The godfather of weight-loss drugs: ‘I know there can be bad outcomes over a period of time’

393 points by TheObserverUK 20 days ago on reddit | 36 comments

pingpongjasper | 20 days ago

Here’s a non paywall link 🤞🏽 https://archive.ph/cFV7M

[OP] TheObserverUK | 20 days ago

Without Ray Pederson, weight-loss drugs might not exist. It’s a legacy he’s not entirely comfortable with.

“I do have real concerns,” he says. The Canadian physiologist was a pioneer, the junior partner in the two-man team that discovered the first hormone to govern appetite: gastric inhibitory polypeptide, or GIP. Their discovery forms the foundation of the entire $92bn weight-loss drugs market.

“Certainly for the morbidly obese, it’s been a godsend,” Pederson says. “But it’s being promoted as a way for everybody to lose weight, not just people who are obese but if you want to lose a few pounds to fit in your bathing suit.”

Given Pederson’s central role in a discovery that has transformed the world, it seems extraordinary that he has never given an interview before. Yet he and the other member of the team, his PhD supervisor John Brown, a hard-drinking, combative scientist from County Durham, have largely been forgotten. In fact, Pederson, now 84, feels they’ve been written out of history. After all, weight-loss drugs are known by the name of the second hormone to be discovered: GLP-1, not GIP.

https://observer.co.uk/news/science-technology/article/the-godfather-of-weight-loss-drugs-i-know-there-can-be-bad-outcomes-over-a-period-of-time

barrhavenite | 20 days ago

Kinda crazy to call his colleague his “PhD supervisor” after all of these years, lmao.

lizzietnz | 20 days ago

It can be a sign of respect showing he doesn't see himself above his colleague.

ottawadeveloper | 20 days ago

It's a good point to make.

I have a BMI of 57 last I checked. It's hard on my joints and back, clothes don't fit well, my asthma and sleep apnea are worse, I get skin issues, and I'm at high risk of complications from surgery. I'm working on starting GLP-1s right now in the hopes they can help (alongside my therapy) in addressing years of disordered eating and using food as an emotional coping tool. That seems like a great reason for this medication and I have hopes it'll at least make my life easier (combined with some skin removal surgery I hope).

But BMI and such are bullshit for individual health. Models and actors frequently starve themselves to unhealthy levels to look the way they do.

If you don't experience any significant issues from your weight, you are probably better off with more self-acceptance, some therapy, and telling society to take a long walk off a short pier than taking a GLP-1. You don't need it to lose five pounds to fit an XS bathing suit, just buy the small. Or the medium or large even.

Tummies are cute and adorable. Thick thighs are gorgeous. Butts are gorgeous. People are in general super cute at any size, even at my size. Weight loss is mostly necessary when you actually have serious ramifications from the weight.

darknesskicker | 20 days ago

I don’t have a BMI of 57, but I can’t get my weight out of the obese range, despite a small build, because I have to take multiple medications that increase appetite. I can’t just go hungry because then when I stand up, I get dizzy and become a fall hazard.

I also have inherited high cholesterol that started at age 40 and, given the family history, is likely to get much worse as I get older. And I have a lot of visceral fat, which increases my risk of chronic disease and makes it really hard to find pants that fit well.

I would be a really good candidate for a GLP-1 for these reasons, but I can’t get them paid for by my insurance because I don’t have serious enough medical conditions related to my weight.

I am already doing relatively well controlling my weight by keeping my BMI about the same as a female relative with a very similar build to mine who doesn’t have to take the weight-gain-inducing meds I take. I truly don’t think I can really do more with diet and exercise, especially since I have a chronic illness for which exercise is contraindicated. I need a GLP-1.

mamadematthias | 20 days ago

I am like you. My joints were killing me, unable to do exercise, and weight only increasing. I opted to pay for the GLP-1 myself.

eebro | 20 days ago

Have you got diagnosed with mental disorders, like ADHD and such? I find when people are fat we're looking at the body, when mind is the culprit. Anyways, hope the GLP-1 helps you. I think the odds are, it will change your life.

ottawadeveloper | 19 days ago

I was diagnosed last year with ASD (low support needs) and ADHD on top of my existing known anxiety disorder. I'm also now three years out of a pretty bad relationship that I've been recovering from. I think these things together will probably help a lot.

hustl3tree5 | 20 days ago

It sounds like the therapy is working! More power to you bro and I wish you well on your journey

UndergroundCreek | 20 days ago

It takes all sorts if people and ragging on people who fast in intervals to keep trim isn't helpful. What stands is that for the first time in human history we have obesity as a medical problem. If the drug helps with that I'm all for it. But the question remains why now? Why not 1000 years ago or 2000 years? Why now and once we know then perhaps we should do stuff a bit differently.

ottawadeveloper | 20 days ago

Honestly, three reasons imo

  1. Society is kinda shit in a lot of ways. It's not exactly a happy place and thanks to social media it's all in your face constantly. And food is decent dopamine

  2. Our modern food system is full of high calorie great tasting garbage that makes it easy to over eat

  3. Most careers in more obese countries aren't as high exercise - you're not burning the calories of a farmer at the desk.

UndergroundCreek | 20 days ago

I'll take no. 2 and 3 cause that rings true. But I believe we live better then those 3000 years ago. Though more busy. Life expectancy etc.

cab938 | 19 days ago

It great you find tummies cute and adorable. But the person living in the body should make the choice.

You might feel some therapy to help them find acceptance is what they should do. I think they should make the choice as to whether they want that, or whether they want something else.

ottawadeveloper | 19 days ago

that is what the therapy is for - to help them make the decision that is right for them, not for society and not just to appease the male gaze.

cab938 | 19 days ago

It's got nothing to do with men and their gaze. It's about recognizing that an individual gets the choice, and maybe they want to fit in that bikini, and that's fine if that's their motivation.

The person who lives in the body gets to make the choice about the body they want to live in. If they want to do it to attract the gaze of someone that's fine.

lego_batman | 20 days ago

So reading the article his concerns are primarily that he doesn't know what the effect of long term exposure will be?

asyork | 20 days ago

Combined with how much it is being used, that is a valid concern. Doctors used to care about that kind of thing.

kingpin2k | 20 days ago

What's that supposed to mean? You think Doctors don't care anymore? As someone who spends a lot of time with doctors, it's an uphill battle, especially with the asshat RFK in power. Misinformation in social media and public sentiment due to attack on science and "doctors" is brainwashery you shouldn't spread

asyork | 19 days ago

All those doctors prescribing GLP-1 to anyone who wants to lose a pound must not count then.

Edit: And, lol. Those doctors are doing exactly what RFK Jr. wants them to do. He thinks it's great that people are taking peptides. It is not misinformation to say doctors are haphazardly prescribing that like it's water.

RG3ST21 | 19 days ago

so, is it all doctors, implied by your fist comment, or "all those" stated by your second? I'm not hearing of a lot of surgeons prescribing these meds, or even family med. For those that don't "need" it classically, it seems to be a small contingent of MDs working for companies like Ro or hims etc.

what are the long term consequences of obesity?

if people are made aware of short term risks, and are willing to take that risk anyway, should that be impeded? With long term consequences, sometimes the only way to find out about them is to, well, find out about them. If things weren't prescribed because we don't know what they do long term, what would be?

asyork | 19 days ago

Not worth even having a discussion with the kind of person that responds to anything they dislike by saying, It's not all of them!!1!!" So I'm not even going to read past that sentence. Same energy as the "not all men!" crowd, when no one before even said "all."

RG3ST21 | 19 days ago

And yet, here you are.

KCPs1234 | 19 days ago

We’ve had them for 15 years. We know the long term exposure to obesity.

It’s a simple choice.

Kittibean | 20 days ago

Man who has worked on this medication for 40 years thinks there could be long term effects...

GIP has been around 40 years, GLPs actively prescribed for 20. That's long enough study for me.

KCPs1234 | 19 days ago

Needs to be higher

TGAILA | 20 days ago

>"Certainly for the morbidly obese, it's been godsend," Pederson says. "But it's being promoted as a way for everybody to lose weight, not just people who are obese but if you want to lose a few pounds to fit in your bathing suit."

GLP-1s were designed to treat type 2 diabetes, but an unexpected side effect was weight loss. You spend more on medication to eat less than you save on groceries.

The_Pandalorian | 20 days ago

Ah yes, the primary motivation of all weight loss is definitely to save on grocery bills.

lil_squib | 20 days ago

That actually can be a pretty big motivator for folks with bulimia or binge eating disorder. I’ve known folks who’ve gone into tons of debt buying binge foods. I’m sure it’s similar for compulsive overeating (I know that not all obese folks eat compulsively, just making a point).

Ashamed-Status-9668 | 20 days ago

With what the cost of food is now it might be cheaper to go on GLP-1's :) I'm joking of course.

jaybaby2319 | 19 days ago

You're not wrong though!

Wise-Peanut9552 | 20 days ago

At least for me that isn't true. It's a straight trade now that prices have come down. I spend $400/month for name brand and save $100/week in food so I come out slightly ahead.

Lazy-Living1825 | 20 days ago

Glp1’s save money on food.

JackVonReditting | 20 days ago

You are absolutely right

costafilh0 | 20 days ago

Like every drug. Good this one is finally coming to light. Specially because it includes terrible long term results compares to the amazing short term ones.

mamadematthias | 20 days ago

That is not true