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

they may have their place under strict criteria and should be given under controlled environment but not willy nilly and other things should be tried first, I work with someone who has been doing the NHS weight loss thing with the shakes and then gradually adding in meals with strict calories along side exercise and she has lost loads of weight so it can be done
i am with a nurse and wouldn’t touch them with a barge pole unless I was morbidly obese and had tried everything else

You’re a nurse who clearly knows nothing about these drugs, but you’re happy to quack on with your fact-free opinions?

The only people getting them not under strict criteria are doing so illegally. Comprehensive research shows that it is strongly beneficial to be on them if you have a BMI of 30+, or 27+ with a weight-related comorbidity. Beneficial as in preventing serious illness and death. But you, in your ignorance, would wait until you were morbidly obese. Absolutely your choice, but don’t pretend it’s coming from an informed HCP.

Most people on them have tried everything, lost loads and gradually put it back on again, often more. Their weight issues are often complicated by PCOS, peri/menopause, hypothyroidism, and… diabetes. Oh, you didn’t mention diabetes? As a nurse you’d be aware of the benefits for T2 diabetics? But you compare this breakthrough in healthcare to vaping… 🤦🏻‍♀️

Perhaps have a look at the SURMOUNT trials on safety and efficacy?
https://pubmed.ncbi.nlm.nih.gov/38850440/

Yes agree on paper.

My point being that decision on using certain medication is not just based on side effects vs positive etc... It’s also about cost, what is seen as ‘unacceptable’ side effects etc…
See for example the fact that when the male pill was trialled, it was stopped because the side effects were so bad. They were the exact same side effects women experience from the pill. And are told it’s in their head/not that bad/just be happy you have that.p and won’t get pregnant.

And then many drugs are developped for one use and then end up being used for something else. Viagra comes to mind. Or amitriptiline.

No you’re don’t @3luckystars
You adjust the dose so that the hunger feeling is still controlled but not so much you’re losing weight.
Thats why, the ‘protocol’ is supposed to be taking WLI until reaching your target weight and stay in it at a much lower dose for life.

The issue is that at £150 a month, for life is unsustainable really. Plus issue with long term use etc….

Do you keep getting thinner though? That would be my worry. Sorry for not fully understanding how it works.

Whats your business with all of that? The NICE guidelines have given criteria for prescription and people use the NHS BMI guidance to check if they're overweight. All online pharmacies have to comply with guidance in prescribing and assessing people. Being overweight is a disease. They ask for recent photo and most do video calls now!
As a medical person I find this post to be unreasonable and misinformation sorry. But stay in your lane and try to be a supportive not judgemental friend.

Yes, but the positive effects still have to be weighed against side-effects before licensing them for new uses.

Well I’ll have to see how it goes but the close friend that used this one lost weight and toned up and has continued their new eating habits

I have a history of disordered eating now mostly resolved and am in peri with an extra 1.5 stone on that is just nudging me into Overweight on a bad day.

I have hidden all the WLI chats as I know if I spend too long reading them I WILL end up getting obsessed, will fake my numbers to get hold of it and will 100% end up very very thin and very very ill.

it needs to be much much better controlled.

I’m a size 8-10 and have been on Wegovy for months. I live in a country where it can be bought over the counter with zero questions asked, although I take it under the supervision of my doctor (regular blood tests etc)

I have ADHD and even when medicated, struggle massively with impulse control/binge eating/disordered eating.

WLI have given me my sanity back. I eat three meals a day, because that’s the ‘normal’ thing to do, and apart from that, don’t give food a second thought. I stop when I’m full, even if it’s mid forkful and if someone offers me a biscuit or whatever, my default option now is to say no because I genuinely don’t fancy it.

And a lersonal trainer is probably not the best person to guide you re healthy diet…. Not their training agd out if there scope of practice really.

The personal trainer I’m looking into provides meal plans as well, they start by asking your goal and what you want to achieve so for me I want to lose a stone or 2 and tone up so I will need a mixture of meal planning and exercise routines.

my weight has come from birth control, I tend to stick to 2/3 meals a day (don’t often eat lunch) and I don’t have massive portions or snack really but I do have a dreadful sweet tooth

Maybe we should ask ourselves why people who are a size 10 feel the need to use WLI instead.
What are they chasing and what have we told people about being thin that makes them chase a thinness that isn’t either healthy or achievable…..

It’s easy to blame individuals. You shouldn’t do this or that. But when you dangle what has been portrayed as the most important thing (being thin, very thin, as thin as you can be unless you’re showing bones, esp for women), what do you expect?
See all the first page of women magazine commenting of people’s weight all the time…..

Yep and £150 a month would get me a decent personal trainer who will provide meal plans alongside a manageable exercise plan rather than injecting myself with stuff when I don’t need it and just need to be better with my choices

ETA my first post should have said I AM a nurse not I’m with a nurse 😂

As a layperson it seems to read that your statement of "BMI 23 is best" is based on the study you linked:

"The effect of overweight or obesity on osteoporosis: A systematic review and meta-analysis"

As most people on legitimately prescribed WLI have already had a lot of bone health benefits from having been Obese and Overweight, often for many years, surely we can strive for a healthy weight (currently measured mostly by BMI), therefore 18.5+ is appropriate?

I agree but what can anyone actually do. People take drugs etc that are not meant for them since the beginning of time.

These weight loss drugs look like they are just something your body naturally makes and so far so good, but who knows if they will be harmful in few years or not, they might actually be even good for you.

Maybe these people taking them off label are actually doing research.😁

its a personal choice. I wouldn’t do it but can understand the attraction. Nobody can stop them and it is happening.

It has also been found to have very positive effects that were just as unexpected. For drug users, Alzheimer disease for example….

It may also be that we find the drug is perfectly safe and has benefits to non-overweight people.

No, Mounjaro has already been found to have side-effects of varying frequency. So it is not going to be found to be "perfectly safe". Like all drugs, the benefits vs safety issues are studied, and licensing and prescription restrictions are based on those studies.

@Thisisdrugabuse if you have access to that article could you perhaps include here the relevant extract that indicates that 23 bmi was the start of what they used as overweight, and what the rationale was for that?

Seeing as there are not enough prescribers to see all patients F2F it is hard to see what more they can do without undermining genuine users

But this is the opposite of what you are calling for in your OP.

This isn’t really about “abuse”. It’s about thin women hating fat women getting thin.

Of course they're aware 🤦🏻‍♀️ Apart from any ethical concerns, their profits could be impacted if misuse leads to more restrictive regulations.

Yes, it is OP @Thisisdrugabuse , an alleged clinician, that made the 23 BMI statement. Personally, I'd go for healthy BMI over the currently unsubstantiated bone health claim.

I think obesity helps builds bone health from carrying a heavier weight, so formerly Obese people may not need to stay over 23 for the benefit and can maintain above a healthy 18.5 to 20 and have the best of both.

I'm on monjaro & I need to not only take a full length photo of myself but also a photo of myself on the scales with my weight visible. No amount of looking chubby would allow you to cheat from a relatively low bmi to a bmi over 30!