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Guide to GLP-1 Injections for Weight-Loss

More than 12.5 million Australians are severely overweight or obese.[1] For most of those people, maintaining a healthy weight has been a lifelong battle. Obesity and chronic overweight conditions  can significantly impact your quality of life and overall health.

Thankfully, medical science has made impressive strides in addressing this issue, and one of those innovations is GLP-1 injections. Many patients I treat ask me how they work, which I’m sharing in this blog.

Understanding GLP-1 Injections

GLP-1, or glucagon-like peptide-1, is a naturally occurring hormone in our bodies. It plays a crucial role in regulating our blood sugar levels. GLP-1 helps stimulate insulin release, reduce appetite, and slow down gastric emptying. In other words, it keeps you feeling fuller for longer. The GLP-1 hormone is a person’s best friend when it comes to weight management. GLP-1 injections are synthetic versions of this hormone designed to mimic its effects.

How GLP-1 Injections Work

To understand how GLP-1 injections work, let’s break it down.

Appetite Suppression

GLP-1 injections work mainly by reducing your appetite. When administered, they signal to the brain that you’re full, helping you eat less and feel satisfied with smaller portions. This can be a game-changer for individuals who struggle with overeating or have difficulty controlling their cravings.

Slower Gastric Emptying

GLP-1 slows down the emptying of the stomach. This means food stays in your stomach longer, making you feel full for an extended period after eating. As a result, you’re less likely to snack between meals or consume excessive calories.

Blood Sugar Regulation

GLP-1 also helps regulate blood sugar levels by enhancing insulin secretion and reducing glucagon production. This can be particularly beneficial for people with obesity who may also have type 2 diabetes or insulin resistance.

Pros of GLP-1 Injections

Effective Weight Loss

Clinical trials have shown that GLP-1 injections can lead to significant and sustained weight loss. This is often accompanied by improved metabolic health, including better blood sugar control and reduced risk of cardiovascular disease.

Appetite Control

GLP-1 injections help to control your appetite, making it easier to stick to a reduced-calorie diet and adopt healthier eating habits.

Convenience

Most GLP-1 injections are administered once per day via a pen (like an Epi-Pen), making it a convenient option.

Cons of GLP-1 Injections

Cost

GLP-1 injections can be expensive, and not all insurance plans may cover them fully. This can pose a financial barrier for some individuals.

Side Effects

Like any medication, GLP-1 injections may have side effects. The most common are nausea, diarrhea, constipation, vomiting, injection site reaction, headaches, reflux, and tiredness (fatigue). These side effects usually improve with time. Rarer side effects can occur but aren’t common, these include: acute pancreatitis, acute gallbladder disease, such as gallstones, increased heart rate, kidney problems, and suicidal ideation.

Long-Term Effects

The long-term safety and effectiveness of GLP-1 injections are still being studied, and more research is needed to understand their impact over several years.

Who is GLP-1 Injections Suitable For?

GLP-1 injections are most suitable for people who are obese or chronically overweight and have struggled to maintain a healthy weight throughout their lives. They may also be suitable for those with comorbid conditions like type 2 diabetes or cardiovascular risk factors.

As a Nurse Practitioner, I am qualified to determine if GLP-1 injections are the right choice for you. When making this decision, I consider your medical history, current health status and goals.

What Results Can You Expect?

The results of GLP-1 injections can vary from person to person. However, clinical trials have shown that individuals using GLP-1 injections, in combination with a reduced-calorie diet and increased physical activity, can achieve significant weight loss. Many people experience improved blood sugar control and a reduced risk of developing type 2 diabetes.

It’s important to note that GLP-1 injections are not a magic solution but a valuable tool in your weight management journey. Success with these injections often depends on your commitment to making healthy lifestyle changes and following the guidance from your healthcare provider.

References: RACP

[1] AIHW

obesity understanding it as a chronic condition

Obesity affects millions worldwide, and Australia is no exception. For many men and women in Australia who have battled obesity for most of their lives, navigating the challenges and stereotypes associated with this condition can be disheartening.

As a specialist nurse practitioner in weight loss and weight management, I’m sharing my experience and those of my patients around how obesity is viewed, the stigma surrounding it and how we’re doing compared to other countries.

Obesity is a Significant Health Concern in Australia

In simple terms, obesity refers to having excess body fat, which can lead to a range of health problems. Statistics show that nearly two-thirds of adults in Australia are overweight or obese. This trend prompted healthcare professionals and policymakers to recognise obesity as a chronic disease, a crucial step in addressing its challenges.

What is a chronic condition?

A chronic condition (or disease) is a long-term medical condition that typically lasts for a year or more and requires ongoing medical attention and management. Chronic conditions often have complex causes and may not have a definitive cure, but they can often be controlled or managed through lifestyle changes and medical treatment.

Obesity is Influenced by More than Just Lifestyle Choices

Recognising obesity as a chronic condition is an important shift in how healthcare professionals perceive and address this issue.

It acknowledges that obesity is not merely a result of poor lifestyle choices but is influenced by genetic, environmental, and societal factors.

And it highlights the importance of providing ongoing support and care for individuals struggling with obesity.

However, despite this shift, many obese people in Australia still face significant challenges and biases within the healthcare system. Stigmatisation and discrimination can make it difficult for them to seek the help and support they need.

Stigma makes it harder to overcome

Obesity stigma is the negative attitudes and beliefs directed towards people who are overweight or obese. This stigma can appear in various ways, from hurtful comments and discrimination to assumptions about a person’s character based on weight.

Many of the hundreds of patients I’ve worked with over the last decade have said they feel judged, ashamed, and unsupported within the healthcare system. A lot hesitated to seek medical attention for obesity-related health worries due to the fear of being blamed for their condition or facing prejudice. This stigma can really impact someone’s psychological and emotional well-being, making it even harder to overcome the challenges of managing obesity.

How do we compare with other countries?

Both Canada and the United States recognise obesity as a chronic disease, each taking steps to combat obesity stigma. However, it is still prevalent and requires greater training for healthcare providers to reduce discrimination. The US has even higher rates of obesity and faces additional challenges due to its fragmented healthcare system and state policies. The UK does not recognise obesity as a chronic condition, and the advocates for doing so say that such recognition could help reduce stigma and discrimination, improve education and bring about a more holistic approach towards the condition.

Obesity is not simply a matter of willpower or self-control

It is a complex chronic disease with far-reaching health implications. I hope we’ll continue going in the right direction so obese individuals feel empowered to seek help without fear of judgment or discrimination.

If you or someone you know is struggling with obesity, remember that you are not alone, and support is available. Together, we can work towards a brighter and healthier future.

 

References:

ACDPA

Science Direct