An overweight man with high blood pressure asked me about Ozempic (semaglutide) the other day, but said it would be difficult for him to afford.

So I asked him: “What does it feel like to be hungry?”

“I don’t know,” he answered. “I can work all day without even eating breakfast and feel fine, but then once I start eating, I just go on and on. I’m not much of a snacker, I just eat big meals.”

I responded: “I have a large hiatal hernia with spontaneous reflux even standing up. If I go too long between meals, I get acid reflux and pain in my upper belly. And sometimes I get cranky and confused.”