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New Obesity Drugs May Impact Mental Health 

Healthcare Triage
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In mid to late 2023 there was a flurry of news reports about patients taking new weight loss drugs reporting associated mental health concerns, including suicidal thoughts. There's still a lot of research to be done to fully understand these drugs and their effects, but we take a close look at the research in the article to figure out just what scientists know about GLP-1 drugs and mental health.
Related HCT episodes:
GLP-1 Obesity Drugs Are the Real Deal: • Studies Show New Weigh...
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Credits:
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Tiffany Doherty -- Writer and Script Editor
John Green -- Executive Producer
Stan Muller -- Director, Producer
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7 авг 2024

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Комментарии : 71   
@thehomeschoolinglibrarian
@thehomeschoolinglibrarian 3 месяца назад
You have to wonder if some of the effects on anxiety and depression are related to the weight loss experienced by these people and how that makes them feel about themselves. If a person's weight contributes to their depression and or anxiety then loosing that weight combined with a lifestyle changes might be a contributing factor. I say this as a person with anxiety and who is on an SSRI and has suffered from depression.
@bevinfritz-waters3333
@bevinfritz-waters3333 3 месяца назад
I wonder if there's a confounding factor here....
@creshiell
@creshiell 3 месяца назад
It could be genuinely anything because as much as I'd like to say it's just that they're happier because they're losing weight, my mother's hot flashes have stopped since she started mounjaro, which implicates the hormonal involvement, and a couple patients at my pharmacy specifically say that they feel "crazy" when they can't get their medication. This lady asked me "do you know what it's like to eat a single slice of pizza and then stop thinking about it?" Like okay ma'am yes, that's just the usual for most people! But they describe the drugs as killing their obsessive thoughts, which is very cool and neat and fun and I can't wait to see what it does for alcoholics
@rociosilverroot2261
@rociosilverroot2261 3 месяца назад
Its crazy to me that obsessive behaviors and hunger might have a physical connection in the human body, but at the same time it makes perfect sense.
@Skip6235
@Skip6235 3 месяца назад
Right? I’d like to see a study that compares to a control group not taking the medication but also loose weight
@moranii1843
@moranii1843 27 дней назад
Seriously. Overweight people are going to be happier when they lose weight... Are researchers really this nearsighted to not see this?
@MayaUndefined
@MayaUndefined 3 месяца назад
when i took a Semaglutide drug, my general anxiety went way down in .
@DaveSomething
@DaveSomething 3 месяца назад
I actually feel better, mentally, a little less obsessive over stupid things... however, I don't really notice any real change in my depressive nature, but again, I don't dwell on things as much since starting. and my A1C is 5.1 now, so the VA basically said I'm cured and won't give me any more of it! Cured?! Like a ham?
@SinHurr
@SinHurr 3 месяца назад
Like a duck.
@Matheus-yt9gw
@Matheus-yt9gw 3 месяца назад
I took Ozempic for two months and a half, but couldn't afford it anymore, specially the higher dosages, and I say this as someone that tried more than a dozen antidepressants in the past with no success, Ozempic was by far the best antidepressive I have ever taken.
@skimilym
@skimilym 3 месяца назад
I’ve heard that these drugs also affect addictive behaviors (lessening cravings), for things like alcohol and drugs but also harmless things like biting fingernails. Is there any truth to this in the literature?
@DavidRN85
@DavidRN85 3 месяца назад
There are studies ongoing right now looking into this. Anecdotally it's done that for me. I've went from drinking 8-10 drinks a week to 1-2. Just doesn't do anything for me anymore. The taste is fine but I just don't want alcohol. It's weird and cool. (I'm in a clinical trial for a new GLP-1 called retatrutide)
@mostlyvoid.partiallystars
@mostlyvoid.partiallystars 3 месяца назад
I believe this is true of Wellbutrin also
@Kyla94934
@Kyla94934 3 месяца назад
I drink way less now after being on it. Just don't want it nearly so much. I love it
@d20doc60
@d20doc60 3 месяца назад
I have taken Mounjaro and semaglutide. I do think they have a positive effect on my emotional state. For what it’s worth.
@NottanB
@NottanB 3 месяца назад
As a psychiatry resident I recently met a patient with bipolar disorder who had received Ozempic as a mood stabilizer from a different clinic and appeared to be feeling more stable with fewer and less severe depressive dips while on the drug. I had never heard of this and was a bit skeptical but It'll be very interesting to see if this indeed is a true effect of the drug with future studies.
@pjt5992
@pjt5992 5 дней назад
"Say no to drugs" has turned into "take as many as you can, and think of disorders to take them"
@mbe102
@mbe102 3 месяца назад
I'm currently taking Ozempic 2.5mg and Contrave (Bupropion 300mg + Neltrexone 50mg) and its certainly helped. My mental health has never been better; the higher self-esteem from losing 75lbs doesn't hurt either lol. Personally, and not a Doctor here (so talk to yours if you're reading this), I think the two combined should be whats prescribed. The only downside for me, was onramping to the full contrave dose was mood-swing central, but it normalizes after a while.
@JanCRefsgaard
@JanCRefsgaard 3 месяца назад
Naive question, do you think your dose is "too high" now that you lost so much weight?, because dose per kilo is usually how you standardize dose
@chemical93girl
@chemical93girl 3 месяца назад
Thank you so much for using the correct name semaglutide and not the clickbaity Ozempic. My anxiety and depression got better while taking it!
@marcelosilveira7079
@marcelosilveira7079 2 месяца назад
How long have you been on Ozempic?
@chemical93girl
@chemical93girl 2 месяца назад
@@marcelosilveira7079 nearly 2 years now!
@halifaxeh
@halifaxeh Месяц назад
I took it for 6 weeks and was on my way to intestinal paralysis. I stopped taking it 10 months ago and the constipation never went away. These drugs are being touted as the “end all be all” without proper attention to side effects! Also, losing weight in other healthy ways also helps mental health because of the stigma in society.
@sonorasgirl
@sonorasgirl 3 месяца назад
Ah! You’re back!
@gdroid2838
@gdroid2838 3 месяца назад
What of Topiramate?
@pjt5992
@pjt5992 5 дней назад
Play stupid games, win stupid prizes. I can't wait for the mass lawsuit commercials that'll com in a couple of years.
@FlashMeterRed
@FlashMeterRed 3 месяца назад
sem-Ah-glutide leer-Ah-glutide
@AlthenaLuna
@AlthenaLuna 3 месяца назад
My concern for studies about a potential relationship is that there's almost certainly a correlation between weight loss (desired result) and improvements in at least some mental health metrics. We live in a fatphobic society with fatphobic media, so weight loss can reduce some external stressors on top of any internal impacts to self-image...which aren't unrelated to the aforementioned society and media. Trying to adequately account for that seems like a significant - in the practical sense if not also statistically - challenge.
@JanCRefsgaard
@JanCRefsgaard 3 месяца назад
If that is the case then the drug still causes reduced depression, but it does it via weight loss and then it only works in an obese population, you could do a trial in lean depresses people and see if the effect also holds there
@AlthenaLuna
@AlthenaLuna 3 месяца назад
@@JanCRefsgaard Since the drug leads to weight loss, I don't expect they'd want to (and it might not be ethical/safe to) give it to people who didn't want or "need" to, but I get what you're going for - control for the variable.
@SpeakShibboleth
@SpeakShibboleth 3 месяца назад
It wouldn't be terribly difficult to parse statistically, if they had enough data. You'd need subgroups of people who'd lost similar percentages of body weight using this drug and other methods. From there, the analysis is the same as for controlling any other variable.
@JanCRefsgaard
@JanCRefsgaard 3 месяца назад
@@SpeakShibboleth this is much harder than you think, you could loose similar amount of weight because you are very sick, it's very hard to find the correct counterfactual comparator. Also some of the glp1 weight loss could come from galaxy brain things like you losing weight makes you eligible for a gastric bypass surgery so you loose even more weight, causal inference is very hard!
@azertyQ
@azertyQ 3 месяца назад
$10 on "new medicine placebo" and that the existing treatments are more likely to cause anxiety on their own.
@Call-me-Al
@Call-me-Al 3 месяца назад
Existing treatments for? Obesity? Because in general the treatments against anxiety are really helpful. Even hydroxyzine has majorly improved my generic anxiety riddled (ADHD) life. The digestion tract is lined with brain cells (like a computer GPU compared to a CPU), it makes sense that what affects the digestive tract also affects your mood. We just have to double blind test these medications thoroughly on people who have zero obesity.
@Emmasama240
@Emmasama240 3 месяца назад
That’s an excellent point. The existing treatments they compared against probably included phentermine, which I have heard can really mess with your head
@mostlyvoid.partiallystars
@mostlyvoid.partiallystars 3 месяца назад
I think being overweight in this society causes anxiety all on its own.
@turkosicsaba
@turkosicsaba 3 месяца назад
You guys work hard to make these videos as factually accurate as possible, yet the result is so unsatisfying. Even though you've summarized several papers, the resulting conclusion is just "it's too early, we don't know". This sort of science education is necessary and useful on a rational level, but SOOO unsatisfying emotionally. We need clear "A causes B" type messaging, otherwise it doesn't stick and it gets lost in the noise. Please keep up the great work on this channel, my complaints notwithstanding. :)
@victoriafrombhbh8659
@victoriafrombhbh8659 3 месяца назад
I already have issues finding food I like to eat and I’m celiac (not diabetic), I’m waiting for this to be prescribed to me just because I’m fat. The methodology for all of these studies are often bogus because they assume fatness is pathological, not natural body diversity.
@Praisethesunson
@Praisethesunson 3 месяца назад
Fatness is from you living in a society where over half the food supply available to you is actively poison. But that's too profitable to change so instead we get drugs that mess with your brain chemistry so you eat less.
@icedcoffee8561
@icedcoffee8561 3 месяца назад
Most of these pills work by making your body bypass nutrients. It doesn't matter if it's genetic or "natural" or psychological... it's gonna work for ya.
@Call-me-Al
@Call-me-Al 3 месяца назад
There's an important difference between being a bit overweight and being full on obese, especially morbid obesity. Especially for women, having a lot of extra fat in your thighs and butt is normal and health advantageous. Having a lot of fat on your gut is really bad no matter if you're male or female, and being morbidly obese (ignore BMI, pay attention to muscle amounts and fat distribution) is bad for everyone. Someone super muscular who still has a huge beer gut lives a dangerous life even if their limbs are lean, someone super muscular with an even spread of a bit extra subdermal fat all over isn't living anywhere as dangerously as the lean-ish beergut person, even if they have the same other base-statistics about their bodies. If you're a bit overweight, especially in the lower body, that's not the same thing at all as someone who has a terrifying amount of upper body fat (especially the hard gut fat, viceral fat) and way less in the legs and butt.
@HeliosPlayGames
@HeliosPlayGames 3 месяца назад
People who have problem with loosing weight are more prone to mental health struggles and that's why it looked like there is causation
@IceMetalPunk
@IceMetalPunk 3 месяца назад
That wouldn't explain the difference in results between semaglutide and other weight loss treatments, though.
@victoriafrombhbh8659
@victoriafrombhbh8659 3 месяца назад
People who are subjected to fatphobia in society are more prone to mental health struggles.
@Praisethesunson
@Praisethesunson 3 месяца назад
​@@victoriafrombhbh8659Being mean to fat people was how the food industry got the rabble to blame each other for the poisoned food supply instead of the people selling the poison.
@HeliosPlayGames
@HeliosPlayGames 3 месяца назад
@@IceMetalPunk Semaglutide helps with symptoms of depression and other weight loss treatments don't
@IceMetalPunk
@IceMetalPunk 3 месяца назад
@@HeliosPlayGames So... causation.
@healthcare8797
@healthcare8797 3 месяца назад
Lebanon? Can they afford these drugs?
@alphacause
@alphacause 3 месяца назад
Whenever the pharmaceutical industry provides you with a "solution" that is quick and requires little sacrifice, when there are lifestyle options that can address the issue but requires sacrifice, choose the latter. If history is any guide, the "solution" in a pill, if history is any guide, will eventually cause more problems than it solves.
@quadratichorizon
@quadratichorizon 3 месяца назад
The way you worded it, makes it sound like you're saying it's a binary choice between the weight loss drug and lifestyle changes. But it's not, you can do both. In fact there are probably synergies that make taking both options superior to either one alone.
@rustyshackle917
@rustyshackle917 3 месяца назад
​@@quadratichorizon you work for big pharma in some way, don't you. 😂
@Praisethesunson
@Praisethesunson 3 месяца назад
It's not lifestyle. It's an actively and perniciously poisoned food supply. Which isn't going to be changed because capitalism.
@Call-me-Al
@Call-me-Al 3 месяца назад
There are a lot of issues that people used to claim were just lifestyle issues, that turned out to not be. For instance stomach ulcers were claimed to be a stress/spicy foods only thing, it turned out that the majority of the cases were h.pylori cases. People used to claim being lefthanded was an evil choice, literally evil as in caused by the devil. There are many things that ignorant people used to claim are purely lifestyle issues that turned out to not be, including depression. Depression is a complex issue involving *both* lifestyle and medical issues. In a few cases it's even only lifestyle or only medical. Difference is that lifestyle changes don't fix the ones that aren't just lifestyle issues, see the athletic people who get plenty of sunlight and don't have environmental reasons to feel depressed, yet they can still be acutely suicidal. Rich people can effortlessly buy these pills as a "lazy" way to lose a few kg so they don't have to learn nor hire personal trainers and a personal chef. Poorer people who already have tried hard to address it via lifestyle changes have something more wrong with them than just the usual issues, they need extra help. I have a little sister who eats healthier than me and yet she has so many more health issues than me including obesity (I've mainly got autoimmune issues). She even has PCOS, while my periods have always been like a clock. She's getting medicated for so many different things, because she needs it. Her issues are not lifestyle created. Yet twenty or even 40 years ago people did claim issues like hers were lifestyle created. Most people probably still do out of sheer ignorance, the same way they probably argued I could just magically produce a normal high amount of saliva if I just stopped keeping my mouth open in my sleep or something (which I never have done, I've always been a nose breather) or even stopped taking my medication that has a chance of side effects that leads to reduced saliva production, conveniently ignoring that I wasn't diagnosed and medicated with those until near my 30s and I still had all those issues growing up and that my medication didn't worsen my condition. Don't assume things are only ever lifestyle caused just because in you they would absolutely be lifestyle caused.
@Average_Internet_DMC_420
@Average_Internet_DMC_420 3 месяца назад
just get regular exercise lmao
@rustyshackle917
@rustyshackle917 3 месяца назад
For real. Doctors have been absolutely brainwashed by big pharma. Pills are a quick fix for everything. Sad really, especially for the trusting patient.
@Praisethesunson
@Praisethesunson 3 месяца назад
You can't outrun or outlift a poisoned food supply.
@JainaSoloB312
@JainaSoloB312 3 месяца назад
That literally does not work for some people, that's why these drugs are used. Educate yourself.
@cbpd89
@cbpd89 3 месяца назад
Tell that to a messed up thyroid.
@charlespentrose7834
@charlespentrose7834 3 месяца назад
When I was working a physically demanding job I was still fat - exercise doesn't make one skinny. If it were that easy there would be few fat people.
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