What to Expect With Saxenda Injections - Health News of the Week
What to Expect With Saxenda Injections - Health News of the Week |
Saxenda is one of the few drugs approved by the FDA specifically for treating obesity, but how effective is it really? and what should you know before taking it?
Here Dr. Brian Yeung discusses Saxenda:
Hi! I'm Dr. Brian Yeung, a naturopathic doctor
in Toronto, and I manage weight loss patients
who have used and are currently using
Saxenda, and from all their experiences
I'm here today to shed some light on what
you might expect it if you try it yourself.
Saxenda, also known as liraglutide, was actually
originally a medication for diabetes called
Victoza. It works in this way by mimicking the
effects of a hormone called glucagon-like peptide
1 or GLP-1. This hormone stimulates the release of insulin and therefore helps diabetics with poor insulin control. For diabetes, liraglutide isn't used often first, since they're much more effective and well-researched medications for diabetes on the market already. However, researchers also found that GLP-1 makes us feel full, so an incredibly intelligent marketing team rebranded Saxenda, an appetite suppressant for weight loss.
They come in reusable pre-filled syringes, you
attach a little needle on the tip and select the
dose to inject, then you hold the injection against
your skin for 6 seconds, before removing and
discarding the needle and putting away the syringe.
Doses start low and increase slowly, especially
if you've just started Saxenda.
Side effects.
There are quite a lot of potential side effects.
In practice, the most common I've seen is feeling nauseous all the time, followed by gastrointestinal disturbances like diarrhea, abdominal pain, cramping,
vomiting, heartburn, and so on. Some people also get a headache or feel dizzy. It tends to go away once you've used Saxenda for a while, but I've seen people continue to experience these symptoms or even get worse over time. You'll need a full health
screening before you start taking Saxenda since
there are also a lot of potentially rarer but more
severe side effects like damage to the liver or
pancreas, gallstones, kidney failure, an increase
in thyroid cancers, heart irregularities, and
depression or suicidal thoughts. Yeah there's a lot.
Is it effective?
The way Saxenda works for weight loss is
primarily by suppressing your appetite.
In terms of preventing overeating,
Saxenda can be quite effective.
Some of my patients tell me it's working really well to suppress their appetite and stop cravings, but I find that these particular patients seem to be the ones getting the worst or most persistent nausea. So I'm never too sure how much of it is the nausea stopping them from eating or the actual medication. In the same vein, I'll
occasionally notice patients complaining about
other side effects that stop them from eating
too much in general, for example, complaining about
migraine headaches that reduce their appetite.
Of course, there are many patients that do feel fine,
but the number of patients who have these side
effects make me wonder if part of how this drug
works are by making you feel too crappy to eat.
Unfortunately, the appetite-controlling effect
of Saxenda seems to wear off over time, with some
patients reporting no more effects on appetite
as quickly as within a month of continual usage.
So I would say that Saxenda tends to be most
effective when you first use it and decreases
in efficacy, as you continue to use it for longer.
Should you do it?
Saxenda is best used if you have a hard time controlling hunger and tend to overeat and snack too often. I always recommend
developing good dietary and lifestyle habits
as they tend to produce more permanent results
if implemented properly, however, Saxenda can help
those with very strict diets or act as a good
tool temporarily while trying to implement more
permanent solutions. It might also be very helpful
to people who are pre-diabetic or diabetic, and are
not currently on any medications since Saxenda,
or liraglutide is also an anti-diabetic medication.
In fact, the doses used in both weight
loss and diabetes are very similar.
That being said there are a few things to keep in mind before you use Saxenda. Firstly, it requires a prescription and you'll need to see your doctor about it to see if it's even safe for you to use.
Secondly, you'll obviously have to be comfortable
at giving yourself an injection every day,
and thirdly Saxenda is quite expensive if paid
entirely out of pocket, around $1000 - $2000
per month depending on the dose. Overall, I
find Saxenda is a good way to make weight loss protocols easier to follow. If you do decide to use it, I recommend following a more strict weight loss diet since the reduced appetite makes it much easier to follow such diets. But it's important
to remember that the drug should not replace the
development of good dietary and lifestyle habits.
I've had patients stop taking the medication
only to gain all the weight they lost right
back because they relied on Saxenda too much it
became a crutch, and they were unable to control
their feeding habits once they stopped taking it.
Let me know in the comments down below if you
have any other questions about Saxenda, or if you
have any experiences yourself you'd like to share,
and if you found this video helpful
please leave me alike! As before,
I'm Dr. Brian Yeung, bringing you weight loss info
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