MakeNoPeaceWithEvil said:
I'm not upset about it—usually I run really warm, but lately I've been able to sleep without sweating for the first time in memory, even before I put on extra weight. These days I wear long sleeves and pants to bed and sleep wonderfully...anyone else experiencing this? Currently I take 6mg every 5 days.
Does anyone understand what causes this? I believe I came across something suggesting that fat mobilization boosts subcutaneous blood flow, which then releases heat.
Circulation plays a role in this. Normally I run hot, yet ever since I began 6 months ago, my hands and feet have stayed cold. A few months back I put the question to Gemini. What it gave me seems about as solid an explanation as anything else I've come across:
Why GLP-1 Medications Can Make You Feel Cold
Weight Loss and Loss of Insulation
Fat Loss: GLP-1 medications, such as semaglutide (Ozempic, Wegovy), drive weight loss by curbing appetite and calorie intake. When body fat drops, so does natural insulation, so body heat escapes more readily.
Thermoregulation: Fat acts as insulation, and losing it impairs the body's capacity to hold onto heat. The result can be greater sensitivity to cold.
Metabolic Changes
Lower Caloric Intake: Eating less means less energy is available for thermogenesis, the body's heat-production process. Body temperature may therefore fall.
Decreased Metabolic Rate: With weight loss, resting metabolic rate can decline too, cutting heat generation further.
Circulatory Adjustments
Blood Flow Changes: Losing weight can change blood circulation, favoring core warmth over the extremities. Hands and feet may then feel colder.
Hormonal Influences
Thyroid Function: Weight loss can affect thyroid hormone levels, which are key to temperature regulation. When these hormones fluctuate, feeling cold can follow.
Coping With Cold Sensitivity
Dress in Layers: Extra clothing helps trap body heat.
Balanced Diet: Regular, balanced meals support metabolic function and help keep body temperature steady.
Stay Active: Exercise generates body heat and helps preserve muscle mass, which matters for staying warm.
On the whole, feeling cold while taking GLP-1 medications is a normal reaction to weight loss and metabolic shifts, rather than a direct side effect of the drug itself.