The medical advice is sound but subtle. It is a game changer in the treatment of obesity, but this is because the risks associated with taking the drugs outweigh the risks of remaining obese. This risk balance changes though if obesity is not the problem.
Using the drugs to lose a few pounds creates a much higher risk through the side effects of the drugs themselves.
In addition, obesity is a disease and as such easy weight loss is not a cure and it may mean you will need to take the drugs for life.
People who are “naturally” the right weight have a different attitude to food, changing your attitude to food and eating is more important than reducing your appetite.
Treatment under the NHS is so much more than just prescribing the drugs. There is much more support from dieticians and HCPs to produce a long term “cure”.
As a dentist, we treat two basically preventable, treatable chronic diseases, gum disease and tooth decay. Both respond brilliantly to cleaning and diet, but changing people’s diet and behaviour is incredibly difficult. We do achieve good results but patients frequently lose interest when the disease goes into remission and rapidly deteriorate.
You would think it was really simple, clean your teeth and reduce sugar/carbs to keep your teeth. It is incredibly frustrating when patients slip, they blame everything but themselves. It’s interesting that periodontal disease ( gum disease) is linked to type 2 diabetes. Whether causation or correlation, it doesn’t really matter, but we do see improvements in perio disease when patient’s diabetes improve.
My fear is that drugs like mounjaro will be used intermittently to yo-yo diet. People going back to their bad habits then taking the drugs to drop the weight they’ve gained. I don’t think it will be any different from any other weight loss method ultimately. The overwhelming limiting factor will be whether you can afford to take it forever.