Labour should invest in weight loss medications immediately

How about the drugs are subsidised. So the person makes a financial commitment but the NHS also invests in their healthy outcome. I'd happily pay at least half price for the jabs but the full price is a lot for most people and they're so worthwhile.

@ChazsBrilliantAttitude some don’t want to learn or understand why others may struggle. Its much more easy to just accuse people of being greedy or judge them that it is to actually be nice for some people, especially on mumsnet it seems , brings out the worst in some people who privately say it on here but would not say it to someone in real life. Whilst they are perfect and do everything right. You cannot fox an issue without understanding it in the first place .

Indeed. We need serious regulation

No
ww need to tackle the food industry, ultra processed food, and learn about importance of fibre, the dangers of sugar and actually eat better !

@HelloMelloo mine went to state schools too they did 5 cooking classes , making a fruit salad, pizza and cakes . Not all schools offer the same , state ir not . Phyisical education is less than it was in schools as well. But again some will do more than others

@CortieTat
Issues like damage to the hypothalamus and leptin resistance means your body no longer regulates hunger effectively. In an ideal world, if you have sufficient fat stores you should feel particularly hungry. However, if your brain isn’t adequately responding to the feedback signals you still feel hungry although you have a sufficient calorie intake.
Until the GLP-1 receptor agonists like Semaglutide came along the only method for resetting some of the hormone imbalances was bariatric surgery which has its own risks.

The Zoe podcast I linked to above is interesting on this topic.

I know fat tissue is a secreting gland but what do you mean by “self-sustaining”?

@S0livagant

I agree completely that obesity prevention is much better than obesity management. However, the obesity crisis is already here so a two pronged approach is needed.

It's the same as smoking.
First- stop people ever starting
Second - help smokers quit
Third - treat smoking related illness

You need all three, but the more of 1&2 you can achieve the less of 3 you will have to do.

@HowToSaveTheNHS it isn't actually a government decision. Medicines are inherently complicated and have to go through rigorous testing for both safety and efficacy first. Then get assessed in multiple populations. And then assessed for cost effectiveness. Often medication comes with side effects too which mean introducing a whole new layer of complications which required medical support. Therefore we have multiple agencies and clinicians etc involved in decision making on these sorts of drugs which takes time and resources. It is never the political party that makes the final decision. Rightly so. To prevent/reduce patient harm. In countries where pharma companies have much more lobbying power you end up with things like the Oxycontin crisis in the US.

The checks and balances we have in the UK are important.

Policy makers looking at specifically this issue. But again. Not a government decision. Sensible practical advice based on expertise of the many. Not just the few. So it will take time and time to operationalise once decisions are made.

The Cass Review said that NICE had not found sufficient evidence to form a policy so what recommendation are you referring to?
https://cass.independent-review.uk/nice-evidence-reviews/

This is a good argument for making upfs more expensive and healthy food cheaper, getting children more active, and other preventive measures. Help the next generation to maintain a healthy weight and those already in the overweight range from gaining more.

My DC had cooking classes at school, as did I. State schools How did those asking for this miss it?

Where is the moral judgement in suggesting that everyone should take personal responsibility for their health?

I appreciate it's hard to do, as struggle myself.

The NHS is on it's knees. Something has to change...we can't fund everything.

Perhaps we should all have human equivalent to black boxes on us,.like they have in cars?!

Do they? For what condition? Early menarche?

NICE has hundreds of different committees. Was this for guidelines or the ones that evaluate medicines and other interventions?

They also recommended puberty blockers to young children, so.....

I suggest you try re-reading the thread a little more closely.

Initial weight gain may come from poor diet, medical conditions, medication, lack of exercise etc.

However, weight gain can cause the body’s self regulatory mechanism to malfunction meaning it becomes increasingly difficult to lose the gained weight. Fat is not metabolically inert, it is metabolically active. There is a point where the weight gain becomes self sustaining.

This podcast is really interesting on the damage obesity can cause to the body’s weight regulatory mechanisms.

Im living with this, I think the point the poster was making was that it doesnt appear by magic, you do need to eat in excess of your body needs in order for the gain to take place

As you rightly say, as you age your calorie requirement reduces dramatically - dramatically! - and therefore a person is overeating if they dont reduce their intake to match

Its not by magic, it is unfortuantely eating more than we need

Before reading this thread I knew it didn’t cause weight gain but it did change how and where fat was stored. There’s quite a lot of research into this. I’m over forty so obviously interested in this for my personal health reasons.

Thanks to MN I know it’s not the case.

I suggest you tell that to NICE as the appear to have been taken in by a bunch of scammers and are recommending that they can be prescribed for weight loss. — bloody experts what do they know.
Here is on example of their advice to the NHS, I suggest you contact them immediately with your peer reviewed research and point out the error of their ways.
https://www.nice.org.uk/news/articles/nice-recommends-new-drug-for-people-living-with-obesity

Yes, menopause can cause weight gain, so you have learnt something valuable there that will hopefully help you.

The amount of calories you need to maintain weight reduces dramatically. Unless you know that then you might continue eating the same and exercising the same as before, which may lead to weight gain that is very hard to shift.

I live in a 2 bed flat!

You must have an enormous house! 😂

YABU and I'm fat and on a low income. It's my responsibility to lose weight, not anyone else's.

No, weight loss drugs are all a gimmick, a scam. They don't work. The less weight loss drugs are pushed, the better.

From this thread one can learn that:

1. weight gain has nothing to do with food intake
2. but we live in an obesogenic society and government should ban upf and make healthy food cheaper
3. yet weight gain has nothing to do with food intake
4. around perimenopause and menopause extra weight appears by magic