We are a commune of inquiring, skeptical, politically centrist, capitalist, anglophile, traditionalist New England Yankee humans, humanoids, and animals with many interests beyond and above politics. Each of us has had a high-school education (or GED), but all had ADD so didn't pay attention very well, especially the dogs. Each one of us does "try my best to be just like I am," and none of us enjoys working for others, including for Maggie, from whom we receive neither a nickel nor a dime. Freedom from nags, cranks, government, do-gooders, control-freaks and idiots is all that we ask for.
We all know what we need to do to lose weight. I lost 50 after I got married, no sugar, few carbs and grrrr no booze. Not onerous but not a lot of fun either. Gained 20 back and can hold there. Very leery of anything that “delays gastric emptying”….no need of that thank you very much.
From articles on this drug, I see that there are the usual possible side effects from the use of this drug but nothing too alarming, so why is the FDA restricting the use of this drug to those who are overweight and have some other condition? Why is weight loss all by itself not a sufficient reason for using this drug?
The FDA hasn't restricted the drug's use. They simply haven't approved it. FDA approval would mean that third party payors would generally have to pay for it (barring some policy stipulation to the contrary). Physicians are free to use the drug for "off-label" indications*
*In my ideal world, a physician prescription would not be needed for medications. Barring some negative public health implication, e.g. resistant strains of bacteria, people would have the right to medicate themselves...and they would have the responsibility for any adverse consequences.
All drugs of this class delay gastric emptying, so people feel full longer. Not news, really. In my GI practice I see pts all the time for nausea, abd pain, bloating, etc who can be cured by changing their diabetes drug.
The single best investment I made in weight loss was a good scale.
Once I started weighing my food and seeing what I was really eating, I focused on changing my diet. No amount of exercise would work because cardio exercise raises hunger levels by an offsetting amount seemingly. (short HIIT is an exception)
Once I committed to truly measuring my intake and adding some low cal, high volume foods like salad or grilled poblanos to make me feel full - the I could enjoy the foods I liked in moderation and still lose weight
Change in diet - not dieting - is the key to weight loss. If some of these drugs help build momentum that’s great, but I also wanted to make sure I didn’t have rebound (the way I always did with Keto diets)