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Ozempic: Is it worth the risk?

Semaglutides have innumerable benefits, but should be taken properly

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(Photo by CarolinaR/Bigstock)

When my partners and I opened ProMD Health, an aesthetic medicine clinic in City Center, I anticipated my “glow up” would include less wrinkles, more volume, and smoother, healthier skin. What I did not expect was to lose 37 lbs. in just five months. Offering injectables such as botox, sculptra, and filler, along with IV therapy, body contouring, and various spa treatments ā€” I was eager to try all of our treatments except one: Semaglutide. I too was one who believed the things I heard, from upset stomach to hollowness in the face. It wasn’t until I was left without a choice that I embarked on the journey. 

What is semaglutide?

Semaglutide, a GLP-1 known as the brand name Ozempic, has become a global phenomenon that can help individuals lose up to 10 pounds a month with consistent diet and exercise. It works by sending signals to our hypothalamus (the part of the brain that controls hunger and sex drive) to be satiated with less food, regulating our cravings and urges. The drug is currently being studied for addiction therapy as patients with existing substance abuse have also noticed a reduction in their inclinations.Ā 

Why I joined the celebrity craze

In January 2023, I had learned from my primary physician that I was pre-diabetic, with a BMI of 30, and had alarming triglyceride, cholesterol, and blood pressure levels. At only 33 years old, I felt defeated. On one end, I was a young entrepreneur celebrating the opening of a new business, where on the other, we were discussing medication to help me lower my blood pressure and analyzing my diet (which consisted mostly of nachos, red wine, and chocolate ice cream.) The stress of life was consuming me, where each time I craved something unhealthy ā€” I rationalized that it was deserved for all the many things I was doing.

My mental and physical health was in a bad place, where the more I’d work out ā€” the hungrier I would get, where ice cream was my reward for stepping on the treadmill. Due to my inability to regulate my cravings and intake, I decided to finally start semaglutide, as a change was needed to happen or illness diagnosis would follow.Ā 

The journey

The first week was horrendous. I was puking endlessly. I had completely ignored our provider’s advice, continuing to eat what I normally did which semaglutide rejected. I realized then that me eating in the way I did was not only based on hunger, it was emotional. Food was my boyfriend, my comfort, and gift to myself. The puking was like a self-induced hazing process, because after that ā€” I no longer craved foods that were not compatible with the drug. Essentially ā€” fatty foods, highly processed meals, and foods high in sugar will leave you sick. 

The nausea and sickness went away after a week (probably would have never come had I made the diet change on day one) and I started to have to force myself to eat as the hunger signals I relied on were no longer there. After eating half of what I would normally consume, I would feel satiated and full. 

As my body got used to the drug, we would go up in dose ā€” where I started to have to force myself to eat. The well balanced diet of protein, vegetables, and carbs gave me the nutrients needed to sustain my day of meetings and post-work gym sessions.Ā 

In just one month, my clothes are slipping off and my face had became noticeably slimmer. I started receiving levels of attention I hadn’t since my early 20s, and my confidence and belief in myselfĀ skyrocketed.Ā 

Getting to my goal weight month four, we decided to lower the dosage and taper off while incorporating more whole foods in my diet to supplement my workouts. With the weight off, my current focus is muscle growth. 

With social media misinforming viewers on a daily basis ā€” I have put together a list of myths, do’s, and don’ts from my experience.

Myths:

– Ozempic Face: The drug does not make your face cave in. When folks lose a lot of weight in a short period of time (with or without GLP-1), they will experience volume loss. One of the few aesthetic benefits of being overweight is fullness in the face, where our wrinkles and signs of aging are less noticeable. Eating too much sugar and having a high fat intake can also cause acne ā€” so it is a double edged sword. Our providers usually recommend slowly increasing the dosage where treatments such as mid-face filler can address new concerns around visible aging. 

– You will need to be on it forever. 

– Your GI will be ruined. 

Do’s:

– Take a probiotic daily.

– Drink a lot of water to help with your digestion and to flush your system. 

– Take an anti-nausea prescription, nauzene, or fresh ginger in the first two weeks.

– Make sure you are eating a well-balanced diet of protein, carbs, and vegetables. Even if you have to force yourself to eat it ā€” without the nutrients, you will have no energy for the gym and could experience hair loss or malnutrition symptoms.

– Eat fruit: Although the cravings will decrease, if a sweet tooth has its requests ā€” eat fresh fruit. It is somehow way more refreshing and satisfying while on semaglutide and will aid in digestion. 

Don’ts: 

– Get semaglutide from an inexpensive online retailer ā€” the price you pay will match the dosage and quality of product.

– Eat foods high in sugar. You will pay for it. 

– Eat oily foods. 

– Binge drink.

– Be inconsistent.

– Stop abruptly. It takes time but worth the journey! 

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Anita Bryant was ā€˜the best thing that ever happened to usā€™

A closer look at the life of anti-gay crusader

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Anita Bryant (Screen capture via SuchIsLifeVideos/YouTube)

In 1977, Anita Bryant, who recently died, made the career mistake of a lifetime when she began an anti-gay campaign in Miami. Her campaign failed for two important reasons.

First, Bryant mistook the political strength of the gay movement across the U.S. Secondly, her use of religion to promote a campaign of bigotry raised serious questions about her honesty.

After being crowned Miss Oklahoma in 1958, Bryant spent the next two decades performing at state fairs, veteransā€™ events, religious and charity events, and churches. She performed with Bob Hopeā€™s U.S.O. tours and visited veteransā€™ hospitals. She promoted Christian living and Florida orange juice. She once said she had abundant energy because ā€œthe Lord Jesus is my Vitamin C.ā€ 

In 1977, Bryant and husband Bob Green, a former Miami radio disc jockey, began an anti-gay campaign called ā€œSave Our Children.ā€ The campaignā€™s goal was to reverse Miami-Dade Countyā€™s policy barring discrimination against gays. She raised concerns about gay teachers in public schools.  

Bryantā€™s anti-gay campaign raised questions about her professed Christian faith. She criticized ā€œcowardly clergyā€ for their silence on fighting gay rights.

By the late 1970s, Bryant and her husband had published several books about their Christian faith. Bryantā€™s book tours were a mix of entertainment, self-promotion, with a dose of religion. When reporters asked her who wrote the books, Bryant arrogantly said, ā€œThe Lord wrote my books.ā€ When it was later revealed she hired a ghost writer, Bryantā€™s honesty became an issue.

Celestine Sibley, a veteran columnist for The Atlanta Journal, wrote ā€œThe Truth is I Donā€™t Care for Anita Bryant,ā€ on Sept. 7, 1978. Sibley disliked Bryantā€™s sanctimonious claim that Jesus wrote her books when the books were ghosted.

In support of gays, Sibley quoted sections of Lord Alfred Douglasā€™s letters to his mother about his love affair with author Oscar Wilde. His mother urged her son to leave Wilde. Douglas asked her what she could give him in exchange for his lover. Douglas wrote: ā€œWho is going to ā€˜feed my soul with honey of sweet bitter though?ā€™ Who is going to make me happy when Iā€™m sad, depressed, and ill at ease?ā€ The column was fine journalism for its time. It was an eloquent way of supporting gays.

The newspaper published dozens of reader letters in response to Sibleyā€™s column. One writer said Bryant was ā€œa loudmouth ignoramus.ā€ Writers overwhelmingly supported Sibley. Many writers called Sibley courageous for opposing Bryantā€™s anti-gay campaign.

In a 1978 Knight-Ridder article, Jean Oā€™Leary, a former nun and an executive director of the National Gay and Lesbian Task Force, said Anita Bryant was ā€œthe best thing that ever happened to us.ā€ Her appreciation for Bryant was shared by other gay activists. The anti-gay rights movement had a face. The face of Anita Bryant.

In San Francisco, gay activist Harvey Milk, as quoted in ā€œThe Mayor of Castro Streetā€ by Randy Shilts, said, ā€œAnita Bryant herself pushed the gay movement ahead and the subject can never be pushed back into darkness.ā€ If Bryant had felt the gay rights movement was weak, unorganized, and unable to fight against her campaigns, she soon learned a lesson.

In the May 1978 issue of Playboy magazine, Bryant said that she had survived ā€œnumerous close calls with mayhemā€ and that she ā€œexpects to be killed by homosexuals.ā€ She said that ā€œtwenty years in jail would rehabilitate homosexuals.ā€ Husband Bob Green said, ā€œletā€™s face it ā€“ when some militant homosexual kills Anita, the guy will be an instant hero.ā€

Christian Century magazine, in 1978, published poll results on religious influencers. President Jimmy Carter, a Southern Baptist layman, and Anita Bryant were among the top influencers.

By the time of her 1980 interview in Ladiesā€™ Home Journal, Bryant was a changed woman. She was divorced. She admitted to suicidal thoughts. She admitted to taking tranquilizers, sleeping pills, and wine due to ā€œthe pressures of her work and family life.ā€ She declared bankruptcy.  

Bryant made another important admission in Ladiesā€™ Home Journal. She admitted to an attitude of ā€œlive and let liveā€ toward gays. One New York journalist called this admission Bryantā€™s ā€œComing Outā€ as a human being.ā€


James Patterson is a Washington, D.C.-based writer.

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Howard County exec: Inclusive communities are thriving communities

In Maryland, itā€™s more than a talking point ā€“ itā€™s a way of life

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Calvin Ball is the executive of Howard County, Md.

Every person, organization, and business has the opportunity to make inclusion a core mission. Yet, true inclusion requires more than intention. It demands action to ensure every person in our community can live authentically, embrace their potential, and thrive without fear of hate or harm. In Howard County, Md., we are doing our part to make inclusivity more than a talking point ā€“ itā€™s a way of life. 

The Human Rights Campaignā€™s 2024 Municipal Equality Index (MEI) awarded Howard County a perfect score of 100 for the third year in a row. At a time when LGBTQIA+ rights are at stake, the MEI and the rubric it provides for cities and towns across our country has never been more important. 

The MEI examines how inclusive municipal laws, policies, and services are in cities and towns across the country. The report scores cities across five domains: non-discrimination laws, municipality as an employer, municipal services, law enforcement and leadership on LGBTQ+ equality. We proudly achieved the highest marks in all five domains, which comes as no surprise. Itā€™s important to me that Howard County is a national model for implementing inclusive policies for our 17 protected classes in Howard County.

When I first took office as Howard County Executive in December of 2018, one of my first initiatives was hosting our very first Pride festival. It was the perfect time to celebrate and reflect upon the progress we made to advance civil rights and protections for our LGBTQIA+ neighbors. In June of 2019, Howard County proudly hosted its first Pride festival, with thousands of attendees, solidifying our commitment to our residents and neighbors. 

It was also ever important that our LGBTQIA+ residents had a seat in government operations. In 2022, I established Howard Countyā€™s inaugural LGBTIA+ Commission, which partners with county agencies, nonprofit organizations and other community groups to facilitate an environment of inclusion, communication, understanding and respect throughout the county. This Commission continues to advance policy and systemic changes for those with different gender and sexual identities. 

To further uplift our neighbors, for the first time in county history, in June of 2022 we proudly raised the Pride flag at the seat of Howard County government, symbolizing unity and inclusiveness. This meaningful action reflects our commitment to supporting, celebrating, and standing with all LGBTQIA+ individuals in Howard County, affirming that they are a vital, welcomed, and celebrated part of our community.

In 2024, our Office of Human Rights and Equity (OHRE) hosted various community events, workshops, listening and training sessions that attracted 4,000 attendees. Creating community spaces where people can freely share their thoughts fosters a collective sense of belonging. We want everyone to know that their voice matters. 

Additionally, more than 160 Howard County government employees received training from our Equity and Restorative Practices Unit last year. This pioneering initiative delves into the ways current leadership paradigms might perpetuate racialized dynamics. It is imperative we continuously examine our current practices to see where we might be lacking and devise ways to remedy our weaknesses. 

Across our country of thousands of cities and counties, we are proud to be counted among 130 MEI-rated cities that have earned the highest score of 100. This shows the immense progress local government is making to enact policies and legislation that protect the classes of sexual orientation and gender identity. By focusing on making a difference where people live, learn, and grow, we can make a bigger impact nationally combating hate and discrimination based on sexual orientation and/or gender identity. Because we know ā€“ when we foster inclusive communities we foster thriving communities. 


Calvin Ball is the executive of Howard County, Md.Ā 

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Thank you, Mr. President

Bidenā€™s legacy includes array of pro-LGBTQ actions

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President Joe Biden sits across the Resolute Desk in the Oval Office from Blade reporter Christopher Kane on Sept. 20, 2024. (Washington Blade file photo by Michael Key)

This week marks the end of President Joe Bidenā€™s administration, the most pro-LGBTQ leader our country has ever known. With his departure, our community enters a period of uncertainty and alarm over how trans Americans will be treated under Trumpā€™s tenure. 

Before we begin coping with that unfortunate reality, letā€™s take a moment to celebrate Biden. His legacy includes many landmark achievements, from ending the COVID pandemic and implementing the infrastructure bill to restoring Americaā€™s reputation around the world, supporting Ukraine, and standing up to Vladimir Putinā€™s aggressions.

Bidenā€™s advocacy on behalf of LGBTQ Americans will be a key part of his overall legacy. Never have we had a president so committed to our equality and inclusion.

One of the most memorable moments in Bidenā€™s long record of LGBTQ support came in 2012 when he famously endorsed marriage equality in a live TV interview days before President Obama did the same. It marked the first time a sitting vice president publicly supported marriage equality and Biden did it just six months before the election, something that even LGBTQ activists had advised against.

As president, Biden fought successfully to preserve marriage equality in the increasingly likely event that the Obergefell ruling is overturned by the Supreme Court. The Respect for Marriage Act ensures that the federal government and all U.S. states and territories must recognize same-sex and interracial marriages. Biden signed it in 2022 and held a massive event on the White House lawn bringing together hundreds of LGBTQ advocates from around the country to celebrate.

ā€œTodayā€™s a good day,ā€ he said during the signing ceremony. ā€œToday America takes a big step towards equality.ā€

Biden began his term on Jan. 20, 2021, and on that same day, issued an executive order establishing workplace protections for LGBTQ Americans and prohibiting discrimination in education, credit, health care, and housing. 

Biden ensured that his administration and the federal government looked like America, naming record numbers of out LGBTQ judicial appointees and senior staff. He gave us the nationā€™s first Senate-confirmed gay Cabinet member in Pete Buttigieg, thus opening the door for future LGBTQ top staff like Scott Bessent, Trumpā€™s pick for Treasury Secretary, whoā€™s gay. 

ā€œLGBTQ+ people have received a record number of federal appointments, including Cabinet members, judges, and around 14% of the administration,ā€ according to the Victory Fund. In addition to Buttigieg, he appointed Dr. Rachel Levine as the first out transgender person to hold an office that requires Senate confirmation. And he named Karine Jean-Pierre, a Black lesbian, as his press secretary.

His advocacy wasnā€™t merely symbolic. President Biden in June issued historic pardons for military service members who were discharged over their sexual orientation or gender identity under discriminatory policies of the past, like ā€œDonā€™t Ask, Donā€™t Tell.ā€

ā€œThis is about dignity, decency, and ensuring the culture of our Armed Forces reflect the values that make us an exceptional nation,ā€ Biden said at the time. ā€œWe have a sacred obligation to all of our service members ā€” including our brave LGBTQI+ service members: To properly prepare and equip them when they are sent into harmā€™s way, and to care for them and their families when they return home.ā€

Veterans who were discharged for their sexual orientation or gender identity were barred from accessing benefits through the U.S. Department of Veterans Affairs but veterans who obtain certificates of pardon can now petition for a change in their discharge status, which can facilitate their access to benefits.

On a personal note, I am grateful to President Biden and his talented and thoughtful communications team for granting the Blade the first-ever presidential sit-down interview with an LGBTQ newspaper. It was a moment Iā€™ve worked toward for more than 20 years, holding endless calls and meetings with President Obamaā€™s team trying to land that interview; and even working with Trumpā€™s team early on in the hopes he might talk to the queer media. But it took Biden to again make history for our community. The Bladeā€™s Sept. 20, 2024 cover photo of our White House reporter Chris Kane sitting across the Resolute Desk in the Oval Office from President Biden ā€” an image snapped by longtime Blade Photo Editor Michael Key ā€” fills me with immense pride. It was a moment that took decades of hard work and perseverance by pioneering queer journalists to realize. 

Thank you, Mr. President, for having our backs, not just for these past four years but throughout a long and impactful career in public service.  


Kevin Naff is editor of the Washington Blade. Reach him at [email protected].

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