Dr. Sarah Molasky

So, you know, but they ended up losing a lot of weight. They were able to stop relying on the scooter basically when they were getting around and they were able to walk. more often. And this led to, you know, increased exercise, and they were able to continue losing weight.

So, you know, but they ended up losing a lot of weight. They were able to stop relying on the scooter basically when they were getting around and they were able to walk. more often. And this led to, you know, increased exercise, and they were able to continue losing weight.

And, you know, even though they're still on this medication, I feel like that's a really good example of if your mobility is so negatively impacted by your weight, and this weight loss medication helps you get down to a low enough weight that you can increase your exercise, then potentially between diet and exercise, you can maintain that weight loss

And, you know, even though they're still on this medication, I feel like that's a really good example of if your mobility is so negatively impacted by your weight, and this weight loss medication helps you get down to a low enough weight that you can increase your exercise, then potentially between diet and exercise, you can maintain that weight loss

and not need to stay on the medication, you could safely taper off of it. And that's the other thing is tapering off. Unfortunately, many of our patients on these meds, either for diabetes or weight loss have not gotten to taper off of them, they just suddenly stop because they're not available anywhere. So I mean, we've gotten to see what people are experiencing when they don't get to taper.

and not need to stay on the medication, you could safely taper off of it. And that's the other thing is tapering off. Unfortunately, many of our patients on these meds, either for diabetes or weight loss have not gotten to taper off of them, they just suddenly stop because they're not available anywhere. So I mean, we've gotten to see what people are experiencing when they don't get to taper.

And it's extreme hunger, right? Like that hunger comes back with a With a passion. So if someone were to say, I'm going to try using this medication to get down to a certain level of weight loss so I can be more mobile.

And it's extreme hunger, right? Like that hunger comes back with a With a passion. So if someone were to say, I'm going to try using this medication to get down to a certain level of weight loss so I can be more mobile.

And while I'm doing that, and I have the suppressed appetite, I'm going to work with a dietician to make sure I'm getting enough food to maintain my muscle mass because I don't want to starve myself. but also not overeating so that I'm not going to, you know, meaninglessly take this medication, then I think it can be a really useful tool for a small subset of people.

And while I'm doing that, and I have the suppressed appetite, I'm going to work with a dietician to make sure I'm getting enough food to maintain my muscle mass because I don't want to starve myself. but also not overeating so that I'm not going to, you know, meaninglessly take this medication, then I think it can be a really useful tool for a small subset of people.

I don't think it's clinically appropriate to have people stay on this medication for the rest of their life if it's strictly for weight loss, unless we get more data indicating that it would make sense and for who it makes sense to, right? Because we don't, We just don't have enough information right now.

I don't think it's clinically appropriate to have people stay on this medication for the rest of their life if it's strictly for weight loss, unless we get more data indicating that it would make sense and for who it makes sense to, right? Because we don't, We just don't have enough information right now.

But as things stand for now, I think for a small number of people, it could be very useful to get them to a point where healthy eating habits, which means something different for everybody, and healthy exercise habits, which look different for everybody, can be maintained, can become a habit for that person, and then slowly taper off that med while they still maintain those healthy habits.

But as things stand for now, I think for a small number of people, it could be very useful to get them to a point where healthy eating habits, which means something different for everybody, and healthy exercise habits, which look different for everybody, can be maintained, can become a habit for that person, and then slowly taper off that med while they still maintain those healthy habits.

Yeah, so the most common ones would be nausea, vomiting, stomach ache, just GI discomfort in general. Most of my patients... complain about these side effects when they start the medication. And I've had some patients go off of these medications because of the side effects, right? Where they're just like, I constantly felt nauseated.

Yeah, so the most common ones would be nausea, vomiting, stomach ache, just GI discomfort in general. Most of my patients... complain about these side effects when they start the medication. And I've had some patients go off of these medications because of the side effects, right? Where they're just like, I constantly felt nauseated.

I don't want to lose weight if it means I feel like I'm going to throw up all the time. So, and for some patients, you know, these side effects may peter off after a couple of weeks on a certain dose, but for others, they persisted and it was very uncomfortable. I believe one of the studies that

I don't want to lose weight if it means I feel like I'm going to throw up all the time. So, and for some patients, you know, these side effects may peter off after a couple of weeks on a certain dose, but for others, they persisted and it was very uncomfortable. I believe one of the studies that

on Ozempic, like a third of the participants dropped out within a certain period of time because they just couldn't handle the side effects. So that's something worth talking about. That's a lot. That's a lot. And when it comes to nausea is one thing, but vomiting that causes damage to your esophagus over time.

on Ozempic, like a third of the participants dropped out within a certain period of time because they just couldn't handle the side effects. So that's something worth talking about. That's a lot. That's a lot. And when it comes to nausea is one thing, but vomiting that causes damage to your esophagus over time.