I’ll bite to this.
ive underlying conditions (that actually allowed me to start Monjaro despite the BMI of 30 needed, as the condition under NICE guidelines means you can start with a lower bmi however discussing this with a GP who is under pressure with 10 min appt is hard).
bmi is just a guide. I am (was) overweight , no diet or exercise worked for me. BMI does not take into account your bone structure, and actual viceral fat or the risks associated. If I had wider hips and shoulders with that amount of fat my BMi would have been over 30.
i had to go private. She specialises in endocrine disorders. I have to pay for the injections. She insists on strength and conditioning or she won’t prescribe. But she also takes into account the actual amount of body fat you have, the impact on hormones decreasing, and menopause etc.
if you loose weight too quickly she won’t prescribe. If you aren’t strengthening she won’t prescribe. I have a lot of respect for her understanding of hormones, potential or actual conditions, impact on brain and body function etc.
I so wish for many women that GPs had that slightly longer appointment, that they had time and training to understand that hormones, weight, skin, diet and exercise are all interrelated. And that some conditions mean a helping hand is needed. And overall should help.
i do get some people want weight loss injections for societal/ vanity/ self esteem etc. I genuinely didn’t care that much, I was fine until I realised my ‘not overweight’ weight was causing a lot of my physical and ‘mental health’ reasons (hello peri with underlying conditions).
so don’t be so judgemental please. A small dose of Monjaro has helped my ‘I’m full’ button reset. Has helped me not want anything fatty or sugary or carb heavy, I crave protein and vegetables. I’m losing weight slowly (1-2 lbs a week). As it comes off I’m able to exercise more.
i didn’t have a bmi of 30, but this has helped me so so much when nothing else has.
and ultimately I’ll be stronger, fitter, healthier. Hopefully that would of outweighed the cost to the nhs in the state i was before.