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AIBU?

Share your dilemmas and get honest opinions from other Mumsnetters.

AIBU to seek a consensus on who is a socially acceptable recipitent of Mounjaro?

266 replies

Periperi2025 · 03/09/2025 19:05

So it seems that much of mumsnet and society judge users of WLI extremely harshly seeing them as fat and lazy people who should just eat less, move more and use more willpower. But apparently not all of us, some of us after divulging enough medical history as 'okay'..."not you just the other fatties!!"

So, are people with diagnosed endocrine and metabolic conditions, acceptable?

What about people with undiagnosed endocrine and metabolic disorders, it's taken me over a decade to get to the point i am now, which is under endcrinology with a confirmed 'problem' and a working diagnosis but nothing more, my story is sadly far from unusual. You don't know who they are, they don't know who they are (although they may have astrong inkling), quite the conundrum!!

What about people with diagnosed Type 2 diabetes, who once were also just fat people without type 2 diabetes (mostly)?

What about people who are just fat now but statistically likely to develop type 2 diabetes in the future, like the current Type 2 diabetes patients were 10 years ago?

What about the people with severely disordered eating? As a society and a health service we deem it justifible and, hopefully preferrable to treat Anorexia Nervosa, including as inpatients at great expense (£500+ per day in the NHS), compared to treating an obese eating disordered patient with Mounjaro at a cost of approx £9 per day to the NHS for the highest dose. Presuambly in a civilised society we think that both groups of patients deserve a chance at a better quality life and improved life expextancy, and we dont think that Anorexics should just eat more and move less?!

So my AIBU is?
Are all of the above groups socially acceptable recipitents of Mounjaro?

YABU - no there are not all acceptable the gluttunous, lazy, weak willed cheats.

YANBU - of course they are all socially acceptable recipitents given that they meet the prescribing criteria for Mounjaro which has been accessed for Risk vs Benefit via peer reviewed research.

OP posts:
Tiredofwhataboutery · 03/09/2025 21:22

I think it’ll be stuff like this thst pushes through private health care. We pay NI/ taxes and then can’t get timely treatment. It has to wait till your an emergency or at grave risk . I’m not using mounjaro but am waiting for treatment and it could be years just for an appointment. Or I’ll get sick enough that they have to treat me, the joys.

I think people get to the fuck it point at least if I pay for it myself I’ll actually get care but then the funding of nhs becomes contentious. Why should some people get millions of pounds worth of healthcare whilst some people die waiting? It seems inequitable. I do think there should be an option to buy off NHS with their chunky discount as part of a weight loss club type thing.

Homec00k · 03/09/2025 21:21

HansHolbein · 03/09/2025 21:14

One could argue that anorexia is also self inflicted.

Surely it’s just a case of eat more, move less, exercise a bit of willpower to eat more, educate yourself on proper nutrition. I mean, how stupid is that, to starve yourself and then expect the NHS to pick up the pieces.

Much like obesity. Just eat less, move more, exercise a bit of willpower, educate yourself on proper nutrition. I mean, how stupid is that, to make yourself obese and then expect the NHS to pick up the pieces.

Obviously I don’t actually think that, because I’m not an arsehole and those two conditions are way more complex than that, usually rooted in some very deep stuff - stuff that if one doesn’t have personal experience of, one is unable to comprehend. I wouldn’t expect them to, either.

Both conditions deserve much more empathy and respect.

No both conditions deserve equal funding. Anorexia and mental health get sweet fa, and patients are being left to die. They have no option but to get well. I think we pander to obesity far too much. This demographic gets vast sums of money spent on them in the most expensive areas of the NHS due to their behaviours already.

It’s not fair and it most certainly isn’t ok to demand even more.

ResusciAnnie · 03/09/2025 21:18

Charabanc · 03/09/2025 19:52

Oh come on. You are writing about a subject you clearly feel sensitive about, and others may do to, and you write this:

YABU - no there are not all acceptable the gluttunous, lazy, weak willed cheats.

Oh come on. It was so clear from the OP that she is pro MJ.

PutThe · 03/09/2025 21:15

PamIsAVolleyballChamp · 03/09/2025 21:08

I just don't get it. Eating less shit food, no matter how hard it is = less calories.
Why should limited nhs money be spent on something that could easily be addressed by people eating less junk?

Because people don't actually do that, and it's pointless making healthcare policy for the population you want rather than the one you have.

I accept that the NHS is currently constrained by logistics, albeit that's easy for me to say as someone who can easily enough afford mine. There are so many people for whom WLI will be the best option and not everyone can necessarily be helped at once, even when there's good reason to expect WLI now to save money in the long term. But these are arguments about practicalities. We already know that saying eat less junk to people is not going to tackle societal obesity.

HansHolbein · 03/09/2025 21:14

One could argue that anorexia is also self inflicted.

Surely it’s just a case of eat more, move less, exercise a bit of willpower to eat more, educate yourself on proper nutrition. I mean, how stupid is that, to starve yourself and then expect the NHS to pick up the pieces.

Much like obesity. Just eat less, move more, exercise a bit of willpower, educate yourself on proper nutrition. I mean, how stupid is that, to make yourself obese and then expect the NHS to pick up the pieces.

Obviously I don’t actually think that, because I’m not an arsehole and those two conditions are way more complex than that, usually rooted in some very deep stuff - stuff that if one doesn’t have personal experience of, one is unable to comprehend. I wouldn’t expect them to, either.

Both conditions deserve much more empathy and respect.

tobee · 03/09/2025 21:13

childofthe607080s · 03/09/2025 19:38

The way not to be judged is to use it to help change your habits and kick start a new relationship with food

Or pay for it yourself

expecting my taxes to pay for you to stay on it forever isn’t something I am happy about and will cause a nose wrinkle

So here's the sneering judgement. Or maybe you say that about all the life long medications people have to be on?

LarryUnderwood · 03/09/2025 21:12

I'd be really keen to see two numbers: the cost of Mounjaro for all adults with a BMI over 30 or 27 with co-morbidity annually; and the cost of treating all weight-related conditions inc type 2 diabetes, heart disease, high cholesterol, knee/joint issues etc, annually. I'd be very surprised if the first is more expensive than the second. Prevention is surely better than cure.

PutThe · 03/09/2025 21:11

HeinzTomato · 03/09/2025 19:21

I think most people don't care either way. There's a very limited pool of people who get it on the NHS and I'm sure a careful cost-benefit analysis has been done. If people want to pay for themselves then it's good that they can.

I suspect a very few people see gaining weight as a moral failing which ought to be atoned for through the mortification of the flesh, and the idea that someone might lose weight relatively easily probably irritates them. Not really worth worrying about those people though. If you'd rather not hear their views, don't share your medical situation.

Unfortunately, some of them will insist on seeking out the WLI forum to inflict their ramblings on us.

Personally I find it amusing and a little validating actually, but other obese people struggle with societal stigma and are affected by people being twats.

Homec00k · 03/09/2025 21:10

QuizzlyBears · 03/09/2025 21:08

Absolutely this. I don’t care. But I do know that if I needed a drug I couldn’t access via the NHS, I would find a way to pay for it. I’m tired of people complaining they won’t be prescribed it.

And that no diet works. Yes it does.

Other people are going through agony getting well with precious little from the NHS.

Homec00k · 03/09/2025 21:08

BoredZelda · 03/09/2025 21:03

Why? NICE have approved it for people with type 2 diabetes. I have type 2 diabetes. NHS won’t provide it for me, I’d have to go through a couple of years of their “weightloss service” first. This involves me going weekly to see a nurse, attending a Weightloss group, and being handed a load of leaflets about exercise and diet. The waiting list is currently 6 months. I have struggled with weight loss since I hit menopause and have been actively trying to lose weight with little success. If it was as simple as reading a few leaflets and being weighed once a week, I’d have done it by now. In order to manage my diabetes I have regular check ups with the GP practice, along with annual and biannual checks of eyes and feet. The cost of all this far exceeds the cost of the medication. In fact, after 12 weeks I have lost a stone and latest bloods show I am not in the type 2 range any more. £600 quid and my diabetes has gone. I’m not annoyed I had to pay for it, but I am annoyed that the NHS is penny pinching with these drugs when overall it will save them so much money in the long run.

NICE recommend a lot of things that the NHS can’t afford. If those that are obese want the jabs they need to pay for them themselves. They’re already getting their fair share of NHS funding.

PamIsAVolleyballChamp · 03/09/2025 21:08

I just don't get it. Eating less shit food, no matter how hard it is = less calories.
Why should limited nhs money be spent on something that could easily be addressed by people eating less junk?

QuizzlyBears · 03/09/2025 21:08

PamIsAVolleyballChamp · 03/09/2025 20:27

Same, and the berating of anyone who doesn't cheer the life long supply of it.

Absolutely this. I don’t care. But I do know that if I needed a drug I couldn’t access via the NHS, I would find a way to pay for it. I’m tired of people complaining they won’t be prescribed it.

BoredZelda · 03/09/2025 21:03

NoSoupForU · 03/09/2025 19:08

I, like most people, don't care. I'm pretty bored of people moaning about not getting it on the NHS though.

Why? NICE have approved it for people with type 2 diabetes. I have type 2 diabetes. NHS won’t provide it for me, I’d have to go through a couple of years of their “weightloss service” first. This involves me going weekly to see a nurse, attending a Weightloss group, and being handed a load of leaflets about exercise and diet. The waiting list is currently 6 months. I have struggled with weight loss since I hit menopause and have been actively trying to lose weight with little success. If it was as simple as reading a few leaflets and being weighed once a week, I’d have done it by now. In order to manage my diabetes I have regular check ups with the GP practice, along with annual and biannual checks of eyes and feet. The cost of all this far exceeds the cost of the medication. In fact, after 12 weeks I have lost a stone and latest bloods show I am not in the type 2 range any more. £600 quid and my diabetes has gone. I’m not annoyed I had to pay for it, but I am annoyed that the NHS is penny pinching with these drugs when overall it will save them so much money in the long run.

Homec00k · 03/09/2025 20:59

GeckoClimber · 03/09/2025 20:51

Some people are just shitty and hate fat people, and think they should suffer greatly to become acceptable.

These people don’t understand and don’t have the bandwidth to understand. They simply don’t care that obesity is still a mystery to many drs, and one day the medical community will have a better grasp on what actually causes it. The shitbags will say it’s just lazy people eating to much, but I’ve yet to meet a morbidly obese person who doesn’t have deep seated psychological issues at the root of it.

Seeing and hearing those with their ill informed opinions is a useful filter. I don’t want to be friends with someone who bases their opinions on disliking a group of people because they’re fat.

Ah the abuse of people who don’t agree with one demographic of people being enabled to hoover up a huge percentage of NHS money to the detriment of everybody else.

I dont hate anybody let alone hate somebody for the size of their body. What I do have a problem with is the sense of entitlement some of this demographic has- that they are more worthy, that the NHS needs to prioritise them and everybody else can make do with the crumbs that are left.

TaborlinTheGreat · 03/09/2025 20:56

I don't see why 'socially acceptable' is remotely relevant. Medically acceptable is surely the only thing that matters? I'd be nervous about using the injections myself, but it's no skin off my nose if other people do. The best of luck to them, genuinely!

GeckoClimber · 03/09/2025 20:51

Some people are just shitty and hate fat people, and think they should suffer greatly to become acceptable.

These people don’t understand and don’t have the bandwidth to understand. They simply don’t care that obesity is still a mystery to many drs, and one day the medical community will have a better grasp on what actually causes it. The shitbags will say it’s just lazy people eating to much, but I’ve yet to meet a morbidly obese person who doesn’t have deep seated psychological issues at the root of it.

Seeing and hearing those with their ill informed opinions is a useful filter. I don’t want to be friends with someone who bases their opinions on disliking a group of people because they’re fat.

LightDrizzle · 03/09/2025 20:50

People above the BMI threshold who don’t have medical/ pharmaceutical contraindications.

Digdongdoo · 03/09/2025 20:49

Most people truly don't care. And you should care less about what other people think. Worry about yourself.
But we all need to remember that the NHS can't be everything for everyone.

mamagogo1 · 03/09/2025 20:48

What you spend your own money on is your business. As far as the nhs funding it, it should be fully funded for those with medical conditions aside from their weight and only for weight as part of a wider lifestyle plan where they are morbidly obese and need a kick start, we cannot be funding these drugs without the commitment to lifestyle changes

Homec00k · 03/09/2025 20:47

Periperi2025 · 03/09/2025 20:43

Because obesity is another health condition it isn't the opposite side of the anorexic coin just because they both involve weight. Why aren't you angry at trauma patients or cancer patients or other mental health patients for needing healthcare funding that could go on anorexic services?

Because they’re not self induced.

Obesity is what is crippling the NHS and it’s self induced.

Periperi2025 · 03/09/2025 20:43

Homec00k · 03/09/2025 20:38

The ignorance with your OP is huge.

This is what happens with anorexia.

A 13 year old starts restricting , parents go to CAMHs who can’t take them on because the wait lists are huge. Parents are sent away with a meal plan and left to it.

The Anorexia then gets entrenched as once a brain is staved it’s hard to turn things around.

Parents go back to CAMHS who then take the child on. Parents are told they are the treatment and have to make their child eat. They have to do all the treatment and support all meals, ditto schools with no extra funding.

Child deteriorates further. Family therapy starts. It’s once a week for an hour.

Child then becomes so unwell she’s hospitalised
on the local paed ward.By this time the Anorexia is entrenched even further.

CAMHs look to see if they can get inpatient care. There are no beds in the whole of the country due to lack of funding.

Child shuffles in and out of paed ward with no specialised treatment and has to be force fed. Trauma develops. The anorexia becomes even more entrenched, for many irreversible.

Eventually said child turns into an adult. If they’re lucky they’ll become so ill they’ll get one of the few inpatients beds available or specialised care but the wait lists are huge, some trusts now only offer palliative care for the sickest .

Now you tell me why parents of children who are being subjected to this don’t have a right to be livid when the obesity demographic following the hoovering up of huge amounts of NHS funding get even more NHS funding and the latest treatments?

Because obesity is another health condition it isn't the opposite side of the anorexic coin just because they both involve weight. Why aren't you angry at trauma patients or cancer patients or other mental health patients for needing healthcare funding that could go on anorexic services?

OP posts:
Vitriolinsanity · 03/09/2025 20:41

FleetFootedJanet · 03/09/2025 19:36

Surely the best way not to be judged for using Mounjaro is not to tell anyone that you’re using Mounjaro.

I don’t understand this desire people have to unburden themselves.

This! I’ve been self-funding MJ for 3 months and am demonstrably healthier for it. My sister and my best friend are the only people who know I’m using it. My sister said it’s cheaper than braces, which was the catalyst for her own weight loss as she couldn’t physically eat the crap.

I also don’t bang on about being naughty, sinning, having a shit to get my silver bloody seven.

Homec00k · 03/09/2025 20:38

Periperi2025 · 03/09/2025 19:05

So it seems that much of mumsnet and society judge users of WLI extremely harshly seeing them as fat and lazy people who should just eat less, move more and use more willpower. But apparently not all of us, some of us after divulging enough medical history as 'okay'..."not you just the other fatties!!"

So, are people with diagnosed endocrine and metabolic conditions, acceptable?

What about people with undiagnosed endocrine and metabolic disorders, it's taken me over a decade to get to the point i am now, which is under endcrinology with a confirmed 'problem' and a working diagnosis but nothing more, my story is sadly far from unusual. You don't know who they are, they don't know who they are (although they may have astrong inkling), quite the conundrum!!

What about people with diagnosed Type 2 diabetes, who once were also just fat people without type 2 diabetes (mostly)?

What about people who are just fat now but statistically likely to develop type 2 diabetes in the future, like the current Type 2 diabetes patients were 10 years ago?

What about the people with severely disordered eating? As a society and a health service we deem it justifible and, hopefully preferrable to treat Anorexia Nervosa, including as inpatients at great expense (£500+ per day in the NHS), compared to treating an obese eating disordered patient with Mounjaro at a cost of approx £9 per day to the NHS for the highest dose. Presuambly in a civilised society we think that both groups of patients deserve a chance at a better quality life and improved life expextancy, and we dont think that Anorexics should just eat more and move less?!

So my AIBU is?
Are all of the above groups socially acceptable recipitents of Mounjaro?

YABU - no there are not all acceptable the gluttunous, lazy, weak willed cheats.

YANBU - of course they are all socially acceptable recipitents given that they meet the prescribing criteria for Mounjaro which has been accessed for Risk vs Benefit via peer reviewed research.

The ignorance with your OP is huge.

This is what happens with anorexia.

A 13 year old starts restricting , parents go to CAMHs who can’t take them on because the wait lists are huge. Parents are sent away with a meal plan and left to it.

The Anorexia then gets entrenched as once a brain is staved it’s hard to turn things around.

Parents go back to CAMHS who then take the child on. Parents are told they are the treatment and have to make their child eat. They have to do all the treatment and support all meals, ditto schools with no extra funding.

Child deteriorates further. Family therapy starts. It’s once a week for an hour.

Child then becomes so unwell she’s hospitalised
on the local paed ward.By this time the Anorexia is entrenched even further.

CAMHs look to see if they can get inpatient care. There are no beds in the whole of the country due to lack of funding.

Child shuffles in and out of paed ward with no specialised treatment and has to be force fed. Trauma develops. The anorexia becomes even more entrenched, for many irreversible.

Eventually said child turns into an adult. If they’re lucky they’ll become so ill they’ll get one of the few inpatients beds available or specialised care but the wait lists are huge, some trusts now only offer palliative care for the sickest .

Now you tell me why parents of children who are being subjected to this don’t have a right to be livid when the obesity demographic following the hoovering up of huge amounts of NHS funding get even more NHS funding and the latest treatments?

IThinkPink · 03/09/2025 20:37

Op you clearly have s as n agenda! It’s not idle musings off the back of other threads or media comments!!

everyone taking it couldn’t give a toss what people think!

all the arguing is between people not taking it! 😂 crack on!

Periperi2025 · 03/09/2025 20:31

Homec00k · 03/09/2025 20:17

There are drugs already that do this but sufferers have to want to take them. What would be preferable is a shed load more money put into other treatments, early intervention and MH provision across the board. Apparently we don’t have the money for any of that but we do for weight loss jobs on top of NHS money already being hoovered up by the same set of people. It’s pretty appalling really and as a parent hard not to be enraged.

I understand being upset at reduction in funding for a condition close to your heart but blaming another group that have a genuine health needs which also reduces life expectancy is a bit odd.

Lack of money in the NHS is far more the result of elderly/ end of life care, than it is wli. Over 80% of healthcare costs go on people in the last 12 months of life, do you begrudge these people the care they receive.

Health prevention (which arguably wli come under) is super efficient health care.

Also, i deliberately didn't go down to route of funding in my OP, as it just becomes another debate about the NHS, rather than one about societal attitudes.

OP posts: