Do you consider prescription weight loss medications cheating?
cm58916
Posts: 1 Member
Replies
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No, but to be a candidate you have to have a BMI over 30 or a BMI over 27 with a serious medical condition linked to obesity. Some of them have some pretty gnarly side effects, so for me to consider a prescription I would have to have some pretty serious medical stuff going to outweigh the potential risks and side effects of the medication.2
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NoDo whatever you want to lose the weight, it’s not a video game. What you do need to care about is if it is safe or not. It comes down to whether if you’re already underweight and trying to slim down even further or if you’re just trying to get to a healthier weight that you’ll be happy with. Do note that I do not know what the side affects of taking prescriptions are. Though, generally with taking prescriptions it is generally not a good idea if you’re not prescribed with them in the first place because of the potentially harmful side affects that come with them. Those include mood, thoughts of su*c*de, and maybe even cardiovascular. Therefore I would recommend to speak to your doctor on whether or not it would be ok for you to take them in the first place.8
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NoNo ... however will your really learn how to change your habits and be able to sustain a lower weight once you go off the stuff? If not, then yo-yo dieting could set in, if it hasn't already done so ... and that is a sure way to just keep getting bigger with each lose/gain cycle. Trust me ... I know from experience. PS (the effects of yo-yo dieting.)6
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Cheating at what?
It's not a game...not a competition...there's no prizes or monetary rewards.
Let's stop worrying about what other people do when it doesn't affect us.21 -
How about a "don't care" or "situational for an individual" voting option?
I don't think it would be a thing I'd choose, but I don't see why it's necessary to have a value judgement about it for other people. It's just a preference for one method vs. others, and we all make some choices.
I don't see how others are potentially harmed by a person's choice to use these meds, so it's up to them (and their doctor, if they're sensible, IMO - but even that's a personal choice, I suppose).
In a lot of contexts, I'm baffled by the seeming need on some people's part to consider what they choose to do somehow objectively "good" or even "the best way", thus making alternative ways somehow "bad". I've even met people who consider their musical preferences "good" and others wrong, which seems extra weird in cases of pure personal taste.
Personally, I make a lot of choices knowing they're not the theoretical ideal, but they work for me. I mostly don't see the point of being judge-y about people who choose differently as long as no one else is harmed.
Sure, if I give people advice, I formulate that advice based on my subjective experience, but I do try to be honest about that. 🤷♀️
OP, do you care to comment on why you want to know others' opinions on this question? Is someone questioning or criticizing your choice? Are you deciding whether to question or criticize someone else's? Or . . . ?13 -
I personally don’t think it is any of my business and think we should keep our noses out of people’s medical decisions on this and other personal issues. Since we are talking about prescription weight loss medicines, prescribed for a disease/to avoid multiple diseases, which means a dr must be involved, It strikes me as strange that anyone would be passing judgment on the medical decisions that people make with the advice of their doctors if the dr believes it is medically necessary to prescribe. I don’t hear this sort of debate about even purely lifestyle medicines like viagra. Seems like some things are still best left private. . .12
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Sinisterbarbie, that is a good comparison
Is Viagra cheating if one has erectile dysfunction?
Is insulin cheating if one has diabetes?
Odd way of considering prescription medication.
Better questions -
are the benifits outweighing the risks or side effects of the medication I am going to take?
Do I meet the prescription criteria if I am asking my doctor to prescribe something?
Is this a sustainable approach if I have a long term issue?
Are there better non pharmacological solutions to my issues?
Is it any of my business what approach others take?11 -
NoYeah, it's not a competition. I'm not particularly interested because I don't think my circumstances make it worth it, and I suspect that's the case for most people, but I don't make the decisions for them and I don't want to. If I was directly solicited about a person I knew, I might explain that I think the cons outweigh the pros in most circumstances, but "but losing weight with the aid of drugs is unfair" wouldn't be on that list.
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Not for those with BMI over 30 but yes for those with BMI under 30I wouldn't say "cheating" in any case but I don't think they should be prescribed unless the person is obese or has health conditions associated with weight. These stories of celebrities using them to lose weight before an event piss me off because you know there are people out there who actually need these drugs and can't afford them. And there have been drug shortages ever since COVID so maybe these rich people are even lowering the supply for everyone else. But "cheating" is an odd way to put it because it isn't a competition. Also, with side effects there is a cost-benefit analysis to be done of whether these drugs will increase your overall health or not.1
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No, but it is maddening that Hollywood and the rich are taking Ozempic out of the hands of those who need it most.5
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NoHopefully they wouldn't be prescribed unless there was a health risk, and the benefits outweigh (!) the potential risks of the medication, and of course it's not cheating to take action to improve your health.
However, reading this thread, I hear that there might be times when they're prescribed inappropriately to people who don't have a high health risk from obesity. I still don't see it as "cheating". The average BMI of famous models and actresses looks like it's on the low side, and while they might not need to lose weight for health reasons, there migt be pressure to do so for their jobs. I imagine losing weight and keeping it off at a low BMI is difficult (without getting into disordered eating), so can see why people might want some pharmaceutical help, despite the risks.0 -
NoHopefully they wouldn't be prescribed unless there was a health risk, and the benefits outweigh (!) the potential risks of the medication, and of course it's not cheating to take action to improve your health.
However, reading this thread, I hear that there might be times when they're prescribed inappropriately to people who don't have a high health risk from obesity. I still don't see it as "cheating". The average BMI of famous models and actresses looks like it's on the low side, and while they might not need to lose weight for health reasons, there migt be pressure to do so for their jobs. I imagine losing weight and keeping it off at a low BMI is difficult (without getting into disordered eating), so can see why people might want some pharmaceutical help, despite the risks.
This isn't directly related to your point, but it's what prompted this reply because my brain went on a tangent, so that's why I'm quoting it
I'm not comfortable calling it "cheating," but I think what unsettles me a little bit about this applies to "pharmaceutical help" in general - I think increasingly we use it as a crutch even when it's not needed. There's no denying the lifesaving help of genuine therapeutic uses of a lot of medications, and I'm not anti-medicine in the least, but there is, seemingly, an increasing tendency to look for "quick fixes" societally and it does bug me that behavior modification is often seen as impossible (or, in the case of Hollywood, the pressure to aspire to really wacky norms.) People engage in self-destructive behavior of all kinds but act like they have the right to not suffer from the effects of it, and the go-to solution isn't "figure out how to stop doing the thing," but "give me a pill to fix it instead that I'll be dependent on forever."
I often feel like we're manufacturing our own problems. Changing habits is really hard, I think a lot of us know that from experience. My personal preference is to not play with my body chemistry unless something is actually wrong with how it's functioning. I prefer to think, and have experienced, that through hard work I can overcome challenges and be less self-destructive with how I eat and move, and I am overall much happier. I have a suspicion that it's possible for more people than we give them credit for, and I think it's probably better for them. But if you tell a person they can't, then they start to believe it. A lot of people think they can't get out of a lot of problems of their own making, and I think the effects of that are devastating to more than just those individuals.
Is that "cheating?" I don't quite know.4 -
NoSaying that weight loss medicine is "cheating" is like saying that antidepressants are cheating because "you should be able to make yourself happy all by yourself".5
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Not for those with BMI over 30 but yes for those with BMI under 30Saying that weight loss medicine is "cheating" is like saying that antidepressants are cheating because "you should be able to make yourself happy all by yourself".
While "cheating" is not the right word to use, there's certainly something to be said for certain psychiatric (or any) drugs just being a band-aid or causing more problems than they solve via side effects.penguinmama87 wrote: »I'm not comfortable calling it "cheating," but I think what unsettles me a little bit about this applies to "pharmaceutical help" in general - I think increasingly we use it as a crutch even when it's not needed. There's no denying the lifesaving help of genuine therapeutic uses of a lot of medications, and I'm not anti-medicine in the least, but there is, seemingly, an increasing tendency to look for "quick fixes" societally and it does bug me that behavior modification is often seen as impossible (or, in the case of Hollywood, the pressure to aspire to really wacky norms.) People engage in self-destructive behavior of all kinds but act like they have the right to not suffer from the effects of it, and the go-to solution isn't "figure out how to stop doing the thing," but "give me a pill to fix it instead that I'll be dependent on forever."
I often feel like we're manufacturing our own problems. Changing habits is really hard, I think a lot of us know that from experience. My personal preference is to not play with my body chemistry unless something is actually wrong with how it's functioning. I prefer to think, and have experienced, that through hard work I can overcome challenges and be less self-destructive with how I eat and move, and I am overall much happier. I have a suspicion that it's possible for more people than we give them credit for, and I think it's probably better for them. But if you tell a person they can't, then they start to believe it. A lot of people think they can't get out of a lot of problems of their own making, and I think the effects of that are devastating to more than just those individuals.
I totally agree with this. Unfortunately I think Big Pharma has caused a lot of this attitude. For example the whole thing of "if you're on psychiatric medication you will need to be on it for life because you have a permanent chemical imbalance in your brain." While that is true in some cases, I don't think it's true in the majority of cases. Most depression or anxiety are caused by actual life issues that can be solved or at least coped with better. Pills aren't going to fix for example if you're living in an abusive environment or under an untenable amount of stress. But if you're healthy then the medical industry doesn't make any money off you. I remember reading that doctors were being recommended to prescribe antidepressants if someone was still grieving a loss of a loved one after a month. A month! So every normal emotion is being pathologized for profit. Same with all the people who are on blood pressure drugs, diabetes drugs, etc. when they really just need to eat healthier. Again, not saying this is the case for everyone on these drugs, but it certainly is for the majority of people who are on them. But people don't want to have to change their lifestyle and they're told that the pills will fix everything so they'd rather just pretend they're not destroying their health. Then of course you have to take more pills to fix the side effects of the first pills and before you know it you're on seven different medications.
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I'm in the same camp as @siberiantarragon and @penguinmama87
At one point I was on I don't know how many prescribed medications. It started with one, morphed into I think about 12 different ones I took every day.
So
Many
Side effects
After I lost weight and stopped drinking alcohol and got out of a very stressful life situation, I stopped taking them all except thyroid (levothyroxine.)
I don't need them. I haven't taken any other prescribed daily meds for 20 years almost.
If I go to the (medical) doctor and complain about - anything - she's going to recommend a pill. I mean, that's their job. Prescribe medicine. They don't care if there are interactions, some of them serious. Neither do the pharmacists. People who I would think would warn me about drug/drug interactions just don't, and I think that's malpractice.
I had so many bad side effects from prescribed meds. Never again if I can in any way avoid that.3 -
Nosiberiantarragon wrote: »Saying that weight loss medicine is "cheating" is like saying that antidepressants are cheating because "you should be able to make yourself happy all by yourself".
While "cheating" is not the right word to use, there's certainly something to be said for certain psychiatric (or any) drugs just being a band-aid or causing more problems than they solve via side effects.penguinmama87 wrote: »I'm not comfortable calling it "cheating," but I think what unsettles me a little bit about this applies to "pharmaceutical help" in general - I think increasingly we use it as a crutch even when it's not needed. There's no denying the lifesaving help of genuine therapeutic uses of a lot of medications, and I'm not anti-medicine in the least, but there is, seemingly, an increasing tendency to look for "quick fixes" societally and it does bug me that behavior modification is often seen as impossible (or, in the case of Hollywood, the pressure to aspire to really wacky norms.) People engage in self-destructive behavior of all kinds but act like they have the right to not suffer from the effects of it, and the go-to solution isn't "figure out how to stop doing the thing," but "give me a pill to fix it instead that I'll be dependent on forever."
I often feel like we're manufacturing our own problems. Changing habits is really hard, I think a lot of us know that from experience. My personal preference is to not play with my body chemistry unless something is actually wrong with how it's functioning. I prefer to think, and have experienced, that through hard work I can overcome challenges and be less self-destructive with how I eat and move, and I am overall much happier. I have a suspicion that it's possible for more people than we give them credit for, and I think it's probably better for them. But if you tell a person they can't, then they start to believe it. A lot of people think they can't get out of a lot of problems of their own making, and I think the effects of that are devastating to more than just those individuals.
I totally agree with this. Unfortunately I think Big Pharma has caused a lot of this attitude. For example the whole thing of "if you're on psychiatric medication you will need to be on it for life because you have a permanent chemical imbalance in your brain." While that is true in some cases, I don't think it's true in the majority of cases. Most depression or anxiety are caused by actual life issues that can be solved or at least coped with better. Pills aren't going to fix for example if you're living in an abusive environment or under an untenable amount of stress. But if you're healthy then the medical industry doesn't make any money off you. I remember reading that doctors were being recommended to prescribe antidepressants if someone was still grieving a loss of a loved one after a month. A month! So every normal emotion is being pathologized for profit. Same with all the people who are on blood pressure drugs, diabetes drugs, etc. when they really just need to eat healthier. Again, not saying this is the case for everyone on these drugs, but it certainly is for the majority of people who are on them. But people don't want to have to change their lifestyle and they're told that the pills will fix everything so they'd rather just pretend they're not destroying their health. Then of course you have to take more pills to fix the side effects of the first pills and before you know it you're on seven different medications.
I think one of the issues here is that there is a lot of external pressure on people to maintain lifestyles that in the long run are not good for them. I can't speak to other countries, but at least in the US there is a ton of pressure to be married to your job, there's tons of social isolation that technology can't fix (or makes worse), and traditional support structures have just been eviscerated. You can opt out, but it takes a lot to be able to do that, and if you're already not optimally functioning, it's even harder.
For my demographic it's basically become a meme that we're all on anxiety meds. And to be honest, except for my little subgroup of friends who have chosen to opt out of a lot of what's considered normal living these days, yeah, uh, the meme isn't a lie.
My experience losing weight and reading many of the frequent posters on MFP suggests that weight loss involves a lot of changes in a lot of areas of your life. For most of us, we can't just keep doing the same things we were doing, but thinner. It involves some very conscious decision making and prioritization that isn't going to be necessarily rewarded by any of those external agents. That's a hard thing to take on. (That said, I still don't think that makes the "easy way" the right decision, but I do think it highlights the need for real, meaningful support.)1 -
Not for those with BMI over 30 but yes for those with BMI under 30penguinmama87 wrote: »I think one of the issues here is that there is a lot of external pressure on people to maintain lifestyles that in the long run are not good for them. I can't speak to other countries, but at least in the US there is a ton of pressure to be married to your job, there's tons of social isolation that technology can't fix (or makes worse), and traditional support structures have just been eviscerated. You can opt out, but it takes a lot to be able to do that, and if you're already not optimally functioning, it's even harder.
I guess, but my counterpoint to that is:
a) We created this lifestyle in the first place. For example the average American house is 2600 square feet, that requires a lot of money to buy and for upkeep. The houses didn't need to be that big, but that is what people wanted. We don't need a lot of stuff we buy yet we choose to waste our money on it, requiring longer hours to pay for it. Same with fast food culture and junk food culture, if we didn't keep buying it they wouldn't keep producing it. People act like you're weird and accuse you of having an ED if you want to eat healthy. We chose to make two working parents the norm when in the past one working parent was the norm, and we also chose to shame stay at home spouses and call them freeloaders. This also led to salaries being lowered which forced many families to have two working parents even if they didn't want to. We also chose to erode traditional support structures like religion or community groups. I think we need to place blame where the blame actually lies.
b) While things aren't ideal it's certainly better than most of history. 100 years ago people were working 6 days a week, 10 hours a day, and they were backbreaking dangerous jobs for the most part.For my demographic it's basically become a meme that we're all on anxiety meds.
I think that says more about how that demographic (I'm assuming you're talking about millennials or Gen Z -- I'm a millennial) doesn't have sufficient coping skills for the normal vicissitudes of life, and how doctors are all too willing to prescribe medication for normal mood fluctuations or normal stress.My experience losing weight and reading many of the frequent posters on MFP suggests that weight loss involves a lot of changes in a lot of areas of your life. For most of us, we can't just keep doing the same things we were doing, but thinner. It involves some very conscious decision making and prioritization that isn't going to be necessarily rewarded by any of those external agents. That's a hard thing to take on. (That said, I still don't think that makes the "easy way" the right decision, but I do think it highlights the need for real, meaningful support.)
Well my question is why isn't there enough public support for healthy living? When a certain public figure tried to implement a healthy eating program in schools there was widespread mockery and kids didn't eat the food because they had already been trained by their parents to only want to eat junk food. The problems go beyond just work stress. I always laugh when people say how the West has a "diet culture" because it's the complete opposite -- we have an obesity culture.
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Nosiberiantarragon wrote: »penguinmama87 wrote: »I think one of the issues here is that there is a lot of external pressure on people to maintain lifestyles that in the long run are not good for them. I can't speak to other countries, but at least in the US there is a ton of pressure to be married to your job, there's tons of social isolation that technology can't fix (or makes worse), and traditional support structures have just been eviscerated. You can opt out, but it takes a lot to be able to do that, and if you're already not optimally functioning, it's even harder.
I guess, but my counterpoint to that is:
a) We created this lifestyle in the first place. For example the average American house is 2600 square feet, that requires a lot of money to buy and for upkeep. The houses didn't need to be that big, but that is what people wanted. We don't need a lot of stuff we buy yet we choose to waste our money on it, requiring longer hours to pay for it. Same with fast food culture and junk food culture, if we didn't keep buying it they wouldn't keep producing it. People act like you're weird and accuse you of having an ED if you want to eat healthy. We chose to make two working parents the norm when in the past one working parent was the norm, and we also chose to shame stay at home spouses and call them freeloaders. This also led to salaries being lowered which forced many families to have two working parents even if they didn't want to. We also chose to erode traditional support structures like religion or community groups. I think we need to place blame where the blame actually lies.
b) While things aren't ideal it's certainly better than most of history. 100 years ago people were working 6 days a week, 10 hours a day, and they were backbreaking dangerous jobs for the most part.For my demographic it's basically become a meme that we're all on anxiety meds.
I think that says more about how that demographic (I'm assuming you're talking about millennials or Gen Z -- I'm a millennial) doesn't have sufficient coping skills for the normal vicissitudes of life, and how doctors are all too willing to prescribe medication for normal mood fluctuations or normal stress.My experience losing weight and reading many of the frequent posters on MFP suggests that weight loss involves a lot of changes in a lot of areas of your life. For most of us, we can't just keep doing the same things we were doing, but thinner. It involves some very conscious decision making and prioritization that isn't going to be necessarily rewarded by any of those external agents. That's a hard thing to take on. (That said, I still don't think that makes the "easy way" the right decision, but I do think it highlights the need for real, meaningful support.)
Well my question is why isn't there enough public support for healthy living? When a certain public figure tried to implement a healthy eating program in schools there was widespread mockery and kids didn't eat the food because they had already been trained by their parents to only want to eat junk food. The problems go beyond just work stress. I always laugh when people say how the West has a "diet culture" because it's the complete opposite -- we have an obesity culture.
Yes, I don't think I disagree. It's just hard to be the holdout, is my only point. I say this as someone who was raised in very mainstream culture and lives very deliberately outside it now, and basically had to find all new people because everyone else said, "see ya" as soon as I started questioning it. The specific demographic I had in mind was "college educated white women in their 30s," so yeah, I'm a millennial too. It is kind of funny, though, because many of the people I used to be close to seem absolutely miserable, but I'm the one to pity because I stay at home with all these kids. (Don't get me started on the implication that a paid job is the only way one can ever exercise her brain!)
I do think reasonable people can disagree about initiatives like school lunches. I'll freely admit I am not in favor of a lot of top-down style initiatives even when well intended. There are some cases where those sorts of interventions are appropriate but as you say the influence of family etc. holds way more sway. I don't think that's a bad thing in and of itself, but trying to override that may cause more problems than it fixes.
I have a suspicion we're moving way beyond the scope of the thread, though.1 -
Not for those with BMI over 30 but yes for those with BMI under 30penguinmama87 wrote: »Yes, I don't think I disagree. It's just hard to be the holdout, is my only point. I say this as someone who was raised in very mainstream culture and lives very deliberately outside it now, and basically had to find all new people because everyone else said, "see ya" as soon as I started questioning it.
Yeah I see what you mean. This can be dependent on where you live though. I live in an area where alternative lifestyles are more accepted, but also pretty much everyone is expected to be a workaholic. However I also have always marched to the beat of my own drummer and been at odds with most people in terms of my opinions on things. So I have always been friends with other "weirdos" who accept me for who I am and who aren't exactly "mainstream" either.The specific demographic I had in mind was "college educated white women in their 30s,"
Yup, that's me too!It is kind of funny, though, because many of the people I used to be close to seem absolutely miserable, but I'm the one to pity because I stay at home with all these kids. (Don't get me started on the implication that a paid job is the only way one can ever exercise her brain!)
In my experience all the households with kids I've seen where both parents worked full-time, including my household growing up, were full of stress, chaos, and misery. Even my childless friends who work full-time all either outsource most or all of the housework (cleaning person, laundry person, meal prep delivery service or eating out every meal, etc.) or they live in chaos. I think it's stupid how taking care of kids, cooking, and cleaning are now considered to be worthless and demeaning labor by society. What is worthless and demeaning about taking care of yourself and your family, compared to working for some corporation? I think we've gotten away from living a better life in favor of living a bigger life, so no wonder we are getting bigger and the boxes of pills we have to take every day are getting bigger.
I don't have kids but I also am mostly a stay at home spouse (I work part-time sporadically but I have some health issues that limit how much I can work). There's definitely a lot of judgment from society, people saying you're doing nothing with your life, you're lazy, you sponge off of other people, etc. There's some Youtubers I follow who are stay at home spouses and people trash them online calling them lazy and so on. If I did work more it would mostly be for my own benefit since we don't need the money due to not having kids or owning a home, fancy car, etc. My partner is the one with the big career ambitions and workaholism but...he also binge eats due to stress, so I wish he would take it easier at work and focus more on his health, since he's always taking on extra responsibilities that he doesn't actually need to do.I do think reasonable people can disagree about initiatives like school lunches. I'll freely admit I am not in favor of a lot of top-down style initiatives even when well intended. There are some cases where those sorts of interventions are appropriate but as you say the influence of family etc. holds way more sway. I don't think that's a bad thing in and of itself, but trying to override that may cause more problems than it fixes.
Admittedly I'm not an expert on the issue or anything but I just thought it was telling how strongly people reacted to their kids having to eat healthy for just one meal of the day (which they could choose to bring their own lunch for anyway).I have a suspicion we're moving way beyond the scope of the thread, though.
Well, kind of, but I do think what we're discussing is kind of the heart of the issue of what the original question was trying to ask, which I think is: are weight loss medications just a cover-up for the real issues that cause obesity?
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if I go to the (medical) doctor and complain about - anything - she's going to recommend a pill. I mean, that's their job. Prescribe medicine. They don't care if there are interactions, some of them serious. Neither do the pharmacists. People who I would think would warn me about drug/drug interactions just don't, and I think that's malpractice.
Huge generalisation there
that isnt my experience of working in health care at all.
Doctors I have worked with certainly do care about side effects and certainly are encouraging patients to live healthy lifestyles..
Their job is far more than just prescribing medication
and certainly most people I know, and most of the patients where I work, are not on anxiety meds - can't speak for your circle of people but I do not think that is the norm at all for people doing what you called 'normal living'.
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paperpudding wrote: »if I go to the (medical) doctor and complain about - anything - she's going to recommend a pill. I mean, that's their job. Prescribe medicine. They don't care if there are interactions, some of them serious. Neither do the pharmacists. People who I would think would warn me about drug/drug interactions just don't, and I think that's malpractice.
Huge generalisation there
that isnt my experience of working in health care at all.
Doctors I have worked with certainly do care about side effects and certainly are encouraging patients to live healthy lifestyles..
Their job is far more than just prescribing medication
and certainly most people I know, and most of the patients where I work, are not on anxiety meds - can't speak for your circle of people but I do not think that is the norm at all for people doing what you called 'normal living'.
Well, I did get put on 12 different meds, some of which had serious side effects, and the drug interactions were right there on the drug circulars. I even had a good (I thought) doctor: Harvard educated, University of Washington internal medicine doctor. She had 15 minutes with me and any complaint I had she threw a new pill at instead saying (not even once) "Hey, take a walk. Lose 80 pounds."
I have a lot of distrust of the U.S. medical system and doctors. Your mileage may vary in a completely different health care system and country. Aren't you in AU? I'm glad things are different there. Unfortunately I can't move to AU.
I wasn't the one talking about anxiety meds...0 -
I know you weren't the one who commented on anxiety meds - my post was in answer to 2 previous posts, one of which was yours.
yes I am in Australia and yes we have different medical system.
but just like US, one experience with one doctor doesnt equate to all doctors in the whole country
I dont dispute your experience with the one doctor you describe - however I do question the broad brush of generalising from that to the whole of doctors in the whole of the country.1 -
NoNo. After all, I took Zyban to help me quit smoking when the good old "gee, just stop smoking" approach didn't work. I don't care how I achieved ex-smoker status, just that I did it.
I wouldn't like to see weight loss meds prescribed without some sort of behavioural modification/dietary education program being delivered alongside though. They're a tool, not a solution.3 -
Nopaperpudding wrote: »I know you weren't the one who commented on anxiety meds - my post was in answer to 2 previous posts, one of which was yours.
yes I am in Australia and yes we have different medical system.
but just like US, one experience with one doctor doesnt equate to all doctors in the whole country
I dont dispute your experience with the one doctor you describe - however I do question the broad brush of generalising from that to the whole of doctors in the whole of the country.
Anecdotes aren't data, that's true. I am not literally claiming that every single college-educated white American woman age 30-39 is taking prescription anxiety medication (after all, I'm not.)
But is it incredibly common? Yes. I believe I called it a "meme." I think it's a high enough percentage among my own acquaintance that I'm more surprised more of us don't look around and go, "Something isn't right here. Maybe the problem isn't me, but the expectations surrounding this life I'm having."
Similarly, I have had an experience like cmriverside's with a doctor. Thankfully, really only one has been like that and I decided to not see her again, and that was a reasonable option for me. I would not claim that every doctor in the US is like that. But I haven't just read about it here or experienced it myself, it's also been common among family and friends. I have had more than one medical professional agree that it's a worrisome trend in the field. I am scrupulous about who I see or who my children see.
Real lived experiences count too, even if they're hard to measure.2 -
Real lived experiences count too, even if they're hard to measure.
yes they do. I guess that includes my real life experience of working in general practices for over a decade too.
and even your own " Thankfully, really only one has been like that and I decided to not see her again, and that was a reasonable option for me' would seem to be saying the others for you have not been like that
and there is confirmation bias - that applies to all of us.
what you originally said was "For my demographic it's basically become a meme that we're all on anxiety meds. And to be honest, except for my little subgroup of friends who have chosen to opt out of a lot of what's considered normal living these days, yeah, uh, the meme isn't a lie.'
which would seem to be saying everyone, except people living like you, are on anxiety meds
and I highly doubt that is so - that most people are on anxiety meds.
Objectively, it certainly isnt so for the 3000 or so patients registered at our practice, most of whom live what you called 'normal living' ie mainstream lifestyle.
some are of course, but very far from all or most .
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NoI would hope it’s being cautiously prescribed, just like I would hope any other medication is being cautiously prescribed.
The reality is that many people become fat due to factors they can’t control. Poverty often means no access to fresh foods, no time to cook healthy meals, and no time or money to exercise. Some medications cause weight gain. Some people have a history of disordered eating and aren’t well enough to lose weight without retriggering their disorder. If this medication helps them avoid the risks of obesity and they can tolerate the side effects, why shouldn’t they take it?
It’s very telling to me that the people here who are against it have either justified their argument by being against all medications or by treating adipose tissue as a moral failing.1 -
NoI have looked at weight loss drugs in the past but in my country they are expensive and not everyone can afford to pay for them.0
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if I go to the (medical) doctor and complain about - anything - she's going to recommend a pill. I mean, that's their job. Prescribe medicine. They don't care if there are interactions, some of them serious. Neither do the pharmacists. People who I would think would warn me about drug/drug interactions just don't, and I think that's malpractice.paperpudding wrote: »Huge generalisation there
that isnt my experience of working in health care at all.
Doctors I have worked with certainly do care about side effects and certainly are encouraging patients to live healthy lifestyles..
Their job is far more than just prescribing medication
and certainly most people I know, and most of the patients where I work, are not on anxiety meds - can't speak for your circle of people but I do not think that is the norm at all for people doing what you called 'normal living'.
I realize this is an anecdote, but I ended up in the ER last year from a side effect of a med that in retrospect should have been completely predictable.
The replacement med also had unacceptable side effects, which I didn't realize were caused by the med, and neither did any of the many medical professional to whom I complained about it. I finally figured it out by coincidence here on the MFP forums. I stopped the med and things finally got back to normal.1 -
YesI do not feel these “medications” are fixes but bandaids. I’m still shocked at the number of food diaries I see that are examples of people pursuing weight loss/caloric reduction, simply through eating less junk/highly processed foods, no real food, no fruit, no veg, no water but diet sodas instead. Until you address the insulin resistance by removing the sugars and sugar substitutes, you may lose the weight by restricting calories, decrease your metabolism further, but gain it back even faster than before because of the further metabolic damage. America is now 43% diabetic with a forecast of hitting 50% in 7 years. An additional 45% is estimated to be metabolically unfit…meaning pre-diabetic, most of which do not know it. Until we individually take responsibility for our health (not just our waist line) we are doomed to meet with disappointment. No institution wants us fit and healthy because there is no money in it. Big food, big pharma, insurance industry and government want a sick, fat, sugar dependent population. So whereas I don’t think the word “cheating” is appropriate, I do not believe these “medicines” are a fix. I believe they will allow a person to circumvent a root cause without eliminating the root cause which will remain a problem after the weight loss is achieved. The problem is boiled down to…nobody likes discomfort. Cravings for sugar, fat and salt are uncomfortable. Feeling “denied” is uncomfortable. However, none of those will harm you beyond a week of detox symptoms. Whereas, those miracle drugs have an entire list of potential side effects which usually include many that are serious. Until the individual addresses the addiction cycle of eating processed foods high in insulin resistance causing sugars, and endocrine disrupting chemicals, no drug will lead them to the solution they seek.6
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YesIt’s cheating if you cheat yourself out of learning how to loose the weight properly and maintain it. More than that, I’d be concerned about using drugs designed for diabetics that are already in short supply for them.2
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