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372 points Eumenes | 2 comments | | HN request time: 0.481s | source
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tomhoward ◴[] No.42201055[source]
I'm not commenting specifically on the heart-muscle aspect of the study, but it shouldn't be a surprise that the weight loss from this drug is significantly attributable to muscle loss; it almost always is when dieting. It's the same with keto/low-carb or any other kind of caloric-restrictive dieting (which Ozempic facilitates).

The modern weight-loss programs I'm seeing now (at least those aimed mostly at middle-aged men) emphasize consuming significant amounts of protein (2g for every 1kg of body weight each day) and engaging in regular resistance training, in order to maintain muscle mass.

The article addresses this:

To keep muscle strong while losing weight, Prado says it is essential to focus on two main things: nutrition and exercise. Proper nutrition means getting enough high-quality protein, essential vitamins and minerals, and other “muscle-building” nutrients. Sometimes, this can include protein supplements to make sure the body has what it needs.

Perhaps there needs to be more formal research into this, and a strong recommendation made to everyone using these drugs that this kind of diet and exercise plan is vital.

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0xEF ◴[] No.42202701[source]
Diet and exercise. It always comes back to that, yet people avoid it like the plague.

The modern weight loss program you described is pushed because that's what people want; an extremely low-effort methodology that yields extremely high results.

The idea that their is some silver bullet to weight loss has dominated the US health market for ages now because selling someone a pill that they don't have to do anything but swallow and be cured is really, really easy.

Having gone through my own weight loss journey, I have seen first hand how attractive that is and fell for it myself twice. So have loved ones, one whom is no longer the same person because they got gastric bypass which resulted in a massive change to gut and brain chemistry, something that we seem to be just figuring out is connected. My own journey is not over, but there are no longer any medications or supplements involved, because I can say with authority that none of them work without good nutrition and physical exercise.

As I realized this and just put more work into eating better and doing more activities (I did not join a gym, but started riding my bicycle more, walking neighbor's dogs, and doing body-weight exercises at home, etc, making it more integrated into my day rather than a separate event I could skip), I lost a healthy amount of weight and got stronger.

It took a lot longer, of course, than what the pills promised, but that's the trick of the whole weight loss industry...and make no mistake, it is an industry. Short-term results in exchange for your money. It was never about helping people be healthier and always about myopic profits, therefore we should not be trusting any claims these companies make that their silver bullet is the correct one, finally.

And yet.

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in_a_hole ◴[] No.42202949[source]
How has the gastric bypass affected this person? It would not have occurred to me that the brain would be affected.
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1. 0xEF ◴[] No.42203018[source]
We were surprised, too. Their personality changed to be a lot more aggressive and they started compulsively lying, then stealing things from stores, and some strange draw toward self-harm and getting "corrective" surgeries. Previously, this person was typically pleasant, if not a little outspoken at times.

There is suspicion that they had a pre-existing mental health issue they were hiding, and the very fast changes that happened in their body triggered it to either manifest or get worse. We are left guessing because they refuse to see any doctors that won't just write prescriptions for meds or minor elective surgeries, now.

These days, more and more evidence is piling up about the gut-brain connection, but no conclusions are being drawn quite yet. Though, from my own experience, it is not difficult to convince me that one certainly impacts the other.

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2. in_a_hole ◴[] No.42203064[source]
I'm sorry to hear that happened to someone close to you, thank you for sharing.