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T_O_C_2's avatar
1hEdited

N=1. From a clinical perspective, GLP-1 cachexia and malnutrition are truly understand appreciated. As far as I can tell, particularly with moderate to long term use, there is no preferential recruitment site for fat and muscle loss. This means in addition to pulling protein from your skeletal muscles (which is bad enough), it is also pulling protein from your organs like your cardiac tissue or small fat deposits around certain organs ( that is suppose to be there for cushion). Iron, calcium, magnesium and cholines deficiency are common. Bowel paralysis is common, pancreatitis is more common than anyone wants to admit and to your point the classic line is that the drugs have been on the market forever , therefore they are safe. This completely ignores the hallmark rule in pharmacology, which is it is all about dose and frequency. This is empirically true. Instead of making the necessary behavioral changes you need to improve your health, you are proactively making someone sicker (who is probably sick to begin with). At this point, I refer out to anyone who wants to take these medications (after I explain my reasoning). I'm not dealing with it.

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Franklin O'Kanu's avatar

Obesity was known to be a lifestyle diseases associated with choices, but in medical schools, obesity is being framed as a “chronic disease,” further opening the door for GLPs:

https://unorthodoxy.substack.com/p/the-hidden-struggle-in-health-care

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