I have been wanting to try the meds for ages but can’t bring myself to do it when you see those horror stories they run on sixty minutes.
Try intermittent fasting 4-5 times a week (fast mornings and eat only after 3pm), coupled with a low calorie diet and an hour of exercise for 6 days a week including at least 20m of high cardio work.
I’ll guarantee you will loose weight and keep it off.
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■■■■ sixty minutes, they eschew truthfulness for doom and sensationalism.
That’s why I’m asking blitz. We would never do that here.
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You’d think so, huh?
Yes I do
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To be clear, my point (which I made passive-aggressively, granted) is that when I tried all that you have suggested, there was minimal change. And I’m now at the point where even light exercise is taxing.
There may well be something else going on, yet all blood tests and normal healthy checks come back completely clear.
Have you had your thyroid tested ?
Inflammation somewhere causing fluid retention ?
I have, yes. Asked for it specifically. All clear.
The last set of full bloods I had done, the feedback was all of the age-affected markers were the same as someone 10 years younger, but lose a few kilos, fatty.
I am looking at cortisol but it is one of the latest Instagram scam hot issues so it’s hard to filter out good research from ads. I do carry more stress than I’d like to.
Edit: I do swell and bruise easily. I’ve explained this to my GP but he claims nothing in the test results indicate a concern on that front either.
Possibly separate to the weight loss issue, but what’s your heart like?
Just a couple of other notes from your original post:
(1) you’ve mentioned that you’ve lost weight previously but you put it back on when reverting to “normal” - our bodies hate change. Chances are it’ll take >6 months once you hit your goal weight for your body to recalibrate (for lack of a better term) to that new weight.
(2) I would pick a few medications that you’ve heard of/interested in and read the most recent systematic reviews you can find as well as look it up on the TGA website https://www.tga.gov.au/resources/artg
Eg Ozempic
https://www.nature.com/articles/s41591-024-02996-7
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What’s your sleep like? Stress levels?
If you do low calorie and exercise its a long progess to drop weight. A sustainable approach is something like a kilo a week loss.
There doesn’t seem to be much doubt that if you take those drugs you will lose a significant amount of weight. That article is pretty convincing on that point. But for me the big question is, at what cost. The side effects can be pretty unpleasant.
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If I’ve glanced over the charts correctly, 2/3 on Ozempic lost (roughly) 5% bodyweight so I’m not even sure it’s a significant amount of weight. For someone 100kg that drops them to 95kg.
It also means you’re a 1/3 chance to lose less than 5% with the same risk profile for side effects.
For a 10% drop in bodyweight, those odds shorten to less than a flip of the coin chance.
Doesn’t it depend on how long you use it? The mean weight loss over 208 weeks was 10%, with waistline reduction of 7.7cm, which I think is quite impressive. But that is 4 years of use, with all the physical side effects, not to mention a pretty significant financial expenditure.
This works for me(old school)…
Breakfast like a king
Lunch like a prince
Dinner like a pauper.
80% of the time.
10 years.
Dropped 10kg.
I go with the 12 month timeframe for things like this. Keep it real. Normally achieved in 3 months.
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The mean looks like it was upped significantly by a few outliers that lost over 25% of their body weight.
If we look at what 50% of the cohort lost in 4 years, the cut off is more like 7-8%.
Dingus has already achieved (albeit not maintained) a weight loss of around 10% “naturally”.
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I have to see the specialist this Friday to discuss pro’s and cons of surgery
The gap from the tear is 17mm so certainly qualifies for surgery but it’s my call in the end.
Do you have an opinion on surgical vs non surgical?
I need to be stucturally sound for my job (firefighter) which is my main concern
Across the board there is no discernible difference in long term outcome or function between surgery vs non-operative.
Iirc recovery going the surgical route may be fractionally quicker with the trade off being there’s higher chance of complications (wound infection etc) and obviously any financial costs relating to the surgery itself.
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Is the surgical result stronger or the non-surgical more prone to re-injury?
That is what one doc has told me
Numbers would say the functional outcome for both is the same.
Old(er) studies showed a higher (about 5% vs 1%) re-rupture rate in non-operatively managed ruptures, but with newer techniques/protocols (eg Willit’s) instead of completely cast and immobilisation the numbers are closer.
This study is possibility a bit skewed (it was Willit’s testing his own protocol against surgery) but should give you a good indication.
At 24 months both surgery vs non-surgery had no differences in strength etc. There were 2/72 re-ruptures in the surgical group vs 3/72 in the non-surgical. And 13/72 in the surgical suffered complications (from what I can see mostly tendon pain or muscle strains) vs 6/72 in the non-surgical.
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Meth is cheaper, has less social stigma and the side effects are better understood.