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AIBU?

Share your dilemmas and get honest opinions from other Mumsnetters.

I want to try mounjaro

94 replies

Shwish · 29/03/2025 15:28

There I've said it. It doesn't seem fair that I can't and just have to work and still stay a little bit fat but others are allowed to use it down to a much lower BMI than me. I'm BMI of around 25.5 / 26 so overweight but not THAT big. But I have constant food noise that I really want to switch off. I eat way more than I should and I can't seem to stop. The only way I've been managing to keep my BMI at the level it's at right now is by exercising ALL THE TIME. I walk 3 miles every morning before the kids get up, do push ups and squats and sit ups the minute I get out of bed in the morning and go to the gym 5 times a week. It's exhausting. I have PCOS and insulin resistance which I think might be the cause of my constant hunger tbh.
Meanwhile my cousin started with a BMI of about 28 so got prescribed mounjaro, she is now MUCH slimmer than me with - she says herself - pretty much no effort. And she's allowed to stay on it till her BMI is down to 22, then she'll switch to a maintenance dose to keep her there.
Why can't I use it? I don't really understand the logic. I actually have been thinking of stopping the exercise for a month or two to push me over the 27 BMI (I have high cholesterol so would qualify at 27) just to make my life easier. Is that nuts?

OP posts:
Greybeardy · 30/03/2025 12:52

worth bearing in mind that taking mounjaro increases your risk of anaesthetic complications so if you're sourcing it via non-traditional routes it is vital to share that with HCPs if you become unwell/need surgery.

stclementine · 30/03/2025 12:11

I’ve also got PCOS and have insulin resistance. I was prescribed metformin years ago for a while and that was the only thing that ever stopped the weight gain until mounjaro. I had a BMI of 40 and it’s now down to 26. I tried everything over the years and nothing worked and it was so depressing, but this has been a game changer for me. I realised my diet was already healthy - which I knew, but you know how obese people are treated in society, so I’ve just continued as I was and the weight has come off. Whilst I don’t think that it should be prescribed to people who don’t need it because their bmi is too low, but PCOS is often ignored and dismissed so 🤷‍♀️

taylorswift1989 · 30/03/2025 12:03

People have died from taking these drugs. It's only worth taking such massive risks if you're obese.

There will be a tablet form for people with lower BMIs within the next year or two.

In the meantime, have you tried keto or carnivore?

PinkArt · 30/03/2025 11:49

Shwish · 30/03/2025 07:44

I'm not sure this comment is fair. People who qualify at the lower BMI of 27 really aren't in a different position to me. I am almost definitely having the exact same food issues as they are, the only reason I'm not the same size is because of the amount of exercise I do. THAT'S why I'm jealous and want to try it to. Because of COURSE it's easier if you don't have to burn 1000 calories a day through exercise to stay just under the obese level. It's the food noise I want gone. Same as you, I'm sure.

Ok, so eat more to be a BMI of 27 then, so you can pay £150 a month, potentially for life, to take prescription medication to lose the weight again at the same calorie deficit you're currently on. Nothing stopping you.
It just sounds like a bizarre way of looking at is as someone who had a morbidly obese BMI of 43 when I started taking it. Yes it's nice to be looking a bit trimmer each week, but the huge win for me is that my weight is less likely each week to kill me.

HouseMouseHouse · 30/03/2025 11:46

OiBonita · 30/03/2025 07:09

I don’t agree with WLis (I really do believe in years to come there’s going to be a whole host of issues caused by these drugs), but I can of course see and understand the appeal to people who are obese. And I do agree with your logic about obtaining them at your bmi.

What is your reasoning for believing there are going to be a whole host of issues caused by these drugs? Is this based on any scientific or medical information (or purely emotional thinking)?

Shwish · 30/03/2025 10:24

Actually no. 27 is the cut off for MJ not 30 if you have other health issues (which I do) so I AM just under the cutoff. And yes I know that it's my eating I need to sort out!! Thats the bit I'm stuck on

OP posts:
Divebar2021 · 30/03/2025 09:16

You’re not just under the obese category though since that starts at a BMI of 30. You’re just in the overweight category…. Just in. Realistically you must only have a few pounds to lose to get you into a healthier BMI ( although BMI wasn’t really designed to measure individuals in this way)
I think you need to review your eating because although you talk about exercise it’s the diet that will determine your weight loss. You perhaps would also benefit from building more muscle which would allow you a greater calorie allowance without the need for tons of cardio.

TheWayTheLightFalls · 30/03/2025 08:56

I agree with a pp - look at your diet and cut calories. Exercise is less effective for losing weight in most cases.

The people who manipulate their numbers to get MJ prescribed… I’m sure there will be a few Darwin awards to hand out.

fromthevault · 30/03/2025 08:38

DollyDreamy · 30/03/2025 08:21

Me too. I stayed on the lowest dose, counted calories, lost a stone and have kept it off and I feel and look great.

The manufacturer is going to start trialling the drug for much lower BMIs. It isn’t approved yet because the trials haven’t taken place, but I believe it will be soon enough.

I’ve certainly done much riskier things in my life! Posters can fume about it all they want, and then get on with living their own lives.

I must admit I was tempted to fiddle my weight, but chickened out. I feel the same as the OP as my weight is near the top of the overweight BMI but not quite enough to qualify me for the WLI. I have put on so much weight since the perimenopause and absolutely nothing I do shifts it. It's making me miserable.

I do understand there has to be a cut off and I accept that lying to get the drug isn't sensible. But there is a little bit of me that's fed up about it all. I would like it to be more widely available and I hope that's not too far off.

MjStartsToday · 30/03/2025 08:34

Youbutterbelieve · 30/03/2025 08:33

Yanbu. The stuff is a fucking wonder drug. I'm dreading coming off it.

agree :) 👍 💯 💛

Youbutterbelieve · 30/03/2025 08:33

Yanbu. The stuff is a fucking wonder drug. I'm dreading coming off it.

Shwish · 30/03/2025 08:32

"I’ve certainly done much riskier things in my life! Posters can fume about it all they want, and then get on with living their own lives."

I'm pretty sure there's an element of gatekeeping here. Not from everyone obviously. Some people are genuinely worried about potential side effects. but in the same way that you sometimes see people accuse slim people of wanting to keep their "friends" fat to make themselves look better.

OP posts:
TeaAndTattoos · 30/03/2025 08:30

Withnoshoes · 30/03/2025 08:18

This happened to my dad, he completely stopped eating and got ill so came off it. Not good for him at all. Didn’t do that much for his not well controlled diabetes either.

It’s not magic. People still need to eat healthily and exercise or they lose muscle mass too. There are numerous side effects which medics/pharmacy balance v obesity side effects not being just slightly overweight.

No wonder they are tightening up how this is given privately if people are fraudulent with the info they give. It can risk the pharmacists job if they approve it.

It’s such a shame really because it can really help to control people’s diabetes but only if it’s actually going to work and not cause more issues. My mums diabetes is the best it’s ever been her sugars have been brilliant but she is very closely monitored by the diabetic nurses. Which is something that I don’t think people who are buying off some fake internet doctor are really taking into consideration that you have to be closely monitored while your using it you can’t just go off and inject yourself with some random substance that you got from the local hairdressers or a fake doctor on the internet. It’s not harmless it can give people some very real and very serious side effects but as we all know people like to treat side effects as oh it will never happen to me until it does. If people are going to use I would like to think that we would encourage them to go to a reputable pharmacy for it not the internet or the hairdresser. I’m overweight I asked the doctor about it and got told to just go and look on google to see where I can get it from so the GP’s are no better than people on here openly admitting to fudging their numbers online just to get their hands on it. I honestly believe that people think inject themselves once a week and they will eat hardly anything and the weight will fall off but the reality is that they still have to diet and exercise they can’t stuff their face with burgers and ice cream and still expect to lose weight that week it won’t happen. I hope your dad has found a better treatment for his diabetes it’s not an easy thing to manage I’ve watched my mum struggle with it since she got diagnosed.

SheridansPortSalut · 30/03/2025 08:23

I see your point.

If your friend is allowed to stay on it at full dose when they teach your BMI then why can't you start it at that same BMI?

DollyDreamy · 30/03/2025 08:21

MjStartsToday · 30/03/2025 08:02

I had the exact same.feelings as you OP.

So I just bumped up my weight on the online form and I've now been on mounjaro for 4 months.

Life changing! I love fitting back into my smaller clothes!

I've had no side effects really beyond some tiredness at the start.

Edited

Me too. I stayed on the lowest dose, counted calories, lost a stone and have kept it off and I feel and look great.

The manufacturer is going to start trialling the drug for much lower BMIs. It isn’t approved yet because the trials haven’t taken place, but I believe it will be soon enough.

I’ve certainly done much riskier things in my life! Posters can fume about it all they want, and then get on with living their own lives.

Withnoshoes · 30/03/2025 08:18

TeaAndTattoos · 30/03/2025 03:57

It’s not a magic cure my mums on it for her diabetes and she’s not lost any weight in a month because she hasn’t been eating right it will only work if your eating a healthy diet.

This happened to my dad, he completely stopped eating and got ill so came off it. Not good for him at all. Didn’t do that much for his not well controlled diabetes either.

It’s not magic. People still need to eat healthily and exercise or they lose muscle mass too. There are numerous side effects which medics/pharmacy balance v obesity side effects not being just slightly overweight.

No wonder they are tightening up how this is given privately if people are fraudulent with the info they give. It can risk the pharmacists job if they approve it.

MjStartsToday · 30/03/2025 08:18

TeaAndTattoos · 30/03/2025 08:13

You know that what you did was stupidly dangerous and not something that you should be remotely proud about doing and I certainly wouldn’t be encouraging others to fudge the numbers a bit to get their hands on some medication that has very real and very dangerous side effects but hey what does that matter so long as your losing weight and looking good right.

I researched it for ages before I started mj and agree with the OP that I couldn't see why I would be more at risk with a BMI under 30 than someone with a BMI of over 30.

In fact, the more I read the more I thought the risks and side effects might even be less for me because I was very healthy and had less physical health problems than someone in the obese range.

It's my body and my choice.

I haven't suggested or recommended that anyone do what I did. I'm simply stating my own story and that it's been fine for me.

I disagree about it being very risky and dangerous.

It's the best decision I've made in a long time.

But like I said, I don't recommend others do what I did. Everyone should make their own informed choices about their health, weight and medical care and I'd advise others to speak with their GP.

TeaAndTattoos · 30/03/2025 08:13

MjStartsToday · 30/03/2025 08:02

I had the exact same.feelings as you OP.

So I just bumped up my weight on the online form and I've now been on mounjaro for 4 months.

Life changing! I love fitting back into my smaller clothes!

I've had no side effects really beyond some tiredness at the start.

Edited

You know that what you did was stupidly dangerous and not something that you should be remotely proud about doing and I certainly wouldn’t be encouraging others to fudge the numbers a bit to get their hands on some medication that has very real and very dangerous side effects but hey what does that matter so long as your losing weight and looking good right.

OddBoots · 30/03/2025 08:07

The rules aren't there to be mean, they are there because it is a balance of risks. If someone is prescribed it (via an honest route) with a BMI of 27 is is because they have other risk factors that make it worth the risks of the medication.

People are able to continue taking it once they have started because of the (rather depressing, imho) fact that having carried so much body fat has changed their body chemistry for the worse and science hasn't worked out how to change it back again. Without continuing to pay out and take the risks of the medication they have 95% chance of regaining weight and going back to square 1. If they could get back to your kind of BMI and stay there without these injections then they wouldn't be allowed to continue.

Take heart from these advances though, the more they study these things the greater the chance they will find something with a lower risk profile that means it is suitable for you if you wanted it.

Cliffwheat00 · 30/03/2025 08:06

I was on Wegovy for a while; the side effects for me personally were awful. Shame though as I lost 3 stone in 2 months. But I did some research and gave berberine a go after that. It definitely makes me less hungry and when I think of food it makes me feel sick rather than the ‘mmm’. Maybe worth some research for you?

MjStartsToday · 30/03/2025 08:02

I had the exact same.feelings as you OP.

So I just bumped up my weight on the online form and I've now been on mounjaro for 4 months.

Life changing! I love fitting back into my smaller clothes!

I've had no side effects really beyond some tiredness at the start.

Shwish · 30/03/2025 07:59

Honestly I guess I'd just go back to the same level of exercise I'm currently doing. And try (again) to be better with food. But I know that bit won't work. I just can't do it.
I'm sure it would work for me. Metformin worked for me (I was taking it to help conceive, not for weight loss) The weight fell off and I just wasn't really thinking of food the whole time. But I have asked for that to be prescribed again and understandably the doctor won't because I'm not diabetic.
There really isn't a logic - that I can see - that I can't take it with a BMI of 26(ish) but someone who was previously 27 can take it down to a BMI of 22 and then maintain.

OP posts:
BillyBoe46 · 30/03/2025 07:57

You need to weigh up the risks versus the benefits. In your case, I think the weight loss benefits you your health wouldn't warrant the risk to your pancreas and gall bladder. My mum was given it for her diabetes (she's a little overweight, but it wasn't given for weight loss but to help lower her HBC1), and she had terrible side effects. She was covered in a rash. Her eye lids swelled up. She felt depressed, irritable, and anxious. Everyone wants a quick fix but I wouldn't be injecting shit that could have serious health consequences to lose a few lbs when you could do it via diet and exercise. If you had 40kg to lose and that weight was impacting your mobility, heart health maybe but not in your case.

xanthomelana · 30/03/2025 07:53

When I started taking it my BMI was 38. It’s now 28 and I’m still losing but it’s took a year, not everyone responds quickly to the drug and some people can’t tolerate it and the side effects it gives so what would you do if that happens to you and you have put on weight for nothing then have to try and shift it on your own?

Shwish · 30/03/2025 07:44

PinkArt · 29/03/2025 23:58

What you are jealous of is obese people, who are only able to successfully able to manage our weight down to a healthy level through using prescription medication with multiple side effects. That's what has bizarrely become aspirational (while also at the same time being derided as the lazy fatties 'cheating and not losing weight the proper way').
Nothing stopping anyone eating their way to obesity, but I really wouldn't recommend it to anyone.

I'm not sure this comment is fair. People who qualify at the lower BMI of 27 really aren't in a different position to me. I am almost definitely having the exact same food issues as they are, the only reason I'm not the same size is because of the amount of exercise I do. THAT'S why I'm jealous and want to try it to. Because of COURSE it's easier if you don't have to burn 1000 calories a day through exercise to stay just under the obese level. It's the food noise I want gone. Same as you, I'm sure.

OP posts: