Teenagers should be offered a “transformative” anti-obesity treatment to help them lose weight, experts have said. Academics said that the weight loss injection semaglutide could help adolescents with obesity to shed pounds after a new study found an average weight loss of 40 pounds (18 kilos). Teens living with obesity were offered the semaglutide drug for more than a year in a new clinical trial. The study, published at the European Congress on Obesity in Dublin and the journal Obesity, found that 45 per cent of teens using the appetite suppressant drug were no longer classed as obese 68 weeks after starting treatment. This is compared to 12 per cent in a group who were taking “dummy” drugs – also known as placebos. Some 19.5 per cent dropped down into the “overweight” category and a quarter (25.4 per cent) were able to reduce their BMI into the “normal” weight category, the conference heard. The average reduction in body weight with semaglutide – sold under the brand name Wegovy – compared to placebo was about 40 pounds (18 kilos), researchers said. Many do very well with this medication though, and it can be life-changing for them Dr Aaron Kelly, University of Minnesota The authors of the paper conclude that “semaglutide represents an efficacious treatment option for adolescents with obesity”. But presenting the study, Dr Aaron Kelly, from the University of Minnesota Medical School in Minneapolis, USA, said that it should be taken as part of a package of measures to help teens living with the condition. He said that the earlier the treatment starts “the better” to prevent further weight gain. But he said that treatment should be taken long-term, as would be expected with other chronic conditions. Dr Kelly told reporters that there were side effects – mostly of nausea and vomiting – but these were “transient” and most dissipated over time. If you engage in treatment that’s effective, you’ll see an effect but if you take that treatment away – it’s like a rubber band, it’s going to come right back to where it started Dr Aaron Kelly “There’s a whole spectrum of outcomes when you use anti-obesity medications – some do really really well, some don’t do as well,” he said. “Many do very well with this medication though, and it can be life-changing for them. “Being a research scientist nothing brings me more pleasure than hearing the stories from the adolescents who have been struggling their entire life to manage their weight and haven’t been able to – it’s not about trying hard or not, they all try hard – this gives them a tool to help take control of their weight. “And that’s transformational for many teenagers.” He added: “I believe that health care providers should offer that as part of the comprehensive treatment approach – it’s not just one thing, it’s lifestyle therapy – which was included in this trial; it’s the use of anti-obesity medications and, for some, metabolic and bariatric surgery. “A question I get asked a lot is, ‘Is this going to solve the obesity problem? Should we just give it to everybody?’ No, it’s not going to solve the obesity problem, but it’s an important piece to the puzzle at helping to solve it especially for those who already have obesity.” Dr Kelly said that coming off the drugs would lead to weight coming back, adding: “Let’s use high blood pressure as an example, medications are commonly used and prescribed to treat high blood pressure. “And when they have prescribed, the intent of the health care provider – if (the drug is) tolerated and continues to be effective – effectively that person would stay on that medication, probably for the rest of their life. Obesity is exactly the same thing. “If you engage in treatment that’s effective, you’ll see an effect but if you take that treatment away – it’s like a rubber band, it’s going to come right back to where it started.” On when treatment should commence among teens, he added: “If obesity surfaces in childhood, it probably represents one of the most aggressive forms of obesity that we know of. “If you are a child or adolescent with obesity, you are highly likely to carry that obesity and excess adiposity into adulthood. You don’t just snap out of it. “My centre comes of the approach that the earlier the better. “And, and if medically eligible, the use of medications early is probably going to (give) the best outcomes over time because if you allow the disease to progress and the pounds to to add on over time, it gets harder and harder to draw that back. “And so conceptually, I think it makes sense to intervene early and not allow that to happen, and that probably gives the child the best shot at living a long, healthy, happy life.” Meanwhile, another study presented at the conference found that people who have shed weight may be at risk of “psychological scarring”. The paper, led by academics at the University of Liverpool, found that people who have had obesity, even if they have lost weight, could be at risk. 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A 29-year-old woman was in for a rude awakening when she asked the internet if her mother was in the wrong for refusing to babysit her newborn for free. “Am I the a**hole if my mom refused to help me take care of my baby while I go back to work?” u/erika_urrrika asked the popular Reddit forum. In her post, the new mother wrote that both she and her partner work full-time and cannot afford to have one parent stay home with their baby. The Redditor explained that their jobs don’t allow them to work from home, and they wanted to avoid spending money on childcare. In addition to being the breadwinner of the household, she is also saving money to pay off credit card debt and move to a bigger apartment. However, the grandmother refused to look after her grandchild for free, noting that she was “too old” and had “already raised her kids”. “Mind you, my mom is 64, has been a homemaker/stay-at-home-mom since 1992, and hasn’t been part of the workforce since then,” the daughter wrote. “She also added that if I really wanted this baby, then maybe I should have thought about staying home like she did to take care of it while my partner goes to work and provides for us like a ‘traditional’ family, and that if she any my dad were able to work it out, so can we.” When the Reddit user detailed her financial situation to her mother, she asked to be compensated $20 an hour for each hour she looks after her grandchild, including late fees for pickup. “So, am I the a**hole for wanting my mom, who again is at home all day long (trust me, she does not do anything besides watch TV and cook meals), to take care of my baby for free while me and my partner try to fix our finances?” she asked. In the comments, many Reddit users called the daughter “entitled” for expecting her mother to take care of her child for free. “Sorry to be blunt and rude but maybe don’t have a child if you can’t afford to take care of them,” replied one person. “And if your plan was always to go back to work you should have discussed that during the pregnancy with your mom.” “Your mother is under no obligation to babysit for you,” another user said. “Why are you having a child you don’t seem to know what to do with? And why have you not worked all this out before now?” A third person wrote: “Your mom is in no way obligated to care for YOUR BABY. It’s generous of her to be willing to do it for pay, and you have the gall to be mad she won’t do it for free? She is entitled to spend her life and free time however the hell she wants. It’s not her fault you’re in debt and decided to have a baby you can’t afford. The only thing she may have done wrong at some point along the line is raise you to be this horribly entitled.” “You chose to have a child, not your mother. Your mother isn’t a free babysitter,” another said. “She is right, she raised her children. Her babysitting on occasion would be kind and appreciated but you sound entitled thinking you are owed childcare.” One person simply commented, “You’re not the a**hole for wanting her too. But you’re the a**hole for expecting her to.” According to Sittercity, the average hourly rate of babysitters in the US in 2023 is $18.50 per hour, while the average hourly rate of nannies who “typically work on a full-time or set schedule basis” is $20 an hour. This isn’t the first time a babysitter has caused a stir on Reddit. Recently, a woman sparked a debate after revealing that she asked a family who cancelled on her babysitting services last minute to pay her half of the $840 she planned to charge them. The babysitter told Reddit’s AITA forum that she usually charges a “flat rate of $100 a night” while babysitting overnight. “Overall, the price for those three days was going to be $840,” she said. But when she received a text from the parents cancelling her babysitting services, she explained that she was “out three days pay”. In response to the last-minute cancellation, she asked the customer for $480, the “minimum [she’d] make at work in those three days”. She said the mother declined the request and said she was being “ridiculous”. While the babysitter noted that she and the family didn’t have a contract, “which in hindsight was stupid” and that “legally they don’t have to pay” her, she still felt that the right thing for the family to do was pay her. Read More Woman questions whether it was ‘selfish’ to refuse boyfriend’s request for $5,000 loan Babysitter asks family to pay half of $840 bill after they cancelled last minute People divided over whether you should switch tables in a restaurant if seated next to a crying baby Woman questions whether it was wrong to refuse boyfriend’s request for $5,000 loan Women urged to check blood pressure – here’s what you need to know Denise Welch remembers ‘losing sense of reality’ while facing post-natal depression