Mar 20 • General discussion
Ozempic, cravings, and the part most people skip
I’ve been thinking about the whole Ozempic conversation.
I have nothing against the compound itself. From what many people describe, it can reduce cravings a lot - sometimes almost completely. And yes, that can obviously help someone eat less.
But here’s the distinction I keep coming back to: reducing cravings is not the same thing as learning how to respond to cravings.
That difference matters a lot.
Because for many people, the real long-term struggle is not just the existence of cravings. It’s what they believe about them. Things like: “I can’t stand this,” “I need relief now,” “I deserve to give in,” or “This feeling is too much.” In other words, low frustration tolerance.
And honestly, low frustration tolerance is extremely common. That’s not some weird flaw. That’s just very human.
So if someone mainly works on removing the trigger - or at least turning the volume way down on it - why would we assume they’re also building frustration tolerance in the background? Most likely, they’re not. Not automatically, anyway.
That’s why regain after stopping makes a lot of sense to me. If the cravings come back, but the thinking around cravings is still the same, the old pattern has a good chance of coming back too. That’s not shocking. It’s pretty predictable.
To me, this is why maintenance matters so much more than most people realize. The real question is not just, “Can this help someone lose weight?” The bigger question is, “What happens when real appetite, real frustration, real urges, and real life come back?”
Because sooner or later, for most people, that’s the actual test.
And no - keeping someone on Ozempic forever doesn’t strike me as the most elegant answer either. Maybe in some cases it has a place. I’m not talking in absolutes here. But as a general long-term strategy, I think we should be much more interested in helping people build the mental side too: tolerance for discomfort, better responses to cravings, and habits they can actually live with.
Otherwise, we risk helping people escape the struggle temporarily without helping them become stronger in relation to it.
And that’s a big difference.
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Ozempic, cravings, and the part most people skip
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