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Why are many severely overweight people not using GLP-1 treatments?

1000 replies

Donteatmychips · 15/04/2026 08:39

Just a pondering when I was on a day out yesterday. I know of course that there is an economic cost to GLP1s, but is there really really any excuse to such widespread obesity these days? I was walking around a seaside town and a National Trust property, and I would say a good half of those around were still large. I understand they are not that easily prescribed on the NHS, but I believe you can shop around and find deals from various online pharmacies. Is it just more that people don’t want to?

For full disclosure, I am on a GLP1 that I acquired elsewhere by walking into a pharmacy and just asking for it. Yes, it cost a lot of money and I know I am lucky to be in a position to have done that. I fought being on one for a long time and it’s not a magic bullet, but it does help and I’m grateful for that.

I know that modern versions of obesity are skewed, but I am talking really about people maybe 250lbs or over now, not just a stone to lose.

OP posts:
Thread gallery
9
bloomchamp · 15/04/2026 09:18

Upsetaboutparents · 15/04/2026 08:53

How can you type 'Yes, it cost a lot of money and I know I am lucky to be in a position to have done that' and still not understand why people aren't on them?! 🤯

This

EasterBunBun11 · 15/04/2026 09:18

CaffeineAndChords · 15/04/2026 09:18

Money, the fact they’re not entirely safe to use?

But staying morbidly obese is safe?

ForeverDelayedEpiphany · 15/04/2026 09:19

Perfect28 · 15/04/2026 09:03

OP did you never hear the phrase 'if something is too good to be true...'

The way I see it you're all walking experiments, we have no idea the long term implications of this drug, especially at population level.

No thank you. People are allowed to be fat and exist. ❤️

I agree with you on this. There were no longer term studies for antidepressants, and lots of people stay on them for years. Now of course, doctors are saying that they aren't as safe or necessary medication as once recommended. Perhaps some might say that about WLI one day too.😞😵‍💫

Interested in this thread?

Then you might like threads about this subject:

WhatATimeToBeAlive · 15/04/2026 09:19

Presumably money, and also the fact that no-one knows yet what the long term effects will be.

PinkNailPolish2026 · 15/04/2026 09:21

Jeez give it a rest with the judgement. There was a thread in weightloss a day or so ago from someone on GLP’s judging how much food others ate. Do these injections give some folk a good dose of arseholitis as well as curb their appetites? Is this a newly thin syndrome or something? I can’t be doing with sanctimonious people, especially ones who judge others bodies when they were once obese themselves.

I’ve been slim my entire life and not once have I judged someone’s weight or questioned why they haven’t been on a diet because frankly it’s none of my business.

IncognitoTime · 15/04/2026 09:22

EasterBunBun11 · 15/04/2026 09:18

I also have family that need an operation and cant have it because they are to fat. They can afford the drug privately but they dont. Its baffling. They are at the point they can hardly walk but still wont take it.

I genuinely don't understand it. These examples aren't about being a particular clothes size or looking a certain way; these are people whose health is demonstrably adversely affected by their weight. I don't know if 'morbidly obese' is still a term that's used, but that's the category my relative was in. Almost housebound. Depressed. In pain. Unable to work, and showers once a week. But won't be seen to be jumping on the weight loss bandwagon.

CarolinaLiar · 15/04/2026 09:22

I’d assume it’s the cost or contraindications.

Squirrel60 · 15/04/2026 09:22

I'm in England so what is 250lb in stones?

Dragonetta · 15/04/2026 09:22

Yes, it cost a lot of money and I know I am lucky to be in a position to have done that

@Donteatmychips Surely you've just answered your own question?

Lomonald · 15/04/2026 09:24

Squirrel60 · 15/04/2026 09:22

I'm in England so what is 250lb in stones?

17(ish)

EasterBunBun11 · 15/04/2026 09:25

PinkNailPolish2026 · 15/04/2026 09:21

Jeez give it a rest with the judgement. There was a thread in weightloss a day or so ago from someone on GLP’s judging how much food others ate. Do these injections give some folk a good dose of arseholitis as well as curb their appetites? Is this a newly thin syndrome or something? I can’t be doing with sanctimonious people, especially ones who judge others bodies when they were once obese themselves.

I’ve been slim my entire life and not once have I judged someone’s weight or questioned why they haven’t been on a diet because frankly it’s none of my business.

It gives people a reality check and they realise just how fat everyone is and when there is a medication out there they find it hard to understand why someone wouldn't sort themselves out instead of staying in the state they are.

Jollyhockeystickss · 15/04/2026 09:25

Becau

EasterBunBun11 · 15/04/2026 09:26

Squirrel60 · 15/04/2026 09:22

I'm in England so what is 250lb in stones?

14lbs in a stone.
Divide 250 by 14.

Trainup · 15/04/2026 09:26

MiddleAgedDread · 15/04/2026 08:47

the same reason everyone with wrinkles doesn't use botox I guess

Wrinkles aren’t going to kill you

Frequency · 15/04/2026 09:26

DoubleShotEspresso · 15/04/2026 09:16

We are in a cost of living crisis. Many are faced with what they perceive to be minimal choices between fresh & “cheaper” UPF foods. Many working parents are time poor but in receipt of universal credit. Many are painfully aware of their weight, but powering on until “things get better”.
Gym memberships are expensive, parking and public transport is expensive in town centres close to fitness amenities. Many work hours that mean they cannot access public parks in daylight in winter months.
Household utilities & council tax is increasingly expensive.
Many don’t have the privilege of an expensive day out a NT property. If they do, they might prioritise taking their kids there over paying £200 pm on weight loss jabs.
Finance & time are the biggest barriers to nutrition, health & fitness, I cannot believe you need this explaining when already paying for them yourself.
This seems a very goady post, or incredibly naive!

Re the gym being expensive, if someone wants to start an exercise program but cannot afford a gym membership, there are ways (gyms are my idea of hell).

YouTube has loads of fitness videos you can follow along with that need no equipment, plus walking is widely thought to be the most effective cardio/calorie-burning exercise you can do.

The weights and treadmill I use now I bought, but when I started out, I used Facebook Marketplace to find free/cheap things. My first treadmill cost me £40 and lasted about 3 years.

Running clubs are usually free and most welcome people of all shapes and fitness levels. Ours has a beginners group once a week where 1 or 2 of volunteer to take turns running at the pace of the slowest member, even if that pace is walking slowly.

No judgment if you hate exercise/just don't want to, but if finances are holding you back, there are ways.

Riapia · 15/04/2026 09:26

TY78910 · 15/04/2026 08:50

You really can’t be that ignorant can you?

Statistically most people who are “obese” are from a disadvantaged background. £300 pm is a huge expense.

Also it’s pretty shit to assume that they even want to lose weight. They might be very comfortable in their bodies and that’s nobody’s business.

Though not so disadvantaged that they can still stuff themselves with more food than their body requires to survive.

LotusLovett · 15/04/2026 09:27

Why does it bother you that other people are large?

WallyHilloughby · 15/04/2026 09:28

Because we can’t afford to? Wary of potential side effects? Wary of long term effects?

ehb102 · 15/04/2026 09:28

This kind of post is why we need fat liberation.

Bet the poster things anyone different should change themselves to meet her standards.

Fizbosshoes · 15/04/2026 09:28

Maybe they should have scales and bmi calculators at the admissions gate of NT properties?
Just in case staff cant tell by looking (like OP) how much someone weighs...
It must have been quite a boring trip if your main take-away (excuse the pun) was how many fat people you saw

ScaryM0nster · 15/04/2026 09:29

Zempy · 15/04/2026 09:00

”Completing the programme” really isn’t a thing.

People taking medication for health issues are used to taking them long term, including other hormone therapies like HRT.

OP I think it’s mostly money related. The low pay crisis is biting people hard. There will be others who don’t want to lose weight or who have fears about side effects. And of course those who cannot take due to other health issues or because WLI didn’t work for them.

The scientists are working hard on variants of existing WLI formulas so hopefully in time the cost will reduce and there will be options that suit more people. For example the tablet form for those who cannot face injections.

It absolutely is on the current prescribing guidelines. It’s why there’s challenges in people accessing maintenance dosing.

Yes, in the wider medication picture there are plenty that are long term / life long but that’s not currently the widely approved recommended use. It’s an off licence use in many countries. Than understandably makes some wary.

Frequency · 15/04/2026 09:29

Riapia · 15/04/2026 09:26

Though not so disadvantaged that they can still stuff themselves with more food than their body requires to survive.

You can buy a 1500 kcal frozen pizza from Iceland for £1. Cheap food is usually high in fat, salt, calories, and UPFs.

Donteatmychips · 15/04/2026 09:29

Ok, for those saying this is a goady post - it isn’t, but this may be. Money, I get it. But the upfront cost could also be seen as a reflection of a lower food bill as a result. So maybe they even out

OP posts:
tamade · 15/04/2026 09:29

Isn't this just a variation on the theme "ugh why are fatties fat" YAWN

@Donteatmychips "Why are you using weight loss drugs? Never heard of will power and exercise? " Is something I would never say IRL or on a thread I thought was in good faith and non-baity

Summersongroses · 15/04/2026 09:30

Personally I am too scared of the long term side effects. And also the short term ones to be honest. A friend of mine was on Wegovy. She lost a stone and a half and ended up in A&E with a blocked bowel and was very poorly. I’ll keep on with trying to fix myself with diet and exercise. Some weeks are better than others. But I still try! Shame other people are so judgy…. Makes me sad to think I could be enjoying a nice day out and other people are secretly condemning me!

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