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The month of June is finally here and after my month of May #mounjaro #weightloss Challenge, did I let off the gas, or put the peddle to the floor? In this video I also discuss the future of my channel... My other channel (with my wife): https://www.youtube.com/@UCCitGTkr6mecLQGlR0tiw8w ---------------------- FOLLOW ME: Instagram: 2BeFatNoMore MyFitnessPal: Eat2LiveInOKC ______________________ If you like content on weight loss and Mounjaro, here are some other great channels to follow. @JessInProgress @DAVIDKNAPP @bjdavis @Robert_Armstrong73 _______________________ I am paying full price, out of pocket, for Mounjaro. If you would like to help me continue my journey: Venmo - https://www.venmo.com/u/KEDOGN PayPal - [email protected] Cash App - $Kedogn Any and all donations are very appreciated. _______________________ This is my story... I have struggled with weight issues for most of my life. I'd lose some, then gain it and more back every time. I have tried it all: fasting, Weight Watchers, NutriSystem, Herbalife, Slimfast, Adkins, South Beach... you name a fad diet in the past 30 years and I have probably tried it and FAILED! In late December 2021 my wife and I moved to Oklahoma City for work. I looked at this as a 'fresh new start' and I decided that I was going to start a new diet/lifestyle just after the first of the year and so on January 10, 2022, I made the change I needed to and that lasted about a month. I struggled HARD to lose weight. In April of that year I hurt my right knee really bad and had to see a specialist about that. He gave me this look after checking out my knee, and then he looked away towards the wall. He did this a couple times until *I* finally said to him, "Doc are you telling me I need to lose weight?" and he replied something fancy that essentially meant "YES!!". That started me right there on a journey. I **HAD** to lose weight. He was the FIRST ever doc to tell me that, so this would be my motivation... however, a stop by Taco Bell on the way home first was needed since I would be 'going without'. Over the next 4 months I lost and maintained a loss of just 35lbs when I finally set up an appointment with my new Primary Care Physician. I dreaded that appointment as I just knew that she would want to talk about weight and sure enough, about 15 minutes into it she asked me about my weight and if I was interested in losing it. I told her "it's not like I enjoy having it, Doc". She then mentioned Mounjaro to me and I fought her on it immediately. I told her I didn't want to inject into my body something that wasn't meant for it, being that Mounjaro was a medicine for those with Type 2 Diabetes, and I didn't have that. She understood and eventually talked me into trying it. I gave in, reluctantly, and I agreed to 3 months. I told her that if it didn't work in 3 months, I don't want to hear anything else from her again about my weight. That I would give it my best for those 3 months and if it fails, it fails and nothing else can be said. I took my first Mounjaro shot around 9:15am on September 2, 2022 and I weighed 560lbs at that time. Videos on this channel detail my journey from then until now as I have lost over 170lbs since that first shot, even though I have not been able to take the medication as prescribed for various reasons, one being cost. This medicine really is life changing and these videos are the story of how Mounjaro changed my life for the better....
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We know they are expensive, but isn’t the cost recouped by the healthcare savings? Dr F. Perry Wilson explains. https://www.medscape.com/viewarticle/glp-1s-are-crazy-effective-just-not-cost-effective-2025a10006es?src=soc_yt --TRANSCRIPT-- Welcome to Impact Factor, your weekly dose of commentary on a new medical study. I’m Dr F. Perry Wilson from the Yale School of Medicine. Much of my time in these videos is spent talking about whether a drug or supplement or diet or intervention works or not. That’s the central focus of medical science: Can we do something for a patient and make a difference in their health? But there’s a related question that we rarely discuss that is almost equally as important: Is this drug or supplement or diet or intervention worth it? And I don’t mean “worth it” in some meta-physical sense. I mean "worth it" in terms of dollars and cents. Is the cost we pay for something worth the benefit we derive from it? I’ll make the argument that the most effective drugs in the past decade are the GLP-1 receptor agonists, drugs like semaglutide and tirzepatide. At least in terms of weight loss, they are truly unparalleled. They are clearly effective. But are they worth it? Are they cost-effective? That is a much harder question, and, as you’ll see in a minute, despite their amazing effects, the answer — for now, at least — is no. How do we decide if a drug is cost-effective? What does that even mean? I’ll give you some extreme examples to illustrate the point a bit. First, for it even to be possible that a drug is cost-effective, it must be effective. It must improve health in some clear, measurable way. Pink jelly beans, while quite inexpensive, do not improve health at all and are therefore not cost-effective. Policymakers should not advocate that insurers cover pink jelly beans. On the flip side are drugs and interventions that actually make money for the system — things that are so good for you, they save money in the long term. The childhood vaccination program is probably the best example of this. The CDC estimates that for every $1 spent on the program, the payer saves about $3 in future costs and society saves about $10 in future costs. This is why insurers have no problem covering childhood vaccines; they would literally be leaving money on the table if they didn’t. So those are the extremes. Don’t pay for pink jelly beans, do pay for vaccines. But we don’t think it is appropriate to cover only stuff that saves money. We are willing to trade money for longer life or quality of life. And this is where the rubber meets the road when it comes to cost-effectiveness analysis: How much is your life worth? To an economist, the answer is basically $100,000 per year of perfect health. The ways they arrive at this number are pretty fascinating, but a lot of it is done by looking at what we as a society are willing to pay for. A cost of $100,000 per “quality-adjusted life year” (QALY) is our standard candle here. More than that is not particularly cost-effective. Less than that is. The “quality” in the QALY is important too. Economists know that a year of perfect health is worth more, in dollar terms, than a year of moderate or poor health. So, if we take an intervention and do some clever modeling based on the price of the intervention and its effectiveness at improving health, we can tell you how much it costs per QALY. Here are a few examples. We have an intervention to pay people to quit smoking. This costs about $2500 per QALY. Seems pretty good. Transcript in its entirety can be found by clicking here: https://www.medscape.com/viewarticle/glp-1s-are-crazy-effective-just-not-cost-effective-2025a10006es?src=soc_yt