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To think I should be allowed weight loss injections?

306 replies

Chalk111111 · 25/06/2025 23:12

Firstly, I think it’s a great thing that people are able to use this medication to gain control over their weight, and I think the bar set for getting them on the NHS is ridiculously high and it should be given to anyone who is obese. All those years people spent banging on about how much obesity was pressuring the NHS and then when we’re given a medication to tackle it they don’t make it available!

So I’m not confused about why I can’t get it on the NHS - I shouldn’t be able to - but why can’t I pay for it?

My BMI is 24 and I’d like to shift a stone and a half/two stone. I’ve fluctuated between this weight and a stone lighter for about ten years. I used to be able to shift half a stone at least but this time I’m really struggling.

I keep getting adverts about weight loss injections so I thought I’d have a look. Filled in the questionnaire and it says my BMI isn’t high enough for a prescription? But surely if my starting BMI was, say 35, I’d be allowed to stay on them until my BMI was 21/22, which is what I’d like? So why can’t I pay for them to lose a couple of stone?

OP posts:
EmeraldShamrock000 · 25/06/2025 23:52

With a bmi of 24, you don't need it, I'm glad they're not prescribing it.
I have noticed a few normal weight individuals starting to look skeletal.

I'm not jealous, my bmi is low.

Gattopardo · 25/06/2025 23:55

This reply has been withdrawn

This message has been withdrawn at the poster's request

time4anothername · 25/06/2025 23:56

A HCP could have no justification for prescribing to those with no health problems related to weight. The metabolism slows down for a reason when we age, a bit of extra weight is not in the least dangerous for the majority. Being underweight has worse health outcomes throughout the lifespan. In fact, looking at people aged in their 70s, quite a lot of extra padding actually appeared to signal good health! https://pmc.ncbi.nlm.nih.gov/articles/PMC8984168/
If your blood pressure, cholesterol, blood glucose, muscle mass, waist height ratio, inflammatory and other general health markers are good, you don't have sleep apnea, there is no need to lose weight, especially with something that can produce nasty side effects, more so in those it is not designed for.
People on the injections will have had at least one of the above and probably more and they don't want those conditions to rebound on stopping. It's a mass guinea pig experiment now really that all the users are in while it is discovered when to stop and if it can be stopped.

What is the Optimal Body Mass Index Range for Older Adults? - PMC

Obesity is pathophysiologically complex in older adults compared to that in young and middle-aged adults. The aim of the present study was to determine the appropriate body mass index (BMI) range based on geriatric evaluation parameters in which ...

https://pmc.ncbi.nlm.nih.gov/articles/PMC8984168/

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EmeraldShamrock000 · 25/06/2025 23:56

BMI of 24, a little bit of willpower and discipline would reduce your bmi. Just walk an extra km per day.

Hotmoodle · 25/06/2025 23:57

Chalk111111 · 25/06/2025 23:49

Thanks for confirming you don’t know.

You keep asking the same stupid question which I and many other posters have explained to you but yet YOU’RE STILL NOT GETTING IT. If I didn’t understand the same answers to my question I would be questioning my intelligence.

Theolittle · 25/06/2025 23:58

Chalk111111 · 25/06/2025 23:35

This applies equally to people who are starting them overweight or obese. Anyone can have an eating disorder.

I totally get what you are saying chalk I am bmi 24 and have had a horrific 18 months of dieting from bmi 28 to get here. I want to lose half or a stone more and it’s soooo hard. Every waking moment is hunger filled. All my life has been diets on and off. If I eat when I’m hungry I get fat, even though my food choices are health, I just have a big appetite

So why do MJ users get it at bmi 24 but I can’t?

Chalk111111 · 25/06/2025 23:59

Got my answer from ChatGPT.

It’s because it’s not licensed for people with a BMI of under 27. You can stay on it if you began with a higher BMI until your BMI is 20 because obesity is considered a chronic, relapsing disease, and so it is licensed as maintenance therapy.

Seems reasonable really.

Thanks to those who understood the OP.

OP posts:
Theolittle · 25/06/2025 23:59

EmeraldShamrock000 · 25/06/2025 23:56

BMI of 24, a little bit of willpower and discipline would reduce your bmi. Just walk an extra km per day.

This is really not true

Chalk111111 · 25/06/2025 23:59

This reply has been deleted

This message has been withdrawn at the poster's request

Who said the state should pay?

OP posts:
Sakura7 · 26/06/2025 00:01

Chalk111111 · 25/06/2025 23:59

Got my answer from ChatGPT.

It’s because it’s not licensed for people with a BMI of under 27. You can stay on it if you began with a higher BMI until your BMI is 20 because obesity is considered a chronic, relapsing disease, and so it is licensed as maintenance therapy.

Seems reasonable really.

Thanks to those who understood the OP.

This was already explained to you... 🤦

Disturbia81 · 26/06/2025 00:01

Chalk111111 · 25/06/2025 23:18

So the answer is that it harms your pancreas? I didn’t know that.

They can harm a lot, two of my friends now have kidney disease from them
Those two friends weren’t a high weight to start.
It’s a risk to take them but obesity is a bigger risk. If you are slim already it isn’t worth the health risks

Hotmoodle · 26/06/2025 00:03

Chalk111111 · 25/06/2025 23:59

Got my answer from ChatGPT.

It’s because it’s not licensed for people with a BMI of under 27. You can stay on it if you began with a higher BMI until your BMI is 20 because obesity is considered a chronic, relapsing disease, and so it is licensed as maintenance therapy.

Seems reasonable really.

Thanks to those who understood the OP.

Why didn’t you just do that in the first place, took you what less than a minute to get your answer? You’ve proved to everyone exactly why some people shouldn’t be allowed it 🤭

Chalk111111 · 26/06/2025 00:03

Sakura7 · 26/06/2025 00:01

This was already explained to you... 🤦

Screeching over and over ‘because they were obese’ isn’t an explanation.

OP posts:
Dontlletmedownbruce · 26/06/2025 00:04

I hear you OP. I was just outside the range when I asked my GP (not UK so I paid 50 just see the GP, I would also be paying for drugs privately) so while my BMI is within the obese range I'm not obese enough. I'm heartbroken from trying to lose weight. If I ironically gained a few lbs I would be prescribed medication and be at my today weight within a week and then I'd be supported beyond until my goal weight. It feels a little unfair. I've no health issues thank god but have been struggling all my life.

Hotmoodle · 26/06/2025 00:04

This reply has been deleted

Message deleted by MNHQ. Here's a link to our Talk Guidelines.

cannotbetooarsed · 26/06/2025 00:04

ChatGPT gave you the same answer as many PPs 🤦‍♀️

Gattopardo · 26/06/2025 00:04

I asked for my earlier post to be deleted as I got muddled up and thought you were a poster petitioning for NHS treatment.

Sorry about that.

reason you aren’t approved to carry on at bmi of 24 is that that is a healthy BMI. You’ve got there, you’ve achieved what the medication was intended for.

Every medication has cost/benefit analyses. Overweight = mega risks. BMI of 24 in a Caucasian female = few risks from body weight. Then, the other risks of GLP agonists come into it: pancreatitis, etc etc etc. it’s a costs and benefits analysis. That’s all. If the pharmacies could find a way to carry on selling to people in a healthy weight range, they 100%, absolutely would. But the rules are pretty solid and there for the greater good.

EmeraldShamrock000 · 26/06/2025 00:04

Theolittle · 25/06/2025 23:59

This is really not true

Oh it is, a little self discipline goes a long way with a bmi of 24.
We're used to the easy option on this side of the globe.

Chalk111111 · 26/06/2025 00:04

Hotmoodle · 26/06/2025 00:03

Why didn’t you just do that in the first place, took you what less than a minute to get your answer? You’ve proved to everyone exactly why some people shouldn’t be allowed it 🤭

Why are you on this thread when it is upsetting you so much? It’s just a discussion. No need to stress yourself.

OP posts:
Hotmoodle · 26/06/2025 00:06

Chalk111111 · 26/06/2025 00:04

Why are you on this thread when it is upsetting you so much? It’s just a discussion. No need to stress yourself.

Babes I’m calm. I think it’s you that needs to calm down. I don’t see anyone else on the thread being rude to people who were replying to your questions… only you.

NoSoapJustUseShowerGel · 26/06/2025 00:06

You’re not even overweight, let alone obese. So of course you shouldn’t get it publicly funded.

Chalk111111 · 26/06/2025 00:07

NoSoapJustUseShowerGel · 26/06/2025 00:06

You’re not even overweight, let alone obese. So of course you shouldn’t get it publicly funded.

Try and read the OP again. Slowly.

OP posts:
EmeraldShamrock000 · 26/06/2025 00:10

Sadly the weight-loss injection doesn't offer a personality transplant.

Hotmoodle · 26/06/2025 00:11

EmeraldShamrock000 · 26/06/2025 00:10

Sadly the weight-loss injection doesn't offer a personality transplant.

Comedy Central Lol GIF

🤣🤣🤣🤣

mumof1or2 · 26/06/2025 00:12

Chalk111111 · 25/06/2025 23:28

Ahh! It’s not licensed. This explains it! But then how is it being prescribed to people who might now have a similar BMI as me who started when they had a bigger BMI? Is it that repeat prescription licensing rules are different or something?

Edited

You keep saying that someone who started with a higher BMI would still be prescribed them at a BMI of 24, but it’s not quite as simple as that. Once your BMI hits 30 there are only a few pharmacies who will continue to prescribe to you, and they do it under tight restrictions. They’ll only prescribe the lower doses and they keep a very close eye on you. You’d be on a maintenance programme at that point and if you were still losing weight rapidly they’d stop prescribing. So a lot of people actually wouldn’t be prescribed them anymore by the time they got down to a BMI of 24, even if they started with a very high BMI.

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