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AIBU?

Share your dilemmas and get honest opinions from other Mumsnetters.

To think weight-loss injections should be prescribed in person only. The scale of abuse must be shocking.

387 replies

Thisisdrugabuse · 25/07/2025 06:49

Hear me out here. I have had 5 friends in their 30s and 40s tell me they're using weight-loss injections from online sources. Fine. Except one is a size 8 and another a size 10. Oh, it's so easy to get, just upload a photo of a day you looked chubbier a few years ago and change your height/ weight a bit. Out of my friends that recently told me they're taking it, the size 8 is on the highest dose. She looks ill. Only 1 is over a size 14 I'd say.

Am I being unreasonable

No-to think these medicines are not licensed for normal sized people. They might be at risk of osteoporosis, liver problems and who knows what else. It all seems dangerous and completely unregulated.

Yes- jog on op. These are important medicines helping lots of people and if people lie, that's their issue.

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SisterMargaretta · 28/07/2025 23:18

I am curious about what proportion of weight-loss injections are prescribed to men compared to women. I would have thought that it would be fairly equal via the NHS but anecdotally I only know of women who buy it privately. I suppose men might just be less likely to talk about it but I suspect it's far more likely to be predominantly women who would be willing to pay.

SilenceInside · 28/07/2025 13:21

I doubt there’s enough people managing to find ways to fake their BMIs to affect supply in that way. And pharmacies would be able to prevent that by doing more thorough checks for those near the cut off boundary if they felt they were being pushed to manage to supply enough 2.5mg doses. The only shortages I have seen are some pharmacies occasionally not having enough of the higher doses, 12.5 and 15mg. That’s down to their own planning though and not a manufacturer issue. The higher doses are more expensive to buy wholesale, so I guess some pharmacies may deliberately keep stock lower of those, for cost reasons.

xsquared · 28/07/2025 13:15

SilenceInside · 28/07/2025 12:00

@xsquared that article is mainly talking about increased demand from people who don’t meet the criteria at all for WLI and are likely to try to lie to obtain prescription-only medication or access medication from dodgy sources. Increased demand from people who don’t qualify isn’t going to cause a shortage of medication for those that do qualify, especially if pharmacies continue to tighten their application processes.

If that demand is being met, that is, if those who manage to tweak the numbers to put their BMI in the 30+ brackets, then are they not potentially reducing the supply for those who are genuinely 30+? Or am I getting the wrong end of the stick here?

NoTouch · 28/07/2025 12:19

Agree with @SilenceInside , the article does not actually talk about supply issues.

Worth remembering Eli Lilly is aggressively rolling out this medication to huge countries like India, the UK demand is tiny compared to places like that.

Any recent delays in the supply chain have been down to planning by either our providers or their wholesalers rather than Eli Lilly themselves.

@AirborneElephant don't think it is, or should be, quite as black and white as that. In the unlikely event of supply shortages, those on it for diabetes some (not all) may have alternative medications they can be supplied with to control blood sugars, for some people who are morbidly obese with multiple weight related conditions may have as many urgent health risks as someone with diabetes. How do you choose? Obviously those with lower BMIs and no health conditions are less at risk. The NHS isn't really setup to make those choices effectively for all patients across all UK countries quickly either. Lets just hope there are no shortages!

SilenceInside · 28/07/2025 12:00

@xsquared that article is mainly talking about increased demand from people who don’t meet the criteria at all for WLI and are likely to try to lie to obtain prescription-only medication or access medication from dodgy sources. Increased demand from people who don’t qualify isn’t going to cause a shortage of medication for those that do qualify, especially if pharmacies continue to tighten their application processes.

AirborneElephant · 28/07/2025 11:36

If there is a shortage then those on it for diabetes should be prioritised. But Lily will be working very hard to fill demand, they know they only have a few years to milk the cash cow before generics get licensed.

xsquared · 28/07/2025 11:19

I can't find anywhere that tells you the proportion of users who obtained WLI by lying or buying from an unreliable source, but I do think the OP has a point if this means that there will be a shortage for those who actually qualify.

Only today I heard on radio news that the demand for WLI was becoming unsustainable that it may outstrip supply.

https://www.independent.co.uk/news/health/weigh-loss-jabs-pharmacy-injections-b2796955.html

Pharmacy warning of unsustainable demand for weight loss medication

Spiralling demand could see people being tempted to resort to unregulated online supplier

https://www.independent.co.uk/news/health/weigh-loss-jabs-pharmacy-injections-b2796955.html

BabyCatFace · 28/07/2025 10:47

Yesterday I drank a lot of alcohol
i had a terrible headache around 1am and this morning I'm definitely hungover but otherwise all as expected 😆

WordsFailMeYetAgain · 28/07/2025 10:45

Weepixie · 28/07/2025 10:36

Or the young woman isn’t aware of how much she drank, or she is fully aware and is deliberately saying she had less than she did.

Agree completely. I know plenty of people who are on MJ and consume moderate amounts of alcohol.

Weepixie · 28/07/2025 10:36

AirborneElephant · 27/07/2025 13:46

Eh? It really doesn’t. I suspect what happened is that she ate nothing and then drank spirits on an empty stomach.

Or the young woman isn’t aware of how much she drank, or she is fully aware and is deliberately saying she had less than she did.

BlueLimes · 28/07/2025 10:29

Annoyeddd · 28/07/2025 06:56

Meanwhile big food companies are working overtime to invent eatable substances which can overcome the reduction in appetite caused by weight loss injections.

Wow - have you any links to this? Agree - it’s pretty obvious that lots of people are feeling disadvantaged due to the jabs despite the health benefits.
Guess eating clean ish - would help overcome some of this.

Annoyeddd · 28/07/2025 06:56

Meanwhile big food companies are working overtime to invent eatable substances which can overcome the reduction in appetite caused by weight loss injections.

PerfectTuesday · 27/07/2025 21:57

BabyCatFace · 27/07/2025 20:52

But they didn't actually do any of those things, unlike WLI which are treating obesity.

As I mentioned earlier, cigarettes do suppress the appetite and provide a 'hit' that is calming, it's just that the 'side effects' of smoking them are too dangerous to warrant taking up smoking for those benefits.

BabyCatFace · 27/07/2025 20:52

PerfectTuesday · 27/07/2025 10:08

You might not believe this but my grandparents were advised by their doctor to take up smoking during WW2 to combat 'war nerves'. My grandpa was in a reserved manual occupation in a large city that was a target for bombing, and due to his job there was no option to move anywhere safer. They smoked till the end of their lives - they lived to their late 80s, dying within weeks of each other just before the Millennium, and interestingly, didn't die of smoking-related illness.

If you look at vintage cigarette adverts there are lots that recommend smoking for its calming effect, appetite suppressing qualities and even as a soother for coughs!

But they didn't actually do any of those things, unlike WLI which are treating obesity.

Annoyeddd · 27/07/2025 18:57

I would have thought if you were okay drinking a certain amount of alcoholic drink at the higher weight then you would tolerate less at a lower body weight plus if you hardly ate you would be drinking on an empty stomach plus the effects of lower blood sugar could cause a problem in some people plus acute pancreatitis is a risk of both alcohol and mountjaro. So not impossible.
A lot of non medical prescribers are being heavily persuaded by gyms and beauty salons to prescribe (a big no from me)

Arraminta · 27/07/2025 18:33

AnnaQuayInTheUk · 27/07/2025 16:46

I very much doubt that.

I'm sitting here with a glass of wine waiting for the England game to start. I've carried in drinking a (moderate) amount of alcohol throughout being on MJ. As have all my friends who are taking it.

I'm very sorry if she's been taken ill and admitted to hospital but I don't think it can simply be an interaction between MJ and alcohol otherwise I'd be in hospital every weekend

Same here. I belong to a FB Mounjaro group with hundreds of members. No reported issues with having a few drinks. I was at a family wedding recently and had a right skinful a few, and was absolutely fine.

LaurieFairyCake · 27/07/2025 18:33

There is no problem with MJ and alcohol. I drank the entire 14 months on it in moderate amounts. This will be a person specific anecdote.

AnnaQuayInTheUk · 27/07/2025 16:46

RememberBeKindWithKaren · 27/07/2025 13:07

Agree.

My youngest daughter's friend is now in an ambulance because she was taking mounjaro and wasn't aware how it counteracts with even moderate amounts of alcohol.

I very much doubt that.

I'm sitting here with a glass of wine waiting for the England game to start. I've carried in drinking a (moderate) amount of alcohol throughout being on MJ. As have all my friends who are taking it.

I'm very sorry if she's been taken ill and admitted to hospital but I don't think it can simply be an interaction between MJ and alcohol otherwise I'd be in hospital every weekend

PutThe · 27/07/2025 16:45

Arraminta · 27/07/2025 16:01

It's the simple fact that using this drug makes you slim that infuriates people. If Tirzepatide had been found to help clear your sinuses, or cure peptic ulcers, people couldn't have cared less who was taking it.

This much is verrrrrrrry obvious.

2old4thisshit · 27/07/2025 16:10

@TryingAgainAgainAgain
I'm not sure tbh, she has kept it hidden for a long period of time, only recently has told my brother. We saw her at a party a few months back and it was quite shocking seeing her, she’s lost a lot more since then.

Arraminta · 27/07/2025 16:01

It's the simple fact that using this drug makes you slim that infuriates people. If Tirzepatide had been found to help clear your sinuses, or cure peptic ulcers, people couldn't have cared less who was taking it.

whatcanthematterbe81 · 27/07/2025 15:42

@BlueLimesok yes you’re totally right. Thanks

BlueLimes · 27/07/2025 15:41

whatcanthematterbe81 · 27/07/2025 14:52

@BlueLimesits an odd thing to lie about. Do you want proof. It’s very very easy

No- not interested in personal reports only scientific peer reviewed evidence.

Bellyblueboy · 27/07/2025 15:39

AirborneElephant · 27/07/2025 14:51

But there is no evidence of this. It is not a listed side effect, and none of the many safety trials involving hundreds of thousand of people have found any evidence that mounjaro interacts with alcohol.

It is of course possible for any individual to have a unique reaction to any drug, but suggesting that there is some sort of widespread risk to drinking while on WLI is simply not true.

Lots of people drink while taking Mounjaro. I do. I don’t drink as much, and I am conscious of drinking when on any medication. But I have never seen any advice that you cent drink while taking Mounjaro.

this is a prime example of scaremongering by someone who has no idea what they are talking about.

TryingAgainAgainAgain · 27/07/2025 15:13

2old4thisshit · 27/07/2025 14:50

I am on my third injection pen, I am really short, my starting weight was over 13st and bmi of 33. I’ve lost 1 1/2 stone and I now 30. I get it through a chemist and sticking to the 2.5 dose for time being.

my sil is also on it, has always been on a diet of some sort but never needed it, she is looking extremely ill, near the 7st range. She won’t stop though.

How is your SIL getting it?

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