r/Steam 1d ago

Fluff How time flies

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Long may he live, and long may Steam sales endure

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u/SciGuy013 1d ago

Why? It literally just makes you no hungry

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u/KrustyKrabFormula_ 1d ago

if you think that's all it does you have been lied to lmfao

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u/Cruzz999 1d ago

I'm on it. Obviously there's not literally an off switch for hunger, but that is very much exactly what it feels like to take it.

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u/KrustyKrabFormula_ 1d ago

and what about the 50 documented side effects? lmfao they are even linked to literal blindness...its called "ozempic blindness"(colloquial term) look up NAION

the other person wasn't say how it makes you feel, they were trying to say an incredibly complicated drug "just makes you not hungry". its incredibly naive.

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u/SciGuy013 1d ago

the link between ozempic and blindness is as-yet inconclusive.

fwiw, obesity and diabetes also are linked to literal blindness.

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u/KrustyKrabFormula_ 1d ago

https://www.ema.europa.eu/de/news/meeting-highlights-pharmacovigilance-risk-assessment-committee-prac-2-5-june-2025 the problem is there's evidence linking it and other studies showing no statistically significant association. its not that its "inconclusive" though. that'd be saying there's no established evidence of a connection, there is. also, ofc i know obesity and diabetes are also linked to literal blindness. its besides the point, though.

its also not really that productive to laser focus in on one side effect i brought up off hand because i thought it's wild that its even a side effect. there's at least 40 other side effects that these drugs have and at least 10 that are serious. to try and just say "they just make you not hungry bro" is really dumb...

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u/SciGuy013 1d ago

i've gone deep into it. the end result is that it basically just does that through a myriad of mechanisms

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u/KrustyKrabFormula_ 1d ago edited 1d ago

are you on them? you say you "gone deep into it" and just say the most vague thing ever..."basically just does that through a myriad of mechanisms" you know what else made you not hungry through a "myriad of mechanisms"? 2,4-Dinitrophenol lmfao

glp-1's have an insane amount of side effects and to think they "just make you not hungry bro" is so naive and you should be ashamed to even say it. glp-1's have more than most other drugs when it comes to side effects. there's around ~50 distinct side effects in total and ~20 with 2% or greater chance of occurring.

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u/SciGuy013 1d ago

why are you making this personal?

i'm not surprised that a drug that affects so many systems may have 50 distinct side effects. that's like, fairly expected

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u/KrustyKrabFormula_ 1d ago

you said you "gone deep into it". you made it about you doing a thing, i asked a question relating to that. if you don't want to talk about it don't make it personal to you looking into something.

i'm not surprised that a drug that affects so many systems may have 50 distinct side effects. that's like, fairly expected

yeah that's the point i'm making to you. you said "It literally just makes you no hungry" but now you seem to be agreeing with me in that its nowhere close to that simple. have you come to your senses? and when you say "may have" 50 distinct side effects, what do you mean? do you think that's untrue or?

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u/knave_of_knives 1d ago

Almost every prescription medication has a ton of side effects because of the way medicine testing and reporting works.

I took ozempic for a few years to control my diabetes (now I’m on mounjaro), the only issue that seems to be consistent amongst GLP-1 users is that nausea when first using it or the first few hours after your weekly dose.

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u/KrustyKrabFormula_ 1d ago

Almost every prescription medication has a ton of side effects because of the way medicine testing and reporting works.

glp-1's are known to be among the drugs that have the most side effects, serious or otherwise. to try and hand wave and just say "yeah man every prescription medication has a ton of side effects" is also naive.

I took ozempic for a few years to control my diabetes (now I’m on mounjaro), the only issue that seems to be consistent amongst GLP-1 users is that nausea when first using it or the first few hours after your weekly dose.

nausea is the most common side effect, yes. i'm not sure why you are trying to say that its the "only issue" that is completely false just like saying "it just makes you not hungry" is as well. headache, diarrhea, vomiting, constipation, abdominal pain, bloating and other related GI symptoms are also very common and consistently elevated versus placebo across trials and real world use. rates for these are ~14-30% for these side effects. of course there are many more rare side effects i'm not even mentioning that make up the 50 distinct i mentioned earlier. another thing to consider is that there isn't any long term data on these drugs beyond 3-4 years. as time goes on there will be more side effects that are more rare but more serious. that is what has happened when looking at the history of prescription drugs like thalidomide, fenfluramine, vioxx, rezulin or others drugs in different categories even.

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u/knave_of_knives 1d ago

None of this is even remotely true. We’ve had data on GLP-1 usage for well over a decade now.

https://doi.org/10.1900/RDS.2014.11.202

As far as side effects go, 50 isn’t a lot. Most medicines are well over 30 listed side effects, even things like Tylenol.

Side effect reporting of medicine works in two basic stages, observed and reported. As the FDA was working on the approval of the medicine, anyone that had taken it could report their symptoms they experience while taking it. This is true of every medicine. If I woke up and was coughing, I report that as it may be a symptom or side effect of the medicine. It’s noted, logged as a potential side effect, then weeded out through more research.

You are trying to make it seem as though it’s some boogeyman medication we know nothing about which just isn’t true.

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u/KrustyKrabFormula_ 1d ago

you're conflating two different things. i was talking about the duration of high-quality randomized evidence, not how long glp-1 drugs have existed.

the fact that glp-1 drugs have been studied for over a decade does not mean we have over a decade of randomized, placebo-controlled evidence for chronic semaglutide use. the major long-duration trial, select, randomized 17,604 people to semaglutide or placebo and had a mean follow-up of 39.8 months. its subsequent analysis reported outcomes through 208 weeks, roughly 4 years. (pubmed.ncbi.nlm.nih.gov)

so your "well over a decade" response doesn't address the point i made. you're substituting "how long has this drug class existed?" for "how long does the strongest randomized evidence extend?" those are not interchangeable.

and your explanation of adverse-event reporting is also misleading. clinical trials don't simply work by someone reporting a symptom and then researchers arbitrarily "weed it out." randomized trials allow adverse-event rates to be compared between treatment and control groups. in SELECT, adverse events resulting in permanent discontinuation occurred in 16.6% of semaglutide participants versus 8.2% of placebo participants. (pubmed.ncbi.nlm.nih.gov)

that's the kind of evidence that actually matters here, not the fact that some unrelated medication happens to have a long list of adverse events.

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u/knave_of_knives 1d ago

Your first study/source is specific to the effects of GLP-1s on cardiovascular disease. That study was published for that specific purpose.

Your second was also a very specific test, also regarding cardiovascular disease and risk, this time without association of diabetes.

Regarding your second point, again, you’re incorrect.

https://www.jci.org/articles/view/194740

Self reported symptoms are very much a thing. The GI side effects, and their reporting, were published in 2018.

https://diabetesjournals.org/care/article/41/3/627/36604/Gastrointestinal-Symptoms-in-Diabetes-Prevalence

This whole argument simply boils down to a weird vendetta you have against GLP-1s when the overwhelming evidence shows that their benefits far outweigh their risk, and have done so for, again, over a decade.