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Comment by arcticbull

11 hours ago

Directionally each generation of these drugs targets more receptors and has fewer side effects. Tirzepatide is also amazing in that people lost an average of 20.9% of their body weight in studies. [1]

[1] https://www.nejm.org/doi/full/10.1056/NEJMoa2206038

What if I didn't want to lose weight? Would I be a bad candidate?

  • It doesn’t make you lose weight per se.

    It is best described by me turning the volume down on your desire for a dopamine hit. You’ll eat what you need, vs going for the helping of comfort food. Many people see a more active libido, less alcohol desire and other factors.

    We’ll see lots of other indications I’m sure. This drug is like the Keytruda of self control.

  • Tirzepatide does not force you to lose weight, it makes it much easier to stick to your diet. Maybe too easy, since people who are not prepared to manage their diet may find themselves missing meals accidentally (lots of stories of people losing more than 2 pounds a week, which is very satisfying when it happens but not the healthiest way to drop weight).

    Make sure you are getting sufficient calories and you won't lose any weight.

    The caveat is that it slows digestion down and this effectively reduces your capacity to eat a lot of food. So maintaining a high calorie diet may require some changes to increase the energy density of your food.

    • > lots of stories of people losing more than 2 pounds a week, which is very satisfying when it happens but not the healthiest way to drop weight

      Folks should follow medical advice and do what works for them, but be aware that these guidelines were established prior to the obesity epidemic. I’d be highly surprised if someone weighing 300lbs vs. the same person weighing 190lbs should be losing weight at the same rate per week.

      I imagine these will be updated to be body weight (or fat) adjusted as time goes on, like some doctors are already doing.

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