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Labour should invest in weight loss medications immediately

643 replies

HowToSaveTheNHS · 06/07/2024 11:49

AIBU to think the Labour government should seriously consider rolling out weight loss drugs to the obese population, to tackle obesity, diabetes and cut NHS waiting lists? Traditional public health measures to tackle obesity are not working.

We spend so much money treating disease associated with obesity and it’s only going to get worse as increasing numbers of people are living for decades with multiple health conditions associated with obesity. Even dementia’s leading cause is Type 2 diabetes.

Looking at the Mounjaro thread on here, huge numbers of Mumsnetters are successfully losing weight and improving their health. But people on lower incomes won’t have access because the drugs are expensive.

A course of drugs for a year will surely be money well spent if we can reduce heart disease/ diabetes/ dementia/ cancer etc… even hypertension.

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CortieTat · 10/07/2024 19:29

StickItInTheFamilyAlbum · 10/07/2024 18:26

I know so little about this—is the Metabo Law successful? Do you think it's culturally suited to the UK or something to which workplaces here might adapt?

Is Metabo generally implemented in large-scale employers and workplaces or is it equally suited to small to medium sized businesses (which employ 60% up of the UK working age population)?

It moves the responsibility for population weight gain (measured in waistlines) not only onto employers but also the local governments. It’s been implemented in 2008 and my understanding is that it’s still in place.

Whereas a food tax was implemented in Denmark and abolished after a few years because the positive effects were minimal but it affected Danish producers, people started smuggling food from Sweden and Germany 😅

StickItInTheFamilyAlbum · 10/07/2024 18:26

CortieTat · 10/07/2024 07:05

I agree with that and I’d like to see this in my own country. I’d also like to see an equivalent of the Metabo Law implemented. We already have some laws that make employers responsible for prevention and they do work - I have yoga and stretching at work, subsidised entry fees on local races and so on but there’s no direct penalty for the employer for inaction, also health controls are non-existent, except for smear tests and mammography. I had my last free overall health check when I was 19.

I expect a complete 180% change of attitudes would affect the structure of the whole market, as it would become less profitable to run a fast food joint than a fitness centre.

I know so little about this—is the Metabo Law successful? Do you think it's culturally suited to the UK or something to which workplaces here might adapt?

Is Metabo generally implemented in large-scale employers and workplaces or is it equally suited to small to medium sized businesses (which employ 60% up of the UK working age population)?

Tutorpuzzle · 10/07/2024 17:01

Thank you OP, for such an enlightening thread. I am both baffled and terrified by the judgemental attitudes. Looking at the lack of response when asked about the cost of other ‘self-inflicted’ conditions it seems that this discrimination applies only to obesity to a lot of the people on this thread. (Plus smoking in one case).

I believe this discrimination applies to the medical profession too. I didn’t hear the whole interview so I may have misunderstood, but the gp on Woman’s Hour yesterday was warning how new all these drugs are. Firstly, at least some of them are very much not new. And secondly, no doctors were bothered by the newness of the Covid drugs. They were virtually dragging us off the streets into the vaccination centres!

It seems the overweight and obese should hide themselves in shame rather than make use of some actually life changing and money saving drugs so horrifying is their self inflicted condition.

Sobering, indeed.

CortieTat · 10/07/2024 07:05

Ahlovetoloveyoubaby · 09/07/2024 23:52

I found some interesting ideas in the first 7 pages of the thread. I had to give up reading them though, as I was struggling to wade through the vitriol poured on all those lazy, fat, unhealthy, weak people who are wasting taxpayers money on ‘easy fix’ drugs. And as a matter of interest, you do know fat people pay tax also, so they would in fact be paying for themselves to be prescribed a life changing drug from the very pot of taxes they pay into.

I think there might be lessons to be learnt from almost eradicating cigarettes smoking in our society.In 1974 45.8% of people smoked in UK. Now 12.9% smoke - 1 in 8 people smoke now.

We need to control the messages about food- Warnings on packets, ads on TV, reduced the number of places that can sell junk food, keep fast food outlets away from schools and bus stops, only one Mc D etc in a 10 mile radius, junk food banned or at least cleaned up in cinemas, stadiums, football matches, city centres. Make it unacceptable to sell unhealthy food. Put eating well squarely at the centre of living a healthy life style in schools, hospitals, work places, supermarkets. We’ve hidden cigarettes away in shops and sent a powerful message.

I would go to a healthier choice supermarket that didn’t have all the junk food and pay more to eat better.

I agree with that and I’d like to see this in my own country. I’d also like to see an equivalent of the Metabo Law implemented. We already have some laws that make employers responsible for prevention and they do work - I have yoga and stretching at work, subsidised entry fees on local races and so on but there’s no direct penalty for the employer for inaction, also health controls are non-existent, except for smear tests and mammography. I had my last free overall health check when I was 19.

I expect a complete 180% change of attitudes would affect the structure of the whole market, as it would become less profitable to run a fast food joint than a fitness centre.

XenoBitch · 09/07/2024 23:55

Hey, maybe they should research and invest in putting anti-depressants in the water supply... seeing as so many "workshy" people claim sickness benefits for depression.

Meant as sarcasm.

Ahlovetoloveyoubaby · 09/07/2024 23:52

I found some interesting ideas in the first 7 pages of the thread. I had to give up reading them though, as I was struggling to wade through the vitriol poured on all those lazy, fat, unhealthy, weak people who are wasting taxpayers money on ‘easy fix’ drugs. And as a matter of interest, you do know fat people pay tax also, so they would in fact be paying for themselves to be prescribed a life changing drug from the very pot of taxes they pay into.

I think there might be lessons to be learnt from almost eradicating cigarettes smoking in our society.In 1974 45.8% of people smoked in UK. Now 12.9% smoke - 1 in 8 people smoke now.

We need to control the messages about food- Warnings on packets, ads on TV, reduced the number of places that can sell junk food, keep fast food outlets away from schools and bus stops, only one Mc D etc in a 10 mile radius, junk food banned or at least cleaned up in cinemas, stadiums, football matches, city centres. Make it unacceptable to sell unhealthy food. Put eating well squarely at the centre of living a healthy life style in schools, hospitals, work places, supermarkets. We’ve hidden cigarettes away in shops and sent a powerful message.

I would go to a healthier choice supermarket that didn’t have all the junk food and pay more to eat better.

Menora · 09/07/2024 22:56

Not read the whole thread but no, we need them to invest in healthcare as a whole, the areas that are scarily underfunded already and struggling to keep going. I think this is something of note but it cannot be a priority when there are so many other areas that desperately need investment. I’m sorry. There are GP surgeries having to lay off staff and going into financial ruin because their funding is so bad

StickItInTheFamilyAlbum · 09/07/2024 22:53

ObsidianTree · 09/07/2024 22:43

It's called retatrutide. Also made by eli lily. Mounjaro targets two receptors, retatratude targets 3. So far trails are showing better results that Mounjaro. Still in trail phase. There is actually a trail you can sign up for in UK. But too late for me and many others on Mounjaro as no longer obese.

For anyone interested in this trial, the protocol and the inclusion or exclusion criteria:

clinicaltrials.gov/search?locStr=London,%20UK&country=United%20Kingdom&state=England&city=London&cond=obesity&intr=retatrutide&checkSpell=

soupfiend · 09/07/2024 22:44

brunettemic · 09/07/2024 22:10

Here in lies the problem with this country and a huge part of the pressure that the NHS is under. Ridiculous attitudes like this where, rather than people actually taking responsibility for themselves, someone else will fix it for them.
What do you think will happen after the year long course of drugs…all the weight goes back on and back to square one.

Did you take any notice of any of the evidence about the efficacy of them compared to other weight loss approaches?

ObsidianTree · 09/07/2024 22:43

MounjaroUser · 09/07/2024 22:36

Can you tell us more about their new drug, please?

It's called retatrutide. Also made by eli lily. Mounjaro targets two receptors, retatratude targets 3. So far trails are showing better results that Mounjaro. Still in trail phase. There is actually a trail you can sign up for in UK. But too late for me and many others on Mounjaro as no longer obese.

Biggleslefae · 09/07/2024 22:37

I'm exasperated & taken aback by the numbers of posters who refuse to acknowledge the complexities and difficulties involved with obesity.

MounjaroUser · 09/07/2024 22:36

HowToSaveTheNHS · 09/07/2024 19:32

Eli Lilly actually! I’m excited about their current trial (new drug) which looks even more promising.

I don’t think a bunch of mumsnetters will have any impact on the share price though!

Can you tell us more about their new drug, please?

FoxRedPuppy · 09/07/2024 22:32

I’m overweight because of steroids and the weight didn’t drop off when I stopped them. Probably because I’m over 40. I’m also a single parent, work full time, have a disabled child and have had a very stressful year. I’d love to be healthier, but I cannot find the time and mental energy required for all the meal planning, prep and exercise.

brunettemic · 09/07/2024 22:10

Here in lies the problem with this country and a huge part of the pressure that the NHS is under. Ridiculous attitudes like this where, rather than people actually taking responsibility for themselves, someone else will fix it for them.
What do you think will happen after the year long course of drugs…all the weight goes back on and back to square one.

GingerScallop · 09/07/2024 21:38

HowToSaveTheNHS · 09/07/2024 19:43

The replies on here are so enlightening and the poll too. Thank you to everyone for your responses and honesty- it’s clear that the majority of the population are against using weight loss medication as part of the solution in our (long overdue) national obesity strategy. Although I don’t agree I appreciate it is complex and lots of well thought through/well meaning arguments were put forward against them.

If you are taking Mounjaro etc, I would strongly recommend you keep it a secret. The level of judgement and lack of empathy on here is astounding. I wouldn’t tell anyone but my spouse.

If there is one thing I would say to sum up it’s please keep an open mind. You don’t know the journey someone has gone through to making the big decision to start weight loss drugs. Please don’t judge them until you have walked in their shoes. Please don’t write off obese people as lazy and stupid. It is not acceptable to say that to an alcoholic or drug addict, so it’s not ok to say that about people struggling with obesity. Please have empathy.

I think there have been some judgmental replies but also many reasons arguments and debates. I suspect injections will/should be part of a broader multi-prong strategy. Radically reducing UPFs, promoting and making physical activity and health food cheaper, should, in my opinion, be part of that strategy too as should addressing work-life imbalance and mental health. Busy parents will reach out to take-aways or super market meals which a quick but full of sugar, salt and unnecessary chemicals but who can blame them/us. Having low weight but without healthy food will bring its own set of issues.

HowToSaveTheNHS · 09/07/2024 19:43

The replies on here are so enlightening and the poll too. Thank you to everyone for your responses and honesty- it’s clear that the majority of the population are against using weight loss medication as part of the solution in our (long overdue) national obesity strategy. Although I don’t agree I appreciate it is complex and lots of well thought through/well meaning arguments were put forward against them.

If you are taking Mounjaro etc, I would strongly recommend you keep it a secret. The level of judgement and lack of empathy on here is astounding. I wouldn’t tell anyone but my spouse.

If there is one thing I would say to sum up it’s please keep an open mind. You don’t know the journey someone has gone through to making the big decision to start weight loss drugs. Please don’t judge them until you have walked in their shoes. Please don’t write off obese people as lazy and stupid. It is not acceptable to say that to an alcoholic or drug addict, so it’s not ok to say that about people struggling with obesity. Please have empathy.

OP posts:
HowToSaveTheNHS · 09/07/2024 19:32

BeatenbySassafras · 09/07/2024 15:48

You sound like you have shares in Novo Nordisk tbh.

Eli Lilly actually! I’m excited about their current trial (new drug) which looks even more promising.

I don’t think a bunch of mumsnetters will have any impact on the share price though!

OP posts:
Bullpuckey · 09/07/2024 19:32

BeatenbySassafras · 09/07/2024 15:48

You sound like you have shares in Novo Nordisk tbh.

Not a bad idea. Still room for growth lol

HowToSaveTheNHS · 09/07/2024 19:30

Interesting words from Wes Streeting, Health Secretary today. It remains to be seen which aspects they prioritise to get people back into work….

One of the things I’ve said to my department and to the NHS is we need to rethink our role in government, and in our country at large.

This is no longer simply a public services department. This is an economic growth department.

And the health of the nation and the health of the economy are inextricably linked. And that means we’re going to be a government that firstly recognises that fact, and recognises that as we get people not just back to health, but back to work, that’s a big contribution to growth.

OP posts:
Biggleslefae · 09/07/2024 18:07

SouthernBelle2 · 09/07/2024 14:06

There is no rocket science behind weight loss. Education and common sense and sensible eating along with exercise will work every time. Meds might work while they're being taken, and then what?
Anyway think what state we'd be in if instead of dying of obesity related conditions in our 60s we all started living to be 110 - that would be far more costly!

It's a very valid point!
If we all got on board with health optimisation and just kept on going and going, not robust enough to do much in the way of work, withered old sticks, drifting around & enjoying our lives . . . for decades and decades.

CortieTat · 09/07/2024 17:29

NeoName · 09/07/2024 17:19

@CortieTat
This study shows weight loss sustained for 4 years.

It doesn’t say that they discontinued taking it?

BeatenbySassafras · 09/07/2024 15:48

You sound like you have shares in Novo Nordisk tbh.

Askingforafriendtoday · 09/07/2024 15:43

Labour absolutely should NOT do this.
Interesting and horrifying discussion of these drugs, and their misuse, on Woman's Hour this morning.. 9.07.24, 1st item

CortieTat · 09/07/2024 14:24

From what I have seen (the STEP trial) the results are not as exciting as expected for the price - people put on average 2/3 of the lost weight back on within a year and in some people the weight loss is minimal to start with. The trial combines injections with behavioural interventions so it’s not as if people are completely left alone to eat as they used to.

This could potentially go the same way as tablets prescribed to alcoholics. Yes they kind of work but after the initial enthusiasm still the only really effective treatment involves enormous amount of hard work and a complete lifestyle overhaul by the person involved.

edit: trial not trail.