Speedy weight reduction medicine proceed to surge in reputation, making them the main contributor to the 13.5% improve in spending on prescription drugs within the U.S. in 2023, in keeping with a report1 from the American Journal of Well being-System Pharmacy.
Main this development is semaglutide, higher identified by its model names Ozempic, a diabetes medicine, and Wegovy, a higher-dose variant particularly for weight reduction. Each medicine come from the Danish pharmaceutical firm Novo Nordisk, whose market capitalization has soared to $609 billion, surpassing Tesla’s valuation by $40 billion.2
Nonetheless, with the rising demand for these medicine comes extra studies of customers experiencing a variety of sudden and regarding modifications to their our bodies, from unfastened pores and skin to sunken cheeks colloquially termed “Ozempic face.” The newest reported facet impact to affix the rising listing is saggy breast, aka “Ozempic breast.”
Ozempic Use Now Linked to ‘Deflated’ Breasts
Taking semaglutide does not simply goal the areas the place you purpose to shed kilos — it will probably additionally result in fats loss in locations the place you’d wish to preserve it. Whereas earlier studies underscore the drug’s results on facial fats, an article3 within the Worldwide Open Entry Journal of the American Society of Plastic Surgeons highlights that related modifications in breast and physique morphology may also happen.
Jennifer Brown, a 47-year-old hairstylist from Kentucky, is among the many Ozempic customers who’ve skilled these unintended effects. In an interview with the Los Angeles Occasions,4 Brown shared that she misplaced 40 kilos inside a 12 months of taking semaglutide, even with out altering her eating regimen and train routine.
Nonetheless, the speedy outcomes additionally created issues for her. “My breasts positively obtained saggier,” she advised the LA Occasions, recounting how her breast implants began to shift after dropping breast fats.
Since breast tissue is usually round 70% fats,5 important weight reduction can certainly end in decreased breast quantity.6 Dr. Ronald F. Rosso, medical director at Peninsula Plastic Surgical procedure in Torrance, California,7 additional explains how Ozempic makes breasts saggy. As reported by the New York Submit:8
“Within the breast space, fast fats loss can depart the pores and skin envelope empty, inflicting the breasts to look deflated and the nipples dealing with downward. This look is similar to what occurs after sufferers have had extra conventional weight reduction procedures equivalent to gastric bypass.”
Moreover, the drug has been related to sagging buttocks, typically referred to on social media as “Ozempic butt.” Some girls have additionally reported tenderness round their breast tissue, which consultants counsel might be linked to the hormonal fluctuations attributable to semaglutide.9
How Does Ozempic and Wegovy Work?
Semaglutide, the lively ingredient in Ozempic and Wegovy, is a glucagon-like peptide-1 receptor agonist (GLP-1RAs). It really works by mimicking GLP-1, a hormone in your physique that’s answerable for managing blood sugar ranges and urge for food.10
Whenever you eat, GLP-1 is launched in your intestines, prompting the pancreas to launch insulin whereas suppressing the secretion of glucagon, one other hormone essential for blood sugar regulation.11 These processes assist in regulating blood sugar ranges, which is why Ozempic was initially developed for Kind 2 diabetes.
Semaglutide additionally slows down the emptying of the abdomen by inhibiting gastric motility,12 which signifies that meals stays within the abdomen for an extended time frame, inflicting emotions of fullness and satiety. The longer meals sat within the abdomen, the higher the load loss results grew to become.13
Weight Loss Medicine Result in Extra Bills on Plastic Surgical procedures
Along with the bodily unintended effects, semaglutide can have a major influence in your pocketbook. Its prescription alone prices $1,300 to $1,500, relying on the place you buy it.14 Fixing its negative effects in your physique by way of beauty procedures prices much more. Based on an article by the American Society of Plastic Surgeons:15
“A brand new development is taking form within the workplaces of many plastic surgeons. Amidst the acquainted requests for nips and tucks, there’s been an uptick in one thing fairly substantial – sufferers searching for skin-tightening procedures after experiencing huge weight reduction.
This is not the results of conventional diets and even bariatric surgical procedure however a wave introduced on by the successes of glucagon-like peptide-1 (GLP-1) drugs like Ozempic, that are more and more seen within the media and touted by celebrities and on a regular basis people alike.”
Certainly, in each the LA Occasions and New York Submit articles, beauty surgeons suggest cosmetic surgery to “tighten up” saggy pores and skin. Different methods surgeons might use embody dermal fillers, fats autografting, collagen stimulators, radiofrequency, microneedling and laser pores and skin tightening.16
“It’s a dream weight till you spend $25,000 on cosmetic surgery, and also you go each three months to your injector since you’ve obtained to simply constantly pump Sculptra and fillers attempting to maintain that pores and skin in your cranium,” Brown mentioned.17 She underwent a sequence of remedies, together with dermal fillers, an arm raise and a breast raise, to counteract the morphological results of Ozempic.
The LA Occasions article featured one other case involving a lady who misplaced 115 kilos after utilizing Mounjaro, one other GLP-1RA drug made by the American pharmaceutical firm Eli Lilly. The lady reportedly spent $30,000 on a lower-face raise and neck raise, noting that her associates have carried out related procedures after dropping pounds on these drugs.18
Though she asserts the result was “value it,” this development raises essential questions concerning the necessity of dropping pounds sustainably to stop antagonistic results within the first place, which might typically prolong past mere bodily modifications.
Different Debilitating Facet Results of Ozempic
Using GLP-1RAs has been linked to critical well being issues. A 2021 research19 revealed within the Journal of Investigative Drugs discovered that it will increase the chance of gastroparesis (abdomen paralysis), a dysfunction that slows or stops the motion of meals from the abdomen to the small gut.20
The researchers examined two instances of girls who developed medicine-induced gastroparesis after taking GLP-1RA, manifesting hallmark signs like belly ache, bloating and nausea, which progressively resolved after they stopped taking the drug.
One other research21 revealed in JAMA famous that other than gastroparesis, GLP-1RA additionally will increase the chance of biliary illness, pancreatitis and bowel obstruction. Metabolic, dietary, urinary, cardiac and eye issues have additionally been linked to using semaglutide, in keeping with information from EudraVigilance, Europe’s system for monitoring and analyzing antagonistic reactions to drugs.22
GLP-1RAs have been implicated within the improvement of pancreatic carcinoma23 and acute kidney accidents24 as properly. Whereas the long-term dangers of semaglutide are nonetheless unknown, Wegovy carries a black field warning, as rodent research have proven it causes thyroid C-cell tumors at doses much like these utilized in people.25 Its prescribing info additionally lists warnings and precautions for the next circumstances:26
Acute pancreatitis |
Acute gallbladder illness |
Hypoglycemia |
Acute kidney harm |
Hypersensitivity reactions, together with anaphylactic reactions and angioedema |
Diabetic retinopathy issues |
Coronary heart price improve |
Suicidal habits and ideation |
Increase Your GLP-1 Naturally With Akkermansia
As an alternative of counting on GLP-1RAs, a far safer strategy to improve your GLP-1 ranges is by colonizing your intestine with Akkermansia muciniphila, a kind of micro organism that naturally secretes a GLP-1-inducing protein. Researchers famous in a research revealed within the journal Nature Microbiology:27
“A. muciniphila will increase thermogenesis and glucagon-like peptide-1 (GLP-1) secretion in high-fat-diet (HFD)-induced C57BL/6J mice by induction of uncoupling protein 1 in brown adipose tissue and systemic GLP-1 secretion.”
Ideally comprising about 10% of your intestine microbiome, Akkermansia is useful in your giant gut and performs an essential function in supporting intestine well being. Nonetheless, many individuals lack this important microbe, presumably as a result of having impaired mitochondrial operate and subsequent oxygen leakage within the intestine.
Some of the essential capabilities of Akkermansia is its means to supply mucin, a thick, gel-like substance that kinds a protecting barrier on the intestine lining. Mucin shields the epithelial cells of the intestinal wall from mechanical injury, dangerous pathogens and chemical irritation attributable to abdomen acids and enzymes.
It additionally nourishes helpful intestine micro organism, which in flip helps help wholesome digestion, promotes the manufacturing of important vitamins and maintains an general stability of intestine flora.
Mucin can help the immune system as properly, because it incorporates antibodies and antimicrobial peptides that may assist fight infections. It additionally traps potential pathogens and different overseas particles to be expelled from the physique by way of the digestive course of.
Learn how to Improve Your Akkermansia Ranges
I like to recommend consuming meals that assist help Akkermansia, equivalent to polyphenol-rich fruits like berries. Dietary fiber can also be essential to nourish your intestine, nevertheless it must be the proper. The best meals on your microbiome is soluble fiber, significantly inulin, which is present in most greens.
Examples of high-inulin veggies embody Jerusalem artichokes, garlic, leeks, asparagus and bananas. Nonetheless, in case your microbiome is considerably dysregulated, introducing excessive quantities of fiber too shortly can worsen gastrointestinal (GI) signs, so progressively rising fiber consumption is vital.
Berberine — A Pure Various to Ozempic
Berberine, a naturally occurring compound in crops like goldenseal, barberry, Oregon grape and tree turmeric, has been dubbed as “nature’s Ozempic”28 due to its weight reduction potential. Historically utilized in Ayurvedic and Chinese language medication, berberine has antibacterial, anti-inflammatory, antidiabetic and immune-supporting properties.29
One systematic evaluate confirmed that berberine might assist regulate blood sugar ranges and enhance insulin sensitivity.30 That is essential as a result of insulin resistance is intently linked to weight achieve and weight problems.31
One other research32 revealed in Frontiers in Mobile and An infection Microbiology discovered that berberine might assist “alleviate the pathological circumstances of metabolic issues, and the mechanism is expounded to the regulation of intestine microbiota.”
Berberine additionally helps activate the adenosine monophosphate-activated protein kinase (AMPK) pathway, which performs a job in controlling how power is produced and utilized by the cells. By activating AMPK, berberine helps normalize lipid, glucose and power imbalances.33
It’s Wiser to Get to the Root Explanation for Weight Achieve
I strongly imagine that the elusive “miracle treatment” for weight reduction is not going to exist in our lifetime. Counting on medicine to reduce weight places you prone to everlasting and debilitating well being points, and the load is more likely to return when you discontinue their use.
In reality, members in a single research34 regained two-thirds of their prior weight reduction one 12 months after stopping semaglutide — a phenomenon dubbed as “Ozempic rebound.” A lot of the modifications of their cardiometabolic variables additionally reverted to pretreatment ranges.
For longer-lasting outcomes, I urge you to handle the first issue driving the chubby and weight problems epidemics, which is the surplus consumption of linoleic acid (LA). LA is a kind of omega-6 fats present in seed oils like soybean, cottonseed, sunflower, rapeseed (canola), corn and safflower.35
Think about decreasing your LA consumption to beneath 5 grams per day, which is near what our ancestors used to devour earlier than continual well being circumstances, together with weight problems, grew to become widespread.
Keep away from processed meals, quick meals and restaurant meals, as just about all of them include LA; making ready your meals at house is your best choice. To study extra about linoleic acid, learn my article “Linoleic Acid — The Most Harmful Ingredient in Your Food plan.”