I have a complex endocrine problem. As a result I had secondary PCOs, infertility, hyperinsulaemia, have had thyroid problems resulting in a hemithyroidectomy and my underlying condition increases my risk of breast cancer which I was diagnosed with 3 yrs ago. I only became pregnant after taking Metformin but developed pregnancy induced hypertension. I’ve been on meds for blood pressure more preventative than treating very high BP. Unfortunately the drugs I used to take to treat the endocrine problem cause heart valve damage after longterm use so I have been taken off them. My weight has crept up as a result. In fact I came off the drugs for periods of time because of the side effects but I knew when my hormone levels were increasing because of weight gain and other symptoms so I would have to go back on them.
I’m also 5’7” with a broad skeleton and athletic build so although I’m not rolly polly-esque my BMI is high. BMI is not a good measure of true health. If I do the waist to height ratio then I am top end of healthy.
I had a reaction to a drug historically that caused acute liver failure. So I’m well aware of the risks of taking any new drug. I have to undergo regular liver function tests every time I am prescribe a new long term drug. And have to juggle between risk and benefit every time. The non-medical public are far too trusting of the research and testing done on drugs. My moto is if you don’t need a drug to save your life then don’t take it. Morbid obesity is different to 2st over weight, so qualifies for medical intervention for lots of reasons but mainly to reduce the escalating costs to the NHS. And in the US to insurance companies.
“Food noise” is a polite term for greed and is a psychological problem not a medical problem. Not enough work is being done to address this so ultimately all weight loss drugs/methods fail if you don’t permanently eliminate food noise. From my experience in the NHS the only effective medical procedure to maintain weight loss is gastric bypass because no matter what you eat you cannot digest and absorb it so it works.
Changing habits is the only non-medical way to maintain weight loss.
It’s an anonymous chat forum. When people come on and ask questions there should be a healthy mix of viewpoints. I worry that MN seems to be saturated by WLI threads that are full of cheerleading evangelists, increasingly those who are giving advice are not qualified to do so.
I’ve also been a member for over ten years.
And to answer your final question I am a strong advocate for medically necessary drugs but cynical about the increasing use of drugs when a non-medical alternative would result in a better outcome.
I still work although retired from NHS work. I am being increasing approached by patients who are coming back from Europe having had botched cosmetic procedures which are totally clinically unnecessary. I have a couple of patients who have had major complications after gastric sleeves/ballon’s, that 10yrs ago were very popular, and have had to undergo major surgery to correct the problems. My area of work is closely related to dietary choices due to the havoc it wreaks in the mouth. If we could ban sugar the NHS would be in a very different position.
Unfortunately we are heading to a situation where it is easier to throw drugs at the problem rather than intervene when obesity and all the associated diseases could be prevented.
Quick fixes are not cheating but they are not the solution.