Taking Control Of Weight Loss With A GLP-1
Spend even a little bit of time online or watching TV, and people will see commercials for glucagon-like peptide-1 (GLP-1) medications. Originally designed to manage diabetes, drug makers discovered, after additional testing, that weight loss could also be achieved. The medication became popular but many people still view GLP-1s as a magic bullet rather than as part of a holistic approach to weight loss.
How GLP-1s work
GLP-1s are referred to as weight loss drugs, but the medication doesn’t directly cause weight loss. Instead, the drug is known as an agonist that exaggerates natural bodily functions. As a diabetic medication, GLP-1 is a supplemental injectable hormone that manages blood sugar specifically for type 2 diabetics. The hormone is naturally found in a person’s small intestines and triggers insulin release while blocking glucagon which normally raises blood sugar levels. The medication prevents too much glucose from entering the bloodstream. As a weight loss mechanism, GLP-1 slows stomach emptying, meaning that people on the drug often feel fuller longer and eat less.
Not a magic bullet
While GLP-1s are proven in clinical trials and anecdotally to be effective, people shouldn’t assume that core weight loss principles don’t matter. Shifting to a healthier diet and getting enough active minutes each week are still important. These medications can’t instantly shed pounds without additional effort. Patients are still expected to adhere to a weight-loss plan and may be encouraged to see a dietitian or enroll in weight-loss programs for accountability. Especially since GLP-1s have known side effects, being informed and putting in the work are important.
GLP-1 side effects
Most side effects are more common when a person first starts a prescription or adjusts the dosage. Nausea, vomiting, constipation, and even diarrhea are some of the most common complaints. In most cases, shifting to smaller, more frequent meals, drinking plenty of water, eating enough fiber, and avoiding greasy or high-fat foods can help control side effects.
Why diet matters
Beyond healthier dietary choices for long-term habits, eating better is critical for GLP-1s. Specifically, a major side effect people also experience is sagging, specifically in the face and buttocks as a result of rapid weight loss. While the sagging is proof that the medication is working, many individuals are self-conscious about the excess skin. More importantly, because patients may not be consuming enough calories, especially protein, due to suppressed appetite, maintaining muscle mass can be harder. Eating more protein to help retain and build lean muscle is important.
Don’t forget exercise
Equally important for long-term success is exercise. Most people aren’t expected to be on GLP-1s as weight-loss medication forever. One of the biggest concerns with patients weaning off of these drugs is gaining the weight back. Studies show that usually within 18 months of stopping GLP-1s, individuals not only risk regaining, but potentially experiencing worse cardiovascular health outcomes like higher cholesterol and blood pressure. By having a solid meal plan in place and a regular exercise routine, people can potentially combat rebound weight gain.
A smart trifecta
Every person’s weight loss journey will be different. For individuals with a BMI of 27 or higher, along with contributing weight-related conditions, or people with a BMI of 30 or higher who are diagnosed as obese, a GLP-1 might be a solution to help with losing weight. However, the medication shouldn’t be viewed as a quick fix. Instead, focus on building a holistic weight loss program that combines diet, exercise and medication.
