I’m not sure I trust BMi checker assessments. 
I’m down 35 kg ( 77lb to 230 lb )and look fine despite a few lingering rolls. I’m broad shouldered and big boned.
The BMI checker sez I would need to lose another 26 kg to be normal weight. I’m from Missoura on this…I’d look unhealthy. imnsho
BMI works best on a population level. Mine went from 34 to 26, I would need to lose another 6 lbs to go from overweight to normal, and I think those 6 extra pounds show on me. That being said, neither my doctor or I think those pounds matter. The 55 pounds I lost matter.
I maintain it is discouraging and does not take into account genetic and ethnic differences. Take for example Japanese normal is totally different than say Samoan
I don’t think it is a useful tool …even within fairly close genetc groups there is a wide range of “normal” and within national/thnic groups …Dutch girls are the tallest in the world for example.
I simply think it is far too simplistic and should not be promoted.
Many health professionals and studies agree that the Body Mass Index (BMI) is an imperfect, limited, and often misleading measure of an individual’s health . The sentiment that “BMI is bullshit” stems from several well-documented flaws in how it’s used today
Your BMI is bullshit. Just ask the guy who invented it.
Adolphe Quetelet was a Belgian astronomer, sociologist, mathematician and statistician. He had no expertise, whatsoever, in health. Or medicine. He just liked numbers.
He didn’t know what helped a body to function, or whether a number on a scale had any bearing on lifespan.
He didn’t account for muscle, or bodies that weren’t white. He didn’t account for disability or age. Or gender.
He just made up a scale. And nearly 200 years later, we’re still using it.
A VERY cautionary read …
I started compounded Wegovy in February 2025. My starting weight was 218, I’m 5’4” and 68 yo F. My A1c was a tad into the pre diabetic range. I lost about 5 pounds before compounding was no longer approved by the FDA. I switched in August to Zepbound. I’ve lost 17 pounds, my A1c has dipped into the normal range. I haven’t had any major side effects. Every once in a while my tummy gets upset, but no vomiting, diarrhea, or constipation. What I love the most is the absence of food noise. The constant mental chatter and obsession over food is gone. I still have to make the right food choices. I need to eat lean protein, veg, and fruit. Fortunately my compulsion for salty and sweet snacks has abated. I now eat like a normal person.
An update:
I’ve been in Ozempic since August 2023, currently on the 2mg/wk dose, and by and large I haven’t seen much change other than my A1C has dropped from the mid-8’s to 7 or below. Until recently, that is.
This has changed. I find that I can only eat small meals lest I end up with nausea. Some days I only eat one proper meal (usually lunch), with a Cliff bar or similar snack for my other meals.
My weight has remained mostly unchanged. My doc reduced my insulin dose on the theory that higher levels of insulin cause weight gain. Or at least it makes weight loss difficult. I need to offset that reduced dose by increasing my daily excercise regimen. There’s a regulation length running track where I teach so my plan is to start walking that after work each day.
Over the past ~6 months or so I’ve developed the unhealthy – and expensive – habit of getting a latte at a local drive-through coffee stand on my way to work each morning. Not only is it unhealthy and expensive, come Sunday I was usually dealing with a caffeine headache. I’m committed to ending that (which I think I’ve managed to do as I haven’t had a latte since Friday the 19th) and going back to drinking tea each morning. Probably jasmine-infused green tea. My New Year’s resolution is to cut out artificial sweeteners and coffee. So a significant reduction or total elimination of caffeine is (hopefully) coming this week. With the noticeable decrease in my appetite and the increase in excercise, this may help with the weight loss.
There is nothing specifically unhealthy about a latte, it’s coffee and a glass of milk which contents protein and some amount of fat depending on the milk. Now if you are having a Venti with 4 pumps of caramel syrup, that’s a different issue.
I certainly don’t do any added… well, anything other than Splenda. Milk, coffee, Splenda. If I’m feeling it I’ll order a breve but those are rare these days. I do confess I usually get the 20 oz size, the equivalent to a venti 
After Jan 1 those will mostly be a thing of the past, only reserved for special occasions like all staff, all day meetings where I need some self care to keep myself from going insane.
I’m using the 1.0 mg pen to get the 0 5 dose - 36 clicks. Saves a fortune.
Rybelsus has been available for years.
The linked article claims that 1 in 8 people are on a GLP1 which is kind of hard to believe.
I second this. The milk has calories, of course. But milk really can be part of a healthy diet. And coffee is a good source of dietary antioxidants.
There’s caffeine in tea, too. I don’t know much about GLP1 drugs, but i know a lot about caffeine, and its relatives, as i am very sensitive to it, and need to have about as much caffeine each day as i had the previous day. (That amount can be zero, although it isn’t right now.) And every morning, i either have large (400ml) mug of strong tea or a regular (250ml) mug of coffee. Those are similar amounts of caffeine. (Tea is more complicated, with other stimulants in addition to caffeine, but the dominant stimulant in it is caffeine.)
Now, if you swap out 400ml of coffee for 250ml of weak tea, that’s a big reduction in caffeine. Maybe that’s your plan.
What’s your goal in cutting out caffeine? Studies suggest that it’s not especially unhealthy, and regular consumption of both tea and coffee have been found to provide some net health benefits. That’s on average, of course, and your reaction might be different.
I have been on the second-lowest dose of Mounjaro (5 mg) for about a month, and I think I have reached what may be the ideal condition from that medication: most of the time I am just not interested in food, and I almost have to force myself to eat. This feeling, which is a sort of fullness but also sluggishness in the gut, has gotten more pronounced, while the acid feeling has mostly gone away. I have lost about 22 pounds since I started in July. That’s not a lot, but it is fairly steady, which is what I have hoped for.
The main reason I’m posting is another symptom, which may or may not have anything to do with the Mounjaro. Much of the time I think I can smell wood smoke, faintly, as if a house in the next block were on fire. I understand hallucinations of smell can arise from other causes, such as neurological conditions, so it’s not a definite connection to the medication. Has anyone else on these drugs had this sensation (called phantosmia) of any kind of smell that isn’t there?
I can beleive that as an article a decade back said 1 in 8 New York city dwellers had full blown Type 2 diabetes which puts a tremendous burden on the heathcare system.
The story of GLP1 is not yet unfolded.
It was actually the development of recombinant human insulin in the 1980s that led to insulin being patented. Before that, we had to use beef or pork insulin (and some countries over the years also used fish or sheep insulin).
I’ll never forget the first time I ever rang up insulin. I was a 16-year-old Target cashier in 1980, years away from deciding I wanted to be a pharmacist, but I knew what it was. I called the pharmacy to verify the price, because I couldn’t believe something that important would cost $6.28.
It should have always stayed inexpensive thanks to the decision by the Canadian discoverer to not patent his discovery.
It was an insult to his memory to see a few US companies killing people by price gouging a product that is essential and should be near free in any civilized country. 
And here’s the link THEY quoted. I too wonder who they interviewed and how they chose the people they polled.
Humulin and Novolin were around $20 a vial when I was at the grocery store 25 years ago, available without a prescription. Walmart’s generic versions still don’t cost much more than that.
It’s the “designer” insulins that became so expensive, and I agree, what was done a few years ago was despicable.
A question if I may : is that a perceived slugginess or do you really have to feeling that you’re intestinal tract is more sluggish /slower than it used to be?
Reason that I’m asking is if on the larger scale the IG tract is just being slowed down wouldn’t that mean that foodstuff stays longer in the bodies of millions of people which might lead to other problems further down the road? Stuff like IG cancer that we might only be able to see after years of use of this drug .
Happy if any users of those drugs feel they can weigh in.
As an IBS sufferer, Ozempic has slowed my gastric transit time significantly. For me, this has been a net positive.
ok, genuinly interested in debating:
Does having decomposing food longer in your IG-tract present a-priori a risk? IOW is there a correlation between transit-time and IG-sickness (on a “collective/statistic” level, of course), something like:
While I don not want to create any panic, everybody remember Contagan, that did most things pretty well, but one thing terribly poor.
I am partly asking (non-ozempic-user), as my IG-transit is naturally on the slower side and I always wondered if it is undesirable to have any baddies longer in your body than need be.
anybody from healthscience field? @DSeid @Qadgop_the_Mercotan
If you are thinking along the lines of the popularized “toxins”, my understanding is … I don’t think so.
I do not have any understanding of what these meds actually do to gut transit times. Slowing down emptying out of the stomach I know they do. Unsure of transit times after that?
Overall there is a wide range of normal transit times. And some forms of IBS, especially those associated with constipation, improve on medications that speed it up. Other forms more associated with diarrhea might benefit with having it slowed down.
High fiber helps lower colon cancer risk and once upon a time it was speculated that speeding transit was a reason why, along with the increased bulk diluting exposure to potential carcinogens Not as much so currently, now less simple of understandings, but it still gets mentioned.
So IF gut transit time IS overall slowed, AND all else is equal, AND that explanation for the reason fiber lowers colon cancer risk is right, THEN … maybe?