To think it will be revealed WLI cause physical aging

That is a definite change, and I can see you would look quite different to your friends.

I completely agree with your first paragraph about different cases and starts and end points - and fwiw I don't think your end point looks unhealthy at all. You look very healthy now, and I'm pleased for the change for you if you have suffered abuse. But the abuse does surprise me: lots of people look like that! I can see you would have been obese in that before photo but were you really BMI 38?

Those are fantastic pictures @InfoSecInTheCity and @TheBroonOneAndTheWhiteOne . Congratulations. I don't have any photos of me at my largest as I hated seeing myself so much so there's entire years where I haven't got photos of dd and I together (have lots of dd though). It's sad that there's so little record of the things we've done together. I'm trying to make up for it now but she's a teenager so she's the one who hates photos these days

Here are my Before and After pictures.
I actually gained another two stone prior to starting on WLI, so that photo isn't me at my heaviest.

I've lost 9st 8lb.

My BMI was over 50 when I started on MJ two years ago. It's now just under 26. According to the BMI scale I'm still overweight, even though my clothes are all size 8 and size 10.

I'm 69 years old. I'm quite sure that I've markedly improved my life expectancy because of MJ.

massive transformation! Well done you Infosec

Your body looks decades different, what a lovely shape you’ve got to. amazing transformation!

The issue I see is there are 2 very different types of results. Those who are obese and lose weight to get to healthy and those who are not and lose weight to get to ‘thin’. The messaging to both though is the same because regardless of the start -> end point, the result is someone who looks very different to what people have gotten used to.

I find it very galling that 30 years being abuse for being fat mainly by strangers who would hurl insults out of car windows or as they passed me in the street but also by peers all through school and a lot of my work life. Now I’m a lot slimmer I get ‘concerned’ comments from friends and family about being too thin and to read all the threads and news stories about ozempic face, or WLI looking skeletal/haggard/old/wizened….

There is no winning in this game, no matter what anyone (any-woman) does it will always be criticised and mocked.

This was starting point, seeing as I’ve posted my end point earlier I thought it would be useful to see the comparison.

I agree: clothes sizings are not a helpful barometer of healthy weight.

I was obese at a size 12 and overweight at a size 10 (short)

even now I’m a size 4-6 and my bmi is 22, bang in the middle of the healthy range but there won’t be any clothes to buy if I got lighter 😂

There might be a bit of that too - but there are also people who really didn't need it and are now positively and objectively too thin.

There are a lot more of these people in expensive London boroughs these days. It takes me back to the heroin chic era of the 90's when I was a girl.

Well the poster above has helpfully posted an actual image for us all to anchor the discussion around. She looks lovely - not the skeletal I am referring to.

I don't want to reference celebrities as it's mean.

Well that's brave of you - and helpful to the discussion to have an actual image not lots of talk about dress sizes etc.

I'd call that "average" in the sense I think you look mid-range of healthy BMI - and I see that's bang on.

I don't think it would be fair to call you skeletal - and the people I am referring to who have taken the WLI and didn't need it look a lot thinner (that's not being rude, to clarify: you look perfectly healthy to me).

My BMI is 23.7 I am short and delicate boned. Yesterday (visiting a friend / acquiantance) and I asked for a small portion of dinner - not because I'm on WLI's, but because to maintain my small frame and short body, I only need to eat a small portion, and actually feel awful if I eat a huge portion. Friend / acquiantance was horrified - "but you are wasting away". I am not. I am somply doing what is right for my body.

Friend is tall and broad. Probably not overweight. And her tdee will be substantially more than mine.

And how much extra would you be willing to pay for all this additional support you neither want nor need basically to pacify people who still won't be happy? The only person you're responsible for is yourself. Just use the medication properly and seek advice if you're worried. I really don't want to get educated on health. I know. Now I have this amazing tool I'm living my best life.

Weight loss in general. There is no difference to losing weight via WLI or just losing weight without the medication.

That’s true of pretty much any diet if you aren’t weight training and making sure you get enough protein though.

Some of that though is muscle loss isn’t it - weight loss injections absolutely require strength training to prevent muscle mass and it is that I think that is partly the issue.

Just like any medication used correctly and with the recommendations it is an amazing drug

not used correctly well

That's exactly it. They wouldn't think some random stranger with a BMI of 23 is too thin, but they think you are because their brain can't compute that it's actually you. It messes with their perception of how you should look.

Oh come on ... To be overweight you need a BMI of 25 plus. No-one looks remotely "skeletal" at that weight. I accept they might not look "fat" but suggesting people would say they are skeletal is over-hamming it.

My BMi is 23 now and although no-one has called me skeletal, there have definitely been a few comments that have hinted at me getting too thin, or the concern is that I will get too thin. It's ridiculous. I still have a generous arse and big boobs for a start, at 8 stone 10 and 5' 2.

I know women who have been naturally thin and sparrow like their whole lives, they turn sideways and I struggle to imagine how they fit all their organs into their torso, they are so, so tiny. But they are perfectly healthy, not anorexic, just genetically predisposed to be that way.

I am very, very far from looking like that and I honestly don't think I ever could be, unless someone locked me in a dungeon and literally starved me. Even then, I'd probably look ghastly and ill and simply die before I ever reached the stage of teeny-weeniness that these women are.

I was told recently I look too thin. This is BMI 23 but I started at BMI 38 so people are used to seeing me a lot bigger and they are used to a U.K. average of a size 14/16

Did you misunderstand my post, and the post I was quoting maybe? I am saying the same thing, we see plenty of posts from people on here saying people have said they are too thin etc and they are still overweight.

its v common, many people can’t judge weight any more. They see predominantly overweight and fat people and it becomes their standard, so anyone above this is a bit chubby, anyone below is thin. And it’s far from reality.

You'd be surprised. I've lost 5 stone and am still a stone heavier than my ideal top weight for my height. I am objectively not 'too thin' or even anywhere near skinny.

But I do look dramatically different to before and my face is much thinner (and as has been pointed out, look a bit less....fleshed out and fresh? I don't think I look old necessarily but my fatter face has a sort of youthfulness it doesn't have any more. I never get IDed any more and I used to all the time booooo).

I've had a couple of people express that I'm too thin, I don't look well, they're surprised I was allowed to keep ordering the jabs etc. It's obviously not true, and they're being objectively ridiculous because I am still firmly overweight, but I think the drastic change and the contrast of before/after skews people's perceptions a lot. They're comparing me before to me now, rather than me against a general, objective idea of weight.

Yes we are seeing a lot of that, people being told not to lose more, that they are skeletal, lost too much etc, when they are still overweight in many cases.

Oh come on ... To be overweight you need a BMI of 25 plus. No-one looks remotely "skeletal" at that weight. I accept they might not look "fat" but suggesting people would say they are skeletal is over-hamming it.

I'm a size 16 with a BMI of 27. Down from BMI 43. However I'm 180cm with a huge bust (38j).
I am aiming to lose another stone but like the pp I will never get my chest into less than a 14. I wear dresses for work, so that's a pain.

Had I been younger I would have had a breast reduction. I wear a lot of my vintage clothes again and they are tiny.

Probably been said already but I should think she had buccal fat removal when her body fat was higher. Now that she's on WLI her body fat has plummeted so her face now looks very emaciated, more so than her body. I think the lip fillers exacerbate it too.

Yes we are seeing a lot of that, people being told not to lose more, that they are skeletal, lost too much etc, when they are still overweight in many cases.

the one thing we know is you can’t really judge a bit chubby v obese by sight alone in many cases.