A weight-loss drug everyone wants is exposing myths about obesity

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People living with obesity and clinicians say discussion around Wegovy and Ozempic has veered down a toxic road, highlighting long-standing biases against people whose health is severely affected by carrying extra weight

since she was a child. The Peace River, Alta., resident is 160 pounds heavier than the weight recommended by her doctor, and it affects every aspect of her life.

While she waits, her doctor prescribed Ozempic, a brand name of semaglutide, a medication originally released in Canada in 2018 to treat Type 2 diabetes. Semaglutide mimics one of the body’s own hormones to help people control their blood sugar – and also lose weight by promoting a feeling of fullness.

As a result, many people with obesity are left looking to the next best alternative – Ozempic – although for a number of them, insurance won’t cover the cost. The Canadian Medical Association officially recognized obesity as a chronic disease in 2015, and while millions live with it, many go untreated and there have historically been few effective medications.

News headlines, for instance, have blasted viral TikTok posts for fuelling a frenzy around these drugs and blamed celebrity culture – unfounded speculation suggests Kim Kardashian’s rapid weight loss last year was the result of Ozempic – for creating the shortage.the popularity of Ozempic on social media is the driving force behind shortages they say could put the health of people with Type 2 diabetes in jeopardy.

Nearly 30 per cent of adults in Canada, or more than seven million people, are obese, according to Statistics Canada’s 2018 Canadian Community Health Survey. It’s a complex and often misunderstood condition that has roots in genetics, a patient’s medical history, and social determinants of health and behaviour. The so-called obesigenic environment we live in – easy access to processed, calorie-packed foods combined with sedentary jobs and reliance on cars – also plays a role.

Plenty of people with obesity go undiagnosed and many others go untreated, despite it being one of the most common chronic diseases in Canada – even more so than diabetes, which afflicts about 5.7 million Canadians.

“This isn’t an individual moral failing,” said Heidi Dutton, assistant professor at the University of Ottawa and Ottawa medical director of Aroga Lifestyle Medicine. “We really need to be thinking about obesity the same way we think about these other chronic metabolic diseases and not blame people for looking for an effective therapy.”

 

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The most prominent bias against the obese is from people who tell them to their face they're healthy at any weight.

Also suggesting 'off label' may need some gatekeeping

There’s a miracle cure for obesity too many people ignore. It’s called “stop shoving food in your mouth and move your body more.” Has about 1 million years of trials backing it.

Here's a free drug: exercise. Get off your gargantuan ass and do some exercise. If you need to lose weight by swallowing a pill, you're doomed for failure.

The last two studies of this drug show that between 38%-41% of weight lost is from lean mass. It's an eating disorder in pill form that will reach trillion dollar revenues because of pharma driven government and public health support.

However we help each other to improve our lives, let’s remember that shame and humiliation are worthless for recovery. Love and patience are key as we remember “there is always room for improvement”

.. 'Myths'.. How about choice? Snowflake ❄️ society. can't hurt anyone's feelings, exhibit self-control or take self-responsibility -- has to be a 'condition' for that to blame it on.. Maybe I can blame my parents? Yeah, it's heritable/their genetics to blame. Not what i eat/do

Eat less. It works

'Everyone'? Right...

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