Weight Loss Thread

Cutlery

Cutlery

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Noodleface said:
Food is an addiction for many, just like any other addiction. It's easy to minimize it to willpower, but it's the same thing as complaining about a gambling addict that can't control themselves.

I will say of course I am a bit biased as I take the medication, but my mindset shifted once I did. It's easy from the outside to see it as a cheat, and for some people it probably is no doubt, but it's really just another tool in the journey to getting healthy for many.
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I don't know that "it's not cheating once you're on the cheating side" is that compelling of an argument.

Guys on roids don't think they're cheating either, but we have separate categories for them for a reason.
 
Noodleface

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Cutlery said:
I don't know that "it's not cheating once you're on the cheating side" is that compelling of an argument.

Guys on roids don't think they're cheating either, but we have separate categories for them for a reason.
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Cheating at what though? In competition absolutely.. at the gym? Not a competition
 
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Cad

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BrutulTM said:
You can lose weight without ceasing to enjoy food. If that's what you want to do, that's great, but that's not a life I want to live.
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Everyone gets to make their own choice, you get to make yours too. I'm just saying how *I* approach food and makes it easy/easier to cut or maintain. Some people love food and some don't, I never "loved" food so it was an easy change for me.

Different people are different and there's room for everyone man. We don't have to be the same.
 
Furry

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Khane said:
Don't get me started on berries. They've always been obscenely expensive. Especially when you compare cost to calories. I think theyre the worst item in the entire store in that regard.
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I grow my berries. I just don't care to eat that many to begin with, and blueberries, raspberries, figs, pomegranates, and strawberries grow pretty well in texas. I like to grow as much of what I eat as possible, so I always have something of a victory garden going. Salads, fruits and vegetables taste way better if you grow them yourself, proven fact.
 
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BrutulTM

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Cad said:
Everyone gets to make their own choice, you get to make yours too. I'm just saying how *I* approach food and makes it easy/easier to cut or maintain. Some people love food and some don't, I never "loved" food so it was an easy change for me.

Different people are different and there's room for everyone man. We don't have to be the same.
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This is exactly what I said in the post you quoted.

Furry said:
I grow my berries. I just don't care to eat that many to begin with, and blueberries, raspberries, figs, pomegranates, and strawberries grow pretty well in texas. I like to grow as much of what I eat as possible, so I always have something of a victory garden going. Salads, fruits and vegetables taste way better if you grow them yourself, proven fact.
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I desperately want to grow my own berries. I'm like zero for twenty on trying to get raspberries established.
 
Furry

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BrutulTM said:
This is exactly what I said in the post you quoted.



I desperately want to grow my own berries. I'm like zero for twenty on trying to get raspberries established.
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Texas A&M has very good public resources on how to get things to grow in texas. The basic answer with raspberries in particular is you need shade.
 
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unhappyendings

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Control said:
but it's a bandaid that lets people drop 100lbs that they wouldn't have otherwise dropped so...
yeah, fat people should have better habits, but if you're 50, 100+lbs overweight, and haven't managed to sort out the "better habits" part yet, how likely is that to happen? Maybe people have to be on it forever, but they were probably going to be on statins, blood pressure meds, and whatever else to deal with the fattness otherwise, right?
I mean it probably ends up giving us all turbo-stomach cancer in 10 years, but at our ages, being significantly overweight is a ticking timebomb of it's own. So reasonable calculated risk imo. For people who are just slightly overweight, I'd think a lot harder about the possibility of unforseen side effects showing up in a decade.
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My wife had an officemate that was probably pushing 400 pounds in his late 20's early 30's. Employer is a major US Healthcare provider. The employee health plan will not cover GLP-1 for weight loss, no exceptions. They told him gastric bypass is 100% covered though.

Sometimes I want to believe it is tied to data backed medical decisions but then I know the same health plan will not provide their employees the best drug for a certain stage of Multiple Sclerosis as decided by their own doctors. It turns out the medical director of that specialty area was instrumental in the policy decision and it benefits the healthcare organization greatly on the reimbursement side of the equation, they make more money prescribing one vs the other. The process of infusion is the same basic cost for just about any drug.
 
Noodleface

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unhappyendings said:
My wife had an officemate that was probably pushing 400 pounds in his late 20's early 30's. Employer is a major US Healthcare provider. The employee health plan will not cover GLP-1 for weight loss, no exceptions. They told him gastric bypass is 100% covered though.

Sometimes I want to believe it is tied to data backed medical decisions but then I know the same health plan will not provide their employees the best drug for a certain stage of Multiple Sclerosis as decided by their own doctors. It turns out the medical director of that specialty area was instrumental in the policy decision and it benefits the healthcare organization greatly on the reimbursement side of the equation, they make more money prescribing one vs the other. The process of infusion is the same basic cost for just about any drug.
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It is very strange to me given gastric bypass has to cost way more long-term
 
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unhappyendings

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Noodleface said:
It is very strange to me given gastric bypass has to cost way more long-term
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I have heard from at least two others their insurance would not cover it for weight loss. It seems like a doctor would definitely tell you to try everything else before gastric bypass especially since that just restricts what you can fit in your stomach.
 
moonarchia

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Noodleface said:
It is very strange to me given gastric bypass has to cost way more long-term
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That path is even worse than just tossing someone on a GLP-1 for life. Unless the person changes their diet permanently, they go back to being just as fat, now with serious digestive system fuckery due to the surgery.

Weight always comes back to diet. There's no way around it. Consume less calories than you burn over an extended period of time until you reach your goal. You don't have to do anything extreme, either. Just slowly throttle down the intake.
 
Kuro

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No deal, can you make me a pill that gives me continuous low grade seizures in order to increase my NEAT instead?!
 
Armadon

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I don't really care that people know I'm using reta to keep a low body fat. I have the body of my 20 year old self at 50. I think it's crazy to not utilize what we have to be the best version of yourself.

I think the people that look terrible are the ones on it that don't workout and lose everything. You still gotta put the work in when you're on glps.
 
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BrutulTM

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Yeah there's reasons not to use the drugs, but I don't think virtuousness is worth worrying about. I guess maybe if you want to brag about doing things the hard way then that's a benefit, but beyond that it's really no one's business when, why, or how you choose to manage your weight. If it's worth the risk, money, and side effects to you then go for it. It doesn't affect anyone but you. If someone else has an opinion about it, then they are welcome to go fuck themselves.
 
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sleevedraw

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Noodleface said:
It is very strange to me given gastric bypass has to cost way more long-term
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No, actually the cost of a gastric bypass is lower than long-term GLP-1s at this point. Granted, if someone has a complication from a bariatric surgery, that can drive up the cost and change the cost-benefit calculus considerably. I've seen some cost efficacy studies in my professional journal for insurance nurses, and the cost of most of the GLPs would need to be cut in half or 1/3rd for them to be considered cost-effective. The massive (10-20%) increase in premiums that most people had to contend with last year was mostly due to the cost of the GLP-1s that the health plans are bearing.

As for weight loss surgeries not being covered by insurance plans, at large (self-funded) employers, that is a decision on the part of the employer, not the insurance company. When you self-fund, you have the option of customizing coverage as you see fit, and all we (the health insurance company) do in the background is prior auth and claims administration.
 
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Noodleface

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sleevedraw said:
No, actually the cost of a gastric bypass is lower than long-term GLP-1s at this point. Granted, if someone has a complication from a bariatric surgery, that can drive up the cost and change the cost-benefit calculus considerably. I've seen some cost efficacy studies in my professional journal for insurance nurses, and the cost of most of the GLPs would need to be cut in half or 1/3rd for them to be considered cost-effective. The massive (10-20%) increase in premiums that most people had to contend with last year was mostly due to the cost of the GLP-1s that the health plans are bearing.

As for weight loss surgeries not being covered by insurance plans, at large (self-funded) employers, that is a decision on the part of the employer, not the insurance company. When you self-fund, you have the option of customizing coverage as you see fit, and all we (the health insurance company) does in the background is prior auth and claims administration.
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I wonder how deep the analysis goes.

Have to assume with GLP-1s doing so much there is probably a reduction in health spending by individuals as well.
 
sleevedraw

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Noodleface said:
I wonder how deep the analysis goes.

Have to assume with GLP-1s doing so much there is probably a reduction in health spending by individuals as well.
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Here's the article if you want to do do a deep dive.

There are some cost savings realized from weight reduction, but (a) GLP-1s have their own set of complications such as pancreatitis which can eat into their cost savings similar to bari surgeries having complications, (b) bari surgeries also achieve some cost savings from weight reduction, so that needs to be factored in, and (c) medication adherence is an issue with GLP-1s.
 
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