Tanya Dutt

When Ozempic And Wegovy Fail To Work- Why GLP-1 Drugs Aren’t The Magic Bullet For Everyone

<span>Ozempic and Wegovy</span> have received a lot of publicity as revolutionizing treatment options for obesity. Both medications form a class of GLP-1 receptor agonists, which mimic a hormone in the body called glucagon-like peptide-1 and are involved in the regulation of appetite and blood sugar. Indeed, in initial clinical studies, the majority of those on the drugs lost 15% to 22% of body weight, hence much optimism. For most patients, these medications are underwhelming for about 20% of patients due to minimal <span>weight loss</span> or other challenges. 

Take a closer look at why the <span>weight loss drugs</span> may not work for everyone, together with what options exist when they don't deliver the expected outcomes. 

<h2>Why Weight Loss Drugs May Not Work</h2>

While GLP-1 receptor agonists have produced phenomenal responses in a majority of patients, it remains a reality that these drugs work differently for different people. Here's why:

<strong>1. Genetic and Hormonal Variability</strong>

Weight loss medications interact with complex systems in the body that differ from person to person. Genetics, hormones, and individual brain responses to energy regulation play significant roles in determining how a person responds to drugs like <span>Ozempic</span> and Wegovy. 

<strong>2. Underlying Medical Conditions</strong>

Other conditions, such as sleep apnea, may be prevalent and prevent or delay the achievement of weight loss goals. Prescription drugs like antidepressants, steroids, or contraceptives are other medications that can nullify weight loss medication benefits.

<strong>3. Unrealistic Expectations</strong>

Often, they come to these medications with enormous hopes; expecting the promised rapid and dramatic weight loss. Progress creates disappointment if it has not stalled. In patients who rigidly follow recommended lifestyle modifications, frustration and disappointment are most common.

<h2>Why it is Important to Identify Non-responders</h2>

For most patients, the effectiveness of GLP-1 receptor agonists is evident within a few weeks of treatment. Weight loss typically begins within a few weeks of initiating therapy and tends to increase with dosage. However, some patients respond very little, if at all, despite strict adherence to their regimen.

For nonresponders, this can feel like a dead end. However, understanding the unique complexities of obesity is essential. This condition stems from brain dysfunction, and the pathways that contribute to weight regulation differ among individuals. 

When Ozempic or Wegovy doesn’t yield desired results, there are still many paths to explore: 

<h5>1. Switching to Another GLP-1 Drug</h5>

For example, some patients who don't respond well to one GLP-1 receptor agonist might find success with another drug in the same class. Newer medications, such as Zepbound, target other hormone pathways and seem promising even for those not responsive to earlier drugs. 

While there is much to say about newer drugs, older treatments can still be useful and work for some patients. One can also seek the help of a medical provider specializing in obesity treatments in order to identify the best alternatives. 

Diet, exercise, sleep, and stress management continue to be integral components of any weight loss program. New changes may be small but can make an enormous difference in one's health and success. 

<h4>4. Medical Management of Obesity</h4>

It is a complex disorder, and most patients should receive a multidisciplinary treatment. Collaboration with an obesity-aware doctor may mean access to tailored treatment plans, ranging from psychological support all the way to metabolic testing, and many others.

<h2>Why Side Effects of Weight Loss Drug Ozempic May Be a Barrier</h2>

For others, side effects like nausea, vomiting, or diarrhea hinder them from continuing with these drugs. These symptoms often reduce as the body becomes accustomed, but for some, they might be severe enough to stop treatment altogether. In those instances, alternative drugs or procedures become vital to find.

<h2>Long-term effects of Ozempic or Wegovy on the Brain</h2>

Another largely unexplored area relates to <span>GLP-1 drugs</span>' long-term effects on the brain's regulation of hunger and satiety. Although GLP-1 drugs suppress appetite and can lead to effective weight loss, emerging research suggests that they may also affect brain reward mechanisms, changing the way patients experience foods.

This aspect could prove of paramount significance in the future treatment of obesity. Perhaps GLP-1 receptor agonists do indeed affect and rewire the brain's reward pathways and will thus provide sustained benefits beyond discontinuation. However, more research is required to understand this phenomenon fully.

While for many, Ozempic and Wegovy have revolutionized obesity treatment, these are certainly not a one size fits all. Nonresponders need not lose hope- alternative strategies and medications abound. A consultation with an obesity expert healthcare provider is essential to put together a comprehensive, tailored treatment plan.

The route toward effective weight loss may be challenging, but with the evolution of obesity medicine and a better understanding of individual needs, there is a path forward for everyone.

Health Conditions A-Z

health

weight loss

weight loss drugs

ozempic

glp-1 drugs

ozempic and wegovy

semaglutide drug

weight loss post thanksgiving

Why Did This 64-Year-Old Man's Tongue Suddenly Start Sprouting Green Hair?

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Ozempic and Wegovy have received a lot of publicity as revolutionizing treatment options for obesity. Both medications form a class of GLP-1 receptor agonists, which mimic a hormone in the body called glucagon-like peptide-1 and are involved in the regulation of appetite and blood sugar. Indeed, in initial clinical studies, the majority of those on the drugs lost 15% to 22% of body weight, hence much optimism. For most patients, these medications are underwhelming for about 20% of patients due to minimal weight loss or other challenges. Take a closer look at why the weight loss drugs may not work for everyone, together with what options exist when they don't deliver the expected outcomes. Why Weight Loss Drugs May Not WorkWhile GLP-1 receptor agonists have produced phenomenal responses in a majority of patients, it remains a reality that these drugs work differently for different people. Here's why:1. Genetic and Hormonal VariabilityWeight loss medications interact with complex systems in the body that differ from person to person. Genetics, hormones, and individual brain responses to energy regulation play significant roles in determining how a person responds to drugs like Ozempic and Wegovy. 2. Underlying Medical ConditionsOther conditions, such as sleep apnea, may be prevalent and prevent or delay the achievement of weight loss goals. Prescription drugs like antidepressants, steroids, or contraceptives are other medications that can nullify weight loss medication benefits.3. Unrealistic ExpectationsOften, they come to these medications with enormous hopes; expecting the promised rapid and dramatic weight loss. Progress creates disappointment if it has not stalled. In patients who rigidly follow recommended lifestyle modifications, frustration and disappointment are most common.Why it is Important to Identify Non-respondersFor most patients, the effectiveness of GLP-1 receptor agonists is evident within a few weeks of treatment. Weight loss typically begins within a few weeks of initiating therapy and tends to increase with dosage. However, some patients respond very little, if at all, despite strict adherence to their regimen.For nonresponders, this can feel like a dead end. However, understanding the unique complexities of obesity is essential. This condition stems from brain dysfunction, and the pathways that contribute to weight regulation differ among individuals. Alternative Treatment Options When Ozempic or Wegovy doesn’t yield desired results, there are still many paths to explore: 1. Switching to Another GLP-1 DrugFor example, some patients who don't respond well to one GLP-1 receptor agonist might find success with another drug in the same class. Newer medications, such as Zepbound, target other hormone pathways and seem promising even for those not responsive to earlier drugs. 2. Use of Older MedicationsWhile there is much to say about newer drugs, older treatments can still be useful and work for some patients. One can also seek the help of a medical provider specializing in obesity treatments in order to identify the best alternatives. 3. Lifestyle ChangesDiet, exercise, sleep, and stress management continue to be integral components of any weight loss program. New changes may be small but can make an enormous difference in one's health and success. 4. Medical Management of ObesityIt is a complex disorder, and most patients should receive a multidisciplinary treatment. Collaboration with an obesity-aware doctor may mean access to tailored treatment plans, ranging from psychological support all the way to metabolic testing, and many others.Why Side Effects of Weight Loss Drug Ozempic May Be a BarrierFor others, side effects like nausea, vomiting, or diarrhea hinder them from continuing with these drugs. These symptoms often reduce as the body becomes accustomed, but for some, they might be severe enough to stop treatment altogether. In those instances, alternative drugs or procedures become vital to find.Long-term effects of Ozempic or Wegovy on the BrainAnother largely unexplored area relates to GLP-1 drugs' long-term effects on the brain's regulation of hunger and satiety. Although GLP-1 drugs suppress appetite and can lead to effective weight loss, emerging research suggests that they may also affect brain reward mechanisms, changing the way patients experience foods.This aspect could prove of paramount significance in the future treatment of obesity. Perhaps GLP-1 receptor agonists do indeed affect and rewire the brain's reward pathways and will thus provide sustained benefits beyond discontinuation. However, more research is required to understand this phenomenon fully.While for many, Ozempic and Wegovy have revolutionized obesity treatment, these are certainly not a one size fits all. Nonresponders need not lose hope- alternative strategies and medications abound. A consultation with an obesity expert healthcare provider is essential to put together a comprehensive, tailored treatment plan.The route toward effective weight loss may be challenging, but with the evolution of obesity medicine and a better understanding of individual needs, there is a path forward for everyone.

when ozempic and wegovy fail to work- why glp-1 drugs aren’t the magic bullet for everyone

Health and Me

Ishita Roy

Hairy Tongue

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Back in 2023, a 64-year-old man experienced something weird. He had green hair growing on his tongue. Initially he was prescribed antifungal medicine, however, the treatment did not work on him. What he had was called a <span>hairy tongue</span>. 

The patient's tongue turned green about two weeks before he paid a visit to the doctor. This was shortly after he had completed a course of antibiotics from a gum infection. 

What initially happened was a discoloration and doctors thought that it was a case of oral thrush, which is a fungal infection. As a result, he was prescribed antifungal treatment, however, this did not do anything. Rather, there was moss-like growths.

When doctors had a closer look, they realized that the man's filiform papillae, which are the tiny, cone-shaped bumps that cover the surface of the tongue and give its rough texture were longer than from a healthy tongue. Though there were no signs of injury or change in taste reported from the patient. 

The case report was published in the New England Journal of Medicine, where physicians wrote, "A diagnosis of hairy tongue was made."

<span>What is hairy tongue</span>? Hairy tongue or lingua villosa is a benign condition that causes hair-like growths of various colors to sprout on top of the tongue, said the report. 

These growths are filiform papillae that haven’t shed as they normally do through regular friction — such as from brushing with a toothbrush, using a tongue scraper, or eating solid, textured foods. Under typical conditions, these tiny projections grow to about 1 millimeter before falling off naturally, in a process called desquamation, similar to how skin sheds, according to the Cleveland Clinic.

When this natural shedding doesn’t occur, the papillae can continue growing—reaching lengths of up to 0.7 inches (18 millimeters)—which can result in a condition known as hairy tongue. According to the American Academy of Oral Medicine, it affects roughly 13% of people at some point in their lives, most commonly in men and individuals over the age of 65.

As these bumps elongate into hair-like strands, they begin to trap food particles, bacteria, dead skin cells, and other debris—leading to the discolored, furry appearance of a hairy tongue. According to the American Academy of Oral Medicine, the tongue may appear brown, white, green, or even pink, depending on the underlying cause and factors like mouthwash use or certain candies.

<h4>What Causes Hairy Tongue—And Why It Sometimes Turns Black or Green</h4>

In many cases, hairy tongue takes on a jet-black appearance, a condition medically known as lingua villosa nigra, or black hairy tongue, according to a recent case report.

Several factors can increase the risk of developing a hairy tongue—regardless of its color. These include consuming a soft-food diet, drinking excessive amounts of coffee, tea, or alcohol, smoking, dehydration, poor oral hygiene, and taking certain oral medications that alter the mouth’s microbial balance. Regularly brushing the tongue is one of the most effective ways to prevent the papillae from becoming elongated and discolored.

In the case report, doctors treated a patient who presented with a green-colored tongue. They advised him to gently scrub his tongue with a toothbrush four times a day and to stop smoking. At a six-month follow-up, the patient’s tongue had returned to a normal appearance—even though he continued to smoke, the report noted.

hairy tongue

health and wellness

what is hairy tongue

bizarre health condition

man with hairy tongue

Back in 2023, a 64-year-old man experienced something weird. He had green hair growing on his tongue. Initially he was prescribed antifungal medicine, however, the treatment did not work on him. What he had was called a hairy tongue. A Visit To DocThe patient's tongue turned green about two weeks before he paid a visit to the doctor. This was shortly after he had completed a course of antibiotics from a gum infection. What initially happened was a discoloration and doctors thought that it was a case of oral thrush, which is a fungal infection. As a result, he was prescribed antifungal treatment, however, this did not do anything. Rather, there was moss-like growths.When doctors had a closer look, they realized that the man's filiform papillae, which are the tiny, cone-shaped bumps that cover the surface of the tongue and give its rough texture were longer than from a healthy tongue. Though there were no signs of injury or change in taste reported from the patient. What The Case Report Said?The case report was published in the New England Journal of Medicine, where physicians wrote, "A diagnosis of hairy tongue was made."What is hairy tongue? Hairy tongue or lingua villosa is a benign condition that causes hair-like growths of various colors to sprout on top of the tongue, said the report. These growths are filiform papillae that haven’t shed as they normally do through regular friction — such as from brushing with a toothbrush, using a tongue scraper, or eating solid, textured foods. Under typical conditions, these tiny projections grow to about 1 millimeter before falling off naturally, in a process called desquamation, similar to how skin sheds, according to the Cleveland Clinic.When this natural shedding doesn’t occur, the papillae can continue growing—reaching lengths of up to 0.7 inches (18 millimeters)—which can result in a condition known as hairy tongue. According to the American Academy of Oral Medicine, it affects roughly 13% of people at some point in their lives, most commonly in men and individuals over the age of 65.As these bumps elongate into hair-like strands, they begin to trap food particles, bacteria, dead skin cells, and other debris—leading to the discolored, furry appearance of a hairy tongue. According to the American Academy of Oral Medicine, the tongue may appear brown, white, green, or even pink, depending on the underlying cause and factors like mouthwash use or certain candies.What Causes Hairy Tongue—And Why It Sometimes Turns Black or GreenIn many cases, hairy tongue takes on a jet-black appearance, a condition medically known as lingua villosa nigra, or black hairy tongue, according to a recent case report.Several factors can increase the risk of developing a hairy tongue—regardless of its color. These include consuming a soft-food diet, drinking excessive amounts of coffee, tea, or alcohol, smoking, dehydration, poor oral hygiene, and taking certain oral medications that alter the mouth’s microbial balance. Regularly brushing the tongue is one of the most effective ways to prevent the papillae from becoming elongated and discolored.In the case report, doctors treated a patient who presented with a green-colored tongue. They advised him to gently scrub his tongue with a toothbrush four times a day and to stop smoking. At a six-month follow-up, the patient’s tongue had returned to a normal appearance—even though he continued to smoke, the report noted.

why did this 64-year-old man's tongue suddenly start sprouting green hair?

Aarushi Bhadury

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Aging is not a linear process as many people think it is. While your chronological age may say a certain number, the way you live could cause you to be biologically older. Our chronological age is based on the number of years we have lived; however, our biological age could be higher or lower, based on how healthy our lifestyle choices are. 

As we know, till a certain age, our body keeps growing and then comes to a halt. Studies like the 2013 study published in the Neuropsychiatric Disease and Treatment journal explain that our brain’s development is not complete until the age of 25, especially the prefrontal cortex. Like every living being, if we are developing, we will eventually deteriorate as well. However, at what age does this deterioration begin? 

A groundbreaking study published in Nature Medicine found that a simple blood test can reliably estimate a person's age by analyzing the levels of hundreds of proteins. This "proteomic clock" offers a fascinating insight: biological aging isn't a smooth, linear process. Instead, it appears to accelerate in distinct phases. 

<h2><span rel="noindex">Key Ages of Accelerated Aging</span> </h2>

The study identified three significant periods when aging seems to speed up, on average: <strong>around ages 34, 60, and 78.</strong> Notably, the research suggests that the average person begins to show signs of physical deterioration as early as 34 years old. Based on these findings, "adulthood" was categorized as 34 to 60 years, "late maturity" from 60 to 78 years, and "old age" from 78 years onward. 

To build this "proteomic clock," the scientists collected blood plasma (the liquid part of blood) from over 4,200 healthy people, ranging in age from 18 to 95. They used the information from more than half of these people to create their "clock." This clock was then able to correctly guess the age of the remaining people in the study. What's even more impressive is that they could make accurate age guesses using just 373 of the almost 3,000 proteins they first looked at. They even found that they could get a decent guess with as few as nine key proteins! 

The study also showed that people whose blood proteins made them seem biologically younger than their actual age also did better on tests that measured how well their brain and body worked. 

These findings have significant implications. This research suggests the potential for a blood test that could identify individuals who are biologically aging faster than their chronological age. Such individuals might be at a higher risk for age-related health issues like cardiovascular problems, Alzheimer's disease, and osteoarthritis earlier in life. 

Furthermore, this research offers hope for developing interventions that could potentially slow down this "proteomic clock," keeping people biologically younger for longer. While it may sound like science fiction, the same research team has previously shown that it's possible to rejuvenate an older mouse by infusing it with blood from a younger mouse, hinting at future anti-aging treatments. 

The discovery that the first burst of accelerated aging occurs in early mid-life, around age 34, is particularly intriguing, as it's well before the typical onset of noticeable aging signs and related health problems. 

Body Deterioration Age

age our body starts breaking down

Key Ages of Accelerated Aging

chronological aging

biological aging and real age

body age

Aging is not a linear process as many people think it is. While your chronological age may say a certain number, the way you live could cause you to be biologically older. Our chronological age is based on the number of years we have lived; however, our biological age could be higher or lower, based on how healthy our lifestyle choices are. As we know, till a certain age, our body keeps growing and then comes to a halt. Studies like the 2013 study published in the Neuropsychiatric Disease and Treatment journal explain that our brain’s development is not complete until the age of 25, especially the prefrontal cortex. Like every living being, if we are developing, we will eventually deteriorate as well. However, at what age does this deterioration begin? A groundbreaking study published in Nature Medicine found that a simple blood test can reliably estimate a person's age by analyzing the levels of hundreds of proteins. This "proteomic clock" offers a fascinating insight: biological aging isn't a smooth, linear process. Instead, it appears to accelerate in distinct phases. Key Ages of Accelerated Aging The study identified three significant periods when aging seems to speed up, on average: around ages 34, 60, and 78. Notably, the research suggests that the average person begins to show signs of physical deterioration as early as 34 years old. Based on these findings, "adulthood" was categorized as 34 to 60 years, "late maturity" from 60 to 78 years, and "old age" from 78 years onward. To build this "proteomic clock," the scientists collected blood plasma (the liquid part of blood) from over 4,200 healthy people, ranging in age from 18 to 95. They used the information from more than half of these people to create their "clock." This clock was then able to correctly guess the age of the remaining people in the study. What's even more impressive is that they could make accurate age guesses using just 373 of the almost 3,000 proteins they first looked at. They even found that they could get a decent guess with as few as nine key proteins! The study also showed that people whose blood proteins made them seem biologically younger than their actual age also did better on tests that measured how well their brain and body worked. What This Means for Our Future These findings have significant implications. This research suggests the potential for a blood test that could identify individuals who are biologically aging faster than their chronological age. Such individuals might be at a higher risk for age-related health issues like cardiovascular problems, Alzheimer's disease, and osteoarthritis earlier in life. Furthermore, this research offers hope for developing interventions that could potentially slow down this "proteomic clock," keeping people biologically younger for longer. While it may sound like science fiction, the same research team has previously shown that it's possible to rejuvenate an older mouse by infusing it with blood from a younger mouse, hinting at future anti-aging treatments. The discovery that the first burst of accelerated aging occurs in early mid-life, around age 34, is particularly intriguing, as it's well before the typical onset of noticeable aging signs and related health problems. 

what age does our body starts breaking down? body deterioration age may surprise you

Can Dads-to-Be Experience Pregnancy Symptoms Too?

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When the <span>pregnancy</span> test turns positive, a flood of excitement, anticipation, and in many cases, anxiety sets in—not only for the mother-to-be, but also for her partner. When all eyes usually remain on the pregnant woman's body and mood, new research and anecdotal evidence are revealing an unexpected phenomenon: expectant fathers can experience physical and psychological changes that resemble <span>pregnancy symptoms</span>. This is a real phenomenon, referred to as <span>Couvade Syndrome</span> or sympathetic pregnancy—something that isn't imagined, but a valid and multifaceted reaction that's gaining international acclaim.

Couvade Syndrome is named from the French term couver, which means "to brood" or "incubate." It is a disorder where men develop pregnancy-like symptoms as their partner is pregnant. These symptoms start in the first trimester, decrease in the second trimester, and then show up again in the third trimester—tightly following the path of the mother.

Though not technically classified as a medical or psychological illness, Couvade Syndrome has been noted through various cultures and societies. In certain tribal rituals of old, men would ritually perform labor to show support for their mate—a ritualistic forerunner to the psychosomatic phenomenon now clinically debated as an empathetic, stress-related, or hormonal response. 

<h2>Physical and Emotional Symptoms of Couvade Syndrome</h2>

Think it's all in their minds? Think again. Pregnant men with Couvade Syndrome describe a remarkable array of physical and mental symptoms:

<ul><li>Nausea and vomiting: A surprising similarity to morning sickness</li><li>Gastrointestinal problems: Bloating, stomach cramps, diarrhea or constipation</li><li>Changes in appetite and weight: Some put on weight (aka "sympathy weight"), others can lose their appetite completely</li><li>Sleep problems and fatigue: Insomnia or constant drowsiness</li><li>Back pain and leg cramps</li><li>Toothaches and skin rashes</li><li>Mood swings, irritability, anxiety and depression</li></ul>

Up to 38% of expectant fathers, or the first-time father in one international study, experienced over 19 symptoms when they found out that their partner was pregnant. The reasons are not certain yet but the most commonly accepted theories are psychosomatic reactions, hormonal changes (such as reduced testosterone and increased prolactin), and psychological mechanisms like "compathy," shared pain or emotional distress.

Surprisingly, yes—more than you might have guessed. Incidence rates of Couvade syndrome also differ widely based on the nation and study criteria, from 11% up to a whopping 65% worldwide. In the United States alone, estimates suggest that between 25% to 97% of expectant fathers could experience it. The rate in Poland is as high as 72%, with the United Kingdom and Australia reporting lower rates, at between 25% and 31%. Other nations, such as Sweden, Thailand, and China, also register considerable prevalence. These differences indicate that although the phenomenon may be subjective and culturally influenced, sympathetic pregnancy is certainly no rarity.

The scientific community hasn't yet determined a single determining cause of Couvade syndrome, but some of the most current theories provide interesting explanations. One explanation is empathy and emotional attachment—men who are strongly bonded to their pregnant partner might unconsciously pick up and mirror their partner's bodily stress. Hormonal changes have also been found, with research reporting decreased testosterone and raised levels of prolactin and cortisol in some prospective fathers, which can cause mood swings, lethargy, or other physical symptoms. Stress and anxiety, especially for first-time dads, can also be a factor, with the prospect of new responsibility bearing down on them physically. Also, shifting psychosocial expectations of fatherhood could be a factor. As social norms change and promote more engaged, emotionally responsive parenting, men might internalize and replicate facets of pregnancy more strongly than generations past.

Dads today are not hanging back in the wings anymore. From attending prenatal visits to taking birthing classes and carrying out skin-to-skin contact after birth, contemporary dads are actively involved. This greater engagement may be amplifying their emotional and physiological identification with pregnancy, a component of couvade symptoms' prevalence.

Anthropologists consider that this change is a development of classic gender roles and possibly the reason couvade syndrome is reported more often today than in earlier generations.

<h2>Coping with and Managing Couvade Symptoms</h2>

There is no official treatment of Couvade Syndrome, but there are methods that can ease it:

Stay informed: Taking prenatal classes and reading parenting books can prepare expectant fathers better.

Communicate: Have open talks with your partner concerning your feelings and physical changes. You can be met with mutual understanding instead of confusion or dismissal.

Consult professionals: If symptoms become a cause of distress, talking to a psychologist or a medical doctor can provide insight and ways of coping.

Practice self-care: Regular exercise, meditation, and proper nutrition can help in coping with stress-related symptoms.

Lean on your support network: Don't be afraid to call on friends, family, or online networks of expectant dads.

While it is common, couvade syndrome usually goes unnoticed—dismissed as strange, overblown, or even manipulative behavior but defined as a real psychosomatic experience can affirm expectant dads and open the door to more honest, supportive dialogue throughout pregnancy.

Understanding that pregnancy impacts both partners—though differently—can promote mutual compassion, enhance communication, and cultivate deeper emotional connections on one of life's most transcendent paths.

Pregnancy could be an experience shared in ways we never thought possible. Couvade Syndrome, although yet to be fully comprehended, highlights the depth of emotion and changing role of modern dads.

pregnancy

pregnancy symptoms

couvade syndrome

sympathetic pregnancy symptoms

pregnancy symptoms in men

dads during pregnancy

male pregnancy symptoms

expectant fathers health

couvade syndrome facts

When the pregnancy test turns positive, a flood of excitement, anticipation, and in many cases, anxiety sets in—not only for the mother-to-be, but also for her partner. When all eyes usually remain on the pregnant woman's body and mood, new research and anecdotal evidence are revealing an unexpected phenomenon: expectant fathers can experience physical and psychological changes that resemble pregnancy symptoms. This is a real phenomenon, referred to as Couvade Syndrome or sympathetic pregnancy—something that isn't imagined, but a valid and multifaceted reaction that's gaining international acclaim.What Is Couvade Syndrome?Couvade Syndrome is named from the French term couver, which means "to brood" or "incubate." It is a disorder where men develop pregnancy-like symptoms as their partner is pregnant. These symptoms start in the first trimester, decrease in the second trimester, and then show up again in the third trimester—tightly following the path of the mother.Though not technically classified as a medical or psychological illness, Couvade Syndrome has been noted through various cultures and societies. In certain tribal rituals of old, men would ritually perform labor to show support for their mate—a ritualistic forerunner to the psychosomatic phenomenon now clinically debated as an empathetic, stress-related, or hormonal response. Physical and Emotional Symptoms of Couvade SyndromeThink it's all in their minds? Think again. Pregnant men with Couvade Syndrome describe a remarkable array of physical and mental symptoms:Nausea and vomiting: A surprising similarity to morning sicknessGastrointestinal problems: Bloating, stomach cramps, diarrhea or constipationChanges in appetite and weight: Some put on weight (aka "sympathy weight"), others can lose their appetite completelySleep problems and fatigue: Insomnia or constant drowsinessBack pain and leg crampsToothaches and skin rashesMood swings, irritability, anxiety and depressionUp to 38% of expectant fathers, or the first-time father in one international study, experienced over 19 symptoms when they found out that their partner was pregnant. The reasons are not certain yet but the most commonly accepted theories are psychosomatic reactions, hormonal changes (such as reduced testosterone and increased prolactin), and psychological mechanisms like "compathy," shared pain or emotional distress.Is Couvade Syndrome Common?Surprisingly, yes—more than you might have guessed. Incidence rates of Couvade syndrome also differ widely based on the nation and study criteria, from 11% up to a whopping 65% worldwide. In the United States alone, estimates suggest that between 25% to 97% of expectant fathers could experience it. The rate in Poland is as high as 72%, with the United Kingdom and Australia reporting lower rates, at between 25% and 31%. Other nations, such as Sweden, Thailand, and China, also register considerable prevalence. These differences indicate that although the phenomenon may be subjective and culturally influenced, sympathetic pregnancy is certainly no rarity.What Causes Couvade Syndrome?The scientific community hasn't yet determined a single determining cause of Couvade syndrome, but some of the most current theories provide interesting explanations. One explanation is empathy and emotional attachment—men who are strongly bonded to their pregnant partner might unconsciously pick up and mirror their partner's bodily stress. Hormonal changes have also been found, with research reporting decreased testosterone and raised levels of prolactin and cortisol in some prospective fathers, which can cause mood swings, lethargy, or other physical symptoms. Stress and anxiety, especially for first-time dads, can also be a factor, with the prospect of new responsibility bearing down on them physically. Also, shifting psychosocial expectations of fatherhood could be a factor. As social norms change and promote more engaged, emotionally responsive parenting, men might internalize and replicate facets of pregnancy more strongly than generations past.Dads today are not hanging back in the wings anymore. From attending prenatal visits to taking birthing classes and carrying out skin-to-skin contact after birth, contemporary dads are actively involved. This greater engagement may be amplifying their emotional and physiological identification with pregnancy, a component of couvade symptoms' prevalence.Anthropologists consider that this change is a development of classic gender roles and possibly the reason couvade syndrome is reported more often today than in earlier generations.Coping with and Managing Couvade SymptomsThere is no official treatment of Couvade Syndrome, but there are methods that can ease it:Stay informed: Taking prenatal classes and reading parenting books can prepare expectant fathers better.Communicate: Have open talks with your partner concerning your feelings and physical changes. You can be met with mutual understanding instead of confusion or dismissal.Consult professionals: If symptoms become a cause of distress, talking to a psychologist or a medical doctor can provide insight and ways of coping.Practice self-care: Regular exercise, meditation, and proper nutrition can help in coping with stress-related symptoms.Lean on your support network: Don't be afraid to call on friends, family, or online networks of expectant dads.While it is common, couvade syndrome usually goes unnoticed—dismissed as strange, overblown, or even manipulative behavior but defined as a real psychosomatic experience can affirm expectant dads and open the door to more honest, supportive dialogue throughout pregnancy.Understanding that pregnancy impacts both partners—though differently—can promote mutual compassion, enhance communication, and cultivate deeper emotional connections on one of life's most transcendent paths.Pregnancy could be an experience shared in ways we never thought possible. Couvade Syndrome, although yet to be fully comprehended, highlights the depth of emotion and changing role of modern dads.

can dads-to-be experience pregnancy symptoms too?

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