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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.

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Flowerypaintings · 06/07/2024 13:34

We have no idea about the long term effects of these medications. A short term reduction in some obesity related health issues but then possibly long term side effects? And if someone has exhausted all other weight loss attempts they’d have to be on these medications for life as otherwise they’d put the weight back on when they stopped ?

We need to stop over medicalisation of things like obesity solutions when there are other ways.

Gall10 · 06/07/2024 13:35

User2460177 · 06/07/2024 13:15

Absolutely op. I’m on Mounjaro and I’ve lost nearly 5 stone. I’m no longer obese and my health is so much better. I have to pay privately thou for the medication.

The NHS is hopeless at treating obesity. Here is an extremely effective treatment that has the potential to hugely improve health outcomes and reduce spending on other types of healthcare (obesity affects everything from diabetes to heart health to knee health). Why isnt it being offered on the NHS?

Treating obesity is done by consuming less calories than those used.
The solution starts with the person…I don’t like the term ‘patient’
I’d prefer the government to ban the sale & use of cigarettes & those vapey things before prescribing drugs with unknown long term side effects.

Cooper77 · 06/07/2024 13:35

I'd rather make obese people pay for their own treatment. If someone is overweight through no fault of their own, then that's different. But people who just eat too much and refuse to exercise shouldn't be funded by the taxpayer. God, the sights you see are shocking. Just this morning I watched two young women coming out of Tesco with a huge tray of donuts – the sort people buy for a party or a work meeting. One girl ripped off the cellophane and they each took out a donut and stuffed it in their face on their way to the car. They were mid-20s and both at least three or four stone overweight. It's disgusting. Why should I pay for weight loss medication for people like that?

HowToSaveTheNHS · 06/07/2024 13:36

msbevvy · 06/07/2024 13:12

Where will these come from ? There are still supply issues within the NHS and diabetics have problems obtaining their Semaglutide injections.

Maybe the government should be doing something about all the online private sales of the medication seriously compromising NHS supplies.

Mounjaro? It’s only for obesity- not diabetics and there are no supply issues

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RedToothBrush · 06/07/2024 13:37

They should invest in better lifestyle programmes, not quick fix solutions which just produce other problems.

HowToSaveTheNHS · 06/07/2024 13:37

Biggleslefae · 06/07/2024 13:22

Clearly the weight loss injections do suppress appetite and craving, but do they give you the motivation to properly meal plan, spend time cooking fresh food etc?

Yes- according to all the mumsnetters using it

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User2460177 · 06/07/2024 13:37

SpudleyLass · 06/07/2024 13:32

This is why the money would be better spent on investing in mental health - it would help with a whole raft of issues, not just obesity.

I just don't believe that the NHS should be spending money on something that is for the most part, best solved by the patient with the right support.

There are cancer patients who can't get certain treatments on the NHS

I'm also formerly anorexic so somewhat absolutist in my belief that anything that suppresses your appetite, artificially, is probably quite bad for you in the long run.

The right support is these drugs. All evidence shows that they are extremely effective. They also seem to lower heart disease (aside from the weight loss benefit).

What cancer drugs are people not getting on the NHS? The only ones I’m aware of are those which have very limited efficacy. That’s not the case with weight loss drugs.

obesity is one of the main causes of cancer together with heart disease and other ailments. If we treat it we could save a fortune

S0livagant · 06/07/2024 13:37

HowToSaveTheNHS · 06/07/2024 13:30

Exactly why I’m posting this thread!

Tim is correct but he also has a business agenda. Weight loss drugs threaten the Zoe business model

People on weight loss drugs are not eating crap. You can’t, it makes you feel sick. This is a myth that needs to be busted.

Edited

You mean you can't eat upfs at all? Or high sugar foods?

HcbSS · 06/07/2024 13:37

Whyhaveibeencutoutofmamsnot · 06/07/2024 13:04

How about banning or extra taxing fast food and other rubbish that you get delivered (don't even have to get off your arse to go and collect)

Absolutely this. And refer parents who let their kids get fat to SS just as you would if you let a child get so skinny they were malnourished.

AssortedLabels · 06/07/2024 13:38

SpudleyLass · 06/07/2024 13:05

Unpopular opinion - but no. The general public have enough information to hand on losing weight safely.

Most will be able to lose weight via traditional methods. Such drugs should ONLY be reserved for the most severe cases i.e those with mental health issues exacerbating the weight gain.

This.

I used to be very overweight but I lost it and kept it off using “traditional” methods. I fundamentally changed my lifestyle, without feeling like I’m depriving myself.

There is enough information out there for people to do the same. I’d invest in education and support (because it’s not easy), rather than quick fixes which should be reserved for the most severe and serious cases.

CranfordScones · 06/07/2024 13:40

There are perfectly natural methods of weight loss, and past governments have invested in promoting them. People just don't like them. Which is fair enough - who relishes a gym session when you can shove another cake in your mouth and moan about being a victim of an obesogenic environment? Cake and victimhood - what's not to love? - is there a fashionable hashtag so I can parade my victimhood on social media?

At what point does personal responsibility come in to play?

Life2Short4Nonsense · 06/07/2024 13:40

I believe this is up to patients themselves. For the government to mandate that obese people take these drugs sounds like a dystopian nightmare to me.

Besides, I believe they have far bigger fish to fry. I'd say the housing crises is a far more pressing matter.

User2460177 · 06/07/2024 13:40

Gall10 · 06/07/2024 13:35

Treating obesity is done by consuming less calories than those used.
The solution starts with the person…I don’t like the term ‘patient’
I’d prefer the government to ban the sale & use of cigarettes & those vapey things before prescribing drugs with unknown long term side effects.

??????? What on earth does vaping have to do with obesity?

one very effective treatment for obesity is these medications (outside surgery really the only reliable treatment). Obesity is a widespread problem which causes many public health problems. It’s easy enough to tell people to eat less but we’ve been doing that for decades and obesity is continuing to get worse.

eddiemairswife · 06/07/2024 13:41

Bring back rationing.

AgnesX · 06/07/2024 13:41

Myblindsaredown · 06/07/2024 13:09

Do people think Labour won and now have a magic money tree or something?

This will be the first of many undoubtedly. Some people are in for a surprise as Labour won't have a bottomless pit. I think Rachel will have a tight grip on the purse strings.

HelloMelloo · 06/07/2024 13:41

Or people could eat healthy food, and exercise?!

LizzieBennett73 · 06/07/2024 13:41

I'm type 2 diabetic (genetic) and have had to dramatically overhaul my diet. I'm now off most of my medication.

It's called personal responsibility and too many people in this country lack it.

HowToSaveTheNHS · 06/07/2024 13:42

sentfrmmyiphone · 06/07/2024 13:24

the NHS already do this! yes its a bind to get it, but its already out there and available if you meet the criteria.

the problem is, the criteria is very strict! and i assume the OP does not meet the criteria.

I’m a health professional actually, working in public health

OP posts:
User2460177 · 06/07/2024 13:42

Life2Short4Nonsense · 06/07/2024 13:40

I believe this is up to patients themselves. For the government to mandate that obese people take these drugs sounds like a dystopian nightmare to me.

Besides, I believe they have far bigger fish to fry. I'd say the housing crises is a far more pressing matter.

No one is mandating anyone do anything. Simply we are asking for the one of the few actually effective treatments for the no.1 health condition in the uk to actually be available on the NHS.

thegrumpusch · 06/07/2024 13:42

aren't some of these drugs now being shown to cause irreversible sight loss? I don't think enough is known about their long term effects to put the entire nation on them

Biggleslefae · 06/07/2024 13:42

HowToSaveTheNHS · 06/07/2024 13:37

Yes- according to all the mumsnetters using it

Excellent, I'm all in favor of anything that helps people to improve their health. It is an uphill struggle, you have to swim against the tide, temptation is everywhere, the lure of highly palatable edible food like substances can be overwhelming!

ByCupidStunt · 06/07/2024 13:43

Icannoteven · 06/07/2024 13:34

Or they could actually have policy that supports healthy living e.g support flexible working so people have time to excercise and cook nutritional meals, force large employers to have a gym/ offer gym subscriptions/have insight canteens providing healthy meals, invest in safe cycling infrastructure (especially around schools), improve school meals, regulate fast food and advertising, offer free counselling to people for food addictions or other eating disorders, build more leisure centres that are within walking distance of people, pay people a decent wage so they can afford healthy food and don’t have to bill up on carbs, cookery classes for different stages of life.

Times in my life when I have been healthiest and thinnest are when I have had more time at home and more agency to plan my own schedule. e.g when I was a student, when I was in maternity leave and when I worked from home. This meant I could more easily plan and cook meals and could control what food was in my immediate vicinity. I also had easier access to leisure and changing facilities in my local area.

This is a really good point but I also think that they could do both this and weight loss drugs

User2460177 · 06/07/2024 13:43

LizzieBennett73 · 06/07/2024 13:41

I'm type 2 diabetic (genetic) and have had to dramatically overhaul my diet. I'm now off most of my medication.

It's called personal responsibility and too many people in this country lack it.

Type 2 diabetes can be controlled by weight loss. These drugs are very useful for that.

a predisposition for type 2 diabetes can be genetic but it’s not a genetic condition.

HowToSaveTheNHS · 06/07/2024 13:44

TargetPractice11 · 06/07/2024 13:21

Yes but to be fair, so can obesity induced diabetes.

The study was not conclusive only exploratory, numbers were small and there was a selection bias, so we don’t know yet if it causes blindness (in one eye). It could be observational bias as far as we know.

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