I think as a nurse and someone who cares about her that it would be a good thing to have a conversation with her about Mounjaro and ask her if she’s aware of the NICE/NHS prescribing guidelines and whether it something she would consider speaking to her GP about to see if she would be eligible,
I say this as someone who was morbidly obese, has been obese since I was in Primary School and who was lucky enough to be prescribed MJ as a result of a T2 diagnosis last year. I am now healthy BMI, half the size I was (very nearly literally I am 46% smaller than my highest weight), my diabetes is in remission, my cholesterol is back in the normal range, my BP is normal, my resting and exercise heart rate has reduced, I am a significantly healthier and happier person.
I knew I needed to lose weight and I tried so very very hard, but I just couldn’t do it. I was painfully hungry all the time, I could stick to a diet for a few weeks eating the right things, not restricting too heavily just 500 below TDEE but my mouth would be watering and my stomach growing with hunger constantly so in the end I would break.
It was because I did not produce enough insulin and my sugar levels were sky high. The Mounjaro causes you to create more insulin in response to excess glucose, it also causes you to be more sensitive to what is produced, and in addition it slows your digestion so you feel satiated for longer. That intervention meant that I was able to stick to the healthy diet. I eat 1400-1600 calories a day, drink 2lts water, stick to high protein, low carb, high fibre, moderate fat macros, and do at least 3 x workouts a week.
Position it as a ‘has she checked whether this would be a good medication for her based on eligibility and all round health?’ conversation.
The worst that happens is that she gets upset or angry and you’ve said you’re willing to take that risk. The best that could happen is she turns her life around.