To think that they could roll out mounjaro in less than 12 years?

[caffelattetogo]

I thought this was 12 months when I read it first - is it me or does 12 years seem like a long time to prescribe for all eligible patients? Particularly as we are told so many expensive medical problems are caused by obesity.

www.lancashiretelegraph.co.uk/news/national/uk-today/24823250.nhs-mounjaro---will-eligible/

You are exactly the type of patient these drugs are designed for. It’s great that you have reversed your diabetes, the weight loss is a bonus. The whole argument around these drugs revolves around that of therapy verses vanity and gratification. PCOs sufferers have no natural control over how their bodies work. Strict diet helps but it’s difficult to run on a very low calorie diet. And at best usually maintains weight.
The relative cost to the NHS is definitely offset by the savings it will make going forward with your health care.
What I object to is the mounting excitement from people who are healthy and of normal BMI who will potentially or are potentially using the drug as a quick fix to lose a few pounds before their holiday. The drug is only being manufactured by one company and supply shortages have been a problem. Patients who need the drug to improve their health should be prioritised. So anyone that doesn’t have underlying health issues such as diabetes, heart disease or other associated endocrine disorders should be prioritised.

Yes. Very similar. I didn't bother discussing it with GP after their suggested groups, exercise on prescription etc were all during working hours, and their photocopied diet information was hardly rocket science. When I explained I needed to eat under 800 cals a day in order to lose weight they just gave me "that face". So yes, I found them judgemental. No interest is trying to find out WHY I had to eat so little. No interest in actually helping. And also didn't look at it holistically with my many other symptoms.

The answer came about when I had an MRI for something else and adrenal tumours were found.

I appreciate I am only going by my own experience and the experiences I have read on the support boards I am on but if this is happening for other people it isn't happening for me. I am another one who knows the calorie count for what goes in my mouth and have done other sensible diets like WW. On the two occasions I have not eaten the food I eat routinely before and now on the injections both of which were when I was a guest in someone else's house so ate the food my hosts had prepared - we are thinking lasagna here not 3 burgers - and had two glasses of wine I was extremely unwell that night and the next day. One of the things I will be weighing up when I consider lifelong maintenance is that high fat/carb/sugar and alcohol are no longer available to me as a treat. I can understand people who paused over Christmas- I didn't as didn't want to take a break- because the side effects for some of us of having what most people would have at Christmas are utterly grim.

I will and thanks for giving me your permission 😂

I was para phrasing what another pp mentioned here.
They said the drug will ( they may have said could tbh ) be used to maintain weight after its lost. I have no idea, I’m just learning about it on here.

@bakewellbride that’s nonsense. It’s clear you don’t know how the drug works. If you spend anytime on the WLI boards you will see that the overwhelming majority of posters are making profound changes to their diet. This is due to the drug suppressing cravings for fat, carbs and sugary foods, and also to the fact that eating such foods often leads to unpleasant side effects.

You will need to find something else to be judgmental about. What a shame.

Could people not cut out any non home made foods, ie. Cut out crap food and exercise more?

Just a thought...?

Do you genuinely think that obese people are not aware of that idea? Do you think that suggesting that is helpful in any way? Do you think that all obese people are actually that stupid as to not be aware of that?

Do you really, really not see how judgemental, patronising and ill-informed this is?

‘You are losing weight but have no idea how to eat healthily.’ ?? Seriously? All of them?!

It is opinions like this that makes me think that the posters who suggest that lifelong slim people are jealous and getting worried about their position on the moral high ground may actually have a point.

They may be aware, but are they doing it? That's what this all comes down to prioritise your diet, your exercise, your mental wellbeing and sleep.

It's hard, it's very hard.

Gosh @BlabberMouth99 I’m sure no one obese ever thought of this - your insight is profound.

The thought is the easy bit,have they followed through?

Have you thought about patenting that revolutionary idea. It’s so new and fresh. This could really take the weight loss industry by storm.

🙄🙄🙄

im led to believe we might stay on a low maintence dose, im hoping that is the case. after having a bad eating disorder for years this has been a life saver for me

Yes, it's as old as the hills.
And it's free and it works.

Not when your body doesn't work right.

@BlabberMouth99 if what you say was achievable for most then there would be no obesity epidemic. It's just so ridiculous to trot out this idiotic platitude as some kind of miraculous intervention that no other person has ever heard of or thought of before.

Even you though admit it's hard. What is very clear is that it is too hard for the vast majority, which is where a medication like Mounjaro comes into play, to make it achievable for people to implement.

I too couldn't believe it when I read 12 years. Disgraceful. Agree just not the support staff no GP availability.

Look I know it sounds like every fat person has an excuse but sometimes it just doesn't work.
It has worked for me before, multiple times. Last it worked I lost four stone, I was about half a stone at most from my goal weight. Then I had my gallbladder out and despite eating exactly the same, as I was planning to lose that last half a stone still, I started putting it back on at the rate I'd lost it. Officially weight gain isn't a symptom of gall bladder removal so there was fuck all medical support. At some point after I'd regained all the weight something inside me broke and I gave up trying.
What Mounjaro is doing this time around is offering me huge support with the same process but more weight to lose. I still have to eat less and move more to lose the weight but I'm no longer fighting addictions, my own mental health, insulin resistance, huge blood sugar fluctuations. It's not either or, it's is this new tool a good tool for you or not as part of that process. For me it absolutely is. Just like my contact lenses are and the mini pill is, as other non essential but life changing medical advances.

@BlabberMouth99 this is akin to saying that people who suffer from depression should give their heads a wobble and man up; cancer patients should think positive thoughts and wish the cancer away; people with asthma should learn how to breath deeper.

There is a huge amount of science on obesity and no, it isn’t as simple as eating healthily and exercising more. This interview with leading geneticist Giles Yeo may be of interest https://frontlinegenomics.com/down-the-rabbit-hole-genetics-and-obesity-giles-yeo/

Have you actually read this thread?! FFS.

I don't think it will take 12 years as many people won't want it and many people will go private.

I think it's great as it seems to work, and hopefully they'll figure out maintenance. My only concern is people with eating disorders lying and getting it privately. That's a huge risk.

Why though is this very much a late 20th century now 21st century problem @justteanbiscuits
and @BlabberMouth99

Are we saying peoples biology has changed so much in the last 50 odd years to cause this issue

Are you saying there were no obese people then? Because I can assure you both my grandparents were obese!

But no, I would probably be dead or dying by now 50 years ago.

But then, most women (not all, I know etc etc) also wouldn't be working full time on top of raising children. They would walk to shops multiple times a week, not be stuck behind a computer 40 hours a week and running their kids around for various activities.