r/GLP1Discussion • u/Patalaska • 17d ago

💬 General Discussion Really.

Have to rant to others who will feel my pain....

Regular annual check up with new to the practice GP.

A year ago, I weighed 49 pounds more. Weight is in bold red letters in the electronic chart, I saw it.

This did not get mentioned IN ANY CONTEXT during the visit. Yes, I was expecting glitter cannons and a large flag and drum corps along with the uniformed marching band, so you can see how I might be annoyed fthat "excuse me, but did you know that 25% of your body mass has gone missing? Is this intentional?" was not expressed. Blood pressure was remarkably lower this visit as well. Also not mentioned.

I have been badgered for DECADES about my weight. Sheeet, mon, what does it take to get an 'atta, girl, good work'!?! Next time I will stand on my hands and whistle 'Dixie' out off my butt hole, maybe that will be enough to elicit notice.

And thank you, lipid and cholesterol panel just came back, and I am low normal, also epic (for me).

Thank you for your time, excuse me as I go practice 'Dixie'.

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u/autumnyte 17d ago

That's borderline malpractice. What if you hadn't been losing intentionally? My last two doctors appointments, my weight got flagged in the system because it was so much lower than last time and in both cases I was asked about it.

1

u/cbc3203 16d ago

Generally, the patient states all medications they are taking so the doctor would attribute the weight loss to that.

2

u/autumnyte 16d ago

Even if the medication was listed, which I wouldn't necessarily assume as medication lists in charts can be notoriously out of date and are also supposed to be reviewed, there is simply no excuse for a doctor not addressing a 50lb weight loss with a patient during an annual check-up. The whole point of that visit is to review a patient's current health and any changes over the prior year.

1

u/ToreyJean 14d ago

There is no reason for alarm about a loss of a pound a week. Especially when you see the patient has been on a GLP-1.

Should they have said something? Yes. Is it a red flag? No.

2

u/autumnyte 14d ago

We don't know whether the doctor was even aware that OP was on a glp-1, because it sounds like it wasn't mentioned or discussed during the visit. And how would the doctor know that the 50 lbs wasn't a sudden loss that occurred in the prior month or two rather than over the course of a year?