To be jealous of everyone getting slim in weight loss jabs while I get fatter !

[Sundayslump]

Okay - lighthearted ? Maybe.

I’ve been lucky to grow up and be a size 10 . Had a baby at 27. Lost all the weight but my body changed. Baby 2 , again gained 4 stone but I’ve always kept the last stone. I am now 12/14 uk.

I work full time and have two children . I eat healthy for the most part and walk and exercise. When I am super strict which feels so much harder at 40 I am a size 12 but unlike in my 30s it seems so much harder to lose weight now . I feel crap in my clothes and I wish and dream of being a size 10. Call me pathetic !

My brother and his wife , twos sisters and their husbands , work colleagues and a few of my good friends who were never obese but had a few stone to lose are all taking weight loss jabs. They have all lost around 2/3/4 stone and are all now looking fab . All the women are now in size 8 jeans and I am jealous. I sound pathetic . None of these ladies were any bigger than a 14/16 to start with.

I totally understand these jabs are so life changing for so many people who need them but it seems in my life everyone has taken them and gone from a 14/16 to a size 8/6 size Uk and I can’t help but feel like if I just bloody jump on the bandwagon I will feel good, feel happy and be slim.

Now everyone around me is so slim I feel ever more aware of my size .

I want to state I exercise and do eat a healthy diet . I have just found after two babies and getting older unless I basically stick to 1200 calories a day I can’t maintain a size 12.
Ahhhhhh. Sorry for sounding so so so vain.

I don't see how you could claim slimmer people have the same urges or food noise if you have spent any time around other human beings.

One lady at my old work place brought in a healthy packed lunch for a while to try to stop herself from ordering Domino's or having a large Gregg's order for lunch. She'd eaten the lot by 9am or so and by midmorning she'd be saying "I'm starving" again.

It wasn't really fair. Someone like me could happily sip on on coffee till afternoon, but she was almost demonically hungry all the time. I didn't keep in touch with her and don't know what she is up to now, but I can see how an appetite-suppressant could be life-saving for someone with those urges.

Even within my immediate family ie. five siblings there were three slim ones and two who always struggled with weight and eating from early childhood.

@custardcream73 you do realise these GLP-1 medication has been around for years and used by type 2 diabetics for a very long time. The medication was simply relicensed as they realised people were also losing weight.

A quote '(A) Data revealing GLP-1–stimulated insulin secretion supported the approval of the first GLP-1RA for the treatment of T2D in 2005. Nine years later, the link between GLP-1 and reduced food intake resulted the development and approval of the first GLP-1RA for obesity.'

I take them, I am an insulin dependent diabetic.

My start weight was 17 stone on 20th Jan. I now weigh 15 stone 4lbs.

If people can take something that helps them get healthier and happier I don't see the issue!

My start weight was 17 stone on 20th Jan. I now weigh 15 stone 4lbs.

You'll have lost an awful lot of muscle losing weight this fast.

@freefloating I haven't but thank you for your concern.

I am in a group with some lovely ladies from Mumsnet and we have all lost very simalar amounts in this time.

How do you know that?

@freefloating forgive me, but I have to explain myself to you, why?

Similarly, you might be a normal or slim weight, wear a size 8 or 10 or 12, and be suffering from all manner of health problems as a TOFI - thin on the outside, fat on the inside, with fat clustered in and around your visceral organs.

TOFI - Wikipedia

You don't have to explain yourself to me, but you very confidently stated you have not lost lean muscle. I wondered how you would know this.

No, not necessarily at all. So long as you eat sufficient protein your body will prefer to burn fat rather than muscle.

I’m pretty sure the surgery changes (lowers) a persons level of the Ghrelin hormone and as a result people feel fuller for longer.

@freefloating and you, very confidently, said I had lost muscle mass, despite not knowing me so it seems we are in the same boat.

Yes you can.

Yes but that doesn't disagree with what I said. Insulin resistance and blood sugar modulation issues cause hunger and slumps. People who don't experience these issues with insulin resistance stay slimmer because they don't struggle to modulate their blood sugars and get hunger bursts when sugar zooms up and crashes.

Incidentally, when I was on MJ it was definitely not normal. I could barely look at food and had to force it down. I was completely uninterested, not experiencing a "normal" relationship with food at all.

That's because research has shown a high level of lean muscle loss in people on WLI...

I wonder what the muscle loss in the research actually means - are they looking at kg of muscle or muscle/non muscle ratios?

So if a 100kg person has 80kg of fat and 20kg of muscle for simplicity sake then they have 20% muscle (I know these figures are unrealistic and bone, etc exists as well).

They then lose 50kg and now have 40kg of fat and 10kg of muscle then their percentages will remain the same.

Because surely any slim person will have less muscle than a bigger person? It's why in cycling I can have a higher watts per kg than the bloke next to me but he has a higher speed than me because he weighs more?

Now if at the end of the 50 kg weight loss the person had 2kg of muscle and 48kg of fat that would be more concerning.

During previous (non WLI) weight loss I used to weigh myself on fancy boditrax scales in the gym which supposedly told me how many kg of my body was muscle and how much was fat. During this previous weight loss I actually managed to increase my muscle kg while losing overall weight which my Personal Trainer was surprised by as he said it's very difficult to do - but I was weightlifting a lot. I'd imagine it's possible to do the same even when losing WLI - its the weight loss which causes the muscle loss but with the right exercise you can combat that. And protein intake!

Yeah. It would be good if people taking any weight loss drug were doing resistance training for that reason.

i wonder if these drugs are going to prove to be better long-term for younger patients. As they will be able to rebuild muscle and bone mass more easily. It's not impossible after menopause but it's a ball ache.

May I point out that the late Michael Mosley’s Fast800 diet also recommends rapid weight loss and 800 calories a day until the excess weight is off. The same is true for shake diets, some of which are endorsed by the NHS, especially pre surgery. It’s not a novel thing. The research doesn’t necessarily support a slow and steady approach. Some of it will be muscle but can be counterbalanced by weight training.

Oh that's interesting, thank you. I will do some more reading about it.

Wasn't there a study that came out this year saying those fasting diets came with a hugely increased heart attack risk?

I hope you are better now What were the opinions of the medics treating you for pancreatitis on the weight loss injections?

Well a lot of people who are obese are going to be pre diabetic and their blood sugar will be all over the place regardless of what they eat.

What you eat DOES affect your blood sugar, though. That’s why people who are pre-diabetic (or even fully diabetic) can reverse it through diet. That’s the point - you have to look at what you eat rather than just calories.

I lost 10 stone 22 years ago.. I got gallstones and it got so bad i couldnt eat SOLID food. i went through months and months of excrutiating pain and A + E admission. In and out of A + E for TEN MONTHS. then doctors coming to my home to give me morphine injections whenever i had an attack . Finally a doctor prescribed me morphine pills which melted under the tongue that i took every time i had an attack. First attack was 3 July 2002 Scan was on 19 Dec 2002 after months of A + E admissions . Early Feb 2003 i got a letter telling me id have to wait for ANOTHER YEAR. I cried my eyes out and actually considered suicide. It was only after a private consultation with a surgeon and then another admission to hospital and an NHS appointment with the same surgeon that my op was promised within 6 weeks It was done 5 weeks later on 28 April 2003.id lost 8 stone by the time i had my op. The surgeon and two doctors told me it was caused by losing weight too fast. (slimming world) The pain was excrutiating and the first attack appeared after id lost nearly 4 stone. Back then i had no idea fast weight loss could cause gallstones I was losing a stone a month and whenever i did try to slow it down i either stayed the same or gained.
I actually did seriously consider suicide especially after i got the letter telling me id have to wait ANOTHER YEAR. I thought it was beyond cruel especially when id lost the weight by myself with willpower.
i believe due to mixing tramadol with as many over the counter drugs as i could in the early months to stop the pain i have been left with long term issues and its also left a bitter taste in the mouth TBH. Im grateful for the NHS but i was in so much pain i was thinking of overdosing (which i was bloody close to anyway) i also think the fact i won Class Slimmer of the Year and started to appear in our local papers may have been a factor in me getting the op sooner than that awful letter said but i shall never know.

Now i see that the NHS is endorsing speedy weight loss i certainly hope any gallstones that happen are dealt with quicker than mine was.

Maybe. I’m just saying that rapid weight loss is no new thing and that doctors are often endorsing it. And actually, WLIs aren’t intended to result in massive dramatic weight loss. The recommended rate is about 2lb per week, same as for a normal calorie restriction diet.

That sounds horrendous. I hope you feel better now. But yes they are endorsing a soup and shake diet for diabetic patients lasting 12 weeks and consisting of 800 cals a day. I presume it relies on the patient going into ketosis to prevent hunger. They must have weighed up the gallstone risk and decided it still has benefits. I think the problem is that when you have a lot of weight to lose, slow and steady takes so long that the patient is likely to give up and lose motivation. Whereas if you can get 3 stone off them in 3 months, they will have significant benefits to their health as well as keeping the motivation.

Wow, that’s insane, how awful. I got gallstones from being overweight, 10 years ago. I had a few months of attacks of increasing severity, with a couple of a&e visits, the second resulting in admission to treat sepsis. They’d have removed my gallbladder there and then if it wasn’t so infected but in the end I waited 6 weeks for the op.