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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.

OP posts:
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Redty10 · 07/07/2024 21:23

BigMandyHarris · 06/07/2024 15:05

The answer to the obesity problem is to not get fat in the first place.

Offering a quick fix will only make the problem worse

It’s time we looked to have a “health service” rather than an “illness service” or things will definitely get worse.
we need to tackle the problems that lead to obesity first rather than trying to deal with actual obesity
the NHS advice of the last 40 years re low fat has not worked yet this is still the model that is being used.
it needs to start with the food industry who only care about profit not the nations health, our food is full of absolute crap that we now know alters our metabolism.
we need to focus on our children/grandchildren to try to break the cycle of generations getting fatter/ more unhealthy.
other countries do not have the levels of obesity we have in the U.K., what are they doing differently?
Dishing out drugs to aid weight loss will do none of the above and would be a very short sighted solution

NorthSouthLondon · 07/07/2024 21:21

GingerScallop · 06/07/2024 14:03

Interesting discussion op. Do you know how certain countries in Europe have lower obesity levels than the UK? Are they prescribing weight loss injections regularly and at population level? If not, what makes them different from the UK?

Personally I have no clue whether that many different countries can be shown to fit a similar pattern.
This said, I have noticed that every time I spend a few weeks in my native region back in Italy, I lose a kilogram or two.
This is a bit surprising because while there I do not hold off at all. I will see relatives and friends, so plenty of lunches and eating out.
What I notice is that it is definitely easier to get decent fresh stuff there, from supermarkets. Processed food is of course a thing there too. But because of local taste, lots of calories bombs which are so common here do not sell well.
It is harder for big corporations to sell the same stuff there, and they work quite hard at convincing people to buy it .
I worked social media for one such corporation, and they were forever trying to promote their processed sliced cheese as an ingredient for Italian traditional dishes.
And people online flooded them with complaints about that, saying their lasagna and so forth deserved better ingredients, no way they would use that.
Even cookies and so forth are of a different style. If you look at national staples like mulino bianco or Saiwa, they are way less rich than Oreo or similar, and never as buttery as some English traditional ones.
Takeaway is a thing, but there is not a street food culture like in the UK, with fish and chips, kebab and Indian.
You get small folded pizzas, but they are small, 400 to 600 calories. Much less than fish and chip and so forth.
Things are changing there too, marketing and takeaways, so obesity is on the raise, but not quite like here.
The culinary tradition is a protective factor, when people are offended by the idea of using certain products, it is hard for corporations to sell them.
The sliced bread so popular here is packed with calories and industrial ingredients, in Italy it exists too but people call it 'industrial bread' and rarely buy it.
Also, there are some traditional ways of making simple food more tasty.
People here in the UK sometimes gets offended when they see me slicing salad ingredients finely, apparently they prefer carrot and lettuce leaves whole, cutting them is a 'waste'. And when I add condiments they feel the same, too much salt, pepper, olive oil, balsamic vinegar.
Sure, one of my salads is a full bowl with probably 150 calories of oil and other ingredients on top of vegetables.
But it is also something very tasty which makes for a good lunch, it does not feel like a diet dish. In terms of calories a little tray of curry or similar will probably be double.

When I am in the UK, out of convenience and a need to save cash, I eat more like most people on a budget would, and my weight shows it, sadly.

Lentilweaver · 07/07/2024 20:45

Teacherprebaby · 07/07/2024 20:44

He just wants you to buy ZOE, everything he does is about money making. However, I completely agree with your point.

Edited

It is possible to cut out UPFs almost completely without even knowing who Tim Spector. Millions of people across the world do.

Teacherprebaby · 07/07/2024 20:44

cheezncrackers · 06/07/2024 13:07

There's a really interesting article in The Times today about this exact subject by Dr Tim Spector. The point he makes is that weight loss drugs don't tackle the underlying issue, which is that a lot of the food that is marketed to us is extremely bad for us and that if people are taking Ozempic or whatever, but still eating junk they aren't actually improving their health long-term. You can't stay on those drugs forever, at some point you have to come off them and if you haven't addressed the reasons why you were overweight in the first place, you'll just go back to being overweight again.

He just wants you to buy ZOE, everything he does is about money making. However, I completely agree with your point.

BeretRaspberry · 07/07/2024 20:36

Pipinatent · 07/07/2024 20:28

Most people can short term lose weight using the flawed calories in v calories out model, but not all calories are created equal and why starve on that model when you could adopt a low carbohydrate (switching your fuel from carbs to healthy fats and moderate protein) way of eating. Sure if you start eating a high carb diet again you’ll put weight back on but filling up on healthy fats and protein is definitely not a chore compared to calorie counting or a sad low fat diet.

Low carb is not the answer. Cutting out any food group is not good for us.

Zeborah · 07/07/2024 20:33

I agree, the NHS are missing a trick. It would address high blood pressure, diabetes, sleep apnoea etc.

Pipinatent · 07/07/2024 20:28

Most people can short term lose weight using the flawed calories in v calories out model, but not all calories are created equal and why starve on that model when you could adopt a low carbohydrate (switching your fuel from carbs to healthy fats and moderate protein) way of eating. Sure if you start eating a high carb diet again you’ll put weight back on but filling up on healthy fats and protein is definitely not a chore compared to calorie counting or a sad low fat diet.

Tutorpuzzle · 07/07/2024 20:25

@Symposium123

Fair enough. At least you’re clear.

Just wondering where ‘self-inflicted’ starts and ends though. What about…

Skin cancer treatment for those who’ve used sun beds?
Brain injury from playing sport?
Wound management for type 2 diabetes patients?

It’s a tricky path to limit treatment because it’s ’self-inflicted’. And, mostly, the NHS doesn’t limit it. Except for obesity.

AreYouANurse · 07/07/2024 20:24

cheezncrackers · 06/07/2024 13:07

There's a really interesting article in The Times today about this exact subject by Dr Tim Spector. The point he makes is that weight loss drugs don't tackle the underlying issue, which is that a lot of the food that is marketed to us is extremely bad for us and that if people are taking Ozempic or whatever, but still eating junk they aren't actually improving their health long-term. You can't stay on those drugs forever, at some point you have to come off them and if you haven't addressed the reasons why you were overweight in the first place, you'll just go back to being overweight again.

This. I’d rather ultra processed food was banned tbh. The shit the food companies feed us is driving the obesity epidemic. It’s addictive, so makes you eat a lot, and often contains few nutrients, little fibre, and lots of fat or sugar or salt. Trying to eat UPF free is expensive, complicated and often time consuming. Lots of products that people are told us “healthy” via misleading labelling are not healthy at all. It’s fucking disgusting tbh and needs to be stoped if we want to stop the increasing poor health of our population.

BeretRaspberry · 07/07/2024 20:20

Symposium123 · 07/07/2024 20:16

Absolutely. Smoking treatment shouldn’t be funded by the NHS. People know when they start that it will make them very unwell and likely kill them.

With infinite funding, of course we should treat any and every ailment. We don’t have infinite funding though, so self-inflicted problems should be among the first to be cut and we certainly shouldn’t be adding to the problem.

What about people like me? Who only got fat because they followed the advice of the NHS years to go to Slimming World to lose my small pregnancy related weight gain. So I did. Then I lost weight. And then I regained it and then I lost it again and then I regained it and more again and that cycle continued for 2 decades before my ED treatment.

Symposium123 · 07/07/2024 20:16

Tutorpuzzle · 07/07/2024 20:09

@Symposium123
Sorry, my response to you was snarky. But I am genuinely interested (and no one saying ‘eat less move more’ etc has responded to the many posters asking different variations this question …)

Do you also want to stop NHS providing smoking cessation treatment, nicotine patches and treatment for smoking induced diseases?

Because it is exactly the same principle.

Absolutely. Smoking treatment shouldn’t be funded by the NHS. People know when they start that it will make them very unwell and likely kill them.

With infinite funding, of course we should treat any and every ailment. We don’t have infinite funding though, so self-inflicted problems should be among the first to be cut and we certainly shouldn’t be adding to the problem.

Tutorpuzzle · 07/07/2024 20:09

@Symposium123
Sorry, my response to you was snarky. But I am genuinely interested (and no one saying ‘eat less move more’ etc has responded to the many posters asking different variations this question …)

Do you also want to stop NHS providing smoking cessation treatment, nicotine patches and treatment for smoking induced diseases?

Because it is exactly the same principle.

Mummadeze · 07/07/2024 20:08

Completely agree. I have been on them for 6 months and have lost 3.5 stones. It has cost me a fortune but has been life changing. I think it’s unfair only people who can afford them can access something so important. My BMI should have qualified me for them on the NHS but my GP surgery didn’t want to know. I am in menopause and don’t eat loads of junk food. It’s insulting that people are suggesting that is why everyone who is overweight does this.

notjaneausten · 07/07/2024 20:07

I pay quite enough tax on my humble pension, without subsidising someone’s lack of will power.
Not my circus, not my monkeys.

Symposium123 · 07/07/2024 20:05

Tutorpuzzle · 07/07/2024 19:59

Do it! It will be on the shelf with the other eleventy billion diets that don’t work…whereas weight loss injections do work.

It’s just easier to judge and demean, isn’t it?

Happy for people to buy them if they want to take the easy option. They shouldn’t be funded on the NHS though.

eddiemairswife · 07/07/2024 20:02

When eating out I have found that the cheaper the meal the more there is. Last time I ordered a Ploughman's it was so huge it would have fed several hungry farm workers.

Tutorpuzzle · 07/07/2024 19:59

Symposium123 · 07/07/2024 19:44

It does seem as though it’s needed. So many people not getting it. 🙄

Do it! It will be on the shelf with the other eleventy billion diets that don’t work…whereas weight loss injections do work.

It’s just easier to judge and demean, isn’t it?

Judecb · 07/07/2024 19:57

Food addiction needs to be treated as any other addiction. This simplistic suggestion show no understanding of this mental health problem.

Lentilweaver · 07/07/2024 19:57

You know, OP, I read this yesterday and wanted to say "What a terrible idea" but after reading the responses, I am on the fence.

BeretRaspberry · 07/07/2024 19:52

YouAreEffluentKim · 07/07/2024 19:28

@BeretRaspberry at the moment, NICE guidelines state that the drug I am on (tirzepetide under the brand name Mounjaro) can be prescribed for up to two years. I am hoping that in the next two years, things might change and I could be prescribed it on a longer term basis. That's why I was keen to have my GP involved and on board - maybe if front line health care providers have actual evidence of their patients reporting benefits these medications can provide, such a change could be more likely.

I suspect the food noise will come back - that certainly seems to be the experience of users of the medication in the US who in many cases can't access the drug long term due to shortages in their area or because their medical insurers won't cover it.

There are some though that have been using the drug since it went to the US market in the spring of 2022 who have titrated down a dose or doses and take it less frequently (eg every 10 or 14 days instead of weekly) when they hit their preferred healthy weight. This allows them to function normally, maintain a healthy weight and approach food healthily without going back to how things were before using the medication.

This is what I'd like to do. I don't want to use a drug that suppresses my appetite absolutely (and this one doesn't, in my case at my current dose) as having an appetite and enjoying and anticipating food is perfectly normal and one of life's great pleasures! Exercising some self control and making sensible choices about food (type and quantity) will always play a part. Unfortunately I need some assistance to help me to do that. I'd love it if others that aren't as fortunate as me and for whom the cost is simply too high, could also have this assistance.

Thank you for replying. I’ve briefly considered it but only because of the fact that society assumes that fat people are lazy and gluttonous. And as one of those said fat people I must be the same. Threads like these do nothing but show people’s ingrained hate and disgust towards fat people.

With my ED history it’s also probably not the best idea to attempt to lose weight again. And I don’t really get food noise either so I don’t know if it would help me. Since ED treatment, I sometimes cannot even be bothered to eat and have to make an effort to.

I hope it all works out for you and you get the maintenance dose to keep you going.

BeretRaspberry · 07/07/2024 19:47

Symposium123 · 07/07/2024 19:44

It does seem as though it’s needed. So many people not getting it. 🙄

That’s because it doesn’t work. Maybe for initial weight loss but not for weight loss maintenance.

bobster31 · 07/07/2024 19:45

"No way should taxpayers fund people who for the most part, can do it themselves."

Using this argument, the NHS shouldn't be treating anyone who has cancer from smoking or choosing not to wear SPF, any alcohol related diseases or injuries, any drug related problems, anyone with STD's from unprotected sex, anyone who has been injured by choosing to play an extreme/dangerous sport or been injured in a car accident that was caused by their dangerous driving. Refusing to treat all these people as they've "done it to themselves" would also significantly cut down waiting times and save the NHS a fortune. Why only pick on obese people?

Symposium123 · 07/07/2024 19:44

Tutorpuzzle · 07/07/2024 18:48

Ohmygod really!? You should write a book! 🙄🤣

It does seem as though it’s needed. So many people not getting it. 🙄

YouAreEffluentKim · 07/07/2024 19:41

@SOlivigant 'everything in moderation' sounds so easy doesn't it! And it should be. And it is. For most people, probably. But not for me. And not for the many, many people who are on this thread, other MN threads and on other social media platforms who are sharing their experiences and trying to explain how life is for them.

I don't think I can explain it better than I have, sorry. Unless you experience it, it's probably really hard to understand. But I assure you, this hasn't been my first attempt at losing weight. But I very much hope it's the last.

S0livagant · 07/07/2024 19:38

Cheapest white bread and strawberry jam for example (OK at least it contains fruit) are 45p plus 39p for a total of just under 3000kcal.

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