ไม่สามารถเล่นวิดีโอนี้
ขออภัยในความไม่สะดวก
Losing Weight On Medications Just Got Easier - Should You Take A Pill for Weight Loss?
ฝัง
- เผยแพร่เมื่อ 21 ก.พ. 2023
- There's been a lot of hype about weight loss medications lately. Are they for you? Psychiatric medications are guilty of causing enough weight gain to push someone into the category of obese. Today there are several different types of medications available to treat obesity in adults. I talk about some of them in this video such as semaglutine, liraglutide, and phentermine.
References
Calderon, Gerardo et al. “Effectiveness of anti-obesity medications approved for long-term use in a multidisciplinary weight management program: a multi-center clinical experience.” International journal of obesity (2005) vol. 46,3 (2022): 555-563. doi:10.1038/s41366-021-01019-6
Ghusn W, De la Rosa A, Sacoto D, et al. Weight Loss Outcomes Associated With Semaglutide Treatment for Patients With Overweight or Obesity. JAMA Netw Open. 2022;5(9):e2231982. doi:10.1001/jamanetworkopen.2022.31982
WANT A SAFE PLACE FOR EDUCATION AND SUPPORT? Join my mental wellness community. MentalWellness...
WANT TO START IN THERAPY? Here’s a convenient and affordable option with my sponsor BetterHelp
Betterhelp.com...
For a monthly fee, you get a REAL licensed therapist with whom you can meet weekly by phone, video or chat. You can also send daily messages.
For a full review of the service, watch this video • BetterHelp Review: An ...
If you use this link you will get a 10% discount on your first month. betterhelp.com... This is an option I've researched. I get a referral commission if you sign up.
GET MY ANXIETY BOOK amzn.to/4aLrv8m
FOLLOW ME ON INSTAGRAM for quick, bite-sized mental-health tips / drtraceymarks
FOLLOW ME ON TIKTOK / drtraceymarks
Want to know more about mental health and self-improvement? On this channel I discuss topics such as bipolar disorder, major depression, anxiety disorders, attention deficit disorder (ADHD), relationships and personal development/self-improvement. I upload weekly. If you don’t want to miss a video, click here to subscribe. goo.gl/DFfT33
Disclaimer: All of the information on this channel is for educational purposes and not intended to be specific/personal medical advice from me to you. Watching the videos or getting answers to comments/question, does not establish a doctor-patient relationship. If you have your own doctor, perhaps these videos can help prepare you for your discussion with your doctor.
![น้าครับ..ผมรักน้า EP.04 - ปีกแดงเดอะซีรีส์2024[ฟินมาก] บทซีรีส์สร้างขึ้นเพื่อความบันเทิงเท่านั้น](http://i.ytimg.com/vi/m9Q6MwoWgaQ/mqdefault.jpg)
Thank you I've gained 80 pounds on antidepressants and antipsychotics and in France, doctors tell us it's our fault, not the medications
I’m sorry to hear what you’ve been told. It is not true. I’m a Psychiatrist in South Africa. There are doctors who care. I pray you find one.
I have almost the same experience here in Portugal :/
doctors are describing medications, they only work on symptoms and come with side effects.
They’re making money off you why would they say it’s the medicines fault
I'm also from France and I can confirm this is relatable for any adverse event. Many psychiatrists will either blame it on patients, or claim that it will eventually fade out (which is particularly untrue regarding weight gain). If they just cared enough to inform patients properly, the weight gain could sometimes be mitigated before it's truly problematic.
I love how Dr. Marks breaks down complex topics on all facets. What studies show, the pros and cons, the considerations, what to expect, how the clinical condition is defined and factors about it. Thank you Dr. Marks you are awesome!
Agreed 👍🏽 💯
For me it was ADHD and depression, the compulsivity of ADHD and self esteem issues of depression meant I was turning to sugary and unhealthy foods for dopamine and comfort. As soon as I addressed the ADHD and depression through medication and treatment I started losing weight, eating more healthily and exercising more. Just injecting a drug that induces weight loss, lap band surgery ect would not have worked for me without treating the underlying issue of over eating as soon as I stopped the treatment, or expanded the lap band I would have just been back to gaining weight.
Holy crap this is me now. I am waiting to see someone about my adhd to hopefully get medicine for. I have been diagnosed before as a kid. I am currently seeing a therapist for depression.... I love sugary food and drink.... nuts
No dummy. Adhd medications made you lose weight.
As soon as you stop taking adhd meds you'll gain all that weight back on.
@@MagdaleneDivine you saw where they said they were eating healthy and exercising right?
@@bullydwilliams6785 cause she sees results so she's feeling motivated. I've been on adhd meds and I was servely undeweigt.
Second I stopped taking it I gained every pound back
I've adhd meds since I was 16 but I live in a meth head area and NO ONE WILL PRESCRIBE IT..
No one can get adhd meds.
I don't know how or who prescribed it to her but that's amazing that she got those. But she won't always be able to get those as those are being sold on the streets so people like me who desperately need it can't get them.
But it's the adhd meds.
@@bullydwilliams6785 adhd are addictive and they block nutrients from being absorbed.
Whereas if she got her thyroid tested a smaller dose would work more effectively. Cause watch they're gonna have to keep increasing it and then she'll prescribed sleeping pills to combat the sleeplessness ABD then vitamin and minerals will be depleted.
$1,400 a month is what I pay for my apartment 😭that’s crazy💀insurance will do everything except what they’re there for I stg
200 more than my mortgage😢
The greatest orators are those who interest the listener, then keep them engaged. Coming from a doctor who has lived and worked worldwide, Dr Marks is a rare great orator. Thank you for these videos.
My insurance would not pay for Ozempic/Wegovy. So my doctor prescribed me Bupropion. I am 5 feet and when I started it 6 months ago I weighed 244 pounds. You can imagine what I looked like. For years I have struggled with emotional eating and binge eating. After taking this for a week I stopped eating the junk food. I also am not eating all day and night. I am very grateful for this medication and will take it forever. I now weigh 205 pounds feel so much better too but am still trying to get down to 150.
I need to add that I am a senior 64 years old. Insurance companies don't pay for Ozempic/Wegovy for us so you either have to pay the 1000 to 1400 dollars for it or go on something else. I don't have that kind of money so I chose Bupropion and it is working for me
I have some body dysmorphia. I am 5’8” tall and while I don’t need to be 140 lbs with abs, it’s considered sexier than when I am 173 lbs . . . even if neither is medically “obese.” Substances that help me lose weight (ADD amphetamines like Vyvanse, some SSRIs like Luvox, bupropion or elective substances like nicotine) all tempt my body dysmorphia independent of mental wellness. Likewise, I avoid medications that make me gain weight (Prozac, Abilify) for reasons beyond them just being suboptimal for my mental health.
I respectfully recommend checking out Mark Manson's work, relevant here is his video on the backwards law. "Chasing the positive is itself a negative experience. Accepting the negative is itself is a positive experience" though unsure if that's his or Alan Watt's quote, Mark did his own update for it and expanded on the concept.☺☺
@@TheHorseshoePartyUK You have to be careful with that philosophy.
@@Catlily5 Care to clarify? I myself insist on myself & others thinking carefully about everything including simplistic maxims, and I myself could see how someone could misapply this against their own favour. Curious to see if it's the same?
@@TheHorseshoePartyUK I agree that chasing after the positive can be a negative experience if you are chasing after getting high or having affairs for example. Though I believe if you are chasing something like learning a useful skill it could still be positive.
I also agree that accepting something negative like accepting that you have a problem could be positive. Because then you can work on it. The problem is if you say something like, "I am an asshole. I accept it and I don't need to grow or change." Or, "the neighbor is beating her children badly but that is just how the world is. I won't say anything." It could also lead to suicide or even homicide in extreme examples.
The third problem that I have with it is that it encourages thinking in extremes. Things are rarely all positive or all negative. So these statements are overly simplified. Most experiences are a mix of positive, negative and neutral.
@@Catlily5 Aha good qualifier for the statement!
Could you do a video on the dangers of self diagnosing? I see countless people online self-diagnosing autism, adhd, ocd, bipolar, etc. While I don’t think it’s right to invalidate someone, self diagnosing isn’t the answer, and sometimes dangerous. And I feel it discredits incredible people like you who go to years of studying psychology, only for people to say you’re wrong and diagnose yourself
Love your videos, they’ve helped me a lot♥️
I love how you took your time to breakdown everything. It's so sweet when you start getting rid of that unwanted weight. I lost 42 pounds in about 12 weeks and have kept it off since then. My main issue was that I exercised daily, but struggled with my calorie intake. It was just impossible for me to eat less. It felt like I wasn't in control of my actions. My journey got 10x easier when I started taking Phenq pills. Eating less became possible, it felt as though my hunger disappeared and I also had enough energy to exercise. Best feeling ever 😊
Started taking this barely 4 weeks ago and have already lost 16 lbs. I walk regularly too 4-5 days a week. I feel great, it's helping my anxiety and depression too
whats Phenq pills, im reasearching now, since i had my gallbladder out i gained 20lbs and cant loose anythingm im active and eat well
First time watching any of your videos and I must say you deserve a lot mor than 1.9 MIL subs. You speak so clearly and Its easy to follow and understand
I asked my doctor for ozempic. I am also in and out of pre diabetes. I've had all the eating disorders since age 14. I am currently 100lbs overweight, and that's with losing 40 lbs from a private diet doc who only prescribes phentermine.... which sucks because it's short-term help, and I've noticed it's not effective anymore.
Many obesity experts I watch are all for long-term or life-long medicated treatment because they consider it a chronic disease. Most doctors still tell me just simply eat and work out... like that's I've been doing since I was 8 yrs old ... I am also a yo-yo dieter. I am currently scheduling a gallbladder removal. And I have NAFLD.
I have anxiety, but I don't know if I want to get evaluated for medication.
Anyway... it's disappointing... my doctor did offer gastric bypass or continue a healthy lifestyle change. I rather have medication that would help. Which sucks. Maybe the USA should outlaw high fructose corn syrup
Get another doctor
I’m not considered obese yet but since I’ve started early menopause I’ve gained 15kg and it’s not stopping. Today I saw 70kg on my scale for the first time. I eat very healthy, lots of salads without any dressing, no fast food, virtually no carbs . I put on weight from eating cucumbers and cabbage 😭
As a obesity doctor, most of my patients can achieve their weight loss goals with lifestyle changes without medication however I agree that the GLP-1 drugs are great for bridge therapy while adapting the necessary lifestyle changes that can allow us to achieve our goals.
It’s important to remember that most people who use GLP-1 drugs regain their weight within a year of stopping which is why lifestyle changes are the most sustainable way to maintain our weight loss goals 😊
Also keep in mind that if we don’t maintain those lifestyle changes we will regain weight as seen with the medication’s
It is also clear that some people will make lifestyle changes and just need a little extra help from the medication‘s to control their appetite and in those cases having this new group of medication‘s can be a game changer.
I just released an animated video on this topic on my channel this week
This is an interesting post, thank you. I have a friend that was taking saxenda and was telling me about it probably a year ago. I remember thinking that any drug that reduces your appetite it's just going to come flooding back once you stop taking the medication and then what has really changed? Is it safe at all to be on these medications long-term? Are they only supposed to help people lose weight initially then you're supposed to stop?
@@BeautyIsMyLife The studies show the potential for thyroid tumors in mice, an increased risk for pancreatitis, and the potential for other long-term effects yet to be discovered.
So in short I don’t think we have a clear answer as the long-term negative affects.
That’s why it may be an OK option in the short term but long term it makes more sense to focus on lifestyle
Following.
I 100% agree that the lifestyle changes are essential. It is actually more harmful to keep losing and gaining weight all the time. As you note, medication is a good bridge, but we don't want our patients to be totally dependent on a weight loss drug if some changes in behavior can keep them healthier in the long term. Thanks for sharing your thoughts. 👍
@@MyPMHNPJourney Appreciate your feedback 🙏🏾
Wow! this is the video I knew I needed but didn’t request. Thank you for making this!
You probably should watch it first.
Shouldn't health insurances cover gym memberships? Thank you for this video!
People have been trying for this for decades.
Seniors are able to get coverage. I wish everyone else did too.
💯🎯
What do people who can’t even do 5 reps of push ups need a gym for?
@@aethylwulfeiii6502thats like saying people who can already do 5 reps dont even need the gym🙄🤔
I used to take ciprolex and before that Effexor. I gained 30 - 40 lbs.
I switched to Wellbutrin, lost all the weight & then some. I changed nothing else.
At one point, when on ciprolex, I tried Ozempic. I don't recommend it!!
Some mental health drugs def make you gain weight and I have only found one that helps me lose weight, as said above. However, I can't say I am happier.
My latest motto is "fat and happy or skinny and miserable?".
Ps, Doc:
No one. And I mean NO ONE goes to the fridge for a nighttime snack and chooses broccoli over cereal. NO ONE. I'll die on that sword. (Unless the broccoli is covered in bacon or cheese. Or both.)
I gained 10lbs from Wellbutrin after only one month. It also made me very angry so I got off of it. I'd love to find a psych med that made me lose weight, it seems like no medication does that for me.
I have gained 100lbs on Abilify. My doctor wanted to put me on Ozempic but even with insurance it was over $200 a month which I can't afford. I'm still struggling to eat better and avoid sweets. But it's absolutely a struggle.
I blew up on Abilify too😳😖
@@mthompson5383 me too. But when I tell my doctor about it, he just says I need to exercise more. He says that because he has a set down job and he says, for instance, if he got up more and did more things, then he would be thin himself.
@Lucakat It's hard. I don't know why some of these meds make us gain weight. It's not fun😩 It's hard to lose it once it's packed on😕 People who've never taken these pills wouldn't believe how they can absolutely skyrocket your weight. SMH Too bad because we're just trying to beat depression🙉💯
@DJ Surferdude I'm sorry it didn't go well for you
Just a suggestion; cut down carbs and sugar and not only will the weight come off, body inflammation will reduce.
I’m 6 feet and 245 lbs. I have no escape from this, I’ve tried everything to lose weight and I only gain. I need this
It is hard for me to lose weight , before these medications I was decent weight . I had decent muscle tone , and the extra weight was mostly from muscle , little fat from getting older ( I am 34 now ). Even when I was eating better I only lost a little of weight I put on post medications .
One of the most insightful videos on this topical subject. Excellent!
Tracey, you're such an inspiration of mine. You are literally chaning and even dare I say, saving lives. I just love you, love your mission and the work you do !
A 5 or 10% weight loss is a very good step for reducing risks of heart disease and diabetes. Not to mention joint pain.
Does anyone else notice how the backgrounds are matched to Dr. T's outfits? I would love a tutorial on the visual creative process behind this. It's cutesy and brings some levity to serious topics.
I've been losing weight very slowly by calorie counting. It's taken me 14 months to lose 30 lbs. I definitely want to lose probably up to 50 more pounds, however I am scared of having loose skin. This is partly why I've gone so slowly, that combined with I think that it will help me maintain my habits easier if I don't restrict myself too much. I've already lost fullness in my face that has been freaking me out because I look older than I did a year ago. I also know I'll have loose skin to some degree no matter what but maybe this snail pace will help.
Before I went on any psychiatric medication, I was so depressed and anxious that I was barely eating it all and was always told how good I look. After getting on medication, which saved my life, I gained a lot of weight very rapidly and I've been obese ever since.
Now that's real power
Get your metabolic testing. Test the thyroid and the diabetes tests.
Thyroid can greatly affect your moods! It will often be an underlying issue causing mood issues that alot of doctors gloss over
Same
I gained like 80 pounds very fast taking lithium and seriqull when I was a teen. also did a lot of binge/comfort eating over the years from emotions as well.
I’m 27 and 5 foot 2 -over 200 pounds (what would be considered very obese medically)🙄 my worst was 270s
Even off meds
I had NEVER been able to get the weight off. I hate it because I carry weight in my low stomach and
I look pregnant all the time
Finally lost some
Honestly from … let’s just say from bad habits
But I feel like my face got so wrinkly! And yeah my stomach is less huge ..but the loose skin just makes me feel worse about myself.
And my boobs got a lot smaller (making tummy look bigger)and look so saggy and awful
Still obese
And covered in permanent stretch marks.
It’s the worst
Thank you for your comment. This is what I'm struggling with now.
I'm probably older than you, but the hollowing and volume lose in my eyes and cheeks from weight loss makes me extremely self conscious and sometimes depressed.
Especially since it took me over 18 months to lose 50lbs and I have another 25 I can't seem to lose.
I also have sagging skin, but I've had it since I was in my 20's from major weight loss and having children.
I work so hard around my physical and mental health issues... It's simply not fair. I just want to finally be beautiful to myself and yes weight loss is part of that
@Ayemik Senoj I'm 51. It's a struggle. I carry a lot of weight in my lower belly too.
Kudos for this well-measured, comprehensive explanation of these weight loss drugs. You are a gift, Dr. Marks.
Thank you for this! I was a late dx with ADHD and when I began taking Vyvanse I gained 30 pounds. The medication has helped drastically so I don’t want to quit. I was trying to explain to my MD that with ADHD I struggle with dopamine hits by eating sugar and also eating for stimulation. I got the, “Try harder” and “try weight watchers” response. Thank goodness I have an APRN, that prescribes my Vyvanse, that understood my struggle and prescribed Mounjaro. If MD’s better understood the mental health piece and how it can affect relationships with food - they might shame less and prescribe something that helps (along with a dietician and discussing exercise).
I am not overweight in spite of a high BMI but I really appreciate your presentation. This is very informative. I live in Tanzania presently and I rarely eat refined sugar products or bread. I eat more fruits because they are easily available. I have lost a significant amount of fat from my body and I have lost muscle because I cannot find a gym where I could continue my heavy barbell weight training. My people are becoming obese here due to sedentary lifestyle and consumption of high amounts of starches and processed foods. This is great information to pass to others. Thank you.
Thanks Boris. That's great that you've gotten off refined sugar and bread. I'm working on that. I had too many scones in 2022 😀 But you're right, it's pretty easy to become obese with a sedentary lifestyle and a highly processed carb diet. I'm sure you see the difference in how you feel with those diet changes.
Yes, I am at 79.3 KGS(175 lbs) at 173cm(5'8") which yields a BMI of 26.5 and 34 in waist. Easy access to fresh fruit is better than medicine!
Here in America junk food and bread is way cheaper than healthy food, and fruits and vegetables. Only wealthy people can afford to eat healthy. Growing up we were so poor we lived off of ramen noodles.
@@borisdelaine9797 thank you fora sharing your experience. Here in USA, drs. Want you to limit your fruit consumption due its high sugar contents.
@@Paz66 The only sugar that my body receives is fruit, rice and ugali (cornmeal dough)
I agree with changing eating habits but the thing is, the GLP1s remove that food noise from your head. So while you’re on it, you WANT to make healthier choices, you aren’t craving the same old junk food.
So it seems that It doesn’t matter how healthy you get while on them, once you remove the drug and the food noises comes back, the weight will too.
Growing up, I got lots of distorted, negative messages from my father saying people who are overweight are fat, lazy people, who have no self control.
I even went to an eating disorder treatment for restricting and binging when I was 5' 6" and 135 pounds.
I later learned that many other things can be causes for weight gain. Medications and health problems being the biggest culprits.
Then, I learned first hand from years of psychiatric medication intervention and management. I am now dealing with three or four health problems that come with obesity.
I am still trying to figure out how to heal my body- still - after my initial psychiatric diagnosis just about almost 20 years ago.
Ugh.
Thank you SO much for the information!
I didn’t lose any weight on Metformin and I’m pre diabetic. And unfortunately the medication makes your urine smell like fish, and where it comes out … Just giving you a heads up if you are considering it for weight loss.
I love this. One thing I hate with my medications is that I can eat so much healthy food my stomach hurts. But I won't actually feel full until I eat quite a lot of carbs. When I'm unwell and have low energy it's easy to skip the healthy part of the meal and jump right to the carbs that will fill me up.
Try red kale as a salad- it makes you feel very full.
LOVE the THICK or BIG BONED comment...Yesss Dr. Tracey! lol
I was so so afraid to take escitalopram for panic disorder, thinking i would gain weight. In fact the opposite happened. Since i’ve been taking it (17 yrs) i only eat when i’m hungry, resulting in being classified as slightly underweight according to bmi calculations.
I wish this was the case for me.
Marvelous video and very timely for me. I will refer back to it and take some notes. Thank you for what you do Dr Tracey Marks.
I gained about 20kgs within just a couple of months when I started on the depo shot...
Also many people with lipoedema says that ozempic help them not only with weight loss but that it takes away their joint pain and they become much more mobile thanks to that. That to me sounds like a pretty valid reason to get the medicine.
Thank you for providing the information for awareness. I know you are not a video editor but a doctor but I I believe this video will reach a better benefit if the warning of these medications are emphasized early. I watched your entire video and I couldn’t help sense your connotation rather leaning to over positive to consumers or in this case your patients. As these meds are prescription based, the highlight would be keen on the doctor’s morals and strong logic to make that easy decision for the long term impact on patients or in this case, we can never know what the side effects of these new meds. And weight loss medications could have impact even more severe towards patients with mental disorders. To fix any problems when it’s far too late, this tends to be the issue. People love quick fix rather than a long term commitments . I always admire doctors who raised the awareness in the right way and be that filter for the patients
Well said
Hi Doctor! You are AMAZING!! Also, do you think the weight loss medication would work for someone like me who has Hashimoto’s? Thanks again for all you do! 🙏🏼💕
Before being diagnosed with narcolepsy and ADHD, I had a booty. Stimulants robbed the only thing that made me confident. I’m underweight and shaped like a teen boy. I’m sad now.
ADHD and chronic illness have caused me to gain weight and make it very difficult to lose. I was on contrave for a bit and it helped me lose like 10lbs, now I've been given Ozempic but I haven't started it yet because I have other chronic health issues that cause symptoms that make me very sick so I need to make sure I'm in a good place before I start, Ozempic can be hard on the body.
This video was very necessary! Thank you Dr. Marks, this will definitely be a topic of discussion when I see my PCP in few months!
I love Ozempic. Makes me not hungry at all. Don’t even think of food.
Greetings from Venezuela, South America, dr. Tracey Marks.
Thank you! I’ve had people tell me that bipolar is not real and to get off my antipsychotics. Yet, they seem to ignore and get mad when people have episodes.
People say unintelligent things like that to me, too.... they don't share our life experiences so they are ignorant. Ignore the haters. 💖
If you gained weight from emotional eating then this isn't a solution, because this only addresses the physical symptoms of hunger, not the emotional ones. It's why people like Amber Lynn Reid took Ozempic and still overate.
Some people just gain weight from the mental health medication though. When I first went on Mental Health meds, I gained 30 lbs in 3 months!
Thank you so much for the info I am going to bring this up with my primary care doctor to help with my weight loss especially due to GI issues on top of being over weight
Antidepressants has caused me to gain 50 lbs over the years
I have used Ozempic for almost a year now and i am only 3 kg from my goal. I managed to lose 12 kg at first, but gained 7 back in a depressed period. I asked my doctor and he agreed to give me oz, and I am down 21 kg now. I do experience some side effects, but the gain makes it worth it! I fit in clothes I couldn't fit in for the last 12 years. Everything gets easier. Luckily I only pay 130 dollars per month where I live. I am worried about the day I must stop, but I will have a stronger focus onward on what I eat. So I still might have a chance staying slim.
This Video is Awesome 👌 Thank You so much for sharing..Knowledge is powerful! I have been struggling with my weight for years 😩 and have been Praying that one day that There is a cure! With Thyroidism it's difficult to loose weight. I've been on Synthroid medication for years and for me it does not help with weight loss. Thanks Again for sharing 😊
Has Lexapro caused anyone to gain quite a bit of weight? I’m now around 160 lb and was around 120 lb before starting. I always feel hungry for carbs, like stressed if I don’t have snacks. 😢
Yes.
Yes I started lexapro and went from
105 too 125 I’m 5 feet tall so it’s noticeable.
Same!
Ugh, it’s so frustrating! Idk whether to just deal with body image struggles bc it’s helped my panic attacks and general anxiety.
@@Herzeleid1985 i’m not one to switch around with medicines but I think I’ll go back on Zoloft
I never gained weight on that and the ONLY reason I switched was because a marble slab fell on my head from my attic and I got a concussion and it was so weird that my anti-depressant I was on just stopped working . So we thought we should try switching up and that worked with adding Wellbutrin to it so I’ll definitely talk to my doctor and switch back to Zoloft.
BMI doesn't account for bone density or muscle mass. It's such a stupid metric.
Thanks, Dr. T. My doctor is researching medication to see what we can do to help me lose weight from my psychiatric medication. One of my biggest hurdles is that I’m disabled and as you know Medicare doesn’t like to cover much.
I currently take Trintellix as my SSRI which “supposedly” is the only FDA approved antidepressant that doesn’t cause weight gain. That’s not true at all.
I’ve read a lot of articles about this Wegovy which sounds promising but not only is it probably NOT covered by Medicare, but the demand is greater than the supply and even if one COULD afford it you just can’t find it from what I’ve been reading.
Thank you for your educational videos. I’ve learned so much from you.
Paul
🌴☀️🌴
You rock. Excellent analysis and communication skills.
This is a detailed explanation of these drugs. Great job!!❤
Taking Ozempic off-label for weight loss is irresponsible. I'm diabetic and went 4 weeks without my medication because of all the off-label loss. I cannot switch medications for other reasons.
When I read a comment like yours my heart sinks. That’s beyond awful 💔 I hope something works out for your situation
Weight gain needs to be seen and addressed as a sign that something in your body is not running right and a sign of your body pleading for help.
Not that you're ugly or gross or stupid.. Your body is screaming for help.
Get tested for diabetes and thyroid and other METABOLIC DISORDERS .
Thank you. Your information is such a help. God bless you.
Important also to note the fat bias not only in general society, but also in healthcare in many places - I understand that it's particularly bad in the US and France. This in itself is very damaging to mental health. BMI is incredibly inaccurate, but is heavily relied upon to determine healthy and unhealthy weight.
For anyone interested in learning more, I highly recommend the podcast, Maintenance Phase which talks about fat bias and it's effects, diets, science around "obesity" and impact in health - focussing maintenance on the US, but alot is still incredibly relevant for those of us in other countries.
I experienced a lot of trauma in my teenage and young adulthood and as soon as things got safe and stable I gained a ton of weight and got D2. I made life style changes and my D2 is stable but it only feels like the weight has gotten worse. Its very frustrating
on Sema, I LOVE SUGAR - here’s what I have learned -my suggestion is have a mineral blood panel before you begin, I was low in iodine, chromium, B1 , I had no idea that all three of these nutrients CURB sugar cravings and mine were low 2) after four weeks insist your liver enzymes are checked and 3) bile salts and apple cider vinegar after ANY FOOD stopped all sulphur burbs and nausea
Good Luck , 4 months and down 30 lbs, I take cod liver oil so my skin doesn’t sag.. ❤
If you added floating titles translating pounds/feet into kg/cm, that would make the video very useful anywhere outside of the USA
I wonder if these medications will help women w PCOS? Considering weight gain is a symptom, and have issues with insulin regulation.
So I'm 5'8" 215 lb and I'm adhd taking a stimulant. People normally think of stimulants reducing appetite but mine make me not hungry during the day so I eat a lot late and at times when you aren't supposed to eat because that's when my meds aren't suppressing my appetite so it's kinda doing the opposite of what you think it'd do
it is better to lose weight in the long run but correctly, than to lose weight quickly and unwisely
I've been on anti-depressants and psoriatic arthritis medications for about 12 years. I gained about 40lbs from prednisone alone and another 40lbs from anti-depressants I've been on. My doctors have been useless, all I've heard over the years is "eat better, exercise." NO it's the dang medication! I was not overweight before all this crap. My eating habits are pretty good and I have good portion control. I know I would benefit so much from weight loss medication.
I've been reading a lot about the shortage of Ozempic for people who have diabetes, the implication is that its popularity as a weight loss drug is causing the shortage for people who need it for diabetes. What are your thoughts about this perception?
I gained weight from using alcohol for pain management so I feel this. Even with healthier eating and exercise, the effects on my body make it difficult to lose fat in certain areas due to stress and pain.
Excellent information, thank you
I really love your content!!!
Can you do a video on the dangers of medications? Particularly Antidepressants SSRI/SNRI and Benzodiazepines? Detailing how there's no evidence showing safety, effectiveness or improvement beyond 6 months meaning we have no idea what could happen post 6 months? And Medication injuries when people use these meds responsibly?
What advice would you have for someone who takes SSRI medications but already has a healthy lifestyle, exercising 3-4 days a week and eating a healthy diet?
I'm not a doctor- can only speak from life experience. But, as someone who was already fit/was eating a healthy diet/was at a healthy weight before I went on psychiatric medication, my drugs caused me to gain 50 lbs so after years of not being able to lose the weight despite exercising and dieting, I begged my doctor to put me on Metformin after reading journal articles about it and I'm already losing weight in just 3 months. I think it varies for every individual. In my case I was already healthy and I needed the weight loss drug because I'm not able to come off my medications. However, some people can lose the weight without weight loss drugs but psychiatric drugs affect everyone differently. (Metformin is also not FDA approved for weight loss but weight loss is a side effect since some psychiatric drugs cause pre diabetes which makes you insulin resistant. Metformin increases the healthy "brown fat" as well that the doctor mentions in her video. If I had known about these newer drugs though that can cause even more weight loss than Metformin, then I would have asked to be put on one of them instead of Metformin).
Mam.I am from India.i suffer from panic disorder and somatic symptoms for 7 years.please put a video on death anxiety and existential thoughts.
After a series of miscarriages and 2 still born babies, I was given antidepressants. I had spent 3 months in bed not speaking, and became afraid to leave my house. The pills eventually helped me to feel more normal. I had 2 children to care for.
Well I found myself gaining weight, so I went to the gym, lost the weight and ended up gaining more. I tried everything to keep my slim figure, but kept failing, which made me sadder.
It wasn’t until I had been on medication for more than 10 years, a female dr finally told me that antidepressants cause weight gain. I had already gained 80 lbs. I wish they had told me this in the first place, I would have tried something else.
Thanks so much for this.
once i tried topomax for bipolar disorder and lost 20 pounds in 4 weeks omg I looked awful but wasn't aware of it at the time.
I hate that drug, it permanently affected me cognitively. I still have memory problems and have difficulty with word finding even though I stopped taking it after a year. This was 9 years ago. When I was taking it, it was absolutely awful. I would forget what conversation I was having right in the middle of it. It was very frightening and embarrassing. Also, I only lost 12 lb at the most.
@@BeautyIsMyLifeI CERTAINLY FEEL BEYOND STUPID for the life I've been living since.... like I'm half the human I was before this nonsense ugh
@@BeautyIsMyLife That drug destroyed my memory too, I am glad to be off of it but like you said I still have memory problems even being off of it. I didn't lose any weight on it so I didn't get any benefit!
Thank you. This helps a lot. I was prescribed Ozempic to help with weight loss and pre-diabetes. So listening to the information makes me feel a little better, and I can plan ahead with the education.
I made it to the 2nd increase with Wegovy and I couldn't tolerate the nausea. I have felt physically and mentally horrible for most of my life. I guess I'm not vain enough to make myself sick to loose weight.
That is good news because there are a lot of people particularly women who have gained a lot of weight while taking medication for depression or other mental health issues and as a result devolpe depression
I gained a lot of weight after an allergist gave me steroids and while mask-wearing since 2020 has gotten my allergies under control, my gender dysphoria is absolutely horrible when I'm heavier. I desperately wish I could afford treatments like this. It should be considered transition-related care for some of us.
I have PCOS so I've struggled with insulin resistance, but on the flip side, I have a naturally high metabolism so weight gain has never been a huge issue for me (I'm actually just above the BMI that would be considered underweight for my height). I recently started taking Wellbutrin a few months ago and it has completely killed my appetite- my insulin resistance has nearly disappeared but I don't want to wither away 😭😭😭😭😭😭 I actually want to bulk and gain some weight/muscle but it's making it nearly impossible...
Are you taking the name brand or generic?
Weight depends on individual build too. Smaller frames need to weigh less. Medication affected my weight. At almost 5'9 I weighed 130 lbs and wore a slim cut jean in a size 6.
Thank goodenss for these new options to treat weight gain!!! No more relentless body shaming by healthcare providers, even when they know full well that you take weight gain meds, and were skinny prior to the meds. It just so f*cked sometimes how embedded weight stigma is within medicine.
First time I took Zyprexa I gained 100lbs. It was brand new and I was taking it for depression. The second time I took it was for BP-2 and the psych I was seeing PROMISED to monitor me. Guess what. I gained another 100lbs in addition to the 100lbs I hadn’t lost before. If you need Zyprexa, I won’t even refill it for my patients except if a psychiatrist started it AND ONLY enough to get you by until you can see your psychiatrist. It is just too strong and dangerous to think about giving in ObGyn (my specialty) or even primary care.
I've actually lost 45 pounds since I started Weight Watchers last April... IMO Weight Watchers is the most effective way to lose weight ..
No that's a yes. I understand how these people feel. Half of my medications my insurance will no longer cover it was found it is used to treat long covid. Upsets me that I have to live with chronic OCD and I also have long covid lol just no money.
I needed to lose weight before I could have my knee replacement surgery. I used Noom. The thing I liked about this program was that it worked on the psychology of eating rather than just focusing on what you can and can't eat. I lost about 50lbs on it in the beginning and a year and a half later I still use so much of what I learned when I hit a set back or find myself struggling. Much like you, they give you tools to figure out why that struggle or set back is causing you difficulty. So much of weight loss is psychological not just cravings or bad habits. I'm not a sponsor for them but I did have good results and not only did it help me with my weight loss journey but also with dealing with a painful divorce during the same time. There is no quick fix to weight loss and understanding the why's and how's goes so much farther than "you just need to do this and that" for rapid weight loss. Rapid weight loss rarely stays off unless you change your habits and understand how those habits came to be.
My doctor prescribed me Phentermine. I was hesitant because I didn't want to rely on a drug that is only allowed to be used for 3 mos. I was only able to take one dose. It gave me intense side effects and I quit. I wasn't comfortable with it being an amphetamine. I worried about becoming addicted and what psychological affects would occur during use and upon stopping it. It triggered my anxiety, insomnia, and agitation.
I'm trying to just go the natural route now. Also I'm looking at weight loss from a mental health perspective by supporting neurotransmitters with healthy whole foods.
Thats the main ingredient in meth
Congratulations you're on Meth
I’m on my 2nd month with it and down 15 lbs combined weight watchers. In the beginning it gave me a big caffeine like rush. I’ve learned to work out as soon as I take it so I don’t have the jitters. Aside from that I have dry mouth and drink a ton of water.
That drug us awful. Like speed. Causes a ton of issues. My opinion an my research an personal experience on myself an with a friend. She went paranoid on it. We are no longer friends cause she went whack an accused me of sabotaging her marriage...huh?? Came out of left field. Haven't talked in 6 yrs.
Sadly I have a lot's of these issues. And sadly weight gain came after my health issues, which are chronic kidney disease, Fybromyolgia and arthritis. And not being abel to work, I'm poor and can't deal with any of the health issues or afford weightless plan. So I'm stuck at 90KG with 163cm hight. And no hope for me. I just try eat as little as possible, and taking all my vitamins. I eat a small sachet of borage in the morning. And cup of coffee and toast at afternoon. If I eat more I gain weight. And I already don't like how I look at 90KG. I always use to be UK size 8. Now I'm size 16. Disgusting.
I remember when I was taking quetiapine, I would wake up at 4am really hungry and would eat anything inside the fridge. I was half-awake munching while sitting in front of the open fridge. That’s the reason I hated that medication. Good thing my doctor found a good combination and they’re still my medications-we just calibrate it depending on my present situation.
Ive gained 35 lbs in the last year since starting SSRI's. Last time I did SSRIs I had gained 50 lbs in a year. Its definitely the meds. I feel like I need 12 hours sleep daily now but hey at least I'm not having panic attacks. It stinks choosing between mental health and physical health.
Thank you for this video!
My diet hasn't changed at all since starting medication and I've put on about 15% of my bodyweight. I'm really self conscious and don't know what to do - any suggestions?
I'm 27, I've been on SSRI's and 2nd gen atypical antipsychotics since I was 16. All to combat severe and complex panic disorder. In recent years, especially after starting Seroquel, I gained so much weight. I now weigh 108kg (238lbs). With my height of 194cm (6'4") I have a BMI of 28. Granted, my daily activity is very low due to being scared of leaving the house. But I don't eat much either. I typically average between 1600 to 2000kcal a day. Yet my weight keeps going up, and up, and up. Which is fueling my self-hatred and suicidal ideation and starting to cause an eating disorder where I prefer to starve myself rather than to eat out of fear of gaining even more weight. I would give everything I have to go back to weighing 90-92kg (202lbs). But I definitely do not want to ever experience galstones. Should I discuss these types of medication with my GP or Psychiatrist?
You should definitely talk to you doctor about your weight gain on Seroquel that is slowly leading you to an eating disorder. I feel you because I gained weight too on Seroquel. It's not easy to lose weight with an office job. But I try to stay active with a TH-cam workout at home to not make it worse. Hope everything will go well for you and don't let your weight bring you down ❤
It's good that there are more options now.
I lost my sense of hunger some 14 months ago and remembered in time that I could try intermittent fasting that way. Funny enough, before that I've eaten more even not being hungry, but having a time frame helps a lot. I'm not sure if it helped my mental health because war, but the scales don't lie and something is really happening :)
How did you lose your appetite? Do you live in a war zone?
Covid. And yes, I do.
@@TechieSewing You've got it rough! Ukraine?
@@2degucitas Yep.
Hello, Dr.Tracey! Could you do a video about the interaction of alcoohol with psychiatric medications? What are the meds we should never mix with alcoohol?
Unfortunately, most of them honey
I'm only 5ft tall on a good day, and my highest weight is 180 (it fluctuates by like 15lbs) I have a decent exercise schedule --1 hour of walking every day-- and I only eat once a day. I've always wanted to lose weight to feel better about myself... I do take Zoloft but it can only help me so much, y'know? I've spoken with my doctor about wanting to lose weight, but she only ever says exercise more; she doesn't seem to be worried because my blood pressure is 'perfect' (averaging 110/72 and lower). She seems to treat my weight loss goals as cosmetic. But you can't be obese and healthy, right? I'm a little confused
Being 5' and 180 lbs is NOT healthy...it IS if you're working out and most of that IS muscle but I doubt it...
BMI is incredibly inaccurate and no, excess fat does not always equate to poor health. However, I also understand that your doctor's dismissal of your concerns to be unhelpful. I found listening to the podcast, Maintenance Phase to be very helpful in understanding just how damaging it is, our societal pressure to be thin, including causing further weight gain. I find them funny too, so also very entertaining to listen to.
I do understand how a weight gain side effect might not be something you can easily live with, especially if it is very significant and that's something your doctor should take seriously, it's your body after all.
Other than that, you might want to consider if eating once a day might be a disadvantage, if you are hungry the rest of the day your body may have adjusted your metabolism to make up for the starvation periods. Fasting needs to be done carefully if you are going to do it, as it might have the opposite effect of what you're intending. Everyone's body is different and there is no one size fits all to weight loss. What is universally healthy is highly nutritious food (a lot of whole foods, minimum to no processed foods) and excercise (education might be needed to learn how to excercise safely for your individual body and fitness level).
If we focus more on our health while learning to love our bodies, I feel that is much more beneficial.
As someone in her late 40s I wish that I had appreciated the body I had in my 20s, I wasn't unhealthily fat, but upbringing and society made me feel like I was and that led to a bad relationship with food, leading to calorie restrictive dieting and binge eating, which only made things worse. I look back on photos and realise how beautiful I was. And in 20 Years time I'll think the same about the body I have now, so I'm trying my best to love it. Yes, I need to be fitter, yes I need to eat more nutrient dense and less processed foods and I need to avoid binge eating. I know from past experience that when my mood improves I cook healthy meals, I am physically active and I don't binge eat, so my priority is improving my mood.
Self esteem is very important, but may I suggest that trying to improve it by attempting to conform to society's idea of beauty is a losing battle.
Good luck in your journey of improving your mental and physical health ❤️
Dr , could you please do a video on Duromine 40mg , phentermine 40mg please please , if these medications can increase dopamine / blood pressure when someone is overweight & also has borderline personality / bipolar disorder 2
🙏🏼🙏🏼🙏🏼🙏🏼🙏🏼 thxx
Dr. T amazing videos. I wanted to ask……
Who edits your videos and thumbnails. I would like to work with them on some of my projects.
Thank you very much have a blessed day :)
PHENTERMINE PHENTERMINE PHENTERMINE!! If you struggle with a large appetite and low energy THIS IS YOUR FIX!!! Changed my life nd the way I looked at health in general all off how I felt!!! WORTH IT !!! ❤GOOD LUCK AND LOVE YOURSELF EVERY STEP WILL PUSH YOU FURTHER AND LONGER!!!
During the initial 60 days, I shed 30 pounds by using Rybelsus at doses of 3mg and 7mg. Yet, in the subsequent 60 days, I've observed no further weight loss while consuming Rybelsus 14mg, and my hunger levels remain unchanged. Is this lack of progress typical, and would it be wise to persist with Rybelsus 14mg? Thank you
Doctor Tracey, i enjoy your Educational presentation , but i am living at the end of the World. i cannot New Zealand.
It's really hard to get your insurance to pay for it. My husband was on Mounjaro through a discount program. They canceled the discount program and he wasn't able to finish his year. They tried to get some that were fda approved cleared through our insurance and they refused. He's lost a hundred pounds and is still obese, but insurance is refusing to pay for it. He's so depressed about it. I wish there was a way to get it cleared for him through insurance. I'm going to appeal, but it is the equivalent of writing a research paper with studies and sources. I have 4 kids, and he finishing his master's and working full time.
Thank you, doctor...