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GLP-1 Medications and Disordered Eating: A Personalized, Evidence-Based Approach Presented by: Kim Dennis, MD, Chief Medical Officer, CEO, & Co-Founder at SunCloud Health Clinical Assistant Professor, Department of Psychiatry, University of Illinois at Chicago College of Medicine April 26, 2024 Topics Covered: Understanding how GLP-1 medications work and what effect they have on different organs in the body. Reviewing current research data showing the benefits and risks of these medications, particularly in patients with eating disorders. Understanding how to implement a personalized and nuanced treatment approach for patients on GLP medications who have eating disorders and complex medical needs.

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When drugs like Wegovy and Ozempic hit the market, they were hailed as revolutionary weight loss solutions. For many, these GLP-1 receptor agonists delivered on their promise, helping people shed significant pounds and improve their health. But for others, the reality is far more frustrating. As many as 1 in 5 people using these medications see little to no results, leaving them disheartened and questioning if the hype is real. If you’ve wondered why these “miracle” drugs don’t work for everyone—or if you’re one of the unlucky nonresponders—this article will explore the science, the solutions, and the hope behind finding what works for you. --- #### **The Science Behind GLP-1 Drugs** GLP-1 receptor agonists like Wegovy and Ozempic mimic a natural hormone in the body, glucagon-like peptide 1. This hormone helps regulate appetite, blood sugar, and energy balance by signaling the brain to feel full. For most people, this process effectively reduces appetite, helping them eat less and lose weight. Clinical trials show that patients can lose 15-22% of their body weight, but these impressive results don’t tell the whole story. #### **Why They Fail for Some** Approximately 10-20% of users fall into the category of “nonresponders,” losing less than 5% of their body weight. Experts believe genetics, hormones, and brain function play significant roles. Dr. Fatima Cody Stanford, an obesity expert, explains, “This is a disease that stems from the brain, and the dysfunction may not be the same for every patient.” Other factors—like medical conditions, sleep apnea, or medications such as antidepressants or steroids—can also blunt the effectiveness of GLP-1 drugs. --- #### **High Hopes, Deep Disappointments** The promise of these drugs has created soaring expectations, but for those who don’t see results, the letdown can be devastating. Dr. Katherine Saunders, an obesity specialist, highlights this emotional roller coaster: “With such high expectations, there’s so much room for disappointment.” Patients like Danielle Griffin, who hoped Wegovy would help her lose 70 pounds, find themselves feeling defeated when the scale barely moves. Despite following her doctor’s advice, exercising, and maintaining a healthy diet, Griffin only lost 13 pounds over a year and a half. #### **The Ripple Effect of Disappointment** This disappointment isn’t just about weight loss. For many, these drugs represent hope—a chance to improve their health and quality of life. When they don’t work, it can feel like hitting a wall, leaving patients questioning their options and their own efforts. --- #### **Switching Medications** If one GLP-1 drug doesn’t work, another might. The class of drugs includes different formulations, each targeting slightly different pathways in the body. Danielle Griffin, for example, transitioned from Wegovy to Zepbound, which also targets a second hormone pathway. In just three months, she’s seen slow but steady progress, losing 7 pounds. #### **Exploring Older Medications** For some patients, older weight loss drugs outside the GLP-1 category may prove more effective. Medications like phentermine or naltrexone-bupropion can still offer significant benefits under the guidance of a healthcare professional. --- --- The promise of GLP-1 drugs like Wegovy and Ozempic is real, but it’s not universal. For the 1 in 5 people who don’t respond as expected, the journey can be frustrating—but it’s far from over. Whether it’s switching medications, addressing lifestyle factors, or redefining your goals, there’s always another path forward. Remember, obesity is a complex condition that requires comprehensive care. Partner with healthcare professionals, stay open to trying new strategies, and focus on the bigger picture of your health and well-being. If you’ve found this article helpful or relatable, let us know in the comments: Have you tried GLP-1 drugs? What’s your experience been like? Don’t forget to **like, share, and subscribe** for more content about health, wellness, and finding solutions that work for you!

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So you are not losing weight on Ozempic. Here are the things I had to change to help me lose weight while taking Ozempic. Ozempic is only a tool used to help with weight loss! Follow me: Instagram @holycrapimfat Email me at: [email protected]

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