Introduction to Weight Loss with Ozempic
What’s feeding your hunger? New research suggests that your motivation for eating that second slice of pizza could influence how well you respond to blockbuster GLP-1s like Ozempic and Wegovy. The study sheds new light on why some people lose up to 20% of their body weight on these drugs — while others barely budge the scale.
The Study and Its Findings
The findings may help predict who will benefit most from GLP-1 weight loss drugs. ryanking999 – stock.adobe.com
That’s no small matter: nearly three-quarters of US adults are considered overweight or obese, putting them at higher risk for a host of chronic health problems. In recent years, roughly 12% of Americans have turned to GLP-1s for weight loss — and their popularity shows no signs of slowing. “Pre-treatment assessment of eating behavior patterns may help predict who will benefit most,” Professor Daisuke Yabe of Kyoto University, the study’s senior author, said in a statement.
Methodology
In the study, Yabe and his colleagues followed 92 people in Japan with type 2 diabetes who were newly prescribed GLP-1s. Over the course of a year, the researchers tracked their weight, body composition, diet, blood sugar, cholesterol — and, importantly, their eating behaviors. GLP-1s have exploded in popularity in recent years amid a burgeoning obesity epidemic in the US. russell102 – stock.adobe.com
Types of Eating Linked to Weight Gain
The team focused on three types of eating linked to weight gain:
- External eating: eating because food looks or smells good, not out of hunger.
- Emotional eating: eating when stressed, sad or bored.
- Restrained eating: deliberately restricting food intake to lose weight.
Results and Analysis
Across the board, most participants lost weight and body fat and saw improvements in cholesterol. Blood glucose levels improved too, though less dramatically. When researchers dug deeper into the data, they found key differences in who benefited most from the drugs. By three months, many participants reported eating less in response to both emotional triggers and external cues. However, by the end of the year, emotional eating had returned to earlier levels, while external eating kept steadily declining. Emotional eaters may not respond as well to GLP-1s without outside supports, the study suggests. AntonioDiaz – stock.adobe.com
Key Differences in Weight Loss
In the end, external eaters — those influenced by sights and smells — lost the most weight and saw better blood glucose improvements compared to those who struggled with emotional or overly restricted eating. “One possible explanation is that emotional eating is more strongly influenced by psychological factors, which may not be directly addressed by GLP-1 receptor agonist therapy,” Dr Takehiro Kato of Gifu University, second author of the article, said in a statement.
How GLP-1s Work
GLP-1s like Ozempic and Wegovy work by mimicking a natural hormone that controls blood sugar, slows digestion, boosts feelings of fullness and dampens the brain’s response to food cues — all helping to curb appetite. But the study suggests these mechanisms don’t work as well for people whose overeating is tied to anxiety, depression or emotional distress. “GLP-1 receptor agonists are effective for individuals who experience weight gain or elevated blood glucose levels due to overeating triggered by external stimuli,” Yabe said. “However, their effectiveness is less expected in cases where emotional eating is the primary cause.”
Conclusion
The study provides valuable insights into how different eating behaviors can influence the effectiveness of GLP-1 weight loss drugs like Ozempic. While these drugs can be highly effective for some, individuals with emotional eating habits may require additional support to achieve significant weight loss. Understanding these dynamics can help healthcare providers tailor treatment plans to better meet the needs of their patients.
FAQs
- Q: What are GLP-1s, and how do they work for weight loss?
- A: GLP-1s, such as Ozempic and Wegovy, mimic a natural hormone to control blood sugar, slow digestion, and reduce appetite.
- Q: Who may not benefit as much from GLP-1s for weight loss?
- A: Individuals whose overeating is primarily driven by emotional factors, such as anxiety or depression, may not respond as well to GLP-1s without additional support.
- Q: Can GLP-1s still be effective for emotional eaters?
- A: Yes, but they may need more than just the medication to see significant weight loss results. Addressing underlying psychological issues may be necessary.
- Q: How can healthcare providers use the findings from this study?
- A: By assessing eating behavior patterns before prescribing GLP-1s, healthcare providers can better predict who will benefit most from these drugs and provide appropriate additional support when needed.
