Health Problems

superstraight

<Banned>
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Insurance DOESN'T cover it. If you're in the US, google up "Concierge Doctor" in your area. The idea is you pay a yearly "membership" to the practice essentially. What this allows is that instead of being like a normal PCP where the Dr needs to have thousands of patients to make the practice sustainable due to how insurance pays out they make enough money on the memberships to do with a TON fewer patients. What this does is it let's them given honest and dedicated attention to the patients they have. They still bill what they can to your insurance, but the yearly fee for them won't be covered.

If you've ever become hyper-frustrated with how is feels like you struggle to get a Dr appointment, have to schedule one way far out, can never get one when you have something come up suddenly, and then when you get to the Dr you wait a long time, get put into a room talk to a nurse for a while, then get MAYBE 5-10 minutes with the actual Dr, then feel like they hand you a "one size fits most" diagnosis (usually with a script for whatever the latest pharma rep coming through was pimping) and you have some cash to spare, then you're the target audience for Concierge Doctors.

When she was seeing one my wife never had to wait more than 2 days to see the Dr. When she went in there were nurses there, but most of the time was with the actual Dr. The Doctor would explain anything she had a question about. The Doctor would answer emails, their patient portal, and even texts. She had the Doctors actual cell phone number if she needed to call it. The doctor would coordinate to make sure the various specialists and diagnostics were all on the same page.

OTOH, it added a few benjis a month onto the budget.

But with what she was going through I consider it worth every penny we spent at the time.

Very interesting.. I never knew about this.

So do you still keep your employer's insurance? My premiums all in are about $225/month but it's a nice HSA plan where after deductible ($1750) is met, they pay 90% of the cost.

Otherwise doesn't that get really expensive? Like you would be paying full price for imaging and whatnot?
 

Haus

I am Big Balls!
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Very interesting.. I never knew about this.

So do you still keep your employer's insurance? My premiums all in are about $225/month but it's a nice HSA plan where after deductible ($1750) is met, they pay 90% of the cost.

Otherwise doesn't that get really expensive? Like you would be paying full price for imaging and whatnot?
Oh yeah, we still had my employer based insurance, and they still billed a ton to it. But you end up paying a premium out of pocket for that heightened level of attention and dedication. When I said it added a hundred or two to the budget every month that was on top of having my insurance for us through my employer (which my employer subsidizes a lot of but I still pay some there too). It's not a cheap option, but at the time my wife's health situation seemed to warrant needing to get a better and more focused level of attention than just the insurance coverage would get us.
 

Sheriff Cad

scientia potentia est
<Nazi Janitors>
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Personally, the feeling I get from the Cad Cad commentary on this is one of a legitimately good intentioned advice, but that came across a little odd. If I was going to go full tilt boogie and dive into all things medical enough to be able to self diagnose or fully guide my care regardless of my Dr or her PAs opinion I believe it would introduce a higher chance of medical misstep.
I never said do this, I said take ownership of your own health and don't wait for them to do it for you. You have to be as knowledgeable as you can be so you can ask the correct questions, know what to tell them, and accept the guidance they may or may not give.

This was also all in the context of low energy and brain fog in the cutting/GLP-1 department, all a PCP is going to do is tell you to go off the GLP-1, which is exactly what I told you to do. They're going to run blood tests and hormone tests (which I said you should let them do and interpret!) but you need to be as knowledgable as possible so you can make these decisions and not trust it to a rando PCP.

How this came to be "Cad says you should treat your own cancer lol" is beyond me. Sorry for trying to help.
 
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Kajiimagi

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I never said do this, I said take ownership of your own health and don't wait for them to do it for you. You have to be as knowledgeable as you can be so you can ask the correct questions, know what to tell them, and accept the guidance they may or may not give.

This was also all in the context of low energy and brain fog in the cutting/GLP-1 department, all a PCP is going to do is tell you to go off the GLP-1, which is exactly what I told you to do. They're going to run blood tests and hormone tests (which I said you should let them do and interpret!) but you need to be as knowledgable as possible so you can make these decisions and not trust it to a rando PCP.

How this came to be "Cad says you should treat your own cancer lol" is beyond me. Sorry for trying to help.
Always remember : Let no good deed go unpunished (tm) !
 

Control

Golden Baronet of the Realm
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I would expect if she had cybersecurity questions or concerns she would trust my advice
The real crux of this is, what % of people in the cybersecurity industry would you take advice from? What % of lawyers would Cad take advice from?
Yes, trust the expert, but first you have to be sure that you're actually talking to one, and probably doesn't hurt to consider their incentives and constraints too. It's not that I think all doctors are bad, but some seem awfully quick on the draw with "generally accepted/safe" recommendations and very uncomfortable with things they don't commonly deal with. fat? "here's your statin!" irritable? "here's your ssri!" slightly elevated a1c? "here's your insulin!" (this was the wife's, mentioned it a while back). want to check vitamin/hormone levels? "why would you want to do that?"
 

Kajiimagi

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I'm on a tablet and despise typing on it but I'll say this, the best doctor I have met in my life was an Iranian general surgeon in Rock Hill SC.
 

Noodleface

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228 -> 213 so far just letting ozempic take the wheel, currently week 7 and on 0.5mg. Haven't really started exercising since I got hit with that nasty stomach virus and still unsure if I'm 100%. That one felt like it took a piece of my soul with it.

I think week 9 I jump to 1.0mg, and then I'm unsure where I'll land. I meet with my PCP in February and get my a1c taken. I'm going to assume it's much better than previous years just based on my numbers.
 
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superstraight

<Banned>
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228 -> 213 so far just letting ozempic take the wheel, currently week 7 and on 0.5mg. Haven't really started exercising since I got hit with that nasty stomach virus and still unsure if I'm 100%. That one felt like it took a piece of my soul with it.

I think week 9 I jump to 1.0mg, and then I'm unsure where I'll land. I meet with my PCP in February and get my a1c taken. I'm going to assume it's much better than previous years just based on my numbers.

How many calories do you estimate eating? That's about a 2lb loss per week which is close to what I'm targeting at 180lbs, but I'm not on ozempic.
 

Noodleface

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How many calories do you estimate eating? That's about a 2lb loss per week which is close to what I'm targeting at 180lbs, but I'm not on ozempic.
To be honest I have no idea, I'll have to take a 'normal day' and calculate and post here. Some days I really just don't feel like eating pretty much at all.
 

Haus

I am Big Balls!
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To be honest I have no idea, I'll have to take a 'normal day' and calculate and post here. Some days I really just don't feel like eating pretty much at all.
This seems to be normal for the Ozympic track. Essentially it slows your digestive metabolism a bit, which is the appetite suppressant side of it. For me it's always been about the math. If you have a smart watch (like I have a Samsung Galaxywatch) it can help you by giving you an estimate of your daily caloric burn rate. The golden rule is that for every 500 calories a day you're under that burn rate you should lose a pound per week. If you're losing 2 pounds a week that means you're functionally under your burn rate by around 1000 calories a day.

Question is why, normal dieting would say you just restrict your intake to get to the 1000 calories a day deficit. With GLPs it changes that math a little and you might be ingesting the food but not digesting it the same way (i.e. your harvesting calories from food less efficiently). It could also be that your appetite just gets suppressed enough you actually aren't consuming as much.

Either way, if you're getting 2 lbs a week off without needing to shift up your existence, then I'd say the GLP is doing it's job for you. If you end up on the path most of the people I know end up on it will be ramped up over time and eventually you'll hit a plateau.
 

Noodleface

A Mod Real Quick
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This seems to be normal for the Ozympic track. Essentially it slows your digestive metabolism a bit, which is the appetite suppressant side of it. For me it's always been about the math. If you have a smart watch (like I have a Samsung Galaxywatch) it can help you by giving you an estimate of your daily caloric burn rate. The golden rule is that for every 500 calories a day you're under that burn rate you should lose a pound per week. If you're losing 2 pounds a week that means you're functionally under your burn rate by around 1000 calories a day.

Question is why, normal dieting would say you just restrict your intake to get to the 1000 calories a day deficit. With GLPs it changes that math a little and you might be ingesting the food but not digesting it the same way (i.e. your harvesting calories from food less efficiently). It could also be that your appetite just gets suppressed enough you actually aren't consuming as much.

Either way, if you're getting 2 lbs a week off without needing to shift up your existence, then I'd say the GLP is doing it's job for you. If you end up on the path most of the people I know end up on it will be ramped up over time and eventually you'll hit a plateau.
I can only really go by feels data because I'm not doing any math yet, but essentially I don't get any food cravings between meals now and I get fuller quicker when I'm eating a meal.

As an aside the other day I took my kids to McDonald's and got less than I usually get. Halfway through my fries I started getting pretty full and ended up throwing away some of my meal. That NEVER happened before the GLP-1. So whatever it's doing seems to be two pronged - I eat less outside of meals and I eat less at meals.

Every few days or so I am not hungry at all (maybe I ate more the day before?) and have to actively force myself to eat so my sugar doesn't drop.

Hopefully some of the low sugar stuff can get minimized if I am able to get off some pills.

Either way, I really went on this for blood sugar control with weight control being a secondary function. Just interesting seeing the weight fall off so easily. My brain is definitely wired to overeat, so it's kind of miraculous how fast that changed.
 
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