AskDrFeeder:One of the best parts of being a feedee is never having to diet.
It seems to me if that's your motivation, your goal should be to get fat enough to qualify for bariatric surgery but not _too_ fat for bariatric surgery. Not that you should necessarily have bariatric surgery, just that it's nice to have the option and it's nice to know if you reach that target you'll never have to diet.
Fat enough for bariatric surgery would be 40 bmi. Too fat is 450 pounds. Someone 5'7" tall, for example, should have a goal weight between 256 and 450 pounds.
Is this a crazy idea? I don't know, somehow I like it.
Chimneychonga:I dunno, bariatric surgery is becoming a thing of the past imo with the semiglutide wave. Why surgically alter yourself to permanently gimp your stomach when you can just have the injection take care of the hunger for you? Not everyone can get on it, but I'm now seeing Groupons for them so I think it'll be the new thing people beg for when they want to be skinny again (if not already). Besides, if you want to pivot to being a powerlifter, debuffing your appetite will hurt your gains in the long run.
Munchies:So, I work with medical records - including both bariatric surgery and the "semaglutide wave." Drugs like Ozempic and Wegovy are not going to replace bariatric surgery. Controlling for things like price and insurance coverage, there will still be plenty of people who will continue to get the surgery over the medications.
Not everyone is a candidate for semaglutide. You have allergies, drug interactions, health conflicts, etc. Plus, on average, people lose about 21% of their body weight on Mounjaro and 12-15% on Ozempic and Wegovy.
universityofcalifornia.edu/news/are-newest-weight-loss-drugs-too-good-be-trueThis is fine for people who are overweight, but when you get to the obese and morbidly obese category, some people may not find it worth it.
On top of all that, you have to keep taking these medications to keep the weight off. This is not practical for some people.
Doctors recommend one or the other depending on what's needed. Sometimes, they prescribe semaglutide for certain bariatric patients who are struggling to keep the weight off or aren't losing the weight at the recommended rate.
You can check this out for more information if you are curious:
[img]https://www.alobariatrics.com/semaglutide-after-bariatric-surgery-does-it-make-sense/[/img]
Interesting, I haven't heard of them being combined like this. But even in the worst case scenario, the worst effects of a semiglutide are only 1% from the physiology of the patient. Aside from a from the odd defective needle the experience the same even when applied by oneself. Compare that to invasive surgery (removing stomach tissue and stapling the stomach shut), where not only the materials and knowledge matter, but the experience of the surgeon as well. If you got the cash and travel time, your odds are much better to survive w/o complications with a skilled surgeon than your local operating room where you may be stuck with a rookie. If I had to choose for myself, I know which treatment would be faster.
As for semiglutide costs, the ingredients aren't the problem: everyone but the US generally has a better time getting it for what it's worth.
https://www.youtube.com/watch?v=pndCjCKNZfQFrankly, it's scalping the US because R&D necessary to invent the drug was banking on the US to pay for it, and they don't want to stop the revenue by solving the problem until they get their fill. Thus, why America had a shortage while you could hop across the border and get it for a steal. And if the patent expired, people would make a generic, everyone that can take it would take it like aspirin.
