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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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StickItInTheFamilyAlbum · 06/07/2024 13:57

SpudleyLass · 06/07/2024 13:05

Unpopular opinion - but no. The general public have enough information to hand on losing weight safely.

Most will be able to lose weight via traditional methods. Such drugs should ONLY be reserved for the most severe cases i.e those with mental health issues exacerbating the weight gain.

Isn't sustaining the weight loss over time a very different matter?

And if we aren't changing the obeseogenic conditions that have created such widespread overweight and obesity then there's little to support the maintenance of that weight loss.

This is a map showing how complex the contributions to obesity are (with explanations). (There are more complex system maps.)

https://foresightprojects.blog.gov.uk/2017/10/04/dusting-off-foresights-obesity-report/

King's Fund has a useful overview: https://www.kingsfund.org.uk/insight-and-analysis/reports/tackling-obesity-nhs

Labour should invest in weight loss medications immediately
S0livagant · 06/07/2024 13:56

HowToSaveTheNHS · 06/07/2024 13:30

Exactly why I’m posting this thread!

Tim is correct but he also has a business agenda. Weight loss drugs threaten the Zoe business model

People on weight loss drugs are not eating crap. You can’t, it makes you feel sick. This is a myth that needs to be busted.

Edited

Do you have a link to show it's a myth? I can only find information saying fat is an issue. Will low fat upfs make you sick too?

combinationpadlock · 06/07/2024 13:56

Obesity would be better controlled with a ban on margarine and vegetable oil, and a huge tax on sweets, puddings and cakes, and the money go to the NHS, Also, big tax on UPF.

YouJustDoYou · 06/07/2024 13:56

SO, increase taxes to pay for weight loss medication for people who are overweight for mental/social reasons? Oh, just medicate people? They may not be able to afford to eat healthily, you know that, right? They may be eating for depression, stress....paying for medication when not treating mental health/social reasons won/t work! They will still buy the cheap shit because.....that's the most filling foods they can buy on what little money they have.

In this country (my home country's obeisty rate is about 4% of the population, as opposed to Britain's 25% obese/almost 40% overweight), when you a) have little money, you need to feed yourself/your family and a pizza costs the same as a broccolli head so what will keep you feeling full more, it's very easy to judge when you have mouths to feed but the shit food is cheap but more plentiful. In my home country, where a more unintentionally veggie diet is cheap, varied, and extremely healthy, even if you are poor it's very easy to eat cheap but healthily. Also, it;s not about "doing more exercise" - it's literally diet. Literally.

RosesAndHellebores · 06/07/2024 13:55

No. The purpose of the NHS is to treat disease. It's up to individuals to eat well and proportionately, rather than expecting to be given a pill for it.

I recently had to pay £2500 for a course of medication for two years to ensure I was optimally treated for osteoporosis because NICE has too high a bar.

If people want to lose weight they should eat less. If they can afford to eat too much food, they can afford to pay fkr weight loss drugs if that is what they want. Want being the operative word.

I'm absolutely not prepared tonaccept my taxes shoukd be spent in this way when the NHS has refused to provide me with the clinical treatment I need for a chronic disease.

HowToSaveTheNHS · 06/07/2024 13:55

eddiemairswife · 06/07/2024 13:41

Bring back rationing.

This would actually be really effective! But obviously not palatable to the population.

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gamerchick · 06/07/2024 13:55

No. It's like I am legend as it is.

Looking forward to a load of women who look dried out waiting for gallbladder surgery. These meds were for a specific group of people who can't ruddy get a hold of it. It's not on.

5128gap · 06/07/2024 13:54

No. I think health messages should underpin every aspect of our society and the government should invest in facilitating that. We should be taught about and encouraged towards looking after our bodies with good nutrition and excercise from cradle to grave. Parent and baby groups with this advice on tap, healthy school meals, green spaces and incentives to use them such as free sports facilities, bike hire, use of swimming pools, free gym memberships, employers to offer excercise breaks...There is no point sticking a plaster on it with a quick fix, a quick fix that targets only one unhealthy group at that, what about all the thin people who never eat a vegetable from one year to the next? The whole culture around health needs to change and that needs a long term holistic approach.

LakeTiticaca · 06/07/2024 13:54

Or how about people take responsibility for themselves instead of expecting someone else to do it for them?

HowToSaveTheNHS · 06/07/2024 13:51

That’s not the main thread I have been reading. I think they’re on number 14 now

Fascinating resource for public health professionals! Stories and data in real time from real people

This is what makes mumsnet such a great resource!

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Namerchangee · 06/07/2024 13:50

Thegreatgiginthesky · 06/07/2024 13:04

Given that we don't know the long term implications of these drugs for health I think widespread use outside the severely obese would be a bad idea. A better idea would be to better regulate the food industry, improve food labelling and sort out food in schools, hospitals and other institutions.

Couldn’t agree more with this. Food in schools, hospitals etc is absolutely dire. UPFs are everywhere. Education and a change in the food industry is what is needed.

HowToSaveTheNHS · 06/07/2024 13:50

Flowerypaintings · 06/07/2024 13:34

We have no idea about the long term effects of these medications. A short term reduction in some obesity related health issues but then possibly long term side effects? And if someone has exhausted all other weight loss attempts they’d have to be on these medications for life as otherwise they’d put the weight back on when they stopped ?

We need to stop over medicalisation of things like obesity solutions when there are other ways.

But the other ways have been proven not to work at a population level ?

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Tallisker · 06/07/2024 13:47

The food lobby is massively powerful. They pump out cheap crap by the hundred tonnes and resist all regulation to insist on quality. Profits first and last and never mind the health of the nation. Good food is not cheap, nor should it be. It should be subsidised so it's cheaper to eat well and healthily instead of propping up shareholder dividends.

HowToSaveTheNHS · 06/07/2024 13:47

Whitesapphire · 06/07/2024 13:31

Absolutely not. I want the government to educate and empower people to take responsibility for their health. Serious lifestyle changes are needed, not expensive and unnecessary medication.

Well you clearly don’t understand the biology and causality behind obesity then. Your approach does not work at population level

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Toomuch44 · 06/07/2024 13:47

People know what they need to do to loose weight, so to some extent they should be responsible for their own actions. It used to the case that if you smoked or were overweight you had to address that before expecting surgery on the NHS. Maybe it should the case for other issues, as a fair amount of health problems will be helped/reduced by losing weight.

thegrumpusch · 06/07/2024 13:46

surely better to tax all high sugar foods, ban foods companies from marketing them at all like they have done cigarettes (plain packaging that not shows adverse side effects), in particular any marketing directed towards children

Amberpants · 06/07/2024 13:46

They’d be much better off investing in treating the psychological causes of obesity. I say this as someone who is obese.

RebelMoon · 06/07/2024 13:45

2dogsandabudgie · 06/07/2024 13:18

Yes I do think that a lot of people are lazy and don't have the motivation to lose weight. It takes a lot of willpower to stick to a diet and exercise regularly. Plus we need to stop normalising overweight people.

That's right. Let's start putting fat people in the stocks and throw things at them. Make them realise how disgusting they are.

Or maybe we could recognise that obesity is a disease and treat people with respect. Just an idea.

HowToSaveTheNHS · 06/07/2024 13:44

TargetPractice11 · 06/07/2024 13:21

Yes but to be fair, so can obesity induced diabetes.

The study was not conclusive only exploratory, numbers were small and there was a selection bias, so we don’t know yet if it causes blindness (in one eye). It could be observational bias as far as we know.

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User2460177 · 06/07/2024 13:43

LizzieBennett73 · 06/07/2024 13:41

I'm type 2 diabetic (genetic) and have had to dramatically overhaul my diet. I'm now off most of my medication.

It's called personal responsibility and too many people in this country lack it.

Type 2 diabetes can be controlled by weight loss. These drugs are very useful for that.

a predisposition for type 2 diabetes can be genetic but it’s not a genetic condition.

ByCupidStunt · 06/07/2024 13:43

Icannoteven · 06/07/2024 13:34

Or they could actually have policy that supports healthy living e.g support flexible working so people have time to excercise and cook nutritional meals, force large employers to have a gym/ offer gym subscriptions/have insight canteens providing healthy meals, invest in safe cycling infrastructure (especially around schools), improve school meals, regulate fast food and advertising, offer free counselling to people for food addictions or other eating disorders, build more leisure centres that are within walking distance of people, pay people a decent wage so they can afford healthy food and don’t have to bill up on carbs, cookery classes for different stages of life.

Times in my life when I have been healthiest and thinnest are when I have had more time at home and more agency to plan my own schedule. e.g when I was a student, when I was in maternity leave and when I worked from home. This meant I could more easily plan and cook meals and could control what food was in my immediate vicinity. I also had easier access to leisure and changing facilities in my local area.

This is a really good point but I also think that they could do both this and weight loss drugs

Biggleslefae · 06/07/2024 13:42

HowToSaveTheNHS · 06/07/2024 13:37

Yes- according to all the mumsnetters using it

Excellent, I'm all in favor of anything that helps people to improve their health. It is an uphill struggle, you have to swim against the tide, temptation is everywhere, the lure of highly palatable edible food like substances can be overwhelming!

thegrumpusch · 06/07/2024 13:42

aren't some of these drugs now being shown to cause irreversible sight loss? I don't think enough is known about their long term effects to put the entire nation on them

User2460177 · 06/07/2024 13:42

Life2Short4Nonsense · 06/07/2024 13:40

I believe this is up to patients themselves. For the government to mandate that obese people take these drugs sounds like a dystopian nightmare to me.

Besides, I believe they have far bigger fish to fry. I'd say the housing crises is a far more pressing matter.

No one is mandating anyone do anything. Simply we are asking for the one of the few actually effective treatments for the no.1 health condition in the uk to actually be available on the NHS.

HowToSaveTheNHS · 06/07/2024 13:42

sentfrmmyiphone · 06/07/2024 13:24

the NHS already do this! yes its a bind to get it, but its already out there and available if you meet the criteria.

the problem is, the criteria is very strict! and i assume the OP does not meet the criteria.

I’m a health professional actually, working in public health

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