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How do I stop gaining weight after stopping Mounjaro or Ozempic? - Dr. Sue Decotiis on Pix11 News Mounjaro have been game changers for people with diabetes and obesity. But once the weight off, is it gone for good? Now, in an Eli Lilly study, when patients stopped taking medication like Mounjaro after 36 weeks, most regained about 14% of their body weight. Other findings were somewhat similar for Ozempic, where two thirds of the total weight loss was then regained. Now some are calling this the Ozempic rebound. So joining us now to talk about it is weight loss expert doctor Sue Decotiis. Welcome to the show. Thank you so much. Okay doctor I feel like everyone is talking about this weight loss journey for a lot of people. First of all, tell us, do you prescribe or recommend this for people and have you seen similar results with the weight coming back? Well, I practice here in Manhattan and my patients are pretty tough. You know, they don't want to regain that weight. As you know, this medication is very expensive. Okay. So what we do is we follow patients very carefully and we put them on a body composition scale every week, every other week. And we make sure they're actually losing fat. Okay. And their muscle is staying the same. They're drinking a lot of water. And we find that after we reach their ideal goal weight, I mean, body fat, not just total weight, okay. That's really important. Most of the doctors prescribing this medication are not even putting people on a body composition scale. And a lot of the studies done by Lilly and Novo Nordisk did not even include a body comp scale. It sounds like rather than just prescribing this medication, you also look at lifestyle changes. Exactly. We do. People, but. We watch that body fat, you know, because a lot of us are heavy, not because we overeat. Our metabolism slows down. Right. So that's what this drug does. It turns insulin on. The other issue that we have is there are a lot of shortages. I mean, I see patients in Connecticut, new Jersey, New York, they come in to see me all over the country. There are shortages all over the place. What the worst thing someone can do is stop the drug abruptly. Okay, so with my patients, I titrate the drug up and I taper it down. That makes such a difference. There's also something called. Touching base on that. How long is someone typically on these drugs? Because it sounds like you start them at one level and you kind of really depends on their metabolism. Exactly. So if I'm following your body composition scale, I'm seeing what's happening with your body fat as I'm taking the drug down. And when I do that, I'll see how well your body is holding. Some people can get off it pretty easily. Okay. We also know now that estrogen is really a positive modulator. See, this is where we're ahead, right? Most of the time women, we have trouble losing weight. We can't compete with men. Right. Estrogen tends to be a modulator for this drug. So women do very very well on this medication. So it really depends on the individual. But when we're monitoring you it's really important that we take you down okay. So if someone is coming off of the medication what other lifestyle changes or what do you suggest that they implement into their life to make sure that they're keeping. Well, if they haven't been? And many of my patients are, they do have a good lifestyle. But we encourage exercise. We don't encourage heavy aerobics, but we want them to build muscle. We want them to eat a lot of protein and vegetables. We measure the fiber in their diet. But again, if insulin isn't working, you can eat really, really well. And my patients are not the type of people that are just watching at home, watching TV and eating Oreos, right? These people are very active. So and these drugs like Mounjaro, Tirzepatide, ozempic, Semaglutide, they really have to be monitored very carefully. And my practice, for the most part, I love to use Tirzepatide. Are there any differences in the medication? There really. Are. So Manjaro is the newer drug okay. And that works by affecting two areas in the stomach, something called GIP as well as GIP one. In my practice, people have lost a lot more weight on Manjaro and Tirzepatide than they did on Ozempic, so that's pretty much my go to drug. There are also less side effects, and I feel that people are more easily tapered off that drug. And the Lilly studies have shown that people lost a lot more body fat on Mounjaro than they did in Ozempic, so realized it's not how much weight you lose. What's your body fat? That's really key, and most people are not getting that advice. Sue Decotiis, MD 20 E 46th St., #1201 New York, NY 10017 Phone: (917) 261-3177 www.drdecotiis.com/ozempic-semaglutide-mounjaro-tirzepatide-weight-loss-doctor-manhattan-nyc pix11.com #Ozempic #Mounjaro #Wegovy #Semaglutide #WeightLoss #weightlossnyc #WeightLossPrescriptions #MedicalWeightLoss #WeightLossDoctor #NYC #DR #MD #News #Pix11

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Semaglutide is a medication that has gained popularity for its potential to aid in weight loss. Originally developed to treat type 2 diabetes, Semaglutide has shown promising results in helping individuals shed unwanted pounds when used in higher doses. In this article, we will explore the weight loss results that one can expect when using Semaglutide, as well as provide insights into how this medication works to promote weight loss.

How Does Semaglutide Promote Weight Loss?

Semaglutide belongs to a class of medications known as glucagon-like peptide-1 (GLP-1) receptor agonists. This medication works by mimicking the effects of a naturally occurring hormone in the body called GLP-1. GLP-1 is released in response to food intake and helps to regulate blood sugar levels by stimulating insulin release from the pancreas. In addition to its effects on blood sugar, GLP-1 also helps to reduce appetite and increase feelings of fullness, which can lead to decreased food intake and ultimately weight loss.

When Semaglutide is used in higher doses for weight loss, it has been shown to effectively reduce body weight by targeting the hypothalamus in the brain. The hypothalamus plays a key role in regulating energy balance by controlling appetite, metabolism, and body weight. By targeting this region of the brain, Semaglutide can help to reset the body’s internal weight set point, leading to sustainable weight loss over time.

In addition to its effects on the hypothalamus, Semaglutide has also been found to slow down the emptying of the stomach and reduce food cravings, further supporting weight loss efforts. This medication can help individuals make healthier food choices and reduce their overall caloric intake, which is crucial for achieving long-term weight loss success.

What Results Can You Expect with Semaglutide?

The results of using Semaglutide for weight loss can vary from person to person, but studies have shown that this medication can lead to significant reductions in body weight when used in higher doses. Clinical trials have demonstrated that individuals who took Semaglutide for weight loss experienced an average weight loss of around 15-20% of their initial body weight.

It is important to note that the amount of weight loss achieved with Semaglutide will depend on various factors, including the individual’s starting weight, diet, exercise habits, and overall health status. In general, those who follow a healthy diet and exercise regularly while taking Semaglutide are more likely to see greater weight loss results compared to those who do not make lifestyle changes.

Most individuals who use Semaglutide for weight loss can expect to see gradual progress over time, with the most significant weight loss typically occurring within the first 6-12 months of treatment. It is important to be patient and consistent with treatment, as sustainable weight loss takes time and effort. Working closely with a healthcare provider or weight loss specialist can help individuals set realistic goals and stay on track with their weight loss journey.

Are There Any Side Effects of Using Semaglutide for Weight Loss?

Like any medication, Semaglutide can cause side effects in some individuals. Common side effects of using Semaglutide for weight loss include nausea, vomiting, diarrhea, and constipation. These side effects are typically mild to moderate in severity and often improve with continued use of the medication.

In rare cases, Semaglutide may cause more serious side effects, such as pancreatitis or gallbladder problems. It is important to speak with a healthcare provider if you experience any unusual symptoms while taking Semaglutide for weight loss. Your healthcare provider can help determine if the benefits of using Semaglutide outweigh the risks and provide guidance on how to manage any side effects that may arise.

Overall, Semaglutide has shown to be a safe and effective medication for promoting weight loss in individuals who are overweight or obese. By working to regulate appetite, reduce food cravings, and increase feelings of fullness, Semaglutide can help individuals achieve and maintain a healthier weight over time. It is important to consult with a healthcare provider before starting Semaglutide for weight loss to ensure that this medication is appropriate for your individual needs and health goals.

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