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AIBU?

Share your dilemmas and get honest opinions from other Mumsnetters.

Labour should invest in weight loss medications immediately

643 replies

HowToSaveTheNHS · 06/07/2024 11:49

AIBU to think the Labour government should seriously consider rolling out weight loss drugs to the obese population, to tackle obesity, diabetes and cut NHS waiting lists? Traditional public health measures to tackle obesity are not working.

We spend so much money treating disease associated with obesity and it’s only going to get worse as increasing numbers of people are living for decades with multiple health conditions associated with obesity. Even dementia’s leading cause is Type 2 diabetes.

Looking at the Mounjaro thread on here, huge numbers of Mumsnetters are successfully losing weight and improving their health. But people on lower incomes won’t have access because the drugs are expensive.

A course of drugs for a year will surely be money well spent if we can reduce heart disease/ diabetes/ dementia/ cancer etc… even hypertension.

OP posts:
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14
healthadvice123 · 07/07/2024 09:26

@CollyBobble not an outside gym near me for 20 miles or more, another assumption as you have some in your area. Those that are out to work 8-6 then have young family no support maybe cannot get out so easily to walk, again you do not know everyones story or situation, people comfort eat sometimes for many reasons mh being one of them. Those who do sports cost the nhs, should they be charged in a&e, where do you draw the line. I an slightly overweight since menopause , i go to the drs once every couple years . I cost the nhs very little. Perfect blood pressure etc My friend is very skinny , eating disorders throughout her life, caused in part by some peoples comments, has multiple health issues and on medication due to poor diet. People really need to think and look at the bigger picture rather than just accuse people of being greedy and therefore not deserved of treatment. Anyone deserves help and treatment no matter what the cause of their ailment , just basic human right.

Zanatdy · 07/07/2024 09:28

healthadvice123 · 07/07/2024 09:02

@Zanatdy yes you can eat less fishfingers but thats not filling, one thing your told when eating healthy is fill your plate with healthy and filling stuff. A plate of chicken , fresh veg etc is going to be a lot more filling than the equivalent fishingers and chips in calories. Ot some egg, avacado, toms etc more filling than couple slices toast and jam. The price comparison is a lot though. You have to do 2 kids pack lunch for a couple days 6 bags criso is 3 days a punnet of strawberries at best 2 days . Many people do not have the skills to cook from scratch as they have never been shown, something we could address at schools etc. foods often labelled so called healthy are not always so people think they are making the right choices. Its so more conplex than many are making it on here

You can’t get anymore help in learning to cook than right now. My daughter taught herself from YouTube. I think there’s way too many excuses for weight gain when you don’t need to buy expensive food to lose. Less fishfingers, a swap to a jacket spud and a plate full of veg is filling.

healthadvice123 · 07/07/2024 09:31

@MultiplaLight have you ever been on a diet? Do you onow hoe hard it can be? Imagine being someone that needs to eat 1300 calories all the time just to maintain? When most can eat more than that. Do you think people who are suffer from eating disorders is a choice?

healthadvice123 · 07/07/2024 09:32

@Zanatdy why did your daughter need to use you tube and you hadn’t shown her, as you know its so easy ?

MultiplaLight · 07/07/2024 09:32

healthadvice123 · 07/07/2024 09:31

@MultiplaLight have you ever been on a diet? Do you onow hoe hard it can be? Imagine being someone that needs to eat 1300 calories all the time just to maintain? When most can eat more than that. Do you think people who are suffer from eating disorders is a choice?

I literally eat 1200 to maintain a bmi of 25 so not exactly a skinny mini with no experience.

Eating disorders should be treated separately. Not under the umbrella of every obese person has a disorder, they don't.

Zanatdy · 07/07/2024 09:34

healthadvice123 · 07/07/2024 09:26

@CollyBobble not an outside gym near me for 20 miles or more, another assumption as you have some in your area. Those that are out to work 8-6 then have young family no support maybe cannot get out so easily to walk, again you do not know everyones story or situation, people comfort eat sometimes for many reasons mh being one of them. Those who do sports cost the nhs, should they be charged in a&e, where do you draw the line. I an slightly overweight since menopause , i go to the drs once every couple years . I cost the nhs very little. Perfect blood pressure etc My friend is very skinny , eating disorders throughout her life, caused in part by some peoples comments, has multiple health issues and on medication due to poor diet. People really need to think and look at the bigger picture rather than just accuse people of being greedy and therefore not deserved of treatment. Anyone deserves help and treatment no matter what the cause of their ailment , just basic human right.

I walk up and down my living room to get my steps in. There are ways in which people can help weight loss, you don’t need a gym or expensive equipment. Plenty of YouTube videos you can do when kids in bed. If people are too tired I get that. But there are ways people can burn off more calories without even leaving their living room. Doing my indoor steps burns a few hundred calories for me and is the reason I lose. I do walk outdoors too but often do a few thousand steps indoors watching TV or browsing the web. You can also get those small treadmills that pop under the sofa, there’s even people on Tiktok 3 times a day so you can do 20 mins a day with them from your living room. So many options, if people choose not to take them that’s different to being no options,

S0livagant · 07/07/2024 09:34

Lastchancefatty · 07/07/2024 09:05

I'm giving up on this thread.

I do hope the government will see the multiple benefits of these drugs and tax you all to pay for them. Bye now.

Taxing people more will make the problem worse as poverty is linked with obesity in the UK. Unless you mean taxing upfs? I still think any money is better spend subsidising healthy food.

Zanatdy · 07/07/2024 09:35

healthadvice123 · 07/07/2024 09:32

@Zanatdy why did your daughter need to use you tube and you hadn’t shown her, as you know its so easy ?

Because she chose to learn from YouTube. I taught my son to cook before Uni, my daughter has already learnt before I needed to teach her. Her choice to use YouTube, it was for food I don’t tend to cook. It’s called choice

healthadvice123 · 07/07/2024 09:44

@Zanatdy so your few steps indoors burn couple hundred calories , thats good going as an hour in the gym yesterday and I only burnt just over 200 calories.
so much more complex for many people than just some you tube videos. People in poverty are much more likely to be obese and simple you tube video won’t fix that. The shear lack of understanding on here is compounding , just because its easy for you , other people have differebr barriers

healthadvice123 · 07/07/2024 09:47

@MultiplaLight but many do or at least an unhealthy relationshio with food and a whole mindset change is needed. I have been to enough sw & ww classes over the years to learn why many people turn to food or are overweight and there are a huge amount of reasons and very few just about gluttony.

FyodorDForever · 07/07/2024 09:55

LoveSandbanks · 06/07/2024 13:08

If this were even remotely true why are there so many overweight people in the country? Are you saying they’re just lazy? That they know exactly how to improve their health and well being but just can’t be bothered?

TBH yes, I believe lots of obese people know how to improve their health and well being but don’t want to make the effort.

MultiplaLight · 07/07/2024 10:01

healthadvice123 · 07/07/2024 09:47

@MultiplaLight but many do or at least an unhealthy relationshio with food and a whole mindset change is needed. I have been to enough sw & ww classes over the years to learn why many people turn to food or are overweight and there are a huge amount of reasons and very few just about gluttony.

Don't think I've said it is gluttony.

Weight loss drugs aren't the answer imo.

The reasons people over eat need sorting, not the end result.

HowToSaveTheNHS · 07/07/2024 10:14

Lastchancefatty · 07/07/2024 08:12

I'm on mounjaro. I've tried my whole life to lose weight and I have done many times successfully. I know what I should eat to be healthy and I can cook. However my "food noise" is extreme and particularly now I'm older, my body will not allow me to lose weight and keep it off. Say what you like but it's the absolute truth. I've medical conditions and medications that exacerbate this. I've also got lipodema. My diet now consists of three smaller healthy meals per day with no snacks and I've mounjaro to thank for helping me silence my food noise, help me feel fuller and make healthy choices. Yes some people are using it to eat the same old rubbish but less of it and they will likely be the ones who do not change their ways and regain the weight.

Mounjaro has changed my life already in just one month. My lipodema is improving, my debilitating migraines have literally gone, my depression and anxiety are significantly better, my back and joint pain is improving and I've lost a moderate amount of weight which for me is a lot as I would lose a pound and gain 5! I was also pre diabetic and on track for a heart attack. So the NHS will be saving just on the meds they won't have to give me now!

As per my user name I feel this is my last and only chance to make a change to my health. I am fortunate I can just about scrape the money together and it's worth every penny, but I feel for those who have been denied this on the NHS (like I was) but can't afford it.

So to the clearly ignorant people I say this. Don't judge until you've been there. Eat less move more is not working for some people and when you've had the mental effects of trying your hardest, eating well and exercising but gaining weight, then you can comment. Some of you will find exactly this when you reach menopause so look forward to it my loves because you will hopefully remember how unkind and judgemental you were on this thread.

Wow! This is amazing. Thank you for sharing

OP posts:
Zanatdy · 07/07/2024 10:31

healthadvice123 · 07/07/2024 09:44

@Zanatdy so your few steps indoors burn couple hundred calories , thats good going as an hour in the gym yesterday and I only burnt just over 200 calories.
so much more complex for many people than just some you tube videos. People in poverty are much more likely to be obese and simple you tube video won’t fix that. The shear lack of understanding on here is compounding , just because its easy for you , other people have differebr barriers

Who said few? I do 5k indoors before I start work, and more in the evening. Walking 15k steps a days burns me a good few hundred more calories than no exercise. There are ways to lose weight no matter what, if people don’t use them that’s a different matter. There’s a lot of education out there now with the internet, plenty of videos on social media to explain weight loss. People have more knowledge at their finger tips than ever before

HowToSaveTheNHS · 07/07/2024 10:32

MultiplaLight · 07/07/2024 10:01

Don't think I've said it is gluttony.

Weight loss drugs aren't the answer imo.

The reasons people over eat need sorting, not the end result.

The main reason people overeat is because their body is driving them to do so- the drugs are the solution as they affect the hunger hormones and reduce food seeking urges. If you’re not obese you don’t have these incredible urges. Only when you’re obese and your hormones disregulated does it get to this stage. I’m sorry but you do not understand the struggle obese people experience- there is plenty research published on these hormone effects. It’s why these drugs have been developed for obesity.

OP posts:
HowToSaveTheNHS · 07/07/2024 10:33

Read through a lot of these replies, I would say that most people are about 20 + years out of date when it comes to obesity research. The ignorance around obesity which is a recognised medical condition is astounding!

OP posts:
ChazsBrilliantAttitude · 07/07/2024 10:45

Zanatdy · 07/07/2024 08:34

Exactly. Calorie deficit diet works, it’s not that difficult to do, but does require willpower. Like any diet if you start eating more than you’re burning off you’re going to gain again. I do all the time, as I’m short and my daily calorie maintenance is only around 1500 without exercise. But I know when I get to a certain weight (the border of being overweight for my height, and clothes are tight) I go on a diet. I don’t expect the government to pay for me not to feel hungry. You naturally feel less hungry after a few weeks in a deficit anyway without pumping your body with these drugs and all the side effects

You don’t naturally feel less hungry if you have leptin resistance. You feel constant hunger. You can eat a meal and an hour later you feel hungry. Your brain is not responding to the “ hunger off” signal that your fat stores are sending.

Somethingsnappy · 07/07/2024 10:50

ChazsBrilliantAttitude · 06/07/2024 23:05

If someone engages in a combat sport are their injuries self inflicted? Should the NHS refuse to treat them? What if a woman wearing high heels drinks a bit too much on a night out and breaks her ankle - surely that is self inflicted? Nobody made her drink or wear heels. Perhaps we should stop treating skin cancer in anyone who has ever sunbathed? No HIV treatment for anyone who had unsafe sex?
No treatment for infected piercings or tattoos as they are purely based on vanity. Same for any cosmetic procedures that go wrong.

You have to treat based on need or you find yourself in a moral minefield of subjective value judgements.

Why is it that addiction, injuries due to drunkenness or risky behaviour are seen as worthy of help but obesity regarded a moral failing? Subjective judgement and moral smugness?

You're absolutely right. Obesity is the only visible 'failing' that I can think of. Almost every other 'failing' that involves lifestyle choices/issues regarding mental health/diseases/disorders/conditions etc, etc, is invisible. Hence why obesity gets all the judgement. But some on this thread are just not educated/intelligent/open minded enough to use their critical thinking skills.

I put 'failing' in inverted commas for obvious reasons

CortieTat · 07/07/2024 11:03

From this thread one can learn that:

  1. weight gain has nothing to do with food intake
  2. but we live in an obesogenic society and government should ban upf and make healthy food cheaper
  3. yet weight gain has nothing to do with food intake
  4. around perimenopause and menopause extra weight appears by magic
SoreAndTired1 · 07/07/2024 11:03

No, weight loss drugs are all a gimmick, a scam. They don't work. The less weight loss drugs are pushed, the better.

Beezknees · 07/07/2024 11:05

YABU and I'm fat and on a low income. It's my responsibility to lose weight, not anyone else's.

Sussexbythesewage · 07/07/2024 11:08

Zanatdy · 07/07/2024 10:31

Who said few? I do 5k indoors before I start work, and more in the evening. Walking 15k steps a days burns me a good few hundred more calories than no exercise. There are ways to lose weight no matter what, if people don’t use them that’s a different matter. There’s a lot of education out there now with the internet, plenty of videos on social media to explain weight loss. People have more knowledge at their finger tips than ever before

You must have an enormous house! 😂

Zanatdy · 07/07/2024 11:11

Sussexbythesewage · 07/07/2024 11:08

You must have an enormous house! 😂

I live in a 2 bed flat!

Movinghouseatlast · 07/07/2024 11:11

CortieTat · 07/07/2024 11:03

From this thread one can learn that:

  1. weight gain has nothing to do with food intake
  2. but we live in an obesogenic society and government should ban upf and make healthy food cheaper
  3. yet weight gain has nothing to do with food intake
  4. around perimenopause and menopause extra weight appears by magic

Yes, menopause can cause weight gain, so you have learnt something valuable there that will hopefully help you.

The amount of calories you need to maintain weight reduces dramatically. Unless you know that then you might continue eating the same and exercising the same as before, which may lead to weight gain that is very hard to shift.

ChazsBrilliantAttitude · 07/07/2024 11:17

SoreAndTired1 · 07/07/2024 11:03

No, weight loss drugs are all a gimmick, a scam. They don't work. The less weight loss drugs are pushed, the better.

I suggest you tell that to NICE as the appear to have been taken in by a bunch of scammers and are recommending that they can be prescribed for weight loss. — bloody experts what do they know.
Here is on example of their advice to the NHS, I suggest you contact them immediately with your peer reviewed research and point out the error of their ways.
https://www.nice.org.uk/news/articles/nice-recommends-new-drug-for-people-living-with-obesity

Logo for NICE (The National Institute for Health and Care Excellence)

NICE recommends new drug for people living with obesity

https://www.nice.org.uk/news/articles/nice-recommends-new-drug-for-people-living-with-obesity

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