has to be a "yes and." You are fighting some of the biggest companies on the planet, as well as cultural norms. Yes we need to change the food industry, but if we wait on that then we'll be waiting till long after we are all dead and buried in our XXL caskets.
 

BWRhasnoAC

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It has to be a "yes and." You are fighting some of the biggest companies on the planet, as well as cultural norms. Yes we need to change the food industry, but if we wait on that then we'll be waiting till long after we are all dead and buried in our XXL caskets.
Well I guess I didn't realize I was implying that was the only thing we should do. Of course people need to take accountability for their own habits but until we address the crap we're putting into our bodies I don't think we're going to see large scale improvement.

There has been a fitness movement for 20+ years. Still fat. I'd be curious to see the stats but I imagine the lions share of diabetes is type 2 which can typically be solved through diet. I'd also argue that the processed food (including chemical treatments to crops) are largely responsible for the drop in testosterone including the indirect results of higher body fat percentage increasing estrogen.
 

ISUTex

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Well I guess I didn't realize I was implying that was the only thing we should do. Of course people need to take accountability for their own habits but until we address the crap we're putting into our bodies I don't think we're going to see large scale improvement.

There has been a fitness movement for 20+ years. Still fat. I'd be curious to see the stats but I imagine the lions share of diabetes is type 2 which can typically be solved through diet. I'd also argue that the processed food (including chemical treatments to crops) are largely responsible for the drop in testosterone including the indirect results of higher body fat percentage increasing estrogen.

When I lost weight years ago I ate nothing but grilled chicken breasts, steak, canned chicken, canned green beans or carrots and various types of berries. Drank water, tea, beer, and milk. Stopped going to McDonalds and Casey's. It worked. If only I stuck with it. I'm 6'3. Got down to 220. Back up to 240. Thinking of going back on that diet. Maybe even cut way back on the beer. :oops: Football Saturdays will probably kill this plan.
 

brianhos

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It has to be a "yes and." You are fighting some of the biggest companies on the planet, as well as cultural norms. Yes we need to change the food industry, but if we wait on that then we'll be waiting till long after we are all dead and buried in our XXL caskets.

This is America, you are never going to win a fight against a corporation, they don't care about you.
 

BWRhasnoAC

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When I lost weight years ago I ate nothing but grilled chicken breasts, steak, canned chicken, canned green beans or carrots and various types of berries. Drank water, tea, beer, and milk. Stopped going to McDonalds and Casey's. It worked. If only I stuck with it. I'm 6'3. Got down to 220. Back up to 240. Thinking of going back on that diet. Maybe even cut way back on the beer. :oops: Football Saturdays will probably kill this plan.
It can be done but we know that a percentage of the population isn't capable of doing that, either because of money, competence, food dessert, time, etc. I'd prefer we didn't add artificial estrogens and various other chemicals to our food supply. It's not an issue in the rest of the world. They have whole food markets and cultures built around quality food. We prioritize profit.

Also, the water treatment process isn't taking care of the pharmaceuticals being urinated into the water supply. Lots of things being ignored because of the almighty dollar.
 
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1SEIACLONE

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When I lost weight years ago I ate nothing but grilled chicken breasts, steak, canned chicken, canned green beans or carrots and various types of berries. Drank water, tea, beer, and milk. Stopped going to McDonalds and Casey's. It worked. If only I stuck with it. I'm 6'3. Got down to 220. Back up to 240. Thinking of going back on that diet. Maybe even cut way back on the beer. :oops: Football Saturdays will probably kill this plan.
Beer is my downfall also with weight loss. I do not drink much soda, only water or tea, but I have to have my beer. At least I have stopped have a shot or two of rum with it.
 

Cyched

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There’s no one-size-fits-all, and the GLP-1 can be great for some people provided it’s administered correctly.

For run-of-the-mill advice, this has helped me maintain a stable weight as I’ve gotten older.
Tracking calories while paired with nutritious/balanced meals and a combo of cardio & strength training.


body-comp-edited.png
 

Gunnerclone

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There’s no one-size-fits-all, and the GLP-1 can be great for some people provided it’s administered correctly.

For run-of-the-mill advice, this has helped me maintain a stable weight as I’ve gotten older.
Tracking calories while paired with nutritious/balanced meals and a combo of cardio & strength training.


body-comp-edited.png

America needs to have a big conversation about calorie tracking and deficits. It’s too hard to change the food system, so the thinking and technology should be the focus. I would pay big money for an extremely accurate wearable that incorporates calorie tracking and fitness. Like a company that works with ME for a year and builds a device just for ME.
 
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Cyched

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America needs to have a big conversation about calorie tracking and deficits. It’s too hard to change the food system, so the thinking and technology should be the focus. I would pay big money for an extremely accurate wearable that incorporates calorie tracking and fitness. Like a company that works with ME for a year and builds a device just for ME.

I’d pay a sizable amount for something like that as well.

There are some good calculators online, but if we get the tech to calculate your personalized maintenance calorie level, that’d be a huge step forward.
 
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Nader_uggghhh

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I’d pay a sizable amount for something like that as well.

There are some good calculators online, but if we get the tech to calculate your personalized maintenance calorie level, that’d be a huge step forward.
It takes a lot of effort but that can be done by tracking cals and watching the scale. Im a big believer that everyone should track cals/weight at least once just for the knowledge gained. Consistency always wins, both with deficits and surplus. A 100 cal per day surplus is hardly anything but its still over 10 pounds per year.
 
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CascadeClone

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It takes a lot of effort but that can be done by tracking cals and watching the scale. Im a big believer that everyone should track cals/weight at least once just for the knowledge gained. Consistency always wins, both with deficits and surplus. A 100 cal per day surplus is hardly anything but its still over 10 pounds per year.
100% correct, BUT - if you drink 6 beers, eat 2 brats, and a couple of cookies and some chips on 12 football saturdays, it all goes to zero.

That's the killer I think for most people, is it only takes a few hours of "bad" choices to undo a weeks worth of consistency. It's like golf, you can par most every hole, but a couple of 8s will ruin your round. So its real easy to fail once and give up entirely.

WW has worked for me, because the 'bonus' points I can spend on booze, or a DQ blizzard, or whatever on the weekend. So it allows me to still make "bad" choices and stay in bounds. And even with that, I am still my own worst enemy and have to be disciplined all week.
 

CascadeClone

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This is America, you are never going to win a fight against a corporation, they don't care about you.

Corporations follow the money. If tomorrow 90% of America only wanted healthy foods and stopped buying junk food, even WalMart would open up a Whole Foods clone. Doritos would figure out a way to add protein and enriched flour and remove sugar and fat from chips.

I would argue the ag-grocery-food conglomerates aren't the cause of our bad eating habits - but they sure as hell are enablers. World class enablers.
 
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FLYINGCYCLONE

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America needs to have a big conversation about calorie tracking and deficits. It’s too hard to change the food system, so the thinking and technology should be the focus. I would pay big money for an extremely accurate wearable that incorporates calorie tracking and fitness. Like a company that works with ME for a year and builds a device just for ME.
Damn good idea. There should be a few guys who can help you design and build it on here. There should be enough money on here to help you finance it. So get busy. Just do not sell your great idea to a big company.
 

Gunnerclone

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Damn good idea. There should be a few guys who can help you design and build it on here. There should be enough money on here to help you finance it. So get busy. Just do not sell your great idea to a big company.

Like it’s just insane to me that in 2025 that the best a “regular” person can do as far as body composition metrics come from a DEXA scan.
 

CloniesForLife

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There's a lot going on here...

First, PCPs aren't adequately trained in nutrition or exercise to really help people directly. They aren't able to create a nutrition plan or a workout for their patients. They can refer people, but it's an exceptionally small percentage of people who will actually follow up on those referrals, and an even smaller percentage who will turn those referrals into lifelong habits.

Second, these drugs are primarily for chronic illness which means they are lifetime prescriptions. They are not meant for onetime weightloss. If you go off the drug, the old habits/cravings will return and so will the fat gain. Either that or you will be constantly fighting your cravings and hunger and be emotionally miserable and maybe a little less fat. There are two different "types" of obesity. There's the "I'm just fat and probably could do it with diet and exercise," and there's "I have underlying emotional or mental issues that make weightloss especially difficult." We have to acknowledge that second group, for whom lifelong intervention is necessary. Whether thats drugs, or gastric bypass, or whatever else.

Finally, 80+% of body composition is due to nutrition. For fat loss, there really isn't any amount of exercise that is effective. You have to get that calorie deficit by eating less. And the current combination of our physiology / psychology and food environment means people are going to need external help for the foreseeable future. Unless we plan to change the food environment, which would certainly be healthier but would also massively disrupt the economy.
Yeah if we were actually serious about improving the health of this country it would require lots of investment in eliminating food deserts, educating people, and just reworking our general societal setup that forces people to work a lot.
There’s no one-size-fits-all, and the GLP-1 can be great for some people provided it’s administered correctly.

For run-of-the-mill advice, this has helped me maintain a stable weight as I’ve gotten older.
Tracking calories while paired with nutritious/balanced meals and a combo of cardio & strength training.


body-comp-edited.png
For some people long term calorie counting isn't a great option but I do think everyone should do it for a bit just to understand what serving size is of various things.
 
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FriendlySpartan

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Like it’s just insane to me that in 2025 that the best a “regular” person can do as far as body composition metrics come from a DEXA scan.
Actually the best would be from a bodpod as you don’t get the unnecessary radiation.

The thing is both types of scans are really unnecessary as the knowledge you gain is mostly meaningless unless you just love knowing numbers. I imagine if you just had extremely little body awareness it could help but really it doesn’t matter.
 

FriendlySpartan

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Corporations follow the money. If tomorrow 90% of America only wanted healthy foods and stopped buying junk food, even WalMart would open up a Whole Foods clone. Doritos would figure out a way to add protein and enriched flour and remove sugar and fat from chips.

I would argue the ag-grocery-food conglomerates aren't the cause of our bad eating habits - but they sure as hell are enablers. World class enablers.
Corporations also follow the science and its easier to make more addictive food then it is to go another direction. As GLP-1’s become more and more common you might see some of the industry shift but sales would still plummet even with those changes.
 
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FriendlySpartan

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I’d pay a sizable amount for something like that as well.

There are some good calculators online, but if we get the tech to calculate your personalized maintenance calorie level, that’d be a huge step forward.
This is honestly totally unnecessary if you’re eating a diet focused on minimally processed foods. But a very small portion of the population does that.

Edit* I should have added low calorie density as well to avoid the dressing/nuts problem