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Switching and Changing Weight loss Medications

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Today we are talking about switching between weight-loss medications. In particular, GLP-1 receptor agonists such as Saxenda, Ozempic and Wegovy. I also have a small note about other classes of weight-loss medications such as Contrave! LET'S GET TO IT!
⚠️ Are you thinking about switching your meds up? I'd love to hear your thoughts!
Want to learn more?
1) Ozempic and Obesity - A Major Shift in Obesity Medicine? - • Ozempic and Obesity - ...
2) We Go To Wegovy! - • We Go To Wegovy!
3) Starvation Mode, Metabolic Adaptation, or Broken Metabolism? [Live Webinar Replay] - • Starvation Mode, Metab...
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Опубликовано:

9 янв 2022

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Комментарии : 98

@kathleenkalt3852 Год назад

I've just started week three of Saxenda. I haven't increased the dose above 1.2 because I've lost 5 pounds and I have to pay out of pocket for it even though I'm type two. My cravings are gone. I'm eating one meal a day and not hungry the rest of the day. I'm going to start taking vitamins because I eat so little. I make sure that I have protein at my one meal. I might ask my doctor about ozempic if it would be covered by insurance. I understand it's hard to get right now. Paying $1,300 for Saxenda is a huge chunk of my budget and not sustainable. It makes no sense that U.S. insurance companies will cover bariatric surgery but not an injection that's much cheaper.

@behindthen0thing525 Год назад

Saxenda is like 100usd in South korea

@CJLV468 Год назад

Go through a Canadian pharmacy- it will be less than half of the US pharmacy while paying out of pocket 😊

@joannamoore4477 Год назад

I have to pay for my saxenda as well . I am on 3mgs but had complete loss of appetite, cravings , food chatter , food fomo on the 0.6mg . I wonder about dropping my dose for money saving only . I have not had any nausea . I am worried about my appetite coming back ?

@swolgel1 11 месяцев назад

I can't believe the prices you are paying for saxenda. I live in Israel where we have socialized medicine. I pay the equivalent to around $135 a month for the five pen pack of saxenda. That also is very expensive compared to all the other medicines that are available here.

@hunterandolive2693 8 месяцев назад

@@CJLV468no. We in Canada do not appreciate Americans crossing the border to leech off of our benefits.

@taniag4852 Год назад

Thank you for the information. It’s greatly appreciated. I started on Saxenda and worked hard to keep my calories and protein up to between 1200-1500. I also had to take into consideration my less than stellar physical exercise due to chronic pain/nerve damage but I do what I can. I’m about to switch to weekly Ozempic soon so I’m hoping the results are similar if not better.

@theofficialdrdan Год назад

Good luck!

@karyn4795 2 года назад

Thank you for supplying all of us with this very important information.

@theofficialdrdan 2 года назад

My pleasure :)

@jeannemarie3704 9 месяцев назад

I have been on wygovy 36 weeks, went from 196.6 to 163.2 # am 5 ft 3 and 55yo. I am stalling on the weight loss and will try to exercise more-- walk and lite weights and start with that. I am thrilled anyhow to have lost what I lost although would like to have 10-15# more wgt loss. I can live with having lost 33 pounds. my health and life are better...also will need to increase calories to 1400-1500 cal a day. I'm at about 1200 so yeah, will try some of these tips. thanks Doctor!

@Deb0424 Год назад

I am on 1 mg Ozempic. When the time comes to switch to Wegovy do I start at 1mg or back at .25 mg of Wegovy?

@sameera3469 Месяц назад

I switched from .5 mg ozempic to 1.0 mg Wegovy..no difference

@joannamoore4477 Год назад

Anybody else having Les’s bowel movements on saxenda ? I have gone from regular daily 7am to weekly. I don’t “ feel “ constipated . I feel great actually. I am eating a lot less so that is maybe normal?

@swolgel1 11 месяцев назад

I don't feel constipated either on saxenda. However I was never regular to begin with. I have lost 31 pounds in around 4 months. I have not lost recently though. I am not on saxenda to lose weight although I do need to lose the weight. I have Insulin resistance. My numbers have gone way down which is great. I just do not know if I will lose any more weight (have another 30 pounds or so to lose.) Not sure what to do now.

@mreyna6842 Год назад

if i am transitioning from saxenda to ozempic, can i begin ozempic the day after my last dose of saxenda ? or do i have to wait ? (thank you)

@susie2251 2 года назад

Personally I find Ozempic just as good or better than phentermine for appetite suppression but without all the horrible phentermine side effects (insomnia, intense dry mouth, personality changes).

@theofficialdrdan 2 года назад

I am glad to hear it is working better for you!

@kite6864 2 года назад

plus no tolerance

@katarinanocita6498 Год назад

Excellent video. So much helpful I formation.

@debbiep99 Год назад

I'm bummed my doctor won't put me on ozempic because I'm not diabetic. So I am going on saxenda

@Britain99 2 года назад

Am on 1 mg ozempic can i go forward to the 1.7 dose in Wegovy pen for the next month? Or should i start from square 1 ! which is Wegovy 0.25?

@theofficialdrdan 2 года назад

Depends on how long you've been on the current dose but a straight switch can certainly be done.

@Britain99 2 года назад

@@theofficialdrdan been on it for 2 weeks already , so in two weeks time guess after reading your response seems ok .. cheers Doc

@FOXYPEACH2 Год назад

Helped with my a1c and lost 30 lbs, but being on Medicare it was too expensive. After 5 months now increased to $477 for one pen and has been doubling every month. Being in the donut hole the $7k deductible is just undoable. Our pharmaceuticals are just criminal when it comes to diabetic drugs especially.

@aliciainfante9286 6 месяцев назад

Yep. They want us all to actually get Diabetes first before they’ll cover these meds.

@FCPA1997 Год назад

Wegovy is currently back ordered until the end of July in NJ. I called 9 different pharmacies and they don’t have it.

@theofficialdrdan Год назад

Unfortunately it came back and then right back on back order again

@jimmycasey6400 Год назад

I have been on Manjuro for 5 months and I have lost 90 pounds. I started at 436! I think when your that big the weight does seem to come off faster! I am going to switch to Ozempic in a couple of weeks and I am really afraid that my weight loss will stall! My goal weight is 250-275 which is know is still overweight but is better than 436! Do you have any suggestions as I switch these drugs! I have changed my diet completely and I am working out 5-6,days a week now! Thanks

@theofficialdrdan Год назад

If you can avoid switching that would be ideal. But ozempic can still be very effective. If weight stalls take a break from dieting for a bit then re create a cal deficit

@jimmycasey6400 Год назад

@@theofficialdrdan thanks for the advice! I really have no choice! My insurance will not over it! So I have two weeks left then I switch to 1 mg dose of ozepmtic

@ondrej1893 Год назад

Interestingly, my dad went from 138 kg (initial) to 124 kg (lowest) to 130 kg on Ozempic 1MG. The diabetologist now switched him to Saxenda. Weird. (But Ozempic 2.0, Wegovy or Mounjaro probably aren't in stock, only formally approved) He told me that she said the all the actors etc. in Czechia take Saxenda for weight loss and that in her experience Saxenda 3MG works better than Ozempic 1MG. Also the change itself is important if Ozempic stopped working like that. But my dad is known for butchering the actual stuff she said, so...😅

@rinaprinsloo7300 Год назад

I lost 19.7kg on Saxenda for 5 months

@behindthen0thing525 Год назад

@rinaprinsloo7300 I lost like 4 kilo in 4 months

@Cacique_Quique Год назад

Hello! Did he switched from Ozempic 1mg weekly to Saxenda 3mg daily? Or did he start from a lower dosage?

@joannamoore4477 Год назад

I lost 10kgs in 6 weeks . 10kgs to go to reach goal

@shanelle7447 9 месяцев назад

I kinda got loss. Is wegovy the stronger of the 2? Im on saxenda at 3 and i am not losing and have started gaining. I used to be able to noticeably feel the effects but cannot after my insurance took me off then approved it again a week later. Im going to ask for wegovy if its stronger

@randaabdelrahman2896 2 года назад

Thank you very much Dr Dan Awesome video.

@theofficialdrdan 2 года назад

Thank you!

@janegoldfinch8345 10 месяцев назад

Hi Dr Dan, I am switching from Ozempic (now no longer available for weight loss in Australia) to Saxenda. How soon after the weekly dose of Ozempic should I start the first dose ( 0.6mg of Sazenda?

@theofficialdrdan 10 месяцев назад

Wait until your next dose of ozempic was supposed to ve.

@LB-xo8qo Год назад

I’m on Ozempic probably 2 years now. I lost about 75 lbs and kept it off For a year but it’s slowely started to creep back on and I’m scared. Slippery slope. My appetite seems not suppressed and cravings harder to control again. I even tried upping my ozempic (through my doctor) and it didn’t do much. Seems I have become immune to it? Wondering if switching for a while would help or what to do now. It’s a constant battle and I was so happy I wasn’t battling for that year and I want to feel that way again.

@theofficialdrdan Год назад

Check out my most recent live. I discussed some of the issues in that regard.

@harriettehynes6374 Год назад

I’m on 3mg of saxenda can I switch straight over to high does of ozempic?

@personanongratano1 Год назад

@Dr. Dan - Weight-loss via Habit Mastery How do you switch back from Mounjaro 15mg to Rybelsus 14 mg?? Are they equal in glp-1 strength so I can just start Ryblesus 14 mg after stopping Mounjaro 15 mg? I was using a coupon code for Mounjaro bc my insurance wouldn't cover it, and was at 15 mg of Mounjaro using the manufacturer's coupon code. I'm not sure if they will renew my coupon code, but I have 4 months of Rybelsus 14 mg, previously prescribed, that was still working but much more slowly. If my Mounjaro is denied, I want to take the Rybelsus 14 mg and not have to titrate up from the start with it again. Can I just switch to daily oral Rybelsus 14 mg if my Mounjaro 15 mg is not renewed?

@cryandie22 2 года назад

Do you know you if Wegovy is covered for insurance if you are not diabetic? My doctor prescribed me ozempic but I wasn’t cover only Victoza so I took that one but not big result yet and I been using for over a month

@theofficialdrdan 2 года назад

Wegovy is indicated for Obesity. Coverage might be available for that without diabetes.

@susie2251 2 года назад

Each insurance company is different unfortunately.

@MargieIslandArt Год назад

What is the difference between saxenda and mounjaro ?I think im going to ask Dr to change to saxenda because one its hard to fine mounjaro and it makes me contipated . It wont bother me if i take it daily

@theofficialdrdan Год назад

Check out my other videos

@lovelovely2192 Год назад

So I wonder if the 80/20 diet works to avoid the plateau?

@hailahh2115 Год назад

I used Ozempic and i got pancreatic infection i want to switch to sexsanda and I don’t know how

@karyn4795 2 года назад

Great video Dr Dan. I am switching g from Saxenda to Ozempic now.

@theofficialdrdan 2 года назад

:):)

@ginnitoor2339 Год назад

How it goes?

@crystalsupple4164 Год назад

What about saxenda to ozempic… I don’t think it’s enough

@mystizO 2 года назад

Have you found Saxenda, Ozempic or Wegovy to be more effective than Phentermine in appetite suppression and long term weight loss? Is it something I can just switch to or is it possible to take it in combination with Phentermine? I have been on and off Duromine (Phentermine) 40mg for several years and I am not sure if I have just built a tolerance to it but sometimes I feel like I can still eat a large amount of food even if I'm supposed to not "feel hungry" or "desire food".

@theofficialdrdan 2 года назад

I unfortunately don't have any experience with phentermine as we don't have it in Canada. However, based on the data it appears it would be more effective!

@debiherrera9798 2 года назад

Awesome video! I have been on ozempic since August 2021. I lost five or 6 pounds and have kept it off. I actually would like to lose another 20 to be at a healthy BMI of 23. I have not lost anything significant in the past two months. Once I got put at .5 A i lost the feeling of satiety all together. My PCP does not want to increase my dosage to the next level because my blood glucose is very controlled at this point. Should I stop taking the medication and then restart it? If so, how long should I be off of it? Again, I have to say that I really love your videos! So informative!

@theofficialdrdan 2 года назад

I would look to optimize your dietary patterns and activity levels! Check out my lecture here for more details: ru-vid.com/video/%D0%B2%D0%B8%D0%B4%D0%B5%D0%BE-vZlxZHt4UYI.html

@Britain99 2 года назад

Couldn’t get wegovy Can i take ozempic with same doses as wegovy which is 0.25,0.5, 1, then 1.7, 2.4mg if i can buy and measure the extra dose right off the 1 m pen of the ozempic?

@theofficialdrdan 2 года назад

technically yes talk to doc

@georginamoca Год назад

Hi, i just want to ask you if it is ok to switch from saxenda to victoza; i was in saxenda but because of supplies issues im considering switching

@theofficialdrdan Год назад

They are the same drug. So no issues.

@scooby6518 8 месяцев назад

I am on Saxenda for 6 months , and next week I will switch to Ozempic , the guy from the pharmacy that assessed me , said I can start with 1mg of Ozempic a week , what is your opinion about it , I am happy to start with 1mg a week , I might get some s8de effects at the beginning ❤

@theofficialdrdan 8 месяцев назад

I generally recommend starting at a lower dose of ozempic to prevent side effects. ~0.5mg then go from there

@scooby6518 8 месяцев назад

@@theofficialdrdan thank u for sharing your thoughts

@donnabray8101 2 года назад

I've lost 90 pounds in 10 months using ozempic up to 2mg dose once a week. Now I've come to a halt and have 10 pounds to go but the scales just aren't moving anynore. Any suggestions please?

@theofficialdrdan 2 года назад

Likely need to further optimize diet and activity! You are no longer in a calorie deficit.

@munafarah5466 2 года назад

As a type 1 diabetic would I be able to take ozempic. I have definitely gained quite a bit of weight since I got diagnosed with type 1 diabetes

@theofficialdrdan 2 года назад

You can there is some data to show it being effective but you would need to talk with a specialist

@ellieheaton4547 2 года назад

Can I switch from saxanda 3mgs and start taking ozempic 1mgs without titration

@theofficialdrdan 2 года назад

Possibly. Talk with doctor.

@busterbeach Год назад

I was on Ozempic.25 to begin. I was fine. When I went up to the next doze I had sulphuric burps, diarrhea for longer than a week and terrible gerd. Couldn’t take it. Is there another weight medication that would be better for me? Any suggestion?

@gf9747 Год назад

Samething happened to me.

@dr.ahmedmoustafa3674 2 года назад

I am currently on saxenda 2.4 mg and I want to switch to ozempic, what is the suitable dose of ozempic I should start with?

@theofficialdrdan 2 года назад

Everyone is different. I would chat with your Dr.

@munafarah5466 2 года назад

Do you happen to know anything similar I could use as a type 1 diabetic???

@theofficialdrdan 2 года назад

Yes

@lesleyhosein1540 2 года назад

Are there any studies of taking Ozempic and Saxenda, or is that a big no-no?

@theofficialdrdan 2 года назад

There would be no additional benefit! They are the same drug.

@kimberlee440 Год назад

Ozempic and Saxenda are NOT the same drug!!! Saxenda is liraglutide; Ozempic is semaglutide.

@jenwerqthatazzout7639 2 года назад

Anyone have an inexpensive online pharmacy? Maybe in Canada or Mexico? I have a prescription for Wegovey, but it’s around $1200 per month. I’m a cash patient, so this clearly out of my budget. Any ideas anyone has are greatly appreciated, TIA!💋

@susie2251 2 года назад

Pharmaserv ships from Canada. I think it’s about $300. PS, Wegovy was released later in Canada and with the production issues I don’t know how easy it is to get. You might ask to have the RX written as generic or Ozempic because that is easier to fill right now. They are the same drug so long as your dose is 1.0 or less.

@hunterandolive2693 8 месяцев назад

Canadian pharmacies are meant to supply Canadians. Stop leeching off our country’s benefits

@Addictiveg 2 года назад

Do you have any more videos about " your best weight" I was able to lose 32kg in 6 months then it all of a sudden stopped and landed at 140kg. Since then I habe been stuck there for 1 1/2 years no mater what I do. I am currently on ozempic for weightloss and at first I lost 6kg but then gained it back. Dietitian has had me try 2000cals, 1700cals, 1500 cals and now testing 900cals as an experiment (short) to see if this is my best weight. I just don't get it.

@theofficialdrdan 2 года назад

Likely still not eating enough. Check out my lecture here for more details: ru-vid.com/video/%D0%B2%D0%B8%D0%B4%D0%B5%D0%BE-vZlxZHt4UYI.html

@joannamoore4477 Год назад

Could you try intermittent fasting ? Or extended fasting ? I definitely get less hungry with periods of no food than having small amounts of food

@roxanne5388 2 года назад

Great information - thank you! My physician put me on Ozempic 0.5/week in November. I'm down 13 pounds - although I stalled through Christmas - and feel really good on it. I see the dose is 1mg. Will I end up not noticing the effects of the drug eventually at this dose? I don't have diabetes, my insulin levels are high and I used to feel 'hungry' or 'low blood sugar' all the time.

@theofficialdrdan 2 года назад

The drug is always working in the background and more importantly in your brain. As long as you are feeding it appropriately with enough protein and calories! The GI sides will subside but these are side effects people often confuse with the weight management benefits.

@roxanne5388 2 года назад

@@theofficialdrdan Thanks for clarifying that. I've had very little side effects. I wonder if the satiety will continue with this dose or if I'll have to increase it to get the full effect of the drug. It's expensive and my typical coverage will not cover it as I don't have diabetes.

@theofficialdrdan 2 года назад

@@roxanne5388 Check out this video where I go into more detail: ru-vid.com/video/%D0%B2%D0%B8%D0%B4%D0%B5%D0%BE-TfQwekx5z-I.html

@jeannescanlan2279 2 года назад

Can you address going from wegovy to plenity?

@theofficialdrdan 2 года назад

Can't really make a comparison in that regard. It is a drug to a product. Overall plenity is not nearly as effective and will have no effect on decreasing food seeking behviours. It will only help with fullness.

@kite6864 2 года назад

have you tried plenity? i wonder how it compares to just taking fiber supplements/drinks

@kellymulligan2157 2 года назад

I have stalled I'm 160 like to lose 20 more. My Dr is big on warning me about pancreatic cancer implications/risks on these meds ...I took ozempic 1 mg started at .25. what are your thoughts on risks? I'm not a scardey cat 🐱 who worries at all. Thanks for your information. I wish there were great clinicians and diabetes drs like you out there in Canada xo.

@kellymulligan2157 2 года назад

You are so down to earth and real such a breathe of fresh air to finally feel a connection with someone in the healthcare field...thanks for being you.

@kellymulligan2157 2 года назад

It's just my great grandmother, grandmother and mother all died from AMD or blood and bone leukemia trying to be cautious of this.