In today’s world, weight loss remains an important concern for many individuals, often posing a complex challenge. As a naturopathic physician, I tailor plans to prioritize healthy eating, regular exercise, and lasting habit changes for my patients who want or need to lose weight. Addressing emotional triggers, metabolic hurdles, and lifestyle factors is paramount for long-term success. However, the emergence of medications like Ozempic has reshaped the weight loss landscape, sparking both enthusiasm and scrutiny.
In recent years, Ozempic has gained attention as a breakthrough in weight loss pharmacotherapy. Endorsed by figures like Oprah Winfrey, it offers promise as a safe and effective tool for shedding pounds. Derived from semaglutide, Ozempic not only regulates blood sugar levels in diabetes but also induces significant weight loss in a notable percentage of users. Up to 86% of people in a study using 2.4g (a high dose not available in Canada) lost 5% or more of their body weight in 40 weeks in one study. It’s notable that 31% of the people taking the placebo shot also lost the same amount. Only 50% lost more than 15% of their body weight in about 15 months. (For a 200 pound person, that would be 30 pounds). Five percent stopped due to gastrointestinal side effects. Remember, in Canada the only dose availalbe is less than half the dose used in those studies. Administered via a weekly injection, its convenience adds to its allure.
While some patients experience transformative results with Ozempic, others grapple with its side effects. Nausea, vomiting, and diarrhea are common, and more serious side effects, (such as thyroid cancer in rats) can occur, raising concerns about the sustainability of weight loss achieved through such discomfort. Moreover, the financial burden of Ozempic can be substantial. It costs about $270 per month with limited coverage under pharmacare and extended health plans. It is only approved in Canada as treatment for type 2 diabetes, so if it’s prescribed for a non-diabetic for weight loss, that is considered “off label use” and certainly wouldn’t be covered.
Studies show that one year after stopping Ozempic, participants regained two-thirds of their prior weight loss. So, the implication is that people will be advised to stay on it long term. The safety of long-term Ozempic use remains a subject of debate. With limited studies extending beyond seven years, uncertainties linger regarding potential risks over extended periods. As such, cautious consideration of its pros and cons is essential. While Ozempic may serve as a catalyst for weight loss, its role should ideally complement ongoing efforts to cultivate a healthy lifestyle.
As a naturopathic doctor, I assist patients in making lifestyle changes not only through education but also through coaching. Drawing insights from research, such as that illuminated in James Clear’s book ‘Atomic Habits,’ I help patients establish a foundation for success. With a degree in psychology, I delve into addressing issues like emotional eating, cycles of deprivation binge, boredom eating, and more.
I offer comprehensive lab work can illuminate any metabolic issues hindering weight loss. Conditions like low thyroid function or impaired glucose tolerance can complicate efforts. Testing insulin levels after a high-carb meal can reveal how the body responds, informing tailored weight loss strategies that suit individual metabolic profiles.
Navigating the realm of weight loss in the era of Ozempic demands a balanced approach. While pharmaceutical interventions offer promise, they should be viewed within the context of broader lifestyle modifications. Sustainable weight management necessitates addressing underlying factors, fostering healthy habits, and judiciously leveraging available tools for lasting success. To book an appointment to discuss creating a healthy weight loss plan, click here.
