GLP-1 monitoring does not only consist of monitoring weight and the side effects of the treatment.<\/p>\n\n\n\n
What do you know about what should be monitored when taking a medication from the GLP-1 family?<\/strong><\/p>\n\n\n\n You will certainly answer: the weight. Perhaps also the digestive side effects, such as nausea or constipation.<\/p>\n\n\n\n But what about your diet, your muscle mass, your level of physical activity, your hunger, your satiety, the thoughts around food, your old eating habits, and even the way you live through the sometimes rapid changes in your body?<\/p>\n\n\n\n Treatments that act on the GLP-1 pathways, such as semaglutide or tirzepatide, as well as new molecules that broaden the treatment options for obesity, are not simply intended to bring the number on the scale down.<\/p>\n\n\n\n They profoundly alter the food experience of some people.<\/p>\n\n\n\n Hunger can decrease. Satiety comes more quickly. Portions naturally become smaller. The incessant thoughts about food, sometimes called food noise<\/em>, Some foods become less appealing and behaviors that previously seemed difficult to control may lose some of their strength.<\/p>\n\n\n\n So, when everything seems to be working well, a completely legitimate question arises:<\/p>\n\n\n\n \u00ab If I lose weight, eat less and feel good, why would I still need follow-up care?\u00bb<\/strong><\/p>\n\n\n\n Precisely because the monitoring is not just used to measure your weight loss.<\/p>\n\n\n\n It allows to check How your health evolves during treatment, what the medication actually improves and what still deserves your attention.<\/strong><\/p>\n\n\n\n And what if the conclusion is simply that if Everything is fine<\/strong>, It is also an excellent therapeutic result.<\/p>\n\n\n\n GLP-1s are hormones produced naturally by our body. Drugs that replicate or amplify some of their actions act, among other things, on the brain and digestive mechanisms involved in appetite and food intake.<\/p>\n\n\n\n They can thus:<\/p>\n\n\n\n In some people, this produces a new experience:<\/p>\n\n\n\n \u00abI can finally stop eating without having to fight against myself.\u00bb<\/strong><\/p>\n\n\n\n This change is important.<\/p>\n\n\n\n It also reminds us that certain behaviors that were once easily attributed to a \u00ablack of willpower\u00bb were strongly influenced by the biological mechanisms of hunger, satiety, and reward.<\/p>\n\n\n\n It\u2019s quite complex.<\/p>\n\n\n\n Some eating behaviors are built over time. They are learned, repeated, reinforced, and then sometimes become almost automatic.<\/p>\n\n\n\n The path can look like this:<\/p>\n\n\n\n stress \u2192 desire to eat \u2192 food \u2192 relaxation<\/strong><\/p>\n\n\n\n Or, more simply, associated with a habit:<\/p>\n\n\n\n evening \u2192 television \u2192 desire to snack \u2192 pleasure<\/strong><\/p>\n\n\n\n Through repetition, the brain learns this association and a habit is created. The context itself can eventually trigger the desire to eat, sometimes even before we have actually made the decision to do so.<\/p>\n\n\n\n By reducing hunger and the desire and interest in food, GLP-1 treatment can reduce the force that maintains this loop. The behavior then becomes easier to interrupt.<\/p>\n\n\n\n But not all food difficulties are the same.<\/p>\n\n\n\n One person may eat because they are actually hungry. Another may eat to calm down after a difficult day. Someone may feel a loss of control in front of certain foods. Some people experience true hyperphagic attacks, with a large amount of food consumed and the impression that they can\u2019t stop eating.<\/p>\n\n\n\n Monitoring is precisely what allows us to understand What's happening at your place<\/strong>, Rather than assuming that all food difficulties have the same origin.<\/p>\n\n\n\n When appetite decreases sharply, a new problem may arise: no longer eating enough or no longer eating well enough.<\/strong><\/p>\n\n\n\n It can become more difficult to achieve adequate intakes of protein, fiber, vitamins and minerals, or even simply energy.<\/p>\n\n\n\n Weight loss also does not only involve fat mass. Part of the lean mass can also be lost.<\/p>\n\n\n\n Monitoring therefore allows us to focus on the quality of the diet, proteins, hydration, digestive tolerance and, when necessary, micronutrients. Current data<\/a> They also encourage looking beyond just weight loss and integrating nutrition, physical activity, body composition, and maintaining physical function into the follow-up.<\/p>\n\n\n\n The question is no longer simply:<\/p>\n\n\n\n \u00ab Am I eating less? \u00bb<\/strong><\/p>\n\n\n\n but rather:<\/p>\n\n\n\n \u00ab Am I feeding my body enough?<\/a> with what I eat now?\u00bb<\/strong><\/p>\n\n\n\n During significant weight loss, preserving strength and muscle mass<\/a> becomes particularly important.<\/p>\n\n\n\n Moving around daily is important, but muscle strengthening also plays an important role.<\/p>\n\n\n\n It\u2019s not about exercising to \u00abburn off\u00bb what you\u2019ve just eaten.<\/p>\n\n\n\n The objective is different: maintain a functional, strong body that can accompany you during and after weight loss.<\/strong><\/p>\n\n\n\n This is probably one of the most important questions in follow-up.<\/p>\n\n\n\n You are losing weight. Hunger is less present. You think much less about food. Your clothes are getting too big and your friends and family begin to notice the changes.<\/p>\n\n\n\n Everything seems to be going in the right direction.<\/p>\n\n\n\n And that might indeed be the case.<\/p>\n\n\n\n But the weight only tells us part of the story.<\/p>\n\n\n\n Some questions allow us to see what is happening behind the figure displayed on the balance<\/strong>, And that is also what obesity medicine is all about.<\/p>\n\n\n\n Do you need less control over what you eat?<\/p>\n\n\n\n Do you think less often about food?<\/p>\n\n\n\n Can you stop eating when you are full?<\/p>\n\n\n\n Can you have certain foods in the house without them constantly occupying your thoughts?<\/p>\n\n\n\n If you answer yes to these questions, it is a real benefit of the treatment.<\/p>\n\n\n\n Your relationship with food may simply have become more free.<\/p>\n\n\n\n There is a difference between wanting to eat and feeling like you have to eat. no longer able to stop<\/strong>.<\/p>\n\n\n\n Some people say:<\/p>\n\n\n\n \u00ab Once I start, I have a lot of difficulty stopping.\u00bb<\/p>\n\n\n\n \u00abThere are certain foods with which I still lose control.\u00bb<\/p>\n\n\n\n \u00ab I almost no longer feel hungry, but I still have episodes of hunger.\u00bb<\/p>\n\n\n\n This information is important.<\/p>\n\n\n\n Treatments that act on GLP-1 can reduce some food cravings and some behaviors of losing control. But if these episodes persist despite the treatment, they deserve to be explored rather than simply being masked by a good result on the scale.<\/p>\n\n\n\n We do not eat only because our body requires energy.<\/p>\n\n\n\n We can eat to reward ourselves after a difficult day, reduce our stress, distract ourselves when we get bored, comfort ourselves, accompany a moment of relaxation, or simply because a behavior has become automatic.<\/p>\n\n\n\n So, ask yourselves this question:<\/p>\n\n\n\n When I am stressed, sad, angry, alone, or exhausted, what am I doing now?<\/strong><\/p>\n\n\n\n You may have naturally found something else: walking, calling someone, listening to music, tinkering, reading, going out, getting active or resting.<\/p>\n\n\n\n You then found new ways to meet the needs that might previously have been hidden behind certain emotions.<\/p>\n\n\n\n But other people discover instead:<\/p>\n\n\n\n \u00abI don't eat anymore, but I have nothing to eat instead.\u00bb<\/strong><\/p>\n\n\n\n Food may have previously served a function of pleasure, reward, or comfort that has quickly disappeared.<\/p>\n\n\n\n This could become something to explore during the follow-up.<\/p>\n\n\n\n This question may seem unrelated to obesity medicine.<\/p>\n\n\n\n It\u2019s not that bad.<\/p>\n\n\n\n If eating was previously one of your main sources of pleasure, comfort, or reward, and that interest is greatly diminished, it becomes interesting to look at what is gradually taking its place.<\/p>\n\n\n\n For some people, this change happens spontaneously.<\/p>\n\n\n\n For others, food no longer interests them much, but they have not yet found a way to make it work.\u2019Other sources of satisfaction<\/a>.<\/p>\n\n\n\n This does not automatically mean that there is a psychological problem.<\/p>\n\n\n\n But this can be an opportunity to actively build a life in which pleasure, relaxation, and reward no longer depend primarily on food.<\/p>\n\n\n\n A significant weight loss can sometimes be much faster than that.\u2019adaptation of our body image<\/a>.<\/p>\n\n\n\n You may have lost 15, 20 or 30 kilos and still instinctively choose clothes that are too big. You are surprised by your reflection in the mirror. You still feel like you take up more space than you actually do.<\/p>\n\n\n\n On the other hand, you may be delighted with your new figure and appreciate the compliments:<\/p>\n\n\n\n \u00abYou really lost!\u00bb \u00abThat changes things for you!\u00bb<\/p>\n\n\n\n And that is perfectly correct.<\/p>\n\n\n\n Monitoring does not consist of turning legitimate satisfaction into a psychological problem.<\/p>\n\n\n\n It simply allows to check that The perception you have of yourself gradually comes to accompany the changes in your body.<\/strong><\/p>\n\n\n\n At first, watching the scale go down is often very motivating.<\/p>\n\n\n\n Compliments can also be very helpful, especially after years of struggling with weight.<\/p>\n\n\n\n But gradually, another question becomes interesting:<\/p>\n\n\n\n How will I manage the days when the balance doesn't go down?<\/strong><\/p>\n\n\n\n If a small change in weight causes severe anxiety, if the fear of gaining weight leads to eating less, or if your self-esteem becomes almost entirely dependent on the weight you achieve, it is useful to talk about it.<\/p>\n\n\n\n The goal of the treatment is not to replace a constant preoccupation with food with a constant preoccupation with the balance. <\/p>\n\n\n\n GLP-1 monitoring also allows us to keep this issue in perspective and not reduce progress solely to the balance sheet figure.<\/p>\n\n\n\n This concern is common and understandable.<\/p>\n\n\n\n \u00abAnd what if I stop?\u00bb<\/p>\n\n\n\n \u00ab And what if the medication doesn\u2019t work as well?\u00bb<\/p>\n\n\n\n \u00ab And what if my desires return?\u00bb<\/p>\n\n\n\n Pharmacological treatments for obesity are generally considered long-term when indicated, effective, and well-tolerated.<\/p>\n\n\n\n Since obesity is a chronic disease, the reappearance of hunger or a weight gain after stopping a medication does not mean that you have failed.<\/p>\n\n\n\n Monitoring can also be used to prepare for more difficult periods.<\/p>\n\n\n\n A heavy workload, a period of stress, holidays, illness, a change in treatment or the return of certain desires do not necessarily mean a return to the starting point.<\/p>\n\n\n\n It is precisely in these moments that the strategies built during the follow-up of the treatment can become useful.<\/strong><\/p>\n\n\n\n Treatment for obesity does not always proceed in a straight line.<\/p>\n\n\n\n There are periods when everything seems easy and others when some old habits reappear.<\/p>\n\n\n\n One meal becomes several meals. A period of stress triggers the snacking behavior. A food that was no longer a problem starts to become very appealing again. Physical activity decreases. Weight stabilizes or slightly increases.<\/p>\n\n\n\n This is the time to understand without judgment, by exploring:<\/p>\n\n\n\n What just happened?<\/strong><\/p>\n\n\n\n How did I function before?<\/strong><\/p>\n\n\n\n What change has appeared?<\/strong><\/p>\n\n\n\n What do I need now?<\/strong><\/p>\n\n\n\n Monitoring is precisely intended to help overcome these periods, to resolve difficulties when they arise, and to prevent a single event from gradually becoming a lasting return to old behaviors.<\/p>\n\n\n\n We don\u2019t all need the same things.<\/p>\n\n\n\n If you could say today:<\/p>\n\n\n\n \u00abI eat enough and in a balanced way. I am much less hungry. My relationship with food has become simple. I no longer lose control. I have other sources of pleasure. I move regularly. I feel good in my body and in my life.\u00bb<\/strong><\/p>\n\n\n\n Then your follow-up may probably become more light-hearted.<\/p>\n\n\n\n It remains useful for monitoring your treatment, your health, your diet, your physical activity and the evolution of your weight, but it is not necessary to look for a problem that does not exist.<\/p>\n\n\n\n On the other hand, more intensive support deserves to be considered if you find yourself in several of these situations:<\/p>\n\n\n\n In these situations, Having a need for follow-up does not necessarily mean that you need long-term psychotherapy.<\/strong><\/p>\n\n\n\n It could be an adjustment<\/strong> nutrition, a muscle-strengthening program, some targeted behavioral interventions, work on triggers and habits, new strategies for managing emotions or, where indicated, with genuine support<\/strong> psychotherapeutic.<\/p>\n\n\n\n The intensity and type of monitoring must adapt to your needs.<\/p>\n\n\n\n GLP-1 treatments not only modify hunger and satiety. Research is also interested in their effects on food cravings, reward circuits, and certain eating behaviors. A recent review proposes integrating these treatments into a more holistic approach that takes into account nutrition, behavior, psychological health, and the individual\u2019s own needs.<\/p>\n<\/div><\/div>\n\n\n\n \u2192 For more information:<\/strong> Beyond weight loss: Integrating GLP-1 RA therapies into psychological and behavioral care for obesity and binge eating disorder<\/strong><\/a><\/em>.<\/a><\/strong><\/p>\n<\/div><\/div>\n\n\n\n Treatments that act on GLP-1 have taught us something important.<\/p>\n\n\n\n When hunger, certain food cravings, and thoughts about food decrease sharply, then difficulties that were once too easily attributed to a lack of willpower can improve significantly.<\/p>\n\n\n\n It is necessary to recognize this success.<\/strong><\/p>\n\n\n\n But this period can also become a tremendous opportunity for change.<\/p>\n\n\n\n When the former eating behavior becomes less powerful, it can become much easier to build a new one.<\/p>\n\n\n\n Like learning to eat enough despite a decrease in appetite. Protecting your muscle mass. Or moving more. Recognizing your triggers. Finding other ways to manage stress. Discovering new sources of pleasure. Adapting to a changing body. Knowing what to do when a difficult period arises.<\/p>\n\n\n\n That's also what monitoring is for.<\/p>\n\n\n\n And if, after some time, you feel better, your diet becomes more varied, your health improves and you feel able to continue with greater autonomy, that\u2019s because The follow-up has also fulfilled its mission.<\/strong><\/p>\n\n\n\n The GLP-1 follow-up does not aim to create dependency on the support provided. On the contrary, it should gradually help the person to better understand what suits them and to gain in autonomy. Because in the end, the success of an obesity treatment is not measured solely in terms of the kilos lost; it is also measured in terms of what you have gained in health, strength, freedom and quality of life..<\/strong><\/p>\n\n\n\n Therefore, good GLP-1 monitoring must remain individualized and evolve with each person's needs.<\/p>\n\n\n\n Monitoring when taking GLP-1 should gradually allow you to better understand your functioning, recognize the situations in which you need help, and know when you can continue on your path with greater autonomy.<\/strong><\/p>","protected":false},"excerpt":{"rendered":" Le suivi GLP-1 ne consiste pas seulement \u00e0 surveiller le poids et les effets secondaires du traitement. Que savez-vous de ce qu\u2019il […]<\/p>\n","protected":false},"author":2,"featured_media":4181,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[9],"tags":[22,19,33,42],"class_list":["post-4180","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-comprendre-obesite","tag-comportement-alimentaire","tag-glp-1","tag-medecine-de-lobesite","tag-traitement-de-lobesite"],"yoast_head":"\nWhat does a treatment with GLP-1 actually do?<\/strong><\/h2>\n\n\n\n
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And the compulsions or eating habits?<\/strong><\/h2>\n\n\n\n
The GLP-1 follow-up: eating less is not enough<\/h2>\n\n\n\n
Physical activity: protecting what we don\u2019t want to lose<\/strong><\/h2>\n\n\n\n
How do I know if I still need to be accompanied?<\/strong><\/h2>\n\n\n\n
Has my relationship with food really become easier?<\/strong><\/h3>\n\n\n\n
Do I still sometimes have the impression of losing control?<\/strong><\/h3>\n\n\n\n
Do I still sometimes eat for something other than hunger?<\/strong><\/h3>\n\n\n\n
What can bring me pleasure now?<\/strong><\/h3>\n\n\n\n
My body has changed. Has the image I have of myself changed?<\/strong><\/h2>\n\n\n\n
What place did the balance and the perspective of others take with GLP-1?<\/strong><\/h2>\n\n\n\n
Am I afraid that everything will start over if GLP-1 works less well?<\/strong><\/h2>\n\n\n\n
GLP-1 monitoring also serves when things aren't going as smoothly anymore.<\/h2>\n\n\n\n
What GLP-1 follow-up do I need?<\/h2>\n\n\n\n
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To go further<\/h3>\n\n\n\n
The medication can do a lot. Follow-up allows us to know what remains to be done.<\/strong><\/h2>\n\n\n\n