Would this drug be safe for hypothyroid folks t... - Thyroid UK

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Would this drug be safe for hypothyroid folks to try?

vocalEK profile image
40 Replies

huffpost.com/entry/what-is-...

Don't know if it is available in the UK. In the US it was first released as a Type 2 Diabetes treatment, Victoza. Now, double doses by injection are marketed for weight loss as Saxenda.

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vocalEK profile image
vocalEK
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diogenes profile image
diogenesRemembering

This describes the contraindications for saxenda.

Possible thyroid tumors, including cancer. Tell your health care professional if you get a lump or swelling in your neck, hoarseness, trouble swallowing, or shortness of breath. These may be symptoms of thyroid cancer. In studies with rats and mice, Saxenda® and medicines that work like Saxenda® caused thyroid tumors, including thyroid cancer. It is not known if Saxenda® will cause thyroid tumors or a type of thyroid cancer called medullary thyroid carcinoma (MTC) in people.

Do not use Saxenda® if you or any of your family have ever had MTC, or if you have an endocrine system condition called Multiple Endocrine Neoplasia syndrome type 2 (MEN 2).

Who should not use Saxenda®?

Do not use Saxenda® if:

you or any of your family have a history of MTC

you have MEN 2. This is a disease where people have tumors in more than one gland in their body

you are allergic to liraglutide or any of the ingredients in Saxenda®. Symptoms of a serious allergic reaction may include: swelling of your face, lips, tongue, or throat, fainting or feeling dizzy, very rapid heartbeat, problems breathing or swallowing, and severe rash or itching

Talk with your health care provider if you are not sure if you are pregnant or planning to become pregnant. Saxenda® may harm your unborn baby

Before taking Saxenda®, tell your health care provider about all of your medical conditions, including if you:

have any of the conditions listed in the section “What is the most important information I should know about Saxenda®?”

are taking certain medications called GLP-1 receptor agonists

are allergic to liraglutide or any of the other ingredients in Saxenda®

have severe problems with your stomach, such as slowed emptying of your stomach (gastroparesis) or problems with digesting food

have or have had problems with your pancreas, kidneys or liver

have or have had depression or suicidal thoughts

are pregnant or plan to become pregnant. Saxenda® may harm your unborn baby. Tell your health care provider if you become pregnant while taking Saxenda®. If you are pregnant you should stop using Saxenda®

are breastfeeding or plan to breastfeed. It is not known if Saxenda® passes into your breast milk. You and your health care provider should decide if you will take Saxenda® or breastfeed. You should not do both without talking with your health care provider first.

So at this stage I would be very cautious before using it.

SlowDragon profile image
SlowDragonAdministrator

And this article

healthinsightuk.org/2015/02...

SlowDragon profile image
SlowDragonAdministrator

Trying a low carb, low sugar, high protein and good fat diet would likely be safer and yield better results

diabetes.org.uk/guide-to-di...

MMaud profile image
MMaud

@VocalEK - What would be your objective, in terms of trying Victoza?

greygoose profile image
greygoose

Although it doesn't exactly say so, I get the impression that this is for people who have put on weight due to over-eating - or suspected over-eating. How often is this true of those with hypothyroidism? With reduced appetites, and naturally slow emptying of the stomach, due to low stomach acid, I wonder if this would make any difference to a hypo. And, if hypo weight gain is due to mucin/water-retention, I'm pretty sure it wouldn't. So, is it worth the risk? Doesn't appear so to me.

in reply to greygoose

That’s not all. It helps with insulin and leptin resistance, both of which are known to inhibit fat loss and cause weight gain.

greygoose profile image
greygoose in reply to

Doesn't sound like a good idea at all, then, does it.

in reply to greygoose

On the contrary, it helped me lose weight when everything else failed. I am surprised how many people with no experience of this drug can be so biased. Plus, in my experience, hypo patients rarely have thyroid hormone imbalance only to deal with, but often also insulin and/or leptin resistance, cortisol issues etc which affect their ability to lose weight.

greygoose profile image
greygoose in reply to

Not biased, cautious. We have enough to deal with, without launching ourselves into the unknown depths of a new drug. Besides, the last thing I need is an appetite depressor. Quite the opposite.

in reply to greygoose

Well, this thread is not about you. I certainly needed an appetite suppressant, and maybe the OP does as well. It`s not unknown to me, it works very well for people with insulin and leptin resistance.

I hope the many negative replies do not discourage the OP to explore this option further. If necessary, find forums discussing these drugs where you will hopefully get more understanding and benefit from the experience of other users.

greygoose profile image
greygoose in reply to

And a very merry Christmas to you too. :)

MMaud profile image
MMaud

To be honest, were I to be looking for something to help with weight loss (which I'm fortunate enough not to be), I'd rather not choose anything that meddles with my metabolic process quite so much.

Were I in that place, I'd rather look at Metformin. Metformin is commonly used to help with T2 diabetes, PCOS and other conditions where insulin resistance is evident.

It also helps the liver limit the amount of sugar it makes, but is also known to reduce insulin resistance, which is a real factor in metabolic conditions.

Of course,not everyone gets on with Metformin (or anything else for that matter), but in most regards it is a gently drug, and may have other benefits.

Treepie profile image
Treepie in reply to MMaud

An Israeli scientist reckons metformin helps prevent heart attacks,stroke and cancer.

helvella profile image
helvellaAdministratorThyroid UK in reply to Treepie

Takes me back to the doctor(s) who said that statins are so safe they should be added to the water supply. (Yes, I did hear that myself.)

I rather doubt there is anything so effective AND safe.

Treepie profile image
Treepie in reply to helvella

It was an article in The Times colour mag about the scientist. Having gone through chemo earlier this year and had atrial flutter as a result plus my diet controlled diabetes went out of control, I was not altogether unhappy to be put on metformin.

helvella profile image
helvellaAdministratorThyroid UK in reply to Treepie

If there is a positive reason, and due care and consideration, I entirely support its use.

It's more the blanket "prevents" regardless of the individual.

Hope your diabetes responds well to it.

Treepie profile image
Treepie in reply to helvella

Thank you. I will find out if it is having an effect late next month.

SlowDragon profile image
SlowDragonAdministrator in reply to Treepie

Metaformin Often quoted as an answer to ageing

This article suggests more caution

nytimes.com/2019/06/19/well...

Treepie profile image
Treepie in reply to SlowDragon

Interesting .A 3 mile walk is all I do that counts as exercise these

days !

in reply to Treepie

I try to walk at least a mile most days, but weather - and sheer laziness - doesn't always encourage one to go out! I used to be very active - ran everywhere - but not now :-(

Shopping may be a substitute, I usually make a point of going up and down all the supermarket aisles even when there's nothing there I want.

The gym at the local centre is far too noisy for me - never could understand why so many people seem to need very loud banging music to exercise. Might improve muscles but at the cost of hearing loss!

Treepie profile image
Treepie in reply to

Putting off my circuit at the moment as the rain comes down yet again. A GP who was a keen walker said to me that there is no such thing as bad weather for walking if you have appropriate clothing so I will have to get the waterproofs on!

in reply to Treepie

It's getting around to it is the problem. Have developed a headache an hour or so after getting up the last few days, but seems better today so no more excuse!

in reply to SlowDragon

Thanks, though you have to pay to access. But it does say there is a problem if taken by "Healthy older adults". Which we are not!

in reply to Treepie

Do you have a link or something to that information please?

Treepie profile image
Treepie in reply to

If you mean the article on the Israeli scientist ,sorry no.It was several months ago in the Saturday edition.

in reply to Treepie

No worries, just it sounded interesting x

Treepie profile image
Treepie in reply to

It was ,maybe if you contacted the Times they might oblige with a copy .

in reply to Treepie

This has strayed from the original topic, sorry, vocalEK , but I found this article about Metformin perhaps improving cardiovascular health:

everydayhealth.com/type-2-d...

Treepie profile image
Treepie in reply to

I was initially unhappy about taking yet another drug, not so much now!

Treepie profile image
Treepie in reply to

I googled Sunday Times article about Israel scientist and metformin .It did come up from May but was subscription . Leaving out Sunday Times came up with an article on the same chap in Wired from 2017,

which said his principle aim was to push back aging as this in turn would push back diseases such as heart and cancer to nearer the end of life. At least I think that was the plan!

in reply to Treepie

Hmmm :-O

MichelleHarris profile image
MichelleHarris

I’ve heard from my medical student stepson that Metformin is good for everyone from middle age onwards. I asked my GP but he said No.

MMaud profile image
MMaud

Oh, I am certainly not advocating Metformin as any sort of silver bullet, cure-all or panacea, but along with dietary changes it can help those who have previously struggled with weight loss trim up a bit.

In other countries it is more heavily utilised than in UK, but bearing in mind it's most significant impact is to reduce insulin resistance, coupled with the proportion of adults carrying additional poundage who happen to also be insulin resistance, it has it's place on the table of options.

For the avoidance of doubt, I have never taken Metformin or any other medication designed to aid weight loss.

Serendipitious profile image
Serendipitious

An article by Dr Westin Childs, but I dont know if I trust him on this or anything now for that fact. For example, he advocates intermittent fasting as something that everyone can easily do for weight loss without causing any health issues i.e affecting the adrenals (more so the case in women), which is what happened to me, but here you go:

restartmed.com/saxenda/

in reply to Serendipitious

In other articles, he also advocates Victoza and Saxenda for weight loss.

Serendipitious profile image
Serendipitious in reply to

Weight loss is his thing!

Yes, I am on it, started on Victoza, switched to Saxenda. I have lost 15 kilograms in three months and have gone from size EUR 48 to 42 in that time. EUR 42 equals size 16 in the UK. I really needed help to lose weight and see noticeable results quickly. I gained 30 kilograms following high dose steroid treatment in late 2018 and developed diabetes 2.

People with Hashimotos are not

more likely to develop thyroid cancer than others according to prescribing doc.

The drug has reduced my appetite by approx 50% and eliminated the need to snack. I am not dieting as such, just eating less.

in reply to

I should add that I also had all the signs of leptin resistance, although I could not find a lab testing it. That`s why I preferred liraglutride which specifically targets leptin resistance (the latter makes weight loss impossible according to Dr. Childs) rather than Metformin.

Batty1 profile image
Batty1 in reply to

I think it's wonderful that you have lost weight on this medication when diet and exercise did not help, sadly some people just can't shed weight no matter how hard they try.

I think taking this medication is like any other medication you must always keep in the back of your mind " THAT ALL MAGIC COMES WITH A PRICE" and we as individuals need to figure out what we're willing to pay.

Keep up the good work!

I saw their TV ads. The side effects are HORRIBLE!

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