Why I don't prescribe Ozempic for insulin resistance

During the Dr. B Tuesday Night Live session, an insightful discussion unfolds on why Obesity Intervention Compounds (OIC) are not prescribed for individuals battling insulin resistance. Common assumptions hold that OIC manipulates hormones resulting in weight loss for everyone. However, those with significant insulin resistance may not find the expected results through medication alone.

The narrative follows Rebecca, a long-term patient struggling with intense insulin resistance that began affecting her as early as her teenage years. Despite trying various methods, like weight loss surgery via lap band, Rebecca found weight loss elusive, primarily because her insulin resistance persisted.

At age 50, with considerable weight concerns, Rebecca was prescribed OIC. However, after 12 weeks, not a single pound was shed. It wasn't until joining a tailored program focusing on insulin management and lifestyle changes that significant improvements in her health markers, including a largely improved blood sugar level without reliance on medication like OIC, were observed.

Key to Rebecca's transformative health journey was the implementation of the Sardine Challenge, a somewhat unconventional and highly restricted dietary approach aimed at resetting her metabolic health. During this period, Rebecca switched to a protein-rich, low carbohydrate diet that helped her attain lower blood sugar levels and higher ketones — metrics indicating improved metabolic health.

The conversations informed by Rebecca's case underscore the science of engaging and monitoring personal data. Patients measure their blood sugar and ketone levels using at-home devices to track progress continuously. Achieving a Dr. Boss Ratio (an equation balancing blood sugar against ketone levels) under 100 is vital for witnessing effective weight loss outcomes, supporting the result seen in patients like Rebecca.

Despite certain improvements OIC brings, such as appetite suppression and altered pleasure from food, they are overshadowed by the drug's capacity to derail natural insulin response even further by causing side effects like biking up insulin production. Most crucially, for someone with Rebecca's physiology, it leads to losing not just fat but much valuable muscle mass, thereby harming overall metabolic stability.

Rebecca’s courage and progress were shared in a community classroom setting as part of Dr. B's program, where the essence of peer support played a crucial role. This communal experience, combined with curated dietary strategies and an educational approach, has produced life-altering outcomes quicker than any pharmaceutical intervention could. Lessons concerning perseverance, chronological nutrition adjustments, and tutorial guidance proved transformative for long-term health benefits.

Rebecca's journey evidences that sensitive hormonal balance finely tuned through lifestyle adjustments surpasses outcomes anticipated through swift weight loss medicines.

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