THESE DRUGS COULD POSSIBLY PREVENT HEART ATTACK AND STROKE. THE RESULTS ARE PROMISING FOR HEART PATIENTS.. THESE MEDICATIONS ARE MOSTLY KNOWN FOR TREATING DIABETES AND OBESITY.. BUT THE F-D-A HAS APPROVED THEM FOR PREVENTING HEART DISEASE AFTER STUDIES LAST FALL. THAT SHOWED ABOUT A 20% REDUCTION IN CARDIOVASCULAR EVENTS DR. MYLAN COHEN IS A CARDIOLOGIST AND THE MEDICAL DIRECTOR FOR CARDIOLOGY IMAGING AND DIAGNOSTICS WITHIN MAINE-HEALTH. THEY'RE ADVERTISED AS OZEMPIC OR WEGOVY. 12;40;15;00 THE GENERIC NAME IS SEMAGLUTIDE, THESE ARE IN A CLASS OF MEDICATIONS CALLED GLP1. DR. COHEN SAYS THIS IS A NATURALLY OCCURING HORMONE THAT CUES YOU WHEN YOU'VE EATEN ENOUGH. NATURALLY, THE HORMONE COMES AND GOES IN MINUTES. 12;40;44;06 THESE MEDICATIONS MIMIC THAT NATURAL PROCESS 12;40;48;16 AND STAY AROUND LONGER 12;40;50;09 HE SAYS THEY'RE IN YOUR SYSTEM FOR ABOUT A WEEK -- AND ALSO SLOW DOWN DIGESTION. SCIENTISTS BELIEVE SEMAGLUTIDE CAN PREVENT HEART ATTACK AND STROKE.. BECAUSE THESE MEDICATIONS TARGET INFLAMMATION. 12;42;28;06 INFLAMMATION CAN CONTRIBUTE TO HEART DISEASE SO REDUCTION IN ATAPOST TISSUE REDUCES INFLAMMATION 12;42;34;17 ADIPOSE TISSUE IS FAT TISSUE -- WHICH INCREASES THE RISK FOR HEART DISEASE. 12;38;45;06 WITH INCREASED OBESITY OR FAT TISSUE THERE IS INCREASE IN INFLAMMATION PLAYS A ROLE IN DEVELOPING ARTERY DISEASE OR BLOCKAGE IN THE HEART VESSELS 12;38;57;28 WHILE MED SPAS AND WELLNESS CENTERS ADVERTISE SEMAGLUTIDE -- HE SAYS STICK WITH YOUR DOCTOR BECAUSE THERE ARE POTENTIAL SIDE EFFECTS IF IT'S NOT REGULATED. ALSO IF YOU'RE TAKING THIS.. STRENGTH TRAINING AND MOBILITY EXERCISE IS IMPORTANT. 12;47;04;20 ONE OF THE THINGS THESE MEDICATIONS CAN DO IS LOSE MUSCLE MASS AS A PERSON LOSES WEIGHT 12;47;11;05 SKELETAL MUSCLE IS REALLY IMPORTANT TO MAINTAIN. THE REASON IS BECAUSE A LOT OF YOUR METABOLISM OCCURS THROUGH USE OF YOUR MUSCLES. HE SAYS MORE RESEARCH WILL SHOW SPECIFIC BENEFITS TO PEOPLE WITH HEART CONDITIONS.. BUT AS MORE STUDIES ARE BEING DONE.. INTERESTINGLY, HE SAYS IT COULD TREAT ADDICTIVE BEHAVIOR. ALSO WORTH NOTING -- AS MORE PEOPLE ARE APPROVED FOR USING THESE TYPES OF MEDICATIONS.. DR. COHEN SAYS THAT DOESN'T MEAN GREATER ACCESS TO THEM.. AS DEMAND GOES UP.. BUT HE SA
Can Ozempic cause personality changes? What doctors think of this rare phenomenon
Updated: 12:01 PM CST Dec 1, 2024
Youāve heard of āOzempic faceā and āOzempic butt,ā but have you heard of āOzempic personalityā? One of the main reasons Ozempic and other GLP-1 agonist medications are so effective is because they target your brain, not just your stomach. While this bodes well for weight loss, some users are concerned the drug's impact also means unwanted changes to their mood and personality.First, know that the doctors we spoke with are only seeing personality and mood changes in a very small number of patients. And the most common Ozempic emotional and psychological changes appear to be positive ones, from an elevated mood because your blood sugar is more stable, to a higher libido to a clearer mind because GLP-1s reduce inflammation in your noggin, doctors say. On the flip side, while there isn't scientific evidence of negative effects of this nature at this point, there is some anecdotal evidence linking GLP-1s and a decreased enthusiasm and drive when it comes to activities you previously enjoyed. GLP-1 users have also reported a decreased libido, irritability, and being quieter or more monotone, according to experiences shared on a Reddit post. āI feel more subdued and almost like I lost my spark,ā one commenter wrote. āAlso my highs arenāt as high; feels a bit tamped down.ā Another thing people are sharing on Reddit? That after taking a GLP-1, friends and family members are outright calling them āboring.ā Reassuring news: Doctors have an idea about why you may notice personality changes after going on a weight loss drug, and if it sounds like something youāre going through, thereās something pretty simple you can do about it. Hereās what you need to know about Ozempicās potential impact on your personality.How Ozempic Affects The BraināAnd Maybe Your PersonalityOzempic and other GLP-1s mimic a hormone that is found in both the gut and the brain, meaning they can have an impact on you mentally. They work partially because they make you feel fuller for longer by slowing down the food digestion process, but also because they likely regulate the reward center in your brain (known by scientists and doctors as the hypothalamus) and make the high you get from eating food not as dramatic. āJust as much as the GLP-1s are a diabetes drug and a weight loss medicine, they are brain drugs, too,ā says Rekha Kumar, MD, an endocrinologist at New York-Presbyterian and Weill Cornell Medicine. We know that GLP-1s work across the body and the brain to result in weight loss and that they tamper spikes of feel-good chemicals like dopamine, she says.There are positives to this effectānamely weight loss, but also potentially treating substance use and addiction, likely due to GLP-1sā effect on the hypothalamus. And, while some people report positives like a greater sense of calm on the meds because they donāt have to deal with mental distractions like food noise, others feel like their personality has dulled. The biggest change people are noticing is anhedonia, or lack of interest in things they typically find pleasurable, says Michael Russo, MD, bariatric surgeon at MemorialCare Surgical Weight Loss Center at Orange Coast Medical Center. And, while there are anecdotal accounts of GLP-1s negatively impacting personality, there isnāt much research confirming it yet. Dr. Kumar and Dr. Russo believe that itās possible, though. Luckily, itās also uncommon, say the doctorsālike, less than one percent in Dr. Russoās own practice. āItās very, very rare,ā he says.The reasoning so far is simple: Just as a GLP-1 can make eating food less enjoyable because it modulates your brainās pleasure and reward center, doctors say that it could impact how you feel about other activities and hobbies you used to enjoy, too. Dulled mood and personality effects on a GLP-1 are ālikely related to overly suppressing pleasure pathways that are in the brain,ā says Dr. Kumar. While most often suppressing these pathways gets a dysregulated brain āback to baseline,ā a GLP-1 will impact everyone differently, she says.Itās worth bringing up any mood changes with your prescribing doctor.Again, this isn't a common side effect. But if youāre experiencing negative mood or personality changes (or any other Ozempic side effects), talk to your doctor ASAP, say both experts. This is because thereās likely something they can doālike decrease the dosage or switch to a different class of GLP-1āto avoid these impacts. (For example, if youāre experiencing anhedonia on a semaglutide, you can switch to a tirzepatide, which is thought to have less of an impact on peopleās mood, says Dr. Russo.)One thing is for sure: You donāt need to suffer just to receive the benefits of the drug. āUltimately, we're prescribing these medications to improve peopleās lives,ā Dr. Russo says. āIf they're not doing that, we need to do something to change it.ā
Youāve heard of and but have you heard of āOzempic personalityā? One of the main reasons Ozempic and other are so effective is because they , not just your stomach. While this bodes well for weight loss, some users are concerned the drug's impact also means unwanted changes to their mood and personality.
First, know that the doctors we spoke with are only seeing personality and mood changes in a very small number of patients. And the most common Ozempic emotional and psychological changes appear to be positive ones, from an elevated mood because your is more stable, to a higher libido to a clearer mind because GLP-1s reduce in your noggin, doctors say.
On the flip side, while there isn't scientific evidence of negative effects of this nature at this point, there is some anecdotal evidence linking GLP-1s when it comes to activities you previously enjoyed. GLP-1 users have also reported a decreased libido, irritability, and being quieter or more monotone, . āI feel more subdued and almost like I lost my spark,ā . āAlso my highs arenāt as high; feels a bit tamped down.ā Another thing people are sharing ? That after taking a GLP-1, friends and family members are outright calling them āboring.ā
Reassuring news: Doctors have an idea about why you may notice personality changes after going on a weight loss drug, and if it sounds like something youāre going through, thereās something pretty simple you can do about it. Hereās what you need to know about Ozempicās potential impact on your personality.
How Ozempic Affects The BraināAnd Maybe Your Personality
Ozempic and other GLP-1s mimic a hormone that is found in both the gut and the brain, meaning they can have an impact on you mentally. They work partially because they make you feel fuller for longer by slowing down the food digestion process, but also because they likely regulate the reward center in your brain (known by scientists and doctors as the hypothalamus) and make the high you get from eating food not as dramatic.
āJust as much as the GLP-1s are a diabetes drug and a weight loss medicine, they are brain drugs, too,ā says Rekha Kumar, MD, an endocrinologist at New York-Presbyterian and Weill Cornell Medicine. We know that GLP-1s work across the body and the brain to result in weight loss and that they tamper spikes of feel-good chemicals like , she says.
There are positives to this effectānamely weight loss, but also , likely due to GLP-1sā effect on the hypothalamus. And, while some people report positives like a greater sense of calm on the meds because they donāt have to deal with mental distractions like , others feel like their personality has dulled.
The biggest change people are noticing is anhedonia, or lack of interest in things they typically find pleasurable, says Michael Russo, MD, bariatric surgeon at MemorialCare Surgical Weight Loss Center at Orange Coast Medical Center. And, while there are anecdotal accounts of GLP-1s negatively impacting personality, there isnāt much research confirming it yet. Dr. Kumar and Dr. Russo believe that itās possible, though. Luckily, itās also uncommon, say the doctorsālike, less than one percent in Dr. Russoās own practice. āItās very, very rare,ā he says.
The reasoning so far is simple: Just as a GLP-1 can make eating food less enjoyable because it modulates your brainās pleasure and reward center, doctors say that it could impact how you feel about other activities and hobbies you used to enjoy, too. Dulled mood and personality effects on a GLP-1 are ālikely related to overly suppressing pleasure pathways that are in the brain,ā says Dr. Kumar. While most often suppressing these pathways gets a dysregulated brain āback to baseline,ā a GLP-1 will impact everyone differently, she says.
Itās worth bringing up any mood changes with your prescribing doctor.
Again, this isn't a common side effect. But if youāre experiencing negative mood or personality changes (or ), talk to your doctor ASAP, say both experts. This is because thereās likely something they can doālike decrease the dosage or switch to a different class of GLP-1āto avoid these impacts. (For example, if youāre experiencing anhedonia on a , you can switch to a , which is thought to have less of an impact on peopleās mood, says Dr. Russo.)
One thing is for sure: You donāt need to suffer just to receive the benefits of the drug. āUltimately, we're prescribing these medications to improve peopleās lives,ā Dr. Russo says. āIf they're not doing that, we need to do something to change it.ā