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Beyond the Scales is a short podcast series hosted by Emily, and Fran, who are both Year 4 Medical Students studying in the UK. alongside Mr Lee Humphreys, a Consultant Bariatric Surgeon who practises in the UK. The aim of the podcast is to dispel common myths surrounding obesity, specifically amongst medical students and other healthcare professionals In this episode, we discuss the impact that ultra-processed foods have on our ability to control our weight. Please find the references for the discussion below; Semaglutide - https://bnf.nice.org.uk/drugs/semaglutide/#important-safety-information Orlistat - https://bnf.nice.org.uk/drugs/orlistat/ NICE guidelines for obesity management - https://www.nice.org.uk/guidance/cg189/resources/obesity-identification-assessment-and- management-pdf-35109821097925 GLP-1 and the brain - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3280675/#:~:text=These%20studies%20ha ve%20also%20shown,energy%20homeostasis%20and%20autonomous%20functions. Examples of GLP-1 analogues - https://www.diabetes.org.uk/guide-to-diabetes/managing- your-diabetes/treating-your-diabetes/tablets-and-medication/incretin-mimetics Liraglutide weight loss - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5358074/ Semaglutide weight loss - https://www.nejm.org/doi/10.1056/NEJMoa2032183 Tirzepatide weight loss - https://www.nejm.org/doi/10.1056/NEJMoa2206038 Summary of clinical trials for GLP-1 receptor agonists - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4509428/ Semaglutide trial - https://www.nejm.org/doi/full/10.1056/NEJMoa2032183 Patient preferences for GLP-1 receptor agonists- https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6483112/ FDA evaluation of reports of suicidal thoughts related to GLP-1 receptor agonists - https://www.fda.gov/drugs/drug-safety-and-availability/update-fdas-ongoing-evaluation- reports-suicidal-thoughts-or-actions-patients-taking-certain- type#:~:text=Similarly%2C%20our%20reviews%20of%20the,of%20suicidal%20thoughts%20 or%20actions. Bariatric Surgery and risk of suicide - https://pubmed.ncbi.nlm.nih.gov/30343409/ Bariatric Surgery and gallstones - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10011673/#:~:text=The%20incidence%20o f%20gallstone%20formation,recommended%20to%20prevent%20gallstone%20formation Oral semaglutide phase 3 clinical trials - https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(23)01185-6/abstract GLP-1 receptor agonist shortage - https://www.bmj.com/content/384/bmj.q28#:~:text=The%20supply%20of%20glucagon%2 Dlike,demand%20and%20off%2Dlabel%20use. GLP-1 receptor agonist shortage information - https://www.diabetes.org.uk/guide-to- diabetes/managing-your-diabetes/treating-your-diabetes/tablets-and-medication/incretin- mimetics/shortage-FAQs Unintended and adverse consequences of GLP-1 receptor agonists - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10495825/ NICE guidelines Phentermine (discontinued) - https://www.nice.org.uk/guidance/discontinued/gid-tag439 New clinical trials looking at obesity medications - https://www.clinicaltrialsarena.com/features/obesity-trials-to-watch/?cf-view Weight regain after stopping semaglutide - https://pubmed.ncbi.nlm.nih.gov/35441470/ Devon 2023 Tier 3 weight management average waiting times - https://www.royaldevon.nhs.uk/media/ieibfrgr/foi-rdf1222-23-tier-3-tier-4-weight- management-services.pdf Weight loss medications and bariatric surgery - https://link.springer.com/article/10.1007/s13679-021-00425-1 This video is aimed for use as an educational video and should not be taken as medical advice. Any ideas raised within this video should be discussed with a healthcare professional before making any changes.

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💥 Let’s debunk a BIG myth about weight loss. Too many still believe that obesity is just about "discipline" or "willpower." The truth? That mindset is outdated and harmful. At Prime Institute, I work with some of the most intelligent, driven, and successful people—executives, attorneys, real estate developers—who still struggle with weight. Why? Because it’s not about laziness. It’s about biology, environment, hormones, and chronic stress. 💡 Here’s the reality: ➡️ 90% of people who need to lose weight won’t achieve or sustain it with diet and exercise alone. ➡️ We now have powerful, evidence-based tools—like GLP-1 medications—that, when used properly, can help patients reach and maintain a healthy weight, reduce visceral fat, and improve cardiometabolic health. We’re living in an extraordinary time in medicine where we can finally treat obesity as the complex medical condition it is—not a moral failing. But it has to be done right—with high-touch, personalized care. Let’s change the narrative. 👊🏼@spotlightwithemilyzubi3789 @ByteMD #ObesityMedicine #WeightLossMyths #GLP1 #MetabolicHealth #PrimeInstitute #MedicalWeightLoss #GLP1Medications #HormoneHealth #MenopauseCare #LifestyleMedicine #EvidenceBasedMedicine #ByteMD #HealthAtEveryAge #PersonalizedMedicine

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When it comes to weight loss, many people are constantly searching for effective solutions to help them reach their goals. One option that has gained popularity in recent years is the use of semaglutide, a medication that can help with weight management. Semaglutide is available in both tablet and injection forms, and many individuals wonder which option is better for achieving weight loss goals. In this article, we will compare semaglutide tablets vs injection for weight loss, exploring the differences between the two and helping you determine which option may be best for you.

Effectiveness

Semaglutide tablets and injections are both effective at helping individuals lose weight, but they work in slightly different ways. Semaglutide is a glucagon-like peptide-1 (GLP-1) receptor agonist, which means it helps to regulate appetite and food intake. The tablet form of semaglutide is taken orally, while the injection is administered subcutaneously. Both forms of semaglutide have been shown to be effective at promoting weight loss, but some studies suggest that the injection form may be slightly more effective for some individuals. It is important to note that individual results may vary, and what works best for one person may not work as well for another.

Studies have shown that semaglutide injections can lead to greater weight loss compared to the tablet form. This may be due to the fact that injections provide a more consistent and controlled dose of the medication, whereas tablets may be less predictable in terms of absorption and effectiveness. Additionally, some individuals may find it easier to adhere to a regular injection schedule compared to remembering to take a pill every day. However, it is important to weigh the potential benefits of injections against any discomfort or inconvenience they may cause.

Safety

Both semaglutide tablets and injections are generally safe and well-tolerated, but they do come with some potential side effects. Common side effects of semaglutide include nausea, vomiting, diarrhea, and constipation. These side effects are usually mild and may improve over time as your body adjusts to the medication. However, in some cases, more serious side effects such as pancreatitis or kidney problems may occur. It is important to discuss the potential risks and benefits of semaglutide with your healthcare provider before starting treatment.

It is also important to note that semaglutide is not suitable for everyone. Individuals with a history of pancreatitis, thyroid cancer, or certain other medical conditions may not be good candidates for semaglutide treatment. Additionally, women who are pregnant or breastfeeding should not use semaglutide, as it may harm the unborn baby or nursing infant. Your healthcare provider can help determine if semaglutide is a safe and appropriate option for you.

Cost

Another important factor to consider when comparing semaglutide tablets vs injection for weight loss is the cost. Semaglutide can be expensive, especially if it is not covered by your health insurance. In general, injections tend to be more costly than tablets, as they require more frequent dosing and may involve additional supplies such as needles and syringes. However, some individuals may find that the convenience and potentially greater effectiveness of injections outweigh the higher cost.

If cost is a concern for you, it is worth exploring whether semaglutide is covered by your insurance plan and what out-of-pocket expenses you may incur. Additionally, some pharmaceutical companies offer patient assistance programs or discounts for those who qualify. Discussing your financial concerns with your healthcare provider can help you find a solution that works for you.

Personal Preference

Ultimately, the decision to choose semaglutide tablets or injections for weight loss may come down to personal preference. Some individuals may prefer the convenience and ease of taking a daily pill, while others may find it more manageable to stick to a regular injection schedule. It is important to consider factors such as effectiveness, safety, cost, and how comfortable you are with each administration method. Consulting with your healthcare provider can help you make an informed decision that aligns with your individual needs and goals.

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