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My thing is when your off the meds do you gain the weight back plus more?
Yes. The drug does two unnatural things - 1. it kills your hunger and 2. it gets sugar out of your system. Once you get off the drug... those things go away.
And we know that reducing the amount you eat causes your body to reduce your metabolism. This is the problem with diets / set points. So, clearly your metabolism will drop while you are on this. And you will come off and start gaining.
Well, I just got a prescription for Ozempic. I want to lose 45 pounds. My doctor said I will likely be on it for a year & 1/2.
Actually I would prefer to be on it longer.
Why? 45 pounds is something people can lose in much less than a year, without struggle or risk to their health (unless they're already a healthy weight and trying to lose too much).
If you lost just 5 pounds per month, that'd be +/- 1.25 pounds per week. It'd take you 9 months to lose it, without any meds at all. With meds you could probably lose more in less time.
If you spend 9 months eating healthy and exercising regularly, then you will have learned good habits that you can continue with. It's sustainable long-term.
My thing is when your off the meds do you gain the weight back plus more?
Do you? It'd be different for everyone. Can you? Absolutely. Can you /not/ gain it back plus more? Absolutely.
Medication for weight loss is a TOOL, to help you while you learn healthy eating and exercising habits. The point is to learn how to eat and exercise in a healthy way, so that once you're off the meds, you can keep the weight off and keep your body in fit shape.
If you don't plan on improving your lifestyle and choose instead to rely 100% on meds, then yes - you'll gain it all back, and continue on your course of self-destruction.
Why? 45 pounds is something people can lose in much less than a year, without struggle or risk to their health (unless they're already a healthy weight and trying to lose too much).
If you lost just 5 pounds per month, that'd be +/- 1.25 pounds per week. It'd take you 9 months to lose it, without any meds at all. With meds you could probably lose more in less time.
If you spend 9 months eating healthy and exercising regularly, then you will have learned good habits that you can continue with. It's sustainable long-term.
Why not? My doctor recommended Ozempic for me, I didn't ask. Clearly she understands losing the 45 pounds is a struggle for me and I need help.
I am unable to change my compulsive eating habits in just 9 months, per your suggestion.
I envision at least 2 years on the drug. I need to learn portion control. I also want to become more active. And of course, there's the lifelong maintenance which needs to be seriously considered...in my opinion the most important aspect of weight loss.
I will be doing all this under the supervision of an experienced medical professional.
Why not? My doctor recommended Ozempic for me, I didn't ask. Clearly she understands losing the 45 pounds is a struggle for me and I need help.
I am unable to change my compulsive eating habits in just 9 months, per your suggestion.
I envision at least 2 years on the drug. I need to learn portion control. I also want to become more active. And of course, there's the lifelong maintenance which needs to be seriously considered...in my opinion the most important aspect of weight loss.
I will be doing all this under the supervision of an experienced medical professional.
Keep us updated on how you're doing. And yes, you'll definitely need to adjust your portions and activity level to keep the weight off. Did the doctor give you any food or exercise guidelines along with the prescription? Best of luck.
I would not dare take this It does curb appetite but it also makes the body remove fat through excessive amounts of bowels that will leak out without warning.
Anyone here who wants to go on this drug I strongly suggest you stay at home more often and stock up on toilet paper, butt wipes. It is nearly as bad as the prep for a colonoscopy without the crud to drink.
Anecdotal story about people with difficulties with respect to semaglutide (Ozempic, Wegovy). Claim is that the drug caused severe gastroparesis, or stomach paralysis, and that the condition did not reverse after they discontinued treatment.
I'm currently on a 1.0 mg dosage of Ozempic and some of the info in the article is hitting home. My prescribing doctor told me that one of the mechanisms of the drug was that it relaxed the stomach, slowing the passage of food through the stomach to the intestines. Per the linked article, a study found that semaglutide can slow the gastric emptying so much that it could take 70 minutes for the stomach to empty, as compared to the control group wherein it took only 4 minutes.
It certainly answers why I fill up so fast...and also answers why I can get nausea and bloating well after a meal; the food may still be in there, slowing festering. Add in my omeprazole for GERD, and it's highly likely that the food just sits there, possibly not being broken down until it passes out of the stomach.
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It does curb appetite but it also makes the body remove fat through excessive amounts of bowels that will leak out without warning. 
