this post was submitted on 07 Jul 2025
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I'll bite. I'm on it for what some people here would consider "recreational" purposes (weight loss). However, I have polycystic ovaries and have had extreme difficulty losing weight in other ways. Essentially the only way I can lose weight is doing a pretty severe calorie deficit, which is really hard to do and essentially means I am starving all the time. Ozempic has helped me curb that perpetual feeling of hunger, and besides diarrhea (which I already had often anyway), it hasn't caused me that many side effects.
Essentially PCOS causes a craving for carbs and sugar. It's hard to fill that hole, but there are other ways to supplement the things that my body is not creating which make me crave those things. While I'm on ozempic (I don't plan on using it long-term) I'm also working to make changes to my diet to make sure I'm getting those things I was missing (B12, chromium picolante, some other stuff with scientific names).
And I know people think it's just "lazy", which it is for some people, but I struggle to lose weight even with exercise and calorie deficits. Ozempic has helped me lose some, but not as drastic as other people.
I have friends who are on waygovy (the same drug as ozempic but specifically targeted at weight loss) and they've had more side effects than me, but they are significantly bigger, have less healthy lifestyles and are I believe on a much higher dose than me. They've lost a ton of weight though.
I’m basically at the line of pre diabetic so the doc wants something to jumpstart me off the line, i definitely need to make changes but I would love the help to get going. I tend to intermittent fast but when I do eat it’s junk. Most people don’t get it but it’s akin to any addiction. Most times you don’t realize you’re binging till after, so something that can kill my cravings would be lovely
I haven't done the type of deep dive research others mention here but I trusted my doctor when he told me this was a good choice for me. I also don't live in the US so have no reason to believe he's being paid off. If there are worse consequences than what I've discussed with him already, I guess I'll have to deal with that.
There are also non-medicinal ways to treat binge eating, and I've known people that have had good success with therapy/CBT for that, in case that's something you can afford or are interested in.
There is a good amount of literature documenting PCOS being a downstream effect of metabolic syndrome. Metabolic syndrome is caused by carbs and sugar. The addiction and cravings are real, but the order is reversed.