Perimenopausal and thinking about microdosing GLP-1s? I’m a nutritionist and here’s why I don’t recommend it

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Summary

Suddenly, GLP-1 drugs like Ozempic, Wegovy and Mounjaro are everywhere, promising rapid weight loss by blunting appetite and recalibrating blood sugar levels. Now, the trend is to microdose, taking tiny amounts of these drugs to supposedly lose weight without suffering the infamous nausea, vomiting and side effects that come with full doses.

Source: HELLO! on MSN.com

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Q1: What are GLP-1 receptor agonists and how do they function in weight management?

A1: GLP-1 receptor agonists, also known as incretin mimetics, are drugs that mimic the action of the natural hormone glucagon-like peptide-1 (GLP-1). They work by reducing blood sugar levels and decreasing energy intake, which can lead to weight loss. These drugs are initially developed for type 2 diabetes management but have also been approved for obesity treatment. They help reduce appetite and food intake by activating the GLP-1 receptor, which plays a role in insulin secretion and energy regulation.

Q2: Why is microdosing GLP-1 drugs becoming a trend for weight loss, and what are the potential benefits?

A2: Microdosing GLP-1 drugs involves taking smaller doses than typically prescribed, with the intention of achieving weight loss without experiencing the severe side effects like nausea and vomiting associated with full doses. The trend is driven by the promise of milder appetite suppression and blood sugar stabilization, which could lead to gradual weight loss with fewer adverse effects.

Q3: What concerns exist regarding the safety and efficacy of microdosing GLP-1 drugs for weight loss?

A3: While microdosing might reduce the incidence of side effects, there is limited research on its long-term safety and efficacy. Concerns include the potential for insufficient weight loss results, unknown long-term metabolic effects, and the off-label use of these drugs without comprehensive clinical guidelines.

Q4: How do GLP-1 receptor agonists compare to traditional weight loss methods like diet and exercise?

A4: GLP-1 receptor agonists offer a pharmacological approach to weight loss, which may provide benefits such as improved glycemic control and appetite suppression. However, traditional methods like diet and exercise remain foundational for sustainable weight management. Combining these drugs with lifestyle changes may enhance overall results, but they are not a substitute for healthy habits.

Q5: What scientific evidence supports the use of GLP-1 receptor agonists in weight loss?

A5: Research has shown that GLP-1 receptor agonists effectively reduce food intake and body weight in individuals with diabetes and obesity. Clinical trials have demonstrated their ability to promote significant weight loss, particularly in patients with type 2 diabetes. However, the data on microdosing specifically remains sparse, necessitating further investigation.

Q6: What are the latest findings on the impact of microdosing psychedelics, like psilocybin, compared to GLP-1 drugs in weight management?

A6: Recent studies indicate that while psilocybin, a psychedelic, can alter neural connectivity, it does not have significant effects on food intake or weight loss in obese mice models. Moreover, psilocybin does not enhance the weight loss effects of GLP-1 drugs. These findings suggest that psychedelics may not currently offer substantial benefits for weight management compared to GLP-1 receptor agonists.

Q7: What are the regulatory guidelines and recommendations for the use of GLP-1 receptor agonists in obesity treatment?

A7: GLP-1 receptor agonists have been approved by regulatory bodies such as the FDA for use in treating obesity and type 2 diabetes. They are recommended for patients who require medical intervention for weight management, particularly those with coexisting conditions like cardiovascular disease. However, medical supervision is crucial to ensure safe and effective use.

References:

  • GLP-1 receptor agonist
  • Acute and long-term effects of psilocybin on energy balance and feeding behavior in mice