Ozempic weight loss reddit

In recent years, vinegar has gained popularity as a potential aid in weight loss. While it may sound too good to be true, there is actually some scientific evidence to support this...Each syringe still has 1.33mg of Ozempic per 1ml When you start Ozempic, you start low 0.25mg of Ozempic, and you titrate up from there. The first syringe is designed to last 6 weeks: 0.25mg week 1 0.25mg week 2 0.25mg week 3 0.25mg week 4 0.50mg week 5 0.50mg week 6 If you add those milligrams up, you'll come up with 2.0mg of Ozempic.Wegovy is the same drug as ozempic but branded for weight loss, so it may be easier to get it covered if you’re not officially diabetic. It’s a great drug, helps lose weight by assisting with insulin sensitivity and by making you feel full faster. Hipsandjiggly • 2 yr. ago.From the full study: “Almost half of the participants in the semaglutide arm (48.2%) still had clinically meaningful weight loss of 5% or more from baseline at week 120.”. A bit alarming is the incredibly long list under Conflict of Interest. Lots of funding from Novo Nordisk, for instance (maker of Ozempic).A year ago, I was denied approval for Saxenda for weight loss (same active ingredient at Ozempic) at 33BMI & pre-diabetic. I went up to 35 BMI in a year, though I improved my fasting blood sugar to 98. I had resolved to pay out of pocket, but somehow my new doc suggested we tried to get approved for Ozempic which is much cheaper than Saxenda.It's an HSA plan so the first $2800 are out of pocket for me. It wouldn't bother me if it didn't cost $250 to see a doctor or $350 for a specialist. I am currently going to a cheap doctor for $125 to $300 that may give me the Ozempic prescription I want. Maybe.there are multiple dose and size pens as it has a ramp up phase. each pen is ideally a 1 month dose. pens come in 1mg, 2mg, 4mg and 8mg. the wegovy version is dosed higher. 1.7 and 2.4 mg doses. honestly not sure what size pens they come in. same exact medicine just different dose. if your insurance covers the wegovy go for it.19 Jun 2023 ... Ozempic AND filters… Picture from February ... Ozempic like the Denner's and every other influencer!!! ... It's dramatic weight loss. Upvote 4Totally different. Metformin decreases glucose production by the liver, and increases insulin sensitivity. Semaglutide increases insulin production, among other things. Metformin isn't usually used as a weight loss drug, though it is one of the only oral diabetes medications that doesn't cause weight gain and can cause weight loss. 3.So, how does Ozempic lead to weight loss? The medication helps signal to your brain to eat less and store less, says Mir Ali, MD, a bariatric surgeon and medical …Eat just protein, fats, and below 50g of carbs a day. That has to do with if you're eating enough protein overall when you're at a caloric deficit. So the deficit is thanks to ozempic, but your protein is determined by what exactly you're eating. Lack of protein, consistently, means your body will give up muscle.Wegovy (higher dose semaglutide) is indicated for weight loss but I think it’s only covered if you are at a certain BMI or with certain CVD related co-morbidities . The other variations are technically not FDA approved for weight loss BUT do lead to … Yup, lots of ppl never get the appetite suppression or weight loss side effects. Even when tested at max doses 20% lost no weight and the majority who did lose, lost an average of 5 - 15%. Mounjaro actually has better stats than ozempic for weight loss, the average being 22% A year ago, I was denied approval for Saxenda for weight loss (same active ingredient at Ozempic) at 33BMI & pre-diabetic. I went up to 35 BMI in a year, though I improved my fasting blood sugar to 98. I had resolved to pay out of pocket, but somehow my new doc suggested we tried to get approved for Ozempic which is much cheaper than Saxenda. Most I ever lost with Ozempic was 7 pounds, think it is a placebo effect. Non diabetic people should not be using it for weight loss. All you have to do is read the booklet that comes with it, to see that. Pancreas issues, diabolic retinopathy I was lucky enough to get that wonderful news last year. I expect it has something to do with Ozempic. I wouldn’t consider 30-35 minimal weight loss. That’s about 20% decrease in weight. I’m about the same size as you and I lost 25lbs in six months. Taking Ozempic completely changed my diet bc I didn’t want high fat/high carb meals anymore. I agree with others that two months is a short turnaround to expect that much weight loss.In today’s fast-paced world, finding time to prepare healthy meals can be a challenge. Factor 75 meals offer a convenient and nutritious solution for those looking to lose weight a...Cost of Ozempic. Cost is a hard-hitting reality when it comes to healthcare accessibility. With Ozempic, the financial aspect is something I simply can't ignore. Lacking insurance coverage, individuals are often required to shoulder the full weight of the medication's cost—ranging from $800 to $1,000 per month.The best reported results are about 20% of body weight. Those are the best results. For most people, it's more like 5-10%. If someone who weighs 300lbs loses 5% of their weight, they will weigh 285lbs. Even if they lose 20%, they'll weigh 240lbs. And, like every other form of weight loss, they will gain it back when they stop taking the drug.The glucagon-like peptide 1 drug Ozempic received FDA approval for use in adults with type 2 diabetes in late 2017.But lately, it’s been in the headlines for other reasons: Purported weight loss ... Increase activity over time. It’s definitely the healthier way to do it. blueyork. • 10 mo. ago. For me, personally, losing 1 pound a week is FAST weight loss. TeaGreenTwo. • 10 mo. ago. Some people completely lose their appetite on Ozempic. They may eat only 600 cals a days and work out for 3 hours. For weight loss, you start at 0.25 and do that for 4 weeks. Then you move up to 0.5 and do that for 4 weeks. Then 1 mg for 4 weeks, then move up to 1.7 I believe. 1.7-2.4 I think is the weight loss dosage for it, versus the dosage for diabetes. My first pen was a …You need a large calorie deficit to lose weight on Ozempic. No, you don't. 200-500 calories of deficit will do the trick. EVEN IF it didn't *without* Ozempic. This effect is why I'm a fan of Ozempic even tho it took me months to get to this point of effectiveness. I'd been struggling to lose weight for 2 years before I started Ozempic this January.March 29, 2023. Is Ozempic the Answer for Your Weight Loss? This diabetes med can treat obesity, but it’s not for people who just want to drop a few pounds. Ozempic® may be one of the most talked-about …When it comes to weight, even Hollywood celebs don’t escape ridicule. Many stars have been criticized by the media — particularly snarky tabloid publications and social media sites...Best may be a low carb/keto type or the diabetic diet. So if you’re exercising and watching your diet ozempic will help with the weight loss but you have to about 85 to 95% of the work. I have been on four months and not one pound lost. I was on Mounjaro for 2 months and lost 25 pounds.We’re 1 day old, be patient with us. This will be a great community soon! This is a safe place to discuss weight loss via Ozempic use. No medical reasons asked - but you can share if you want to and are respectful of others. Soon we’ll have mods, fixed topics and flairs.In the four months I've taken Ozempic, I've lost 21 pounds, which has been a steady, reasonable weight loss. My blood sugar is normal for the first time in at least seven years. My triglycerides (which have been high for at least 20 years) dropped from about 280 to … Ozempic (also known by the generic name semaglutide) was approved for use as a diabetes medication in 2017. The makers of Ozempic call weight loss a “side effect,” but it’s been shown in ... 23 Dec 2023 ... 4M subscribers in the loseit community. A place for people of all sizes to discuss healthy and sustainable methods of weight loss.I would view it as the medication IS working to help curb your appetite If you didn’t gain any weigh when you typically gain weight over a month. 18 weeks on Ozempic, currently at 1.25. Have lost 7 pounds. Am plant based, celiac and not fast food/artificial sweeteners, candy, pop/juice, etc. very frustrating.It also depends on starting weight. If someone starts at 180lbs the chance they can lose more than 15-20% (remember, 15% is an average, a mean) is lower but if they start at 400lbs it's likely they can successfully lose much more. My high weight was over 350lbs so I was hoping to lose at least 50% of my weight, and so far have lost quite a lot ...Best Life. Ozempic Patients Say It 'Stops Working' for Weight Loss—How to Prevent That. Story by Kali Coleman • 2mo. Doctors discuss the "Ozempic plateau" and what you can …To determine weight-loss percentage, the current weight is subtracted from the original weight. Then, that answer is multiplied by 100. That answer is divided by the original weigh... It's an HSA plan so the first $2800 are out of pocket for me. It wouldn't bother me if it didn't cost $250 to see a doctor or $350 for a specialist. I am currently going to a cheap doctor for $125 to $300 that may give me the Ozempic prescription I want. Maybe. Yup, lots of ppl never get the appetite suppression or weight loss side effects. Even when tested at max doses 20% lost no weight and the majority who did lose, lost an average of 5 - 15%. Mounjaro actually has better stats than ozempic for weight loss, the average being 22% I was able to get ozempic through the bariatric specialist. I was recommended by my pcp to go to bariatric. Once the specialist asked me all the questions (if I exercise, my eating habits, etc) he asked if I was …In the four months I've taken Ozempic, I've lost 21 pounds, which has been a steady, reasonable weight loss. My blood sugar is normal for the first time in at least seven years. My triglycerides (which have been high for at least 20 years) dropped from about 280 to …Eligibility Criteria for Ozempic. Regulating blood sugar in individuals with type 2 diabetes along with diet and exercise. Lowering heart and stroke risks in individuals with type 2 diabetes and ...Long story short - Turns out my PCOS kicked into overdrive because of the pregnancy weight and after about a year of struggling to reduce my weight I started Ozempic (we don't have wegovy here in the UK) privately to help aid weight loss almost 6 weeks ago. My starting weight was 80kg/176lbs. A couple days shy of 6 weeks, my weight is now 75kg ... You need a large calorie deficit to lose weight on Ozempic. No, you don't. 200-500 calories of deficit will do the trick. EVEN IF it didn't *without* Ozempic. This effect is why I'm a fan of Ozempic even tho it took me months to get to this point of effectiveness. I'd been struggling to lose weight for 2 years before I started Ozempic this January. I was able to get ozempic after being diagnosed with type 2 diabetes. I went from 0.25 to 0.5 and it did nothing for me. Then I transitioned to 1mg and I finally experienced massive side affects all at once. I did lose my appetite. I will eat maybe 1800 calories per day which is around 50% less than usual but my weight hasn't really come down ...AgathaM. •. You might look into gallbladder symptoms. People that lose weight on Ozempic can have problems with their gallbladder (stones). Any major weight loss can cause them (not just Ozempic). I’ve lost large amounts of weight (and gained it back) multiple times in my life. My gallbladder was full of stones and was removed in 2022.12 Feb 2024 ... Set a routine: This is the one I can not stress enough. This is hard. It can be easy to fail. Routines matter. When you take Oxempic matters. 2 more replies. [deleted] • 2 yr. ago. 0.25 is just to get body used to O. Assuming you are using it for fat loss purposes, this will more or less look like the end result in most people: 0.50 for 5-6 months months will get you 20-25 lbs loss. 0.50 for 10-12 months will get your 40-50lbs loss. r/Ozempic. • 2 yr. ago. furbabymami. Help! Not seeing any weight loss? Hi, everyone - I am taking Ozempic for weight loss and not diabetes. I am on week 4. The first 2 weeks, I was injecting .25 and by week 3, I went up to .50. I am 29F and 5’2 and a half - I started at 182.6 lbs and I stand at 179lbs today. Some weeks about 1lb and other weeks nothing. It averaged around .5lbs a week or 2 lbs per month. I have lost nothing for the last 3 months but my BMI is already at 22 and I am not focused on weight anymore. 15. Besty4 • 1 yr. ago. I have lost 10 pounds in five months. Super slow-going for me.Don't ask strangers on reddit for medical advice or their opinion on drugs they know little about. 😵‍💫. Ozempic might be good to help you lose weight. But it won't address the mental health issues that you believe are coming from your weight gain. And it won't address the reasons that caused you to gain weight.Knowing which diets are healthy for seniors will help to avoid fads and gimmicks. Find out more about how to choose a weight-loss diet for seniors. Advertisement You may be commit...Wegovy (higher dose semaglutide) is indicated for weight loss but I think it’s only covered if you are at a certain BMI or with certain CVD related co-morbidities . The other variations are technically not FDA approved for weight loss BUT do lead to …Ozempic Week 2 Only did the 1st dose 0.25 for 1 week Now I'm on 0.5 mg which is ok a lil constipation and tummy ache nothing major!! Dwn 5lbs. Hi Firstchickdei - just wondering how it’s going, you must be over a month on Ozempic. I too have a lot of weight to lose (over 200 pounds), but I’m over half-way there.The Ozempic works just like VSG, it slows the emptying of the stomach. Appetite suppression and nausea is a side effect. I'm now on Ozempic 1.0 mg since WeGovy is $850 a month. Down 50+ pounds in 6.5 months. Nothing you do with VSG or Ozempic can fix the overeating and the issues you have had which led to the over eating.12 Oct 2022 ... As title states- I've been on Ozempic for weight loss since February and have lost 40lbs. When I began taking the drug, I had a different ...1mg is the Magic! I have been on ozempic for a little over 2months and down 12lbs. I was so close to losing hope cos I wasn’t feeling the appetite suppression and consistent weight loss. I had to add phentermine to get the appetite suppression. However I was encouraged by the comments here to continue going until your body gets accustomed to ...No ethical doctor would prescribe this drug to you. The risks are not worth it. The guideline is only 27+ BMI when you have a weight-related comorbidity. Otherwise the guideline is BMI 30+. I’m sure you could find some telehealth provider to do it, but maybe you should trust that guidelines are there for a reason. 32.You need a large calorie deficit to lose weight on Ozempic. No, you don't. 200-500 calories of deficit will do the trick. EVEN IF it didn't *without* Ozempic. This effect is why I'm a fan of Ozempic even tho it took me months to get to this point of effectiveness. I'd been struggling to lose weight for 2 years before I started Ozempic this January.Yes. I just started and weight is coming off at the lowest dose. I've lost 11lbs so far, just on my 3rd week of .25. I was pit solely on 0.25 by my doctor and I lost 18 kilograms on it. I lost 30lbs on .25 and .5 makes me too sick, I switched back down to .25 and am still losing. Before 2mg, at lower doses, effectiveness and weight loss were non-existent to spotty/temporary at best. But once at 2 mg, the magic -- pardon me, the science -- unfolded and I started to experience the full range of Ozempic benefits: Slow, sustainable, predictable weight loss of 1-1.5 lbs/week. Down 38 lbs now (50ish) to go. It's easy enough to get a doctor to prescribe it: if your GP won't, go to a diet doctor, or find a specialist. My own insurance doesn't cover medication for weight loss, only for diabetes. Luckily (and I use that word advisedly), I have a high A1c. When my doctor try to get prior authorization for weight loss, my insurance company said no.In the four months I've taken Ozempic, I've lost 21 pounds, which has been a steady, reasonable weight loss. My blood sugar is normal for the first time in at least seven years. My triglycerides (which have been high for at least 20 years) dropped from about 280 to …Ozempic Week 2 Only did the 1st dose 0.25 for 1 week Now I'm on 0.5 mg which is ok a lil constipation and tummy ache nothing major!! Dwn 5lbs. Hi Firstchickdei - just wondering how it’s going, you must be over a month on Ozempic. I too have a lot of weight to lose (over 200 pounds), but I’m over half-way there.While some people do have medical reasons to take ozempic the others probably could lose weight, if they wanted to, without medication of any kind, with a bit of hard work and a decent diet. Medication, especially medication that is in shortage, should be a last resort after other sensible options have been exhausted.Find a doctor that's in-network for your insurance. Their website should have a search function for such. Make an appointment. Talk to the doctor about your weight, previous attempts to lose weight, interest in the medication and why, note that it's covered by insurance and you've carried out that check but you need a PA with documented prior …Ozempic for weight loss. Hi all, just started with .25 ozempic Wednesday strictly for weight loss. 1- I am worried about how this will affect my blood sugar since I’m not diabetic and if that’s dangerous. 2- My insurance will not cover this since I’m not diabetic, but my BMI is 29.5 so currently paying out of pocket about $840 for 6 weeks ... It's normal to occasionally stall for several weeks before losing again, through a long term loss pattern. If you're eating enough, (1200 might help you here), the body may take a few weeks to "stall" at a new lower set point before losing again. Hydrating more than you think you really need can also help some stalls. 2 Jul 2023 ... There's a wegovy weightloss Reddit where ... loss as “better” than ozempic loss. ... There is a huge stigma around weight loss tools like Ozempic, ...8 Sept 2023 ... Give it a go and monitor your side effects and weight loss closely. You know your body better than anyone and six months or so down the road you ... Ozempic Itch - solution. A fairly rare but truly maddening side effect I began experiencing was itching. I’ve read about several accounts as well. No rash or hives, just terrible itchiness under arms, under breasts, between thighs and scalp. When I learned the itching was an allergy I promptly took a Benadryl and used a pump of Benadryl spray ... I was able to get ozempic through the bariatric specialist. I was recommended by my pcp to go to bariatric. Once the specialist asked me all the questions (if I exercise, my eating habits, etc) he asked if I was …We’re 1 day old, be patient with us. This will be a great community soon! This is a safe place to discuss weight loss via Ozempic use. No medical reasons asked - but you can share if you want to and are respectful of others. Soon we’ll have mods, fixed topics and flairs.16 Nov 2023 ... Any doctors in Saskatoon prescribing Ozempic for weight loss (for non-diabetic patients)?. I'm at a standstill for weight loss due to back ...Yup, lots of ppl never get the appetite suppression or weight loss side effects. Even when tested at max doses 20% lost no weight and the majority who did lose, lost an average of 5 - 15%. Mounjaro actually has better stats than ozempic for …In the four months I've taken Ozempic, I've lost 21 pounds, which has been a steady, reasonable weight loss. My blood sugar is normal for the first time in at least seven years. My triglycerides (which have been high for at least 20 years) dropped from about 280 to … If you have high insulin and/or insulin resistance, they will most likely prescribe Metformim, which can really help with weightloss. Personally, when I went on Metformin for PCOS, I dropped about 30 lbs really quick. After that, diet and exercise finally worked. NoPerspective3234. If you are on a weight loss journey, you have probably heard about the importance of creating a calorie deficit. A calorie deficit occurs when you consume fewer calories than your ... r/Ozempic. • 2 yr. ago. furbabymami. Help! Not seeing any weight loss? Hi, everyone - I am taking Ozempic for weight loss and not diabetes. I am on week 4. The first 2 weeks, I was injecting .25 and by week 3, I went up to .50. I am 29F and 5’2 and a half - I started at 182.6 lbs and I stand at 179lbs today. Ozempic is approved by the FDA for diabetes and Wegovy is approved by the FDA for weight loss. There is also Rybelsus which is the pill form of semaglutide. People are getting Ozempic prescribed instead of Wegovy because a lot of insurances do not cover weight loss medications. Some will cover a weight loss program instead.Ro.co send PA for ozempic. My Cigna insurance denied as it not type 2 diabetic. Pre diabetes high cholesterol blood pressure they still denied. Now Ro.co submitted for wegovy and now I wait again. Starting to lose hope my insurance will cover and coming on here to see if anyone going thru the same ordeal12 Oct 2022 ... As title states- I've been on Ozempic for weight loss since February and have lost 40lbs. When I began taking the drug, I had a different ... Ozempic (also known by the generic name semaglutide) was approved for use as a diabetes medication in 2017. The makers of Ozempic call weight loss a “side effect,” but it’s been shown in ... 13 Oct 2022 ... I lost about 2 lbs as week on 0.25mg. That rate of loss stayed the same as I titrated up in dosage and didn't slow down until I lost about 30 ...Yes. I just started and weight is coming off at the lowest dose. I've lost 11lbs so far, just on my 3rd week of .25. I was pit solely on 0.25 by my doctor and I lost 18 kilograms on it. I lost 30lbs on .25 and .5 makes me too sick, I switched back down to .25 and am still losing. Wegovy (higher dose semaglutide) is indicated for weight loss but I think it’s only covered if you are at a certain BMI or with certain CVD related co-morbidities . The other variations are technically not FDA approved for weight loss BUT do lead to weight loss. 7. Misrabelle • 7 mo. ago. A year ago, I was denied approval for Saxenda for weight loss (same active ingredient at Ozempic) at 33BMI & pre-diabetic. I went up to 35 BMI in a year, though I improved my fasting blood sugar to 98. I had resolved to pay out of pocket, but somehow my new doc suggested we tried to get approved for Ozempic which is much cheaper than Saxenda.Though it’s been on the market since 2017, it’s only more recently surged in popularity—in 2023, sales of Ozempic spiked as it gained attention for its weight-loss … I never really lost weight on Trulicity, but my T2D is better controlled. I had to take 2 meds, but now I am using keto, and I am going off med 2. While I would like to lose weight, what i really want to do is keep my limbs, vision, and vital organs. My insurance supposedly covers Ozempic and Mounjaro but wouldn't pay for a change. I do eat in a calorie deficit and track my food on an app. With Ozempic, eating in a deficit isn't hard. I inject on Sunday nights, and I like it because I can eat more calories on the weekends. My body has always responded better to weight loss when I "zig zag" my calories (eat more on certain days and less on others). I started 8 weeks ago.Of course you lose weight when you consume 800-1000 calories per day and have stable blood sugar. But as soon as you have a normal appetite again your metabolism might be wonky. I think of ozempic as an alternative to weight loss surgery. I think it’s a fantastic option for people who can be on it for life or very long term.Diet & Nutrition. I Lost 64 Pounds on Ozempic, But I'm Here to Tell You It's Not a Miracle Weight Loss Drug. If you're thinking a once-weekly injection will magically …Ozempic vs Contrave Comparison for Weight Loss. I did a little comparison between Ozempic and Contrave. For my circumstances, I felt like Contrave worked better but looking at the numbers, I lost 12.6lbs in 11 weeks on Contrave and 12.6lbs in 14 weeks on Ozempic. An average of around 1lb/week for both. I have about 8 months of unopened contrave.Consider yourselves warned. I am new to semaglutide. My first 0.25 was 2/29/24. Second was 3/7. 12 hours after 1st injection I had slight nausea easily cured with 1 zofran. Upping fiber, water, and protein. pooping normally. No other symptoms, other than an almost immediate loss of appetite for food or alcohol.A review of 2-dimensional images paints a similar picture: sharper jawline, coarser features, more prominent shadows, improvement of a gentle double chin, and a narrower face. These are not surprising results and are not specific to Ozempic, but to rapid weight loss and reduction of subcutaneous fat volume. We used to call Ozempic face ...Best Life. Ozempic Patients Say It 'Stops Working' for Weight Loss—How to Prevent That. Story by Kali Coleman • 2mo. Doctors discuss the "Ozempic plateau" and what you can … I never really lost weight on Trulicity, but my T2D is better controlled. I had to take 2 meds, but now I am using keto, and I am going off med 2. While I would like to lose weight, what i really want to do is keep my limbs, vision, and vital organs. My insurance supposedly covers Ozempic and Mounjaro but wouldn't pay for a change. I feel toxic, dizzy, light headed like a hollow head. I only need to lose 20 lbs. not sure this is worth it. I’m tired and tired of waking up feeling like crap. Too many side effects and slowing down my digestion can not be good. I put Miralax in my coffee every morning and take other things throughout the day nothing.My insurance won’t cover it for weight loss so I buy mine from Buy Canadian Insulin. $285 + $40 shipping. I get the 4mg pen, so 2 months worth in one pen. They might have a payment plan. The price of medicines in the USA without health insurance is barbaric, even the price they have to pay for copayment with insurance is absurd. If Australian, the weight loss medications available here are: alternative GLP1 agonists: liraglutide (Saxenda), dulaglutide (Trulicity), same mechanism of action as semaglutide (Ozempic, Wegovy) phentermine (Duromine): appetite suppressant and sympathomimetic/boosts metabolism. orlistat (Xenical): fat absorption blocker. While some people do have medical reasons to take ozempic the others probably could lose weight, if they wanted to, without medication of any kind, with a bit of hard work and a decent diet. Medication, especially medication that is in shortage, should be a last resort after other sensible options have been exhausted. r/Ozempic. • 2 yr. ago. furbabymami. Help! Not seeing any weight loss? Hi, everyone - I am taking Ozempic for weight loss and not diabetes. I am on week 4. The first 2 weeks, I was injecting .25 and by week 3, I went up to .50. I am 29F and 5’2 and a half - I started at 182.6 lbs and I stand at 179lbs today. protectiveparent1121. ADMIN MOD. Ozempic and hair loss update. I've been off of Ozempic for 4 weeks (might be 5 now) and I quit using it because of the extreme shedding I was experiencing. I was losing 300-500 hairs a day. I counted every so often out of curiosity. I was shedding literal ropes of hair. The shedding stopped about 4 days ago.Crohn’s disease, also known as regional ileitis or ileitis terminalis, is an inflammatory bowel disease (IBD) that can affect any part of your gastrointestinal tract. It causes var... | Cvgbayjysiak (article) | Msorpel.