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AIBU?

Share your dilemmas and get honest opinions from other Mumsnetters.

All these weight loss drugs... surely we are heading towards disaster?

1000 replies

shellswirl · 21/05/2024 09:44

So as we all know there are various weight loss drugs that have become very popular in recent months.

It seems like the whole of Hollywood is using it.

Even regular people are spending huge amounts of money on it from online pharmacies.

I get that these drugs might be useful for certain people with real medical conditions, but really a lot of people are using it as a quick fix to be thin.

With no consideration to side effects or future health. And without thinking about what happens when you stop it?

Surely the best way to lose weight involves no drugs. No fad diets. But exercising more, moving more, eating a balanced diet. Retraining your brain and finding food and exercise you enjoy.

I say this as an overweight person too! Surely there are other ways.

If every other person is taking these drugs won't there be a huge pool of people to monitor side effects etc?

Aibu to say the whole thing makes me feel very uneasy.

OP posts:
Thread gallery
34
peachgreen · 22/05/2024 13:13

User14March · 22/05/2024 13:04

Can you really F your metabolism? I thought this debunked (?)

I’ve no idea, I’m not medically qualified. All I know is my own body and what works for it.

WoshPank · 22/05/2024 13:13

LaCouleurDeMonCiel · 22/05/2024 12:58

Saying that diet doesn’t work is not true, however there is an element of addiction and the difficulty with food is that you can’t eliminate it completely as we need it to live.
IMO this justifies using medication. However it should be temporary until the person is ‘weaned off’ the problematic food : high in sugar / fat, alcohol, etc basically the ones that led to obesity. These should not be re-introduced in the diet! So no more crisps, forever. Same as what is advised for alcoholism: don’t have a drink, ever.

It's totally true.

On a population level, they don't. There are individuals who are able to lose weight dieting and keep it off, but that is not how it works for most of us.

Babadoobiedoo · 22/05/2024 13:13

queenparrot · 22/05/2024 13:06

on what basis do you dispute the MHRA, EMA, and FDA guidelines for use?

Er, when did I ever say I "dispute" anything? I said I was surprised someone would turn to an injection for this sort of loss, which to my mind would be more like 2.5 stone. Perhaps you were considerably more than a 30 BMI, given the 4 stone you mention losing. (Not disputing that either, by the way.)

My point is that I am using it within guidelines, which stipulates bmi and not how much that equates to in pounds. I am well within the approved label for use with a bmi over 30 (31.4 at start if you must know), so if you don’t think ‘my sort of loss’ warrants medication then yes you are questioning the label that has been approved by multiple regulating bodies.

tobee · 22/05/2024 13:17

All these posters trying to quibble over it's not a disease are just fat shaming but trying to dress it up as coming from a place of psychological knowledge.

shellswirl · 22/05/2024 13:18

@Moretti76 my husband takes statins. In his case it's a true genetic issue. Diagnosed by a doctor. He does watch his diet but his cholesterol was so high he needs the medication. It's not quite the same is it. He can't control his cholesterol.

Are you saying that people can't control their weight without these drugs?

Or that people can't EASILY and QUICKLY control their weight without these drugs.

Because the two things are quite different

OP posts:
queenparrot · 22/05/2024 13:21

Babadoobiedoo · 22/05/2024 13:13

My point is that I am using it within guidelines, which stipulates bmi and not how much that equates to in pounds. I am well within the approved label for use with a bmi over 30 (31.4 at start if you must know), so if you don’t think ‘my sort of loss’ warrants medication then yes you are questioning the label that has been approved by multiple regulating bodies.

My god, clearly you are feeling very defensive about using this drug - I can see no other reason for this pugnacious tone, and deliberate twisting of every minor point to respond back to with an aggressive jab.

Fascinating to do a quick AS and discover you have not even told your husband you are on this drug. Good luck with your future health.

Youdontevengohere · 22/05/2024 13:23

shellswirl · 22/05/2024 13:18

@Moretti76 my husband takes statins. In his case it's a true genetic issue. Diagnosed by a doctor. He does watch his diet but his cholesterol was so high he needs the medication. It's not quite the same is it. He can't control his cholesterol.

Are you saying that people can't control their weight without these drugs?

Or that people can't EASILY and QUICKLY control their weight without these drugs.

Because the two things are quite different

I asked this upthread but you may have missed it… how do you suggest persuading all these obese people to make the necessary lifestyle changes to combat the obesity crisis, when nothing has worked so far?

Babadoobiedoo · 22/05/2024 13:24

User14March · 22/05/2024 13:01

@Babadoobiedoo that’s so interesting. So effectively it’s a clever body reset? If I was happier & happiest at 54kg pre kids I am likely to settle back there on the drug?

I would probably need to drop another stone to be at the ideal weight I maintained effortlessly in my 20s, and not sure if I will get there. If I really dug in, maybe, but not sure how durable that weight loss would be. Early on I was losing 2 pounds a week, now I am lucky if I lose that in a month, but it is still falling, so we’ll see when/where it stops. Having a sustainably healthy lifestyle is more important to me now than hitting a target weight.

WoshPank · 22/05/2024 13:25

shellswirl · 22/05/2024 13:18

@Moretti76 my husband takes statins. In his case it's a true genetic issue. Diagnosed by a doctor. He does watch his diet but his cholesterol was so high he needs the medication. It's not quite the same is it. He can't control his cholesterol.

Are you saying that people can't control their weight without these drugs?

Or that people can't EASILY and QUICKLY control their weight without these drugs.

Because the two things are quite different

What does 'easily' mean?

Because if we did theoretically know that everyone could control their weight if they were to behave in particular ways, but it was too hard for most to be willing and able to stick at it... then it isn't going to work, is it? The levels of willpower we're working with isn't something we can just opt out of or wave away.

0sm0nthus · 22/05/2024 13:26

XiCi · 22/05/2024 10:34

One of the main issues they're talking about now is that with Ozempic you primarily lose muscle not fat which causes all sorts of problems. Then there's the 'ozempic face' which would be enough to put me off without all the myriad of other side effects. Jillian Michaels was talking about it recently. That she's helped thousands of obese people lose the weight and none of them had that drastic facial result that you get from ozempic

The thing about losing muscle rather than fat, my guess is that is related to rapid weight loss rather than Ozempic?

Youdontevengohere · 22/05/2024 13:28

Babadoobiedoo · 22/05/2024 13:24

I would probably need to drop another stone to be at the ideal weight I maintained effortlessly in my 20s, and not sure if I will get there. If I really dug in, maybe, but not sure how durable that weight loss would be. Early on I was losing 2 pounds a week, now I am lucky if I lose that in a month, but it is still falling, so we’ll see when/where it stops. Having a sustainably healthy lifestyle is more important to me now than hitting a target weight.

That’s interesting. Pre childbirth and the subsequent health issues that led to my weight gain, I hovered between 9 stone and 9 stone 4lbs. Realistically now I’ve been obese I doubt I’ll ever get that low away. However I would happy with a 20% loss.

Babadoobiedoo · 22/05/2024 13:30

queenparrot · 22/05/2024 13:21

My god, clearly you are feeling very defensive about using this drug - I can see no other reason for this pugnacious tone, and deliberate twisting of every minor point to respond back to with an aggressive jab.

Fascinating to do a quick AS and discover you have not even told your husband you are on this drug. Good luck with your future health.

apologies if my tone is being interpreted as ‘pugnacious’ - not really my intention. I thought I was just responding factually, but if you could point to what I have said specifically that is causing offence or twisting your words, I am happy to attempt again in a more pleasing manor.

zaffa · 22/05/2024 13:31

TheRiddle · 22/05/2024 00:06

OP, I do agree with nearly everything you have wrote so thank you for starting this thread.

Like you I think we are going down the wrong path with this one.

We have an obesity crisis. The reasons are complicated but a part of it is that people eat a huge amount of ultra processed food (it's not food!) and less and less actual real food. Our bodies do not like this UPF and it tells us this by weight gain and all the other health issues that happen when we fuel our bodies with 'crap' rather than nutritious real food.

In my thirties (many years ago now) my husband and I embarked on a healthy eating exercise. It started because I wanted to lose weight as going on a once in a lifetime holiday. We basically ate salad, fruit, vegetables, fish, chicken and all the good stuff. We eliminated all the bad stuff. I lost the weight I wanted to lose. However other things began to happen. I had more energy, my skin was better, my hair was shinier, my nails grew quicker. My optician was amazed when I went for my regular check up that my eyes appeared to have 'healed themselves' and I no longer needed contact lenses. In my thirties my vision had improved. It was clearly something he did not see often or at all. I can only attribute this to going from eating processed food to eating exceptionally well.

So yes I looked better and cured my obesity but much more than that happened.

I agree what you have said rather than fix the problem at source we are encouraging people to keep eating this processed rubbish and then at the end of it pop a pill. Great perhaps they will be thin but their bodies will still be lacking vitamins and nutrients and overall unhealthy.

You made a very good comparison of antidepressants.
You are depressed they give you antidepressants and so you feel better but it does not address the source of the issue. For that you need therapy which is much harder work and takes much longer. Far easier to take the pills and ignore the issue. (I speak from personal experience here, abusive childhood, lifelong depression and anxiety)

You are fat, they give you diet pills so you are thin but it does not fix the fact your body is not being fueled properly.

I get it. Life is difficult and complicated and busy. People have horrible jobs, long commutes, kids, relationship problems, dying relatives. Far easier to eat a frozen pizza that chop up some vegetables. Again I speak from personal experience (last 5 years of life looking after someone who was dying and my weight ballooned by about 5 stone due to stress, exhaustion, depression and just eating to comfort myself). I started this year to try and look after myself better. Cut out all ready meals. Start reading the packets and boxes to see what you are actually eating. More fruit, more vegetables. I haven't increased my exercise at all. I don't do anything apart from walk dog and housework and gardening etc.

I am still eating I reckon around 2200 calories a day. I'm not really counting but I am eating decent portions and not hungry.

I am changing my mindset from 'a box of icecream isn't looking after yourself or a treat'. A box of icecream is a box of sugar and chemicals that poison you and make the food manufacturers rich and you ill. A treat is a punnet of waitrose organic raspberries which taste delicious and provide my body with something it needs.

It's not always easy. At the start I craved icecream like a drug addict but as time goes on I am finding food is becoming less important to me. I think about it less. When I'm hungry I find something to eat and try and make it something decent. I've lost my taste for sweet stuff. The ben and jerry icecream I ate last week was decidely disappointing. This must be because my taste buds have changed.

I am still overweight. I still have about 3 stone to lose. One thing I know though after watching all the documentaries on UPF. It's literal shit. Not food. The food manufacturers must be laughing their way to the bank at us 'mugs' being taken in with their bullshit advertising. This thought is really helping me stay away from UPF.

I take on board that lots of the posters have said they are exercising, trying to eat better AND take the weight loss drug. However like you I think it's better to work with mother nature and do it the old fashioned way.

It's a complicated subject and I can definately see the attraction of taking a pill and getting thin that way.

Good thread.

Sorry you think losing weight cured your short sightedness?

OneTC · 22/05/2024 13:31

0sm0nthus · 22/05/2024 13:26

The thing about losing muscle rather than fat, my guess is that is related to rapid weight loss rather than Ozempic?

If you lose weight through diet you also lose muscle

User14March · 22/05/2024 13:36

@TheRiddle @zaffa my eyesight is def more acute when/if I radically fast, so you can spot the protein in the hedgerows etc if starving, insects etc ;) Myopia not cured though.

Smell also more sensitive.

JosiePosey · 22/05/2024 13:42

Youdontevengohere · 22/05/2024 13:23

I asked this upthread but you may have missed it… how do you suggest persuading all these obese people to make the necessary lifestyle changes to combat the obesity crisis, when nothing has worked so far?

Has it not worked or have they not tried properly?

If they ate a healthy diet in a calorie deficit consistently and long enough, they would lose weight.

No one stays fat eating veg & protein.

User14March · 22/05/2024 13:42

@Babadoobiedoo which dose are you on? O or M? & have you remained on same dose all the time.

Why did we ‘effortlessly’ maintain in our 20s? I was amongst slimmest of peers & wasn’t very active & ate like a horse. Is it simply that you have better muscle mass when young?

Anyone else of the hollow legs in 20s variety? Until BOOM no longer? I never thought about food & loved it & never had to restrict so never learned. Do this type far worse & tend to run to fat in middle age?

User14March · 22/05/2024 13:43

*FARE worse not FAR

AnitaLoos · 22/05/2024 13:45

User14March · 22/05/2024 12:51

If you are on it & had a BMI of, say, 30, what’s to stop you thinking I can stay on it until I have a BMI of say 20 & Margot Robbie’s body or Geri Halliwell’s etc? A bit of gym & suddenly in your grasp. Not knocking anyone. If you’ve been called ‘the fat controller’ like the poor woman upthread that’s potentially very empowering.

people on all the current medications reach a plateau after losing a certain amount of weight. This will vary depending on the medication (tirzepatide is more effective than semaglutide) and your own personal biology. A very few people lose nothing, some people lose 30% of their body weight or more. But nobody keeps losing indefinitely.

Youdontevengohere · 22/05/2024 13:45

User14March · 22/05/2024 13:42

@Babadoobiedoo which dose are you on? O or M? & have you remained on same dose all the time.

Why did we ‘effortlessly’ maintain in our 20s? I was amongst slimmest of peers & wasn’t very active & ate like a horse. Is it simply that you have better muscle mass when young?

Anyone else of the hollow legs in 20s variety? Until BOOM no longer? I never thought about food & loved it & never had to restrict so never learned. Do this type far worse & tend to run to fat in middle age?

Yes this was me too. Effortlessly slim in my 20s.

heartbroken40 · 22/05/2024 13:47

Truth is, people who lose a lot of weight without a massive exercise regime find themselves with so much loose skin. My friend is considering a tummy tuck, it's honestly quite disgusting to look at her stomach and the "curtain".

But were I overweight, I would take for sure. OP, whatever you say, people will take these and hopefully we will solve the obesity crisis at least partly. We are all adults and let people take semaglutide. Why do you care?

Youdontevengohere · 22/05/2024 13:47

Sorry I think you’ve misread… I didn’t mean nothing has worked on an individual basis. I have no idea if all those people have tried or not. I meant that so far, on a societal level nothing has worked to convince the obese population to try and change their lifestyle.
It’s all very well saying ‘if people just did x, y and z then they’d lose weight’. They may do. But they’re not doing x, y and z. So how do we persuade people to do that, in big enough numbers and effectively enough to solve the obesity crisis?

Youdontevengohere · 22/05/2024 13:48

it's honestly quite disgusting to look at her stomach and the "curtain"

Have you told her that?
Even if fat people do lose weight they’re often considered ‘disgusting’ 😏.

JosiePosey · 22/05/2024 13:49

Babadoobiedoo · 22/05/2024 13:24

I would probably need to drop another stone to be at the ideal weight I maintained effortlessly in my 20s, and not sure if I will get there. If I really dug in, maybe, but not sure how durable that weight loss would be. Early on I was losing 2 pounds a week, now I am lucky if I lose that in a month, but it is still falling, so we’ll see when/where it stops. Having a sustainably healthy lifestyle is more important to me now than hitting a target weight.

I was considering trying it for a month now but these rates of loss are just not worth the cancer/unknown/etc risks. Those are shocking for that amount of money, and risk, tbh. I'm losing more than that on my own. Thats me back off the fence.

User14March · 22/05/2024 13:51

@Youdontevengohere I imagine common but I note those who were at bigger end of average in 20s, my peers, have stayed on a similar trajectory in middle age? I haven’t.

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