Sister needs weight loss jabs but doesn’t qualify

[Mondaytuesdayhappydays]

My step sister has been struggling with her weight all her life
In order fir her to keep her weight stable she has been fighting food noise and cravings since about 13 but has resisted which she describes as a full time job along with exercise which is baked into her life but she hates.
she is a healthy weight and quite slim but at 44 wants a breather from her life revolving around food and food noise.
She wants the jab for some time off all this

Im fat and qualify and use the jabs - 3.5 stone down but still very overweight and now finding that that the suppression lasts longer so have agreed to order my next lot as the starting dose of 2.5 for her so she can have a month or two off

AIBU
she is riddled with food noise and has had over 30 years from a teen with total
food obsession. Virtually sticking her fist in her mouth and doing exercises rather than overeat
agreed she hasn’t put weight on by overeating as has managed not giving in but this has been torture for her and she needs a break

Did you actually read my original comments I was responding to a question from?

Absolutely do not give her this medication, the weight-loss is a side-effect not its main effect. She must get her bloods checked for various indicators to make sure a) its safe for her to take and b) during taking them she is not being put into a dangerous chemical imbalance in her body while taking them.

Disclaimer - I work in drug development and I've been working on clinical trial for an almost identical compound and from seeing the results there where the subjects are monitored during the trials there is no way I would suggest any friend or family take these off-prescription. In fact if I discovered any friend or family doing this I would be reporting it to the BMA because of the potential danger.

I did, and you said if you were OP you would give her the meds ‘but only if her and DSis had done all the checks on her health and made sure there wasn’t something that would clash with the drug’. How are they going to do that if DSIS isn’t the one being prescribed for ? They’re not medically qualified and this poster has pointed out exactly why she shouldn’t do it.

When you order the drugs you are asked what medication and medical issues you have, you are automatically rejected if you have anything that clashes with the drug, it’s not hard to change up the answers and see, it’s what I did with my friend to show her how dangerous it was for her to take the injections and why I wasn’t comfortable getting her them.

I was responding to your response, which didn’t qualify your “only if you’ve checked it would be safe”…. Even with your caveat, I still think you are wrong, and your caveat is in itself fairly ridiculous, isn’t it? Because there is no way the OP or her sister can do those assessments themselves, even using Dr google. Unless, of course, one or both of them are a prescribing pharmacist or doctor (or perhaps specialist nurse prescriber), which I would have thought op would have mentioned. Though even then you can’t prescribe for yourself or family, but at least you could do some sort of assessment.

Additionally, patients with disordered eating or eating disorders are very loathe to admit them - it’s part of the eating disorder itself that the individual often doesn’t see what is plain as day to those around them, or even if they understand they are unwell part of the disease is that the thought processes and compulsions drive them on anyway. Patients suffering from these conditions are likely to try to find all sorts of reasons/excuses/ ways to avoid having to admit the real issue- especially in the face of not getting something that will meet that need. I am not saying I can diagnose disordered eating or an eating disorder in op’s sister- of course I can’t- but if I were being asked to prescribe and I was told some of the things OP has said about her sister, I’d be wanting to look at this aspect very closely because it raises alarm bells to me. The potential consequences of giving this type of medication to someone with an eating disorder is potentially disastrous.

I really relate to your sister here op. I hover on the upper end of healthy BMI but I am absolutely obsessed with food. I had full blown anorexia in my teens and early twenties. Gained weight without realising when I was in a happy relationship, started losing it then got pregnant and have been trying to get back to skinny ever since (now mid 30s). I think about it all the time. Plan my daily meals and macros but can't resist things in front of me if my plan is disrupted. Can't resist nice things in the house. I recently saw a IG post about loving the chance to eat loads when you're on your own is an ED trait which is exactly what I do. When DH takes dd away overnight I am so excited about what I'll eat, spend ages thinking about what takeaway I want. Slimmer people struggle too and it would change my life if I didn't care so much about food