Some South Dakota abortion rights groups do not support a potential ballot measure that aims to restore those rights.
- Nine best and worst types of alcohol for weight loss
- Why Am I Not Losing Weight on Wegovy? By Meghan Stoops, RD Wegovy helps individuals lose weight by mimicking our body’s natural GLP-1 hormone which is responsible for helping to regulate our appetite. People taking this medicine typically notice a decrease in hunger and an increase in fullness, which helps with weight loss. If you’ve been taking Wegovy but are not losing weight, it could be due to a variety of reasons. Possibilities include not adjusting your diet or exercise routine, not taking the medication consistently, and needing a higher dose. This guide explains in more detail why Wegovy may not be working for you and what you can do to break through your plateau. Reach your weight loss goals faster with support from a Registered Dietitian 90% of Zaya Care patients pay $0 for one-on-one counseling with an RD >> Find Your Match Reasons you may not be losing weight on Wegovy It can be frustrating if you are taking a weight loss medication and not losing weight like you expect. It can be even more frustrating if you’re gaining weight. Before diving in further, it can be helpful to know the expected weight loss on Wegovy. According to a study conducted by Novo Nordisk, the makers of Wegovy, patients on a reduced-calorie diet with increased physical activity lost: 6% of their body weight by 12 weeks 10% of their body weight by 20 weeks15% of their body weight by one year If you’re not meeting these benchmarks, here are some possible reasons why: 1) You’re not adjusting your diet Wegovy is meant to be used with a healthy diet and lifestyle changes. While it may seem like a quick fix or an easy solution to weight loss, if you don’t make the necessary adjustments to your diet, you may not be seeing results. If you do see results, they may not last. Instead, think of Wegovy as a tool to help you better make healthy and sustainable changes in your diet including portion control, incorporating nutrient-rich foods, and creating healthy snacking habits. You can learn about the best foods to eat and avoid on Wegovy here and how to meal prep for weight loss here to give yourself a better chance at losing weight. 2) You may need a higher dose Once you start taking Wegovy, you may expect to see the weight fall right off, but this doesn’t always happen. Sometimes it takes a few dose increases before you find the right dose and begin to see losses. If you’ve just started, don’t throw in the towel. Speak with your provider about options for slowly increasing your dose to start seeing some movement on the scale. Keep in mind an ideal weight loss is one to two pounds a week. 3) You may have to wait longer Sometimes it can feel like you aren’t losing weight when you are, but it’s coming off slowly. An ideal rate of weight loss is one to two pounds per week, but this doesn’t mean everyone will lose at that rate. Some may lose only a few pounds a month. Learn what the expected weight loss results are on Wegovy so you have an idea of how your experience compares. While it can be frustrating because we always want to lose as fast as we can, if you continue to see the scale going down every month, even if it’s just a few pounds, that is still weight loss. It just means it may take a little longer to get to your goal weight. 4) You may need to exercise more If you haven’t incorporated exercise or you’ve only added very little, it may be time to evaluate your movement. Exercise is another essential part of creating a healthy lifestyle that encourages sustainable weight loss while taking Wegovy. This doesn’t mean you need to get into running or doing high-intensity cardio classes (unless that’s what you like) but rather you should find something you enjoy that gets you moving more than you currently are. This could be swimming, dancing, Zumba, Pilates, barre, hiking, biking, or just walking more. This could also include parking farther away when you go out, taking the stairs instead of the elevator, walking to work, or anything in between, as long as you’re consistent. 5) You’re stressed out Stress is a natural part of life but if you find that you are chronically stressed, it could be impacting your ability to lose weight on Wegovy. Stress increases the hormone cortisol which can cause your body to hold onto weight, specifically body fat in the abdominal region. Additionally, stress can result in unhealthy eating behaviors as a coping mechanism which can further disrupt weight loss goals. If you feel stressed out, try stress management techniques to help you cope. Common stress management tools include yoga, meditation, deep breathing exercises, guided imagery, listening to music, calling a friend, and exercise. 6) You’re not getting enough sleep Sleep is essential for more than just feeling rested enough to tackle the day. Sleep deprivation can halt our weight loss progress whether we are taking Wegovy or not. A consistent lack of sleep is associated with an increase in snacking behaviors due to a dysregulation of our appetite from sleep deprivation. Sleep-deprived people will specifically crave high-carbohydrate and high-fat foods, which can result in weight gain. It’s recommended that adults get seven to nine hours of high-quality sleep each night. You can improve your sleep quality and quantity by setting a consistent bedtime and wake time. This gets your body into a sleep routine. Additionally, limiting blue light from electronic screens one to two hours before bed, and avoiding caffeine, large, high-fat meals, and alcohol before bed can help ensure your sleep is not disrupted. Keep your room dark and at a comfortable temperature for best results. 7) You may have an underlying health condition You may not see progress on the scale while on Wegovy if you suffer from an underlying health condition, such as type 2 diabetes. While Wegovy is marketed to those with or without type 2 diabetes and may provide benefits in managing blood sugar levels and improving hemoglobin A1C values, those with type 2 diabetes often struggle more to see results than those without. Additionally, certain medications for health conditions can make losing weight on Wegovy more challenging, such as certain blood pressure medications and antipsychotic medications that are tied to weight gain as a side effect. 8) You’ve hit a plateau If you’ve been losing weight on Wegovy and have recently noticed a stall, you may be experiencing a plateau. This is when you no longer see any change on the scale for at least a month or longer. Weight loss plateaus are normal whether you are taking a weight loss medication, or you are trying to lose weight on your own. Your body is adjusting to the changes you’ve made. While a weight loss plateau is not necessarily a bad thing, it can be frustrating if you have not yet reached your weight loss goal. You can push past your plateau by making further adjustments in your diet or exercise routine or by increasing your medication dose. If you need further guidance on how to get past your plateau, consider reaching out to a professional such as a Registered Dietitian. Here at Zaya Care, we can match you with a Registered Dietitian near you who accepts your insurance. 9) You’re not drinking enough water Staying adequately hydrated is important for health especially while on Wegovy. Because your appetite is reduced, it can be easy to forget to drink water as well. Not drinking enough water can wreak havoc on many aspects of your health that can impact your ability to lose weight including reducing your energy levels, increasing your risk for constipation, and increasing the chances of frequent snacking. Everyone’s fluid needs are different and depend on many factors such as your height, weight, age, activity level, and climate in which you live. As a rule, you can tell how hydrated you are by the color of your urine. You want to aim for a pale yellow. If your urine is too dark, you need more water. If you are peeing clear, you probably have had more than you need. It can be easy to prioritize water by incorporating a glass during each meal and keeping a water bottle by your side to sip on throughout the day. 10) You’re not eating enough protein Protein should be emphasized while taking weight loss medications such as Wegovy to reduce any potential losses in muscle mass. Protein is also one of the most satiating nutrients, and consuming a diet rich in protein is associated with reduced cravings and portion sizes. A low protein diet while taking Wegovy can result in muscle loss which slows down our metabolism and stalls weight loss. It also makes it more difficult to sustain weight loss. A low-protein diet may also be causing you to overeat, specifically high-carb foods which can impact your ability to lose weight as well. Try to prioritize a good source of protein at every meal and snack. Good sources of protein include meat, fish, poultry, eggs, dairy, and soy. Reach your weight loss goals faster with support from a Registered Dietitian 90% of Zaya Care patients pay $0 for one-on-one counseling with an RD >> Find Your Match What to do if you’re not losing weight on Wegovy If the scale isn’t budging while you’re taking Wegovy, below are a few things you can try. Talk to your doctor about your dosage. You may not have found the right dose for you, especially if you have recently started Wegovy.Make sure you’re not eating too many calories. Consider tracking your intake for a few days to make sure you are making healthier choices and not continuing to overeat.Work with a dietitian. A Registered Dietitian can help provide personalized recommendations and guidance so that you can be successful in your weight loss while on Wegovy. Here at Zaya Care, we can match you with a Registered Dietitian near you who accepts your insurance.Make sure you’ve given Wegovy enough time to start working. Be patient. Sometimes it takes a while to notice weight loss with Wegovy, especially if you are taking lower doses. An ideal weight loss is anywhere from one to two pounds per week.Get plenty of exercise. Prioritize movement throughout the day, whether formal exercise or adding in more steps, especially if you work a sedentary job. This can help increase your calorie deficit and aid in weight loss.Get plenty of sleep. Don’t skip out on sleep as this is an important time for your body to recover and recharge. Sleep deprivation can also lead to increased snacking. Aim to get at least seven to nine hours of high-quality sleep each night.Make sure you’re hydrated. Keep a large water bottle by your side to remind you to sip throughout the day. Reduce stress, if possible. Practice stress management techniques such as deep breathing exercises, meditation, guided imagery, or simply get outside and get some exercise to help you destress. Cut out alcohol. If you are drinking alcohol regularly, consider reducing or cutting this out. Alcohol can add a lot of extra calories and sugar which can hinder your weight loss while on Wegovy. You can learn more about drinking alcohol while on Wegovy here. How long it takes to lose weight on Wegovy It can be difficult to estimate how long it will take to lose weight on Wegovy as it will vary by individual. However, weight loss will likely begin within the first four weeks of taking this medication. According to a 68-week randomized placebo-controlled study conducted by Novo Nordisk, the makers of Wegovy, patients taking this medication lost an average of 35 pounds (or 15% of their body weight) compared to those taking the placebo who lost an average of 6 pounds (2.5% of their body weight). This study was conducted on 1,961 adults. Both groups consumed a reduced-calorie diet and increased physical activity during the 68 weeks. Additionally, this study found that those taking Wegovy: Lost at least 6% of their body weight by 12 weeks Lost at least 10% of their body weight by 20 weeksLost at least 15% of their body weight by one year How Wegovy helps you lose weight Wegovy helps with weight loss by mimicking your body’s natural GLP-1 hormone which is responsible for appetite. This can reduce hunger levels which causes you to consume smaller portion sizes and fewer calories. Many who take Wegovy report an increase in early satiety and a reduction in cravings and food noise. This allows you to make better choices when it comes to food. The reason behind these changes is often due to a slowdown in digestion. After we eat, the GLP-1 hormone is released which signals to the gut that we are full and slows down how quickly our stomach empties. When our digestion is slowed, we get full quicker and stay full for longer. This means we aren’t eating as much or as frequently. It also means we are likely not thinking about food as much which can make it easier to lose weight. Frequently Asked Questions How long does it typically take to lose weight on Wegovy? According to the largest study conducted on Wegovy by Novo Nordisk, most individuals taking this medication while consuming a reduced-calorie diet and adding in consistent exercise can expect to lose roughly 15% of their body weight within a year. What is the average weight loss per month? According to the same study, individuals taking Wegovy lost roughly 6% of their body weight by 12 weeks which means you can expect to lose somewhere around 2% of your body weight per month. Keep in mind that this is an estimation based on the results of this study, and individual results may vary. You can learn more about how long it takes to lose weight on Wegovy here. How can I make sure I’m losing weight? To have successful weight loss on Wegovy it’s important to make sure you are also making healthy diet and lifestyle changes. If you are unsure of how to make these adjustments, consider meeting with a Registered Dietitian (RD) to provide some guidance. Is it normal to not lose weight? Wegovy is a medication intended to aid in weight loss in overweight and obese adults. Therefore, you should be seeing some type of weight loss while taking this medication. What should I do if I’m not losing weight? If you are not seeing weight loss, evaluate your diet and lifestyle to see if there is anything that may be holding you back. Consider meeting with a Registered Dietitian (RD) to get guidance on how to improve weight loss with Wegovy. Why am I still hungry on Wegovy? If you are still experiencing high levels of hunger while taking Wegovy, you may not have found an adequate dose that works for you. You may also need to wait longer for the medication to take effect as sometimes there is an adjustment period. However, some people who take Wegovy do not experience reduced hunger as a side effect. If you are not noticing improvements in your hunger levels and it’s affecting your weight loss, speak with your doctor about your options. Why isn’t Wegovy working for me? Wegovy may not be working for you if you’re not adjusting your diet or exercise, you’re not getting enough sleep, you’re stressed out, or you have an underlying health condition that makes weight loss on Wegovy more difficult, such as type 2 diabetes. You may also need a higher dose or need to wait longer to see results while taking Wegovy. Everyone responds differently to the medication, and you may not have found that sweet spot yet. Are there drugs other that can help with weight loss? Aside from Wegovy, other medications that can help with weight loss include Saxenda (another GLP-1 medication), Orlistat, Qsymia, Contrave, and Alli. Recently, the FDA approved a new prescription medication for weight loss called Zepbound. Zepbound is another GLP-1 medication, also known as Tirzepatide, that can help with weight loss when combined with a reduced-calorie diet and regular exercise. If you are interested in other weight loss medication options, speak with your doctor for more information. Do people always lose weight? While Wegovy has been FDA-approved for weight loss, it might not work for everyone. There are many reasons why you may not see losses while taking Wegovy. Some are preventable while others may not be. If you are not seeing any progress in your weight while taking Wegovy and you are making all the necessary diet and lifestyle changes, speak with your doctor about different options for you. What if I overeat while taking Wegovy? Wegovy can reduce appetite and make overeating less likely, however, some may still struggle with eating large portions despite not feeling hungry. If you do continue to overeat while taking Wegovy, you will not likely notice significant changes in your weight. You may also experience some discomfort due to the slowdown in digestion while taking this medication. Large portions can be hard for your stomach to handle. If you continue to struggle with overeating while taking this medication, reach out to your doctor or RD for help. Why am I gaining weight on Wegovy? If you notice that the scale is going up instead of down while taking Wegovy, it’s important to look at your diet and lifestyle habits to see if there is anything that you can adjust. Additionally, some individuals have reported water retention while taking Wegovy which may account for alterations in weight. This can be caused by hormonal fluctuations or diet. This weight gain is temporary and is not associated with an increase in fat. Reach your weight loss goals faster with support from a Registered Dietitian 90% of Zaya Care patients pay $0 for one-on-one counseling with an RD >> Find Your Match By Meghan Stoops, RD Meghan is a Registered Dietitian/Nutritionist from San Jose, California. She received her undergraduate degree from San Diego State University in 2015. Following an unexpected cross-country trip that landed her in Florida, she completed her didactic training through AdventHealth Orlando. Meghan has extensive experience in multiple aspects of dietetics including critical care, motivational interviewing, writing, and research. She is passionate about health and wellness and has dedicated her free time to breaking down complicated nutrition topics and disseminating them to the public through the arena of writing.
- Billing and Coding: Magnetic Resonance Angiography (MRA)
- Red light therapy For Plantar Fasciitis Treatment
- ICD-10
The groups say they have concerns about the measure’s language and the way it was drafted.
Bạn đang xem: Abortion rights groups don’t support ballot measure that aims to restore abortion access
“We are not telling people to donate, or volunteer,” said Samantha Chapman, advocacy manager for the American Civil Liberties Union of South Dakota. “We are staying out of it. We’re not telling people to vote no or yes.”
Planned Parenthood North Central States expressed a similar position in a written statement. The organization was formerly the only elective abortion provider in South Dakota.
“Constitutional amendments are serious and expensive undertakings that must be initiated after due diligence and input from those who would be impacted the most,” wrote Tim Stanley, Planned Parenthood North Central States vice president of public affairs.
“As the sole abortion provider in South Dakota for more than 30 years,” he continued, “Planned Parenthood is acutely aware of the impact policy language can have on patients’ lives. We stand with our partners at ACLU of South Dakota and do not support the amendment as drafted because we don’t believe it will adequately reinstate the right to abortion in South Dakota.”
The U.S. Supreme Court overturned the constitutional right to an abortion in a June 2022 decision. When that happened, a trigger law that the South Dakota Legislature had adopted in 2005 immediately banned abortions in the state except when necessary to save the life of the mother.
A ballot-question committee called Dakotans for Health submitted the text of a proposed measure to restore South Dakota abortion rights in June 2022, after the Supreme Court’s impending decision had been leaked but before the decision was officially announced. The committee is now collecting petition signatures in hopes of placing the measure on the Nov. 5, 2024, general election ballot.
Rick Weiland, chairman of Dakotans for Health, defended the measure and its drafting process.
“We’re getting attacked from the left and the right,” he said. “We must be doing something correct.”
The ballot measure would amend the state constitution to legalize all abortions during the first trimester of a pregnancy. It would allow regulations on abortion during the second trimester, but only in “ways that are reasonably related to the physical health of the pregnant woman.” In the third trimester, it would allow regulations up to a ban on abortions, with exceptions for the life or health of the pregnant woman.
Advocates critical of Dakotans for Health
Kim Floren is the co-founder and director of the South Dakota Justice Empowerment Network, which helps South Dakotans seeking abortions. She said the drafting of the measure was rushed.
“Advocates wanted to pause and do some research, complete some polling first, figure out the best language for a bill in this state,” Floren said. “Dakotans for Health didn’t want to wait for any of that.”
Kristin Hayward formerly worked for Planned Parenthood and is an abortion rights advocate.
“There is a reason why two giant pro-choice organizations are not out there supporting this bill,” Hayward said, referring to the ACLU and Planned Parenthood. If they supported the measure, Hayward added, “There would be billboards, commercials.”
Hayward blames Dakotans for Health.
“We explained how there would need to be a lot of eyes on any ballot measure proposal, and they refused,” Hayward said. “We have all seen how state lawmakers mess with what the voters pass. We need to be careful.”
Hayward was referring to past examples of South Dakota legislators repealing or amending ballot measures passed by voters. In this case, the constitutional amendment would expressly allow legislators to enact limitations on abortion in the second trimester, and up to a ban in the third trimester with exceptions for the life and health of the mother.
Xem thêm : Advanced ICD-10-CM Code Set Training
Floren said she will vote for the abortion measure if it makes the ballot, but won’t campaign for it. Hayward did not answer similar questions in a follow-up message seeking clarification of her plans.
Dakotans for Health responds
Weiland, chairman of Dakotans for Health, said waiting for polling to help inform the drafting of a ballot measure was unnecessary, because South Dakota voters rejected abortion bans in 2006 and 2008.
“I will tell you, the fact that they wouldn’t commit to doing anything here forced us to move ahead,” Weiland said of the ACLU and Planned Parenthood. “We’ve got 450,000 women out here that are living under a trigger law right now, that can’t wait until national organizations decide if it’s worth it or not. Where does that leave women in South Dakota?”
New policy leads to settlement in ballot petitioner rights lawsuit
Weiland pointed to a 2022 poll of 500 registered South Dakota voters showing 65% of them supported having a statewide referendum to determine the state’s reproductive rights laws, and 76% supported allowing legal abortion in cases of rape and incest, which are exceptions not currently allowed under South Dakota’s law.
Cathy Piersol, a retired Sioux Falls lawyer who’s involved with Dakotans for Health, said abortion-rights advocates and abortion-rights groups were offered opportunities to get involved and provide input on the ballot measure language.
“It’s simply not true that those groups did not have input,” Piersol said.
She said the idea of pursuing a ballot measure with Dakotans for Health came from former South Dakota legislator Jan Nicolay, who helped lead efforts to defeat abortion bans in 2006 and 2008. The 2006 ballot measure would have banned abortions except to save the life of the mother, and the 2008 ballot measure would have banned abortions with exceptions for the life of the mother, rape and incest.
Nicolay felt compelled to take action when the 2022 U.S. Supreme Court decision was leaked.
“We sat around and waited for someone to surface, to take the lead and go forward,” she said.
Early meetings on the ballot measure, according to Nicolay, “included everybody.”
“Planned Parenthood was there, ACLU was there,” she said. “And we were not there to take over. We were just trying to create some structure for leadership.”
Ultimately, Nicolay said, “None of them was willing to take on the ballot measure.”
“That includes the ACLU and Planned Parenthood,” she said. “Rick Weiland stood up.”
Weiland, a Democratic former congressional staffer and candidate, has been involved in numerous ballot question campaigns.
Piersol said “the obvious solution seemed to be to put Roe v. Wade into the state constitution,” referring to the 1973 Supreme Court case that established the right to an abortion. “And the language needed to get submitted before the election of Secretary of State Monae Johnson, because we didn’t know what she would try to do with it.”
Johnson, a Republican, was elected in November 2022 after touting an endorsement from the anti-abortion South Dakota Right to Life organization, and after repeatedly declining to affirm the legitimacy of the 2020 presidential election.
ACLU’s Chapman alleges lack of consultation
Chapman, of the ACLU, said the ballot measure was initiated by “women who are not of reproductive age” and said “Dakotans for Health is ultimately run by three white men. None of these people are directly affected by this.”
Xem thêm : This Redditor *finally* discovered the best mascara for blondes
Nicolay disagreed with that assessment.
“No three men led this,” Nicolay said. “I’m sorry, but that’s very offensive to me and misleading.”
Nicolay, who is 81, also said passing the measure “has nothing to do with whether or not I can get pregnant. It’s about the right to choose.”
The three men Chapman referred to are Weiland, his son Adam, and attorney Jim Leach.
Chapman was formerly married to one of Weiland’s other children. She said that has not influenced her views, and the ACLU had analyzed and formed its stance on the potential ballot measure before she was hired in December 2022.
“Were the pro-choice organizations with grassroots knowledge of the current landscape of this state consulted?” Chapman said. “No, they were not. The ACLU believes that in order to do this work effectively and meaningfully, the people most impacted should be directly involved in the decision-making process about the language and direction of the campaign.”
Chapman said Michigan is an example of how the process should have worked. There, the ACLU of Michigan partnered with Planned Parenthood and Michigan Voices to form a coalition. That coalition, after getting feedback from relevant stakeholders, initiated a successful campaign to amend that state’s constitution, protecting reproductive rights.
Ballot measure’s future
Floren and Hayward said they don’t believe the measure goes far enough to protect abortion rights. And they worry that if it passes, it could become the final say on the matter. They also have problems with some of the measure’s language; for example, “the measure uses the terminology ‘women,’ which could give the Legislature the ability to exclude minors,” Floren said.
Weiland said any abortion rights measure will be attacked by the Republican-dominated Legislature and anti-abortion leaders. The Republican state attorney general’s official explanation of the measure already includes the statement, “judicial clarification of the amendment may be necessary.”
2024 ballot question status check: Abortion, open primaries, food sales tax and more
“Anything could be litigated,” Weiland said. “That’s the way it works. No one can stop anybody from filing a lawsuit.”
Weiland said Dakotans for Health has already reached 50,000 signatures, well ahead of the 35,017 needed from registered voters to put the measure on the ballot. The committee is seeking a cushion of even more signatures.
“We’re trying to restore the rights that women have had for the last 50 years,” Weiland said. “And that’s why we have used the actual language of Roe v. Wade for the amendment. You know, whatever rights women had from Roe back in 1973, they will get when this thing passes and becomes part of our constitution.”
Meanwhile, the group hoping to stop the measure has a unified front, according to Dale Bartscher, the executive director of South Dakota Right to Life. He said “it does not surprise us at all” that the abortion rights groups are divided.
“The pro-life coalition is solid, and totally together on this,” he said, pointing to groups including Right to Life, Family Voice, South Dakota Catholic Conference, Concerned Women for America and others.
“A real unified front,” he said.
Nicolay said if abortion rights advocates don’t unify, “That’s what’s going to kill us at the ballot box. If you don’t have a unified voice, you’re going to fail.”
EDITOR’S NOTE: This story has been updated with a clarification regarding Kristin Hayward’s professional affiliations and her request to be cited as speaking for herself.
Nguồn: https://blogtinhoc.edu.vn
Danh mục: Info
This post was last modified on Tháng mười một 26, 2024 4:55 chiều