Obesity and Ozempic and more (3 Viewers)

[CletiusMaximus]

My Dr. said he can't prescribe Ozempic or Monjauro (which are covered by my insurance with a small co-pay) because those are for diabetes, but he could prescribe Wegovy or Zepbound (which are not covered.) The expense different is significant. He said the drugs are the same, but he can't give me the two that are covered. I could probably get the drug through one of these "health centers" that are all over now, but would prefer to do something like this through my doc. I have a couple friends who are taking Ozempic and neither is diabetic. For those on Ozempic or Monjauro - are you all diagnosed diabetic and did your doctor prescribe it for you or did you go through a health center or telehealth group to get it?

 

[Judge Smails]

My Dr. said he can't prescribe Ozempic or Monjauro (which are covered by my insurance with a small co-pay) because those are for diabetes, but he could prescribe Wegovy or Zepbound (which are not covered.) The expense different is significant. He said the drugs are the same, but he can't give me the two that are covered. I could probably get the drug through one of these "health centers" that are all over now, but would prefer to do something like this through my doc. I have a couple friends who are taking Ozempic and neither is diabetic. For those on Ozempic or Monjauro - are you all diagnosed diabetic and did your doctor prescribe it for you or did you go through a health center or telehealth group to get it?

Pre. A1C pretty steady around 5.9. But not going down. Bad family history and diabetes is especially no bueno for cardiac patients. So we are trying this to see if it goes down. Covered by insurance so lucky on that front

 

[cosjobs]

I say all that full well knowing that something could be really bad in the offing, but somehow for now the lizard is king. He does everything!

(I didn’t know this, but the drug is derived from a lizard’s internal secretion of fluid somewhere for some reason).



She’s a beautiful one indeed

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The cardiologists I trust the most about stuff like this seem to think that its ability to reduce inflammation is driving a lot of this. Inflammation leads to a lot of bad things, so keeping it down is likely to do a lot of good things.

Another study presented at the ESC showed that inflammation was a bigger factor than cholesterol for prediction of 30-year heart disease risk in women. 70% greater risk for women in the top 20% of an inflammation biomarker vs women in the bottom 20%. LDL (“bad” cholesterol) and Lp(a) (an even worse cholesterol for which specific treatments will be available soon) had a difference of about 35% in the highest and lowest groups.

The researchers recommended that everyone be tested not only for LDL, but also for Lp(a) and CRP (the inflammation biomarker).

Inflammation and metabolism/liver are my biggest concerns

 

[Psychopav]

My Dr. said he can't prescribe Ozempic or Monjauro (which are covered by my insurance with a small co-pay) because those are for diabetes, but he could prescribe Wegovy or Zepbound (which are not covered.) The expense different is significant. He said the drugs are the same, but he can't give me the two that are covered. I could probably get the drug through one of these "health centers" that are all over now, but would prefer to do something like this through my doc. I have a couple friends who are taking Ozempic and neither is diabetic. For those on Ozempic or Monjauro - are you all diagnosed diabetic and did your doctor prescribe it for you or did you go through a health center or telehealth group to get it?

Ozempic here, insurance covers it and it's prescribed for the diabetes.

 

[rockaction]

For those on Ozempic or Monjauro - are you all diagnosed diabetic and did your doctor prescribe it for you or did you go through a health center or telehealth group to get it?

Diabetic here. Ozempic is covered through insurance. And it works. A1C under 7.

 

[Brunell4MVP]

My Dr. said he can't prescribe Ozempic or Monjauro (which are covered by my insurance with a small co-pay) because those are for diabetes, but he could prescribe Wegovy or Zepbound (which are not covered.) The expense different is significant. He said the drugs are the same, but he can't give me the two that are covered. I could probably get the drug through one of these "health centers" that are all over now, but would prefer to do something like this through my doc. I have a couple friends who are taking Ozempic and neither is diabetic. For those on Ozempic or Monjauro - are you all diagnosed diabetic and did your doctor prescribe it for you or did you go through a health center or telehealth group to get it?

Go to the Eli Lily website. Download their Zepbound discount card. Have your doc call the prescription to Costco. Give them discount card. Monthly cost is now $550 for 4 shots of the 10mg. Use FSA for more savings. I usually take a dosage every 10 days rather than every 7. So that's more savings. I figure I pay $100 a week for it, and I save at least that much in eating less food. I have no been to a fast food restaurant in 18 months. No cravings while driving around town.

Another good site is polarbearmeds. It's canada. Get the option made in Canada. The stuff from Thailand is not as potent in my opinion. I think ozempic is cheaper than wegovy/zepboudn on that site. Frankly changing it up every so often seems to make it work even better.

Also, yes, I self medicate with this stuff like a heroin junkie. I've got the timing of shots all figured out to a science. But I'm down like 75 pounds and at 13% body fat. So yeah, it's been worth it. life changing. My doc did not want me on it. I changed docs. The new concierge doctor wasn't thrilled either but now she uses me as an example.

 

[Terminalxylem]

My Dr. said he can't prescribe Ozempic or Monjauro (which are covered by my insurance with a small co-pay) because those are for diabetes, but he could prescribe Wegovy or Zepbound (which are not covered.) The expense different is significant. He said the drugs are the same, but he can't give me the two that are covered. I could probably get the drug through one of these "health centers" that are all over now, but would prefer to do something like this through my doc. I have a couple friends who are taking Ozempic and neither is diabetic. For those on Ozempic or Monjauro - are you all diagnosed diabetic and did your doctor prescribe it for you or did you go through a health center or telehealth group to get it?

Go to the Eli Lily website. Download their Zepbound discount card. Have your doc call the prescription to Costco. Give them discount card. Monthly cost is now $550 for 4 shots of the 10mg. Use FSA for more savings. I usually take a dosage every 10 days rather than every 7. So that's more savings. I figure I pay $100 a week for it, and I save at least that much in eating less food. I have no been to a fast food restaurant in 18 months. No cravings while driving around town.

Another good site is polarbearmeds. It's canada. Get the option made in Canada. The stuff from Thailand is not as potent in my opinion. I think ozempic is cheaper than wegovy/zepboudn on that site. Frankly changing it up every so often seems to make it work even better.

Also, yes, I self medicate with this stuff like a heroin junkie. I've got the timing of shots all figured out to a science. But I'm down like 75 pounds and at 13% body fat. So yeah, it's been worth it. life changing. My doc did not want me on it. I changed docs. The new concierge doctor wasn't thrilled either but now she uses me as an example.

Why were some of your doctors opposed? IIRC, your starting BMI was obese, plus you have other medical problems, correct?

 

[Brunell4MVP]

My Dr. said he can't prescribe Ozempic or Monjauro (which are covered by my insurance with a small co-pay) because those are for diabetes, but he could prescribe Wegovy or Zepbound (which are not covered.) The expense different is significant. He said the drugs are the same, but he can't give me the two that are covered. I could probably get the drug through one of these "health centers" that are all over now, but would prefer to do something like this through my doc. I have a couple friends who are taking Ozempic and neither is diabetic. For those on Ozempic or Monjauro - are you all diagnosed diabetic and did your doctor prescribe it for you or did you go through a health center or telehealth group to get it?

Go to the Eli Lily website. Download their Zepbound discount card. Have your doc call the prescription to Costco. Give them discount card. Monthly cost is now $550 for 4 shots of the 10mg. Use FSA for more savings. I usually take a dosage every 10 days rather than every 7. So that's more savings. I figure I pay $100 a week for it, and I save at least that much in eating less food. I have no been to a fast food restaurant in 18 months. No cravings while driving around town.

Another good site is polarbearmeds. It's canada. Get the option made in Canada. The stuff from Thailand is not as potent in my opinion. I think ozempic is cheaper than wegovy/zepboudn on that site. Frankly changing it up every so often seems to make it work even better.

Also, yes, I self medicate with this stuff like a heroin junkie. I've got the timing of shots all figured out to a science. But I'm down like 75 pounds and at 13% body fat. So yeah, it's been worth it. life changing. My doc did not want me on it. I changed docs. The new concierge doctor wasn't thrilled either but now she uses me as an example.

Why were some of your doctors opposed? IIRC, your starting BMI was obese, plus you have other medical problems, correct?

I was ~ 265 lbs and 5'11". So obese on the BMI scale. I am a large built guy though. I did one of those weight guesser guys at a circus and he guessed 220 lbs when I was at 270. Nobody ever thought I was over 240. Even my wife. I played a lot of sports growing up, so muscle has never been an issue. And the BMI is just a stupid measurement. Everyone knows it came from some Dutch statistician like 100+ years ago. There's ZERO science behind it. But was I overweight ... definitely. Heart issues with my family history, but none so far with me.

Ozempic was fairly new when I started in like Sept 2023. My doc at the time was a follow the NIH/HHS guidance type doc. I guess most of them are. They have a checklist from the insurance companies for shots, BMI and whatever ... they simply run tests and give immunizations when told by the computer. Ozempic was on short supply and I didn't have diabetes. She said she had clients that needed it more than me and I think she did one dose, but after that would not prescribe. I fired her the day she said others were more needy. So I did an online doc that prescribed it immediately. Then I switched to a MDVIP concierge doc that my wife uses. She's tough on me. My weight stays around 200 and my cholesterol once at 240 is at 155. She still has problems with me like not using my CPAP. I avoid it because I no longer snore. but she still wants me in it.

I now use Zepbound instead of Oz. It's cheaper and no side effects. Oz would make my stomach nasty the night I took it.

The biggest benefit of losing the weigh was the ability to exercise more without feeling terrible. I can jog 5 miles easily. I knock out 45 mins on the Peloton every other day. I lift every other day. It's easier to make exercise a part of life if you don't feel terrible every time you do it.

It's been life changing for me. Don't feel like I'm gonna die at 65. It's not for everyone. But when it works out, it's special

 

[FarFromHome]

My Dr. said he can't prescribe Ozempic or Monjauro (which are covered by my insurance with a small co-pay) because those are for diabetes, but he could prescribe Wegovy or Zepbound (which are not covered.) The expense different is significant. He said the drugs are the same, but he can't give me the two that are covered. I could probably get the drug through one of these "health centers" that are all over now, but would prefer to do something like this through my doc. I have a couple friends who are taking Ozempic and neither is diabetic. For those on Ozempic or Monjauro - are you all diagnosed diabetic and did your doctor prescribe it for you or did you go through a health center or telehealth group to get it?

Go to the Eli Lily website. Download their Zepbound discount card. Have your doc call the prescription to Costco. Give them discount card. Monthly cost is now $550 for 4 shots of the 10mg. Use FSA for more savings. I usually take a dosage every 10 days rather than every 7. So that's more savings. I figure I pay $100 a week for it, and I save at least that much in eating less food. I have no been to a fast food restaurant in 18 months. No cravings while driving around town.

Another good site is polarbearmeds. It's canada. Get the option made in Canada. The stuff from Thailand is not as potent in my opinion. I think ozempic is cheaper than wegovy/zepboudn on that site. Frankly changing it up every so often seems to make it work even better.

Also, yes, I self medicate with this stuff like a heroin junkie. I've got the timing of shots all figured out to a science. But I'm down like 75 pounds and at 13% body fat. So yeah, it's been worth it. life changing. My doc did not want me on it. I changed docs. The new concierge doctor wasn't thrilled either but now she uses me as an example.

Why were some of your doctors opposed? IIRC, your starting BMI was obese, plus you have other medical problems, correct?

I did one of those weight guesser guys at a circus and he guessed 220 lbs when I was at 270.

Not at all trying to make light on your journey. Congrats. Happy for you. I just wanted to comment on you using carny folk to back up the idea that you were heavier then you look. Epic supporting evidence. Ha ha

 

[rockaction]

There's ZERO science behind it.

This is untrue about BMI. Statistically it's the best measurement they've got when it comes to underlying conditions turning deadly. I've talked at length with doctors about this and to a man and woman they agree that BMI rules the roost. Doesn't matter your frame. Doesn't matter if it's all muscle. Statistically, the morbidity and mortality rate is most highly correlated with BMI. I'm going to page my GB @Terminalxylem to back me up on this since he does this for a living.

And I'm not trying to jump down your throat, and believe me I wish it weren't true because I am larger-framed, but it's true that BMI is the best predictor of morbidity from underlying causes that we have.

 

[Pip's Invitation]

My Dr. said he can't prescribe Ozempic or Monjauro (which are covered by my insurance with a small co-pay) because those are for diabetes, but he could prescribe Wegovy or Zepbound (which are not covered.) The expense different is significant. He said the drugs are the same, but he can't give me the two that are covered. I could probably get the drug through one of these "health centers" that are all over now, but would prefer to do something like this through my doc. I have a couple friends who are taking Ozempic and neither is diabetic. For those on Ozempic or Monjauro - are you all diagnosed diabetic and did your doctor prescribe it for you or did you go through a health center or telehealth group to get it?

Go to the Eli Lily website. Download their Zepbound discount card. Have your doc call the prescription to Costco. Give them discount card. Monthly cost is now $550 for 4 shots of the 10mg. Use FSA for more savings. I usually take a dosage every 10 days rather than every 7. So that's more savings. I figure I pay $100 a week for it, and I save at least that much in eating less food. I have no been to a fast food restaurant in 18 months. No cravings while driving around town.

Another good site is polarbearmeds. It's canada. Get the option made in Canada. The stuff from Thailand is not as potent in my opinion. I think ozempic is cheaper than wegovy/zepboudn on that site. Frankly changing it up every so often seems to make it work even better.

Also, yes, I self medicate with this stuff like a heroin junkie. I've got the timing of shots all figured out to a science. But I'm down like 75 pounds and at 13% body fat. So yeah, it's been worth it. life changing. My doc did not want me on it. I changed docs. The new concierge doctor wasn't thrilled either but now she uses me as an example.

Why were some of your doctors opposed? IIRC, your starting BMI was obese, plus you have other medical problems, correct?

I was ~ 265 lbs and 5'11". So obese on the BMI scale. I am a large built guy though. I did one of those weight guesser guys at a circus and he guessed 220 lbs when I was at 270. Nobody ever thought I was over 240. Even my wife. I played a lot of sports growing up, so muscle has never been an issue. And the BMI is just a stupid measurement. Everyone knows it came from some Dutch statistician like 100+ years ago. There's ZERO science behind it. But was I overweight ... definitely. Heart issues with my family history, but none so far with me.

Ozempic was fairly new when I started in like Sept 2023. My doc at the time was a follow the NIH/HHS guidance type doc. I guess most of them are. They have a checklist from the insurance companies for shots, BMI and whatever ... they simply run tests and give immunizations when told by the computer. Ozempic was on short supply and I didn't have diabetes. She said she had clients that needed it more than me and I think she did one dose, but after that would not prescribe. I fired her the day she said others were more needy. So I did an online doc that prescribed it immediately. Then I switched to a MDVIP concierge doc that my wife uses. She's tough on me. My weight stays around 200 and my cholesterol once at 240 is at 155. She still has problems with me like not using my CPAP. I avoid it because I no longer snore. but she still wants me in it.

I now use Zepbound instead of Oz. It's cheaper and no side effects. Oz would make my stomach nasty the night I took it.

The biggest benefit of losing the weigh was the ability to exercise more without feeling terrible. I can jog 5 miles easily. I knock out 45 mins on the Peloton every other day. I lift every other day. It's easier to make exercise a part of life if you don't feel terrible every time you do it.

It's been life changing for me. Don't feel like I'm gonna die at 65. It's not for everyone. But when it works out, it's special

Interesting point about the CPAP. Zepbound has been found to reduce the need for CPAP in people with obesity and sleep apnea, and is the first drug to receive an indication for treatment of sleep apnea. https://www.fda.gov/news-events/pre...oves-first-medication-obstructive-sleep-apnea. So you may actually be right in your debate over that.

 

[Terminalxylem]

There's ZERO science behind it.

This is untrue about BMI. Statistically it's the best measurement they've got when it comes to underlying conditions turning deadly. I've talked at length with doctors about this and to a man and woman they agree that BMI rules the roost. Doesn't matter your frame. Doesn't matter if it's all muscle. Statistically, the morbidity and mortality rate is most highly correlated with BMI. I'm going to page my GB @Terminalxylem to back me up on this since he does this for a living.

And I'm not trying to jump down your throat, and believe me I wish it weren't true because I am larger-framed, but it's true that BMI is the best predictor of morbidity from underlying causes that we have.

Yeah, I was holding off in critique. BMI has its flaws, but is pretty damn good as a correlate of disease.

Plus it’s quick, cheap, and low tech, so easy to re-measure over time.

In an ideal world, would I prefer DEXA and multi-slice CT, to really break down body composition, including visceral fat? Sure, but that ain’t practical. And muscle-bound people older than 30 or so are vanishingly rare.

I also don’t trust Americans to appropriately judge healthy body weight, even carnival employees.

 

[Terminalxylem]

My Dr. said he can't prescribe Ozempic or Monjauro (which are covered by my insurance with a small co-pay) because those are for diabetes, but he could prescribe Wegovy or Zepbound (which are not covered.) The expense different is significant. He said the drugs are the same, but he can't give me the two that are covered. I could probably get the drug through one of these "health centers" that are all over now, but would prefer to do something like this through my doc. I have a couple friends who are taking Ozempic and neither is diabetic. For those on Ozempic or Monjauro - are you all diagnosed diabetic and did your doctor prescribe it for you or did you go through a health center or telehealth group to get it?

Go to the Eli Lily website. Download their Zepbound discount card. Have your doc call the prescription to Costco. Give them discount card. Monthly cost is now $550 for 4 shots of the 10mg. Use FSA for more savings. I usually take a dosage every 10 days rather than every 7. So that's more savings. I figure I pay $100 a week for it, and I save at least that much in eating less food. I have no been to a fast food restaurant in 18 months. No cravings while driving around town.

Another good site is polarbearmeds. It's canada. Get the option made in Canada. The stuff from Thailand is not as potent in my opinion. I think ozempic is cheaper than wegovy/zepboudn on that site. Frankly changing it up every so often seems to make it work even better.

Also, yes, I self medicate with this stuff like a heroin junkie. I've got the timing of shots all figured out to a science. But I'm down like 75 pounds and at 13% body fat. So yeah, it's been worth it. life changing. My doc did not want me on it. I changed docs. The new concierge doctor wasn't thrilled either but now she uses me as an example.

Why were some of your doctors opposed? IIRC, your starting BMI was obese, plus you have other medical problems, correct?

I was ~ 265 lbs and 5'11". So obese on the BMI scale. I am a large built guy though. I did one of those weight guesser guys at a circus and he guessed 220 lbs when I was at 270. Nobody ever thought I was over 240. Even my wife. I played a lot of sports growing up, so muscle has never been an issue. And the BMI is just a stupid measurement. Everyone knows it came from some Dutch statistician like 100+ years ago. There's ZERO science behind it. But was I overweight ... definitely. Heart issues with my family history, but none so far with me.

Ozempic was fairly new when I started in like Sept 2023. My doc at the time was a follow the NIH/HHS guidance type doc. I guess most of them are. They have a checklist from the insurance companies for shots, BMI and whatever ... they simply run tests and give immunizations when told by the computer. Ozempic was on short supply and I didn't have diabetes. She said she had clients that needed it more than me and I think she did one dose, but after that would not prescribe. I fired her the day she said others were more needy. So I did an online doc that prescribed it immediately. Then I switched to a MDVIP concierge doc that my wife uses. She's tough on me. My weight stays around 200 and my cholesterol once at 240 is at 155. She still has problems with me like not using my CPAP. I avoid it because I no longer snore. but she still wants me in it.

I now use Zepbound instead of Oz. It's cheaper and no side effects. Oz would make my stomach nasty the night I took it.

The biggest benefit of losing the weigh was the ability to exercise more without feeling terrible. I can jog 5 miles easily. I knock out 45 mins on the Peloton every other day. I lift every other day. It's easier to make exercise a part of life if you don't feel terrible every time you do it.

It's been life changing for me. Don't feel like I'm gonna die at 65. It's not for everyone. But when it works out, it's special

Interesting point about the CPAP. Zepbound has been found to reduce the need for CPAP in people with obesity and sleep apnea, and is the first drug to receive an indication for treatment of sleep apnea. https://www.fda.gov/news-events/pre...oves-first-medication-obstructive-sleep-apnea. So you may actually be right in your debate over that.

Losing weight may effectively cure sleep apnea, or related obesity hypoventillation. But the absence of snoring isn’t diagnostic of cure - he should get a follow up sleep study.

 

[Judge Smails]

So had my physical last week. A1C hasn’t moved yet but doc said it’s early. Only been on starter doses of Ozempic and that will ramp up. Plus A1C value is a 3 month average so part of it was before I even started.

Interesting side note. My triglycerides were way down along with LDL etc. I told doc that I have almost zero desire for alcohol. Used to love having a couple drinks on the weekends. Now I can’t finish one. Doesn’t even taste good to me. Doctor said not surprised. Research is showing the same thing and now these drugs are being considered to treat addiction. Called them “miracle drugs”.

 

[rockaction]

Up to 2 mg of Ozempic after plateau and weight gain (my discipline was lacking at 1 mg and I would wake up ravenous). Looking svelte today. Love this drug. Wonder about long-term side effects for digestive tract and colon. But so far it’s a fighter of obesity, diabetes, addiction, and dementia. Lizard venom. Moar all the time.

 

[brun]

At one point I had gotten my A1C fairly well controlled via diet, mostly following Jason Fung recommendations. After a while I really deviated from that and I could see, with periodic checks, that my blood glucose was not where it should be.

Due to a couple medical issues, my A1C has been checked multiple times in the last couple of months and it's been higher than ever.

I've been referred to a specialist, May 1st. As I'm obese too, I'm curious if there is an ozempic type prescription in my future. Seeing the results and the side effects, I'm a little conflicted on whether I'd like that option.

Good luck in your journey.

 

[BrutalPenguin]

Overweight + high A1C got me a type 2 diabetes diagnosis, making me eligible for Mounjaro at co-pay costs. It's been okay as I've lost 8 lbs in 4 months. I'm interested in my A1C getting measured next month, and whether I lose Mounjaro eligibility if it has dropped.

 

[rockaction]

Overweight + high A1C got me a type 2 diabetes diagnosis, making me eligible for Mounjaro at co-pay costs. It's been okay as I've lost 8 lbs in 4 months. I'm interested in my A1C getting measured next month, and whether I lose Mounjaro eligibility if it has dropped.

I know Ozempic is for blood sugar and that even if you lose weight and your sugar drops you still stay on it. Once you’re diabetic they don’t often take you off of the medication that controls it. Unless Mounjaro is for weight loss only, but even then this class of drugs needs to be in use or you gain the weight back most of the time. So they’d be yanking the rug out from under you, so to speak.

They’re expensive, but once you go on they usually don’t take you off, insurance company permitting, of course. But it’s cheaper to have you on it than paying for treatments of diabetic complications or complications from obesity. People lose legs from diabetes and have heart attacks from obesity and those things really cost insurers more than the two hundred dollars for the lizard venom.

 

[Pip's Invitation]

Two more big trials in this space were released today.

Ozempic improved quality of life and walking distance compared with placebo in people with peripheral artery disease (PAD) and diabetes. PAD is a terrible disease where the arteries in your legs are clogged and it can hurt to walk.

Rybelsus, the oral form of Ozempic/Wegovy, reduced heart-related death, heart attack and stroke compared with placebo in patients with diabetes and heart disease or kidney disease. You would think the pill form would be more popular, but you have to take it on an empty stomach with exactly 4 ounces of water, and can't consume anything else for a while after you take it. The researchers weren't sure whether enough people would comply with these instructions, but they did.

 

[Pip's Invitation]

Overweight + high A1C got me a type 2 diabetes diagnosis, making me eligible for Mounjaro at co-pay costs. It's been okay as I've lost 8 lbs in 4 months. I'm interested in my A1C getting measured next month, and whether I lose Mounjaro eligibility if it has dropped.

I know Ozempic is for blood sugar and that even if you lose weight and your sugar drops you still stay on it. Once you’re diabetic they don’t often take you off of the medication that controls it. Unless Mounjaro is for weight loss only, but even then this class of drugs needs to be in use or you gain the weight back most of the time. So they’d be yanking the rug out from under you, so to speak.

They’re expensive, but once you go on they usually don’t take you off, insurance company permitting, of course. But it’s cheaper to have you on it than paying for treatments of diabetic complications or complications from obesity. People lose legs from diabetes and have heart attacks from obesity and those things really cost insurers more than the two hundred dollars for the lizard venom.

Mounjaro is for diabetes and Zepbound is for weight loss. Except they are the exact same thing (tirzepatide) and don't vary by dose. The FDA required different names for different indications. The name "Zepbound" doesn't exist anywhere else in the world -- elsewhere, it's called Mounjaro for all indications.

Ozempic vs. Wegovy is different, because they are different doses (1 mg vs. 2.4 mg) of the same drug (semaglutide).

 

[rockaction]

Overweight + high A1C got me a type 2 diabetes diagnosis, making me eligible for Mounjaro at co-pay costs. It's been okay as I've lost 8 lbs in 4 months. I'm interested in my A1C getting measured next month, and whether I lose Mounjaro eligibility if it has dropped.

I know Ozempic is for blood sugar and that even if you lose weight and your sugar drops you still stay on it. Once you’re diabetic they don’t often take you off of the medication that controls it. Unless Mounjaro is for weight loss only, but even then this class of drugs needs to be in use or you gain the weight back most of the time. So they’d be yanking the rug out from under you, so to speak.

They’re expensive, but once you go on they usually don’t take you off, insurance company permitting, of course. But it’s cheaper to have you on it than paying for treatments of diabetic complications or complications from obesity. People lose legs from diabetes and have heart attacks from obesity and those things really cost insurers more than the two hundred dollars for the lizard venom.

Mounjaro is for diabetes and Zepbound is for weight loss. Except they are the exact same thing (tirzepatide) and don't vary by dose. The FDA required different names for different indications. The name "Zepbound" doesn't exist anywhere else in the world -- elsewhere, it's called Mounjaro for all indications.

Ozempic vs. Wegovy is different, because they are different doses (1 mg vs. 2.4 mg) of the same drug (semaglutide).

Wow. Thanks. Good to know.

 

[FarFromHome]

My wife just started ozempic about 3 weeks ago. No side effects or issues until last night. She woke up and threw up quite a bit. Feels better this morning but still a little off. Side effect of ozempic maybe? Anyone experience stuff like this?

 

[BrutalPenguin]

My wife just started ozempic about 3 weeks ago. No side effects or issues until last night. She woke up and threw up quite a bit. Feels better this morning but still a little off. Side effect of ozempic maybe? Anyone experience stuff like this?

Mounjaro makes me quesy on the day I take it, and I feel a little like throwing up, but it's never happened. It might be contributing to my weight loss.

 

[odin33]

My wife just started ozempic about 3 weeks ago. No side effects or issues until last night. She woke up and threw up quite a bit. Feels better this morning but still a little off. Side effect of ozempic maybe? Anyone experience stuff like this?

Been on Ozembic and now Mounjaro for almost 3 years now. Yes, it could be caused by the drug, guessing so. Could be a flu bug.

I recall when I first started, it wrecked my GI track. Never threw up but a few close calls making it to the bathroom to deal with the other end. Suggest taking on a Saturday so you have all of Sunday to deal with side effects before having to head into the office. Good news is it gets easier, at least it did for me.

Originally: Take Saturday, barely eat and feel like hot garbage Sunday (always that flu like stomach- feel of uneasiness). Monday barely ate (more flu like stomach), Tuesday was a little better and progressed to I was ready to eat real meals (significantly smaller portion) on Friday. Rinse and repeat. It gets easier at each dosage level (start feeling better earlier), but know when you go up in dosage you will definitely know it.

Now I'm on Mounjaro 12.5 and rarely gets that uneasy stomach feeling, even same day I take it. I know it's working as I'm not hungry, downside is I'm ready to eat a lot earlier in the week.

Overall down almost 105 pounds at 254 and A1C in Dec was 4.7 (started 358, A1C ~9), and if I knocked off the few bad eating habits I still have I'd be much further along. Try to walk every weekend (4miles total). Need to work in some free weights.

Happy to answer any questions you or anyone may have. Obviously anecdotal.

 

[Terminalxylem]

There's ZERO science behind it.

This is untrue about BMI. Statistically it's the best measurement they've got when it comes to underlying conditions turning deadly. I've talked at length with doctors about this and to a man and woman they agree that BMI rules the roost. Doesn't matter your frame. Doesn't matter if it's all muscle. Statistically, the morbidity and mortality rate is most highly correlated with BMI. I'm going to page my GB @Terminalxylem to back me up on this since he does this for a living.

And I'm not trying to jump down your throat, and believe me I wish it weren't true because I am larger-framed, but it's true that BMI is the best predictor of morbidity from underlying causes that we have.

Can’t get full text version, but a recent study in JAMA confirms the utility of BMI as a measure of adiposity:

Johns Hopkins University researchers have found that nearly all adults identified as having obesity based on body mass index (BMI) also had confirmed excess adiposity.

Use of BMI to diagnose obesity has become increasingly controversial. BMI does not distinguish between body fat, muscle, and bone mass, raising concerns that obesity may be overdiagnosed. An expert commission recently recommended that clinical assessments of obesity should be confirmed by direct body fat measurement or BMI and at least one other anthropometric index.

In a research letter, "Prevalence of Obesity With and Without Confirmation of Excess Adiposity Among US Adults," published in JAMA, researchers analyzed data from a cross-sectional survey to assess obesity prevalence using both BMI and confirmatory measures of body fat.

Researchers evaluated data from 2,225 adults aged 20 to 59 years participating in the 2017–2018 National Health and Nutrition Examination Survey (NHANES). The survey included standardized measurements of height, weight, and waist circumference, along with whole-body dual-energy X-ray absorptiometry (DEXA) to determine body fat percentages.

Participants with an elevated BMI and either an elevated waist circumference, elevated body fat percentage, or a BMI of 40 or greater were considered to have confirmed excess adiposity. BMI thresholds were adjusted by race and ethnicity, with obesity defined as a BMI of 30 or higher for most participants, and 27.5 or higher for non-Hispanic Asian individuals.

When only considering BMI, 39.7% met the definition of obesity. When using BMI in conjunction with criteria for excess adiposity confirmation, prevalence dropped ever so slightly to 39.1%. Overall, 98.4% of persons with obesity based on BMI had confirmed excess adiposity.

Results were consistent across age, sex, and racial and ethnic groups. Prevalence remained the same when confirmed excess adiposity was defined using either elevated waist circumference or body fat measured by DEXA.

It’s crazy how overepresented that 1.6% is in FBG threads…

 

[FlagDynasty]

It’s clear that Ozempic isn’t the perfect solution for everyone, and those using the medication need to know that there are real risks. I came across an Ozempic lawsuit update from a law firm showing that there’s growing discussion about the side effects and the legal cases arising from these issues.

 

[Capella]

It’s clear that Ozempic isn’t the perfect solution for everyone, and those using the medication need to know that there are real risks. I came across an Ozempic lawsuit update from a law firm showing that there’s growing discussion about the side effects and the legal cases arising from these issues.

What are the risks? My mom is on it and it’s been a miracle for her. As far as I’ve known there’s no real dangerous side effects. We discussed it with her doctor when it was prescribed.

 

[rockaction]

It’s clear that Ozempic isn’t the perfect solution for everyone, and those using the medication need to know that there are real risks. I came across an Ozempic lawsuit update from a law firm showing that there’s growing discussion about the side effects and the legal cases arising from these issues.

What are the risks? My mom is on it and it’s been a miracle for her. As far as I’ve known there’s no real dangerous side effects. We discussed it with her doctor when it was prescribed.

Thyroid tumors, pancreatitis, GI issues, and other things. Full disclosure here is that I take the drug and so far it’s been a miracle. We will see about long term effects.

 

[Ramsay Hunt Experience]

It’s clear that Ozempic isn’t the perfect solution for everyone, and those using the medication need to know that there are real risks. I came across an Ozempic lawsuit update from a law firm showing that there’s growing discussion about the side effects and the legal cases arising from these issues.

What are the risks? My mom is on it and it’s been a miracle for her. As far as I’ve known there’s no real dangerous side effects. We discussed it with her doctor when it was prescribed.

There's always going to be lawsuits. I've seen one about it allegedly causing blindness. Some about gastroparesis. And I'm not super familiar with these lawsuits, but it does strike me that a lot of the allegations center around things that are common symptoms of advanced diabetes and we're talking about a drug given to diabetics. Gastroparesis (which is delayed stomach emptying) is unsurprising. It's one of the ways the drug operates.

 

[InDitkaWeTrust]

My wife just started ozempic about 3 weeks ago. No side effects or issues until last night. She woke up and threw up quite a bit. Feels better this morning but still a little off. Side effect of ozempic maybe? Anyone experience stuff like this?

Been on Ozembic and now Mounjaro for almost 3 years now. Yes, it could be caused by the drug, guessing so. Could be a flu bug.

I recall when I first started, it wrecked my GI track. Never threw up but a few close calls making it to the bathroom to deal with the other end. Suggest taking on a Saturday so you have all of Sunday to deal with side effects before having to head into the office. Good news is it gets easier, at least it did for me.

Originally: Take Saturday, barely eat and feel like hot garbage Sunday (always that flu like stomach- feel of uneasiness). Monday barely ate (more flu like stomach), Tuesday was a little better and progressed to I was ready to eat real meals (significantly smaller portion) on Friday. Rinse and repeat. It gets easier at each dosage level (start feeling better earlier), but know when you go up in dosage you will definitely know it.

Now I'm on Mounjaro 12.5 and rarely gets that uneasy stomach feeling, even same day I take it. I know it's working as I'm not hungry, downside is I'm ready to eat a lot earlier in the week.

Overall down almost 105 pounds at 254 and A1C in Dec was 4.7 (started 358, A1C ~9), and if I knocked off the few bad eating habits I still have I'd be much further along. Try to walk every weekend (4miles total). Need to work in some free weights.

Happy to answer any questions you or anyone may have. Obviously anecdotal.

Where are you injecting? I've read that injection site can affect that queasy feeling the day of.

 

[Terminalxylem]

It’s clear that Ozempic isn’t the perfect solution for everyone, and those using the medication need to know that there are real risks. I came across an Ozempic lawsuit update from a law firm showing that there’s growing discussion about the side effects and the legal cases arising from these issues.

What are the risks? My mom is on it and it’s been a miracle for her. As far as I’ve known there’s no real dangerous side effects. We discussed it with her doctor when it was prescribed.

There's always going to be lawsuits. I've seen one about it allegedly causing blindness. Some about gastroparesis. And I'm not super familiar with these lawsuits, but it does strike me that a lot of the allegations center around things that are common symptoms of advanced diabetes and we're talking about a drug given to diabetics. Gastroparesis (which is delayed stomach emptying) is unsurprising. It's one of the ways the drug operates.

The blindness is due to damage to the optic nerve, caused by inadequate blood flow. Although it’s rare, the incidence is ~quadrupled in diabetics on the drug, versus those taking other diabetes medications. But it’s also been described in non diabetics taking the drug for obesity.

 

[odin33]

My wife just started ozempic about 3 weeks ago. No side effects or issues until last night. She woke up and threw up quite a bit. Feels better this morning but still a little off. Side effect of ozempic maybe? Anyone experience stuff like this?

Been on Ozembic and now Mounjaro for almost 3 years now. Yes, it could be caused by the drug, guessing so. Could be a flu bug.

I recall when I first started, it wrecked my GI track. Never threw up but a few close calls making it to the bathroom to deal with the other end. Suggest taking on a Saturday so you have all of Sunday to deal with side effects before having to head into the office. Good news is it gets easier, at least it did for me.

Originally: Take Saturday, barely eat and feel like hot garbage Sunday (always that flu like stomach- feel of uneasiness). Monday barely ate (more flu like stomach), Tuesday was a little better and progressed to I was ready to eat real meals (significantly smaller portion) on Friday. Rinse and repeat. It gets easier at each dosage level (start feeling better earlier), but know when you go up in dosage you will definitely know it.

Now I'm on Mounjaro 12.5 and rarely gets that uneasy stomach feeling, even same day I take it. I know it's working as I'm not hungry, downside is I'm ready to eat a lot earlier in the week.

Overall down almost 105 pounds at 254 and A1C in Dec was 4.7 (started 358, A1C ~9), and if I knocked off the few bad eating habits I still have I'd be much further along. Try to walk every weekend (4miles total). Need to work in some free weights.

Happy to answer any questions you or anyone may have. Obviously anecdotal.

Where are you injecting? I've read that injection site can affect that queasy feeling the day of.

My fat gut, lol. Not too much extra meat left on my legs, though if you've heard that helps I might give it a try. Guessing a little below the belt line? Other areas you've heard?

 

[InDitkaWeTrust]

My wife just started ozempic about 3 weeks ago. No side effects or issues until last night. She woke up and threw up quite a bit. Feels better this morning but still a little off. Side effect of ozempic maybe? Anyone experience stuff like this?

Been on Ozembic and now Mounjaro for almost 3 years now. Yes, it could be caused by the drug, guessing so. Could be a flu bug.

I recall when I first started, it wrecked my GI track. Never threw up but a few close calls making it to the bathroom to deal with the other end. Suggest taking on a Saturday so you have all of Sunday to deal with side effects before having to head into the office. Good news is it gets easier, at least it did for me.

Originally: Take Saturday, barely eat and feel like hot garbage Sunday (always that flu like stomach- feel of uneasiness). Monday barely ate (more flu like stomach), Tuesday was a little better and progressed to I was ready to eat real meals (significantly smaller portion) on Friday. Rinse and repeat. It gets easier at each dosage level (start feeling better earlier), but know when you go up in dosage you will definitely know it.

Now I'm on Mounjaro 12.5 and rarely gets that uneasy stomach feeling, even same day I take it. I know it's working as I'm not hungry, downside is I'm ready to eat a lot earlier in the week.

Overall down almost 105 pounds at 254 and A1C in Dec was 4.7 (started 358, A1C ~9), and if I knocked off the few bad eating habits I still have I'd be much further along. Try to walk every weekend (4miles total). Need to work in some free weights.

Happy to answer any questions you or anyone may have. Obviously anecdotal.

Where are you injecting? I've read that injection site can affect that queasy feeling the day of.

My fat gut, lol. Not too much extra meat left on my legs, though if you've heard that helps I might give it a try. Guessing a little below the belt line? Other areas you've heard?

The non scientific stuff I've read has been pretty consistent that you're more likely to have symptoms while injecting into your abdomen. I use the top of my thigh and have never had those specific symptoms. Probably worth a try...

 

[Terminalxylem]

My wife just started ozempic about 3 weeks ago. No side effects or issues until last night. She woke up and threw up quite a bit. Feels better this morning but still a little off. Side effect of ozempic maybe? Anyone experience stuff like this?

Been on Ozembic and now Mounjaro for almost 3 years now. Yes, it could be caused by the drug, guessing so. Could be a flu bug.

I recall when I first started, it wrecked my GI track. Never threw up but a few close calls making it to the bathroom to deal with the other end. Suggest taking on a Saturday so you have all of Sunday to deal with side effects before having to head into the office. Good news is it gets easier, at least it did for me.

Originally: Take Saturday, barely eat and feel like hot garbage Sunday (always that flu like stomach- feel of uneasiness). Monday barely ate (more flu like stomach), Tuesday was a little better and progressed to I was ready to eat real meals (significantly smaller portion) on Friday. Rinse and repeat. It gets easier at each dosage level (start feeling better earlier), but know when you go up in dosage you will definitely know it.

Now I'm on Mounjaro 12.5 and rarely gets that uneasy stomach feeling, even same day I take it. I know it's working as I'm not hungry, downside is I'm ready to eat a lot earlier in the week.

Overall down almost 105 pounds at 254 and A1C in Dec was 4.7 (started 358, A1C ~9), and if I knocked off the few bad eating habits I still have I'd be much further along. Try to walk every weekend (4miles total). Need to work in some free weights.

Happy to answer any questions you or anyone may have. Obviously anecdotal.

Where are you injecting? I've read that injection site can affect that queasy feeling the day of.

My fat gut, lol. Not too much extra meat left on my legs, though if you've heard that helps I might give it a try. Guessing a little below the belt line? Other areas you've heard?

The non scientific stuff I've read has been pretty consistent that you're more likely to have symptoms while injecting into your abdomen. I use the top of my thigh and have never had those specific symptoms. Probably worth a try...

That’s interesting, as injectable insulin is absorbed more quickly when injected into the abdomen vs. butt. You would think slower absorption would lessen side effects.

 

[InDitkaWeTrust]

My wife just started ozempic about 3 weeks ago. No side effects or issues until last night. She woke up and threw up quite a bit. Feels better this morning but still a little off. Side effect of ozempic maybe? Anyone experience stuff like this?

Been on Ozembic and now Mounjaro for almost 3 years now. Yes, it could be caused by the drug, guessing so. Could be a flu bug.

I recall when I first started, it wrecked my GI track. Never threw up but a few close calls making it to the bathroom to deal with the other end. Suggest taking on a Saturday so you have all of Sunday to deal with side effects before having to head into the office. Good news is it gets easier, at least it did for me.

Originally: Take Saturday, barely eat and feel like hot garbage Sunday (always that flu like stomach- feel of uneasiness). Monday barely ate (more flu like stomach), Tuesday was a little better and progressed to I was ready to eat real meals (significantly smaller portion) on Friday. Rinse and repeat. It gets easier at each dosage level (start feeling better earlier), but know when you go up in dosage you will definitely know it.

Now I'm on Mounjaro 12.5 and rarely gets that uneasy stomach feeling, even same day I take it. I know it's working as I'm not hungry, downside is I'm ready to eat a lot earlier in the week.

Overall down almost 105 pounds at 254 and A1C in Dec was 4.7 (started 358, A1C ~9), and if I knocked off the few bad eating habits I still have I'd be much further along. Try to walk every weekend (4miles total). Need to work in some free weights.

Happy to answer any questions you or anyone may have. Obviously anecdotal.

Where are you injecting? I've read that injection site can affect that queasy feeling the day of.

My fat gut, lol. Not too much extra meat left on my legs, though if you've heard that helps I might give it a try. Guessing a little below the belt line? Other areas you've heard?

The non scientific stuff I've read has been pretty consistent that you're more likely to have symptoms while injecting into your abdomen. I use the top of my thigh and have never had those specific symptoms. Probably worth a try...

That’s interesting, as injectable insulin is absorbed more quickly when injected into the abdomen vs. butt. You would think slower absorption would lessen side effects.

For sure. Most of the use studies that I've read have mentioned the bioavailability of the med is equivalent at all three listed injection sites. You would think there wouldn't be much of a difference. There's a good amount of anecdotes out there, though, that mention injection into the thigh tends to lead to less side effects.

 

[Brunell4MVP]

It’s clear that Ozempic isn’t the perfect solution for everyone, and those using the medication need to know that there are real risks. I came across an Ozempic lawsuit update from a law firm showing that there’s growing discussion about the side effects and the legal cases arising from these issues.

What are the risks? My mom is on it and it’s been a miracle for her. As far as I’ve known there’s no real dangerous side effects. We discussed it with her doctor when it was prescribed.

Thyroid tumors, pancreatitis, GI issues, and other things. Full disclosure here is that I take the drug and so far it’s been a miracle. We will see about long term effects.

There are side effects, but nothing that would stop me frmo using it. Latest status is 198, down from 270 two years ago (Mounjaro mainly, but Ozempic at the start). Good side effects ... looking better, better clothes, can run and walk much better, no sleep apnea, no snoring, energy level up most of the time, far lower food bill. Bad side effects ... usually 2-3 days after a shot, and this is just me casue I imagine everyone is different... mild depression, muscle fatigue, blurry near vision, less poops (its slows your system this goes away if you pound water). The vision is obviously more to do with aging. and I have no proof, but I sense it's a little worse when I take the med. So I keep my reading glasses nearby more than ever. I think the med works best if you combine it with intermittent fasting. I don't eat before 10 am or after 7 pm. Going from size 42 to 34 is worth every penny I pay

 

[rockaction]

Going from size 42 to 34 is worth every penny I pay

Do you mind if I ask how much you pay? If you'd rather not, don't sweat it. If you don't care but don't want your business in the streets I'd also take a PM. I'm curious what people without insurance do (and you sound like you might be not getting it through insurance).