To think that if people can take Mounjaro forever for maintenance (which I support FAOD)

[Fragmentedbrain]

Why can't everyone just buy it when they feel the need?

Basically this means that people who lost weight in a different way are denied this long term amazing support tool while those who started off on it can keep using it. But if you purposefully regained a bit of weight to become "eligible" for the injections you could take them and then have Mounjaro available for life.

This seems very unfair to me.

If someone is 5’ and 10 stone then they could get a private prescription for Mounjaro.

Because Mounjaro is a medical treatment for obesity. It hasn’t been tested in people who don’t have obesity - maybe it will eventually be judged worth the risk of side effects in that population, but that calculation has not been made yet.

Surely people don’t expect to be prescribed a drug that’s meant for a condition they don’t actually suffer from?

You’ve tagged me but I can’t see any relationship between your comment and mine. Was it by mistake?

It has been trialled long term. It's been prescribed for diabetes for over twenty years. I do think the GLP1 tablets now being trialled might come into play for the kind of scenarios the OP is describing .cheaper abd easier than a jab and somewhat less effective it seems, but maybe enough to help with maintenance.

That’s the point though, it is being prescribed for people who don’t have obesity.

they may have started obese, but once they are in the non obese range they are still being prescribed it to lose more weight or maintain.

what is the difference between someone who started obese and used wld to get to a normal weight who can be prescribed wld, and someone who started obese, used conventional methods to get to non obese, but then can’t have wld prescribed to get to a healthy weight.

Not as a white person, 5 foot and 10 stone puts them at a BMI of 27.3, which is overweight, not obese. A BMI of 27.3 is very close to the obese range for people that are of certain ethnic backgrounds, because they have a propensity to more severe diseases as a result of being overweight and obese. But, again, that’s the only reason they’d be able to get it.

Yes there are people who have a BMI of 30 or 31 who get it, but they could be preventing themselves hitting a BMI of 50.

I don’t really understand the upset about cut off levels. Yes they exist, and yes there is a debate to be had about the merits of BMI in general. But a BMI of 30+ is considered to be obese medically. So that’s that.

The reason that people taking Mounjaro long term to prevent recurrence of obesity is different to never-obese people taking it is because of the long term damage obesity does to the body.
However I do think in time it's likely it will be prescribed to people who are overweight but not obese too. It depends on the longer term safety outcomes. There are bound to be doctors who will prescribe it off label as they see the benefits and don't observe significant risks.

If you’re depressed, take anti depressants and you no longer feel depressed, do you no longer have depression? Or is it medicated and controlled?

That's a bad comparison. Asthma cannot be avoided by any action or inaction other than medication. There is literally NOTHING that is in a person's power to stop an asthma attack. A person with obesity COULD lose their excess weight by their actions in the same way a drug addict COULD become clean. I accept they'll always have the potential to relapse but it is something that CAN be done. The instance the OP is referring to - an obese person who lost weight the old fashioned way would be an example

I mean SSRIs and ADHD medication carry risk but we don't tell people to just suffer because of the "risk" of taking treatment.

The birth control pill is also not risk free - clots etc - yet widely used.

there are long term obese people who have reached non obese weight without wld. They then can’t access wld to reach a healthy weight.

if you use wld to get from obese to overweight then you can be prescribed wld to reach a healthy weight.

This is the question. Why can the latter be prescribed wld purely because the initial weight loss method was different. Same risks for both.

Exactly. Same with blood pressure meds, statins, etc etc.

1. Non-white people exist so it’s not a “gotcha” to prove me wrong that it’s not for (some) white people
2. Lots of white people can get a prescription at 27. They just need a compounding health condition.
3. You’re changing your point. You used 10 stone as an example of someone “a little bit chunky” and not the vastly obese people who use mounjaro. It’s not true. It’s available at a surprisingly low BMI.
4. The weight isn’t taken under any kind of controlled condition - you can do it in the evening after downing two litres of water. It could put you easily half a stone up from your morning weight (that is standard measurement). And, if you time it correctly in the month, you could be almost a stone heavier. Most women could get a prescription if they wanted to (and could afford it).

If you’re depressed, go to counselling, take exercise and really work hard on your mental health without drugs, are you then ineligible for antidepressants to maintain or improve your symptoms?

that’s the comparison.

Exactly! So you do understand the answers in your OP? If someone got their blood pressure under control without medication, would you put them on statins afterwards?

I totally understand what you're saying OP, the guidelines at the moment are what they are and no doubt will change in the future at some point. As always ppl that have never struggled with their weight and trying to control it do not truely understand the issues, much as a none drinker can't understand fully the pull of alcohol.
Are you aware that Mounjaro has to increase in price by A LOT in September, there are going to be ppl who hoped to use it for maintenance paying privately totally out priced, wait for the opposes being gleeful. Thin ppl think they are superior and delight in telling us over weight ppl to stop being lazy, eat less, move more blah blah. Just wait....

How much are jabs going up in price & when?

If your symptoms go away then yes.

1. i literally mentioned non-white people in the next sentence.
2. okay, they’re being prescribed medication for a medical condition. What’s wrong with that?
3. no, I didn’t.
4. correct. But there’s a level of personal responsibility that comes with this kind of thing. You need to be able, as an adult, to make good choices. You’re also then buggered when it comes to the weight verification.

Yes doctors will put people with a high risk of recurrence of cholesterol problems on statins immediately without forcing them to get unwell again (some statins also protect your kidneys... A bit like Mounjaro)

I’m not sure what your problem is?

You said it’s not for people who are 10 stone. It is.

The entire rest of your outrage is invented.

No, I didn’t say that at all. I said it’s for obese people.

Damn it I hit unreasonable but meant opposite. I completely agree it should be made available anytime the persons bmi goes back into unhealthy. A small maintenance dose forever or whenever can stop this. Anyone who has not been in the situation of how mj has work and has continued to help can’t possible
understand how Important it is. It’s is not just life saving for diabetics (apologies to diabetics here I’m not meaning it to sound dismissive but it’s a whole other subject that I support for you guys too) but it is really life saving for obesity people too.
the problem is the drug manufacturers, and the fat cats (that’s not us the obese ones) I mean the other ones. Including politicians who are cashing in big time. Mj, oz are all
jusy the latest in drug production. Please don’t fight amongst ourselves over it.In a few
years time it will
be there for everyone anytime to use. It’s just now while it’s a hot subject (and hot
money to
be be
made). The drug world is corrupt and I don’t mean the Columbia sort. Just put yourself in someone elses shoes. We all have our reasons for
wanting it. Like I say I totally understand the diabetic side of it. I agree. I’m a Rn. I’ve taken mj. I’m 50. Took it for 5 months.
lost 4 stone. Kept weight off for 8 months now. Still
in healthy bmi range. Have come off tramadol half my cocodamol amitripyline for all for major
back issues. Let me tell you I’m not stupid. I just could
never ever have does that without mj. Never. I tried everything. For
decades. 4 stone. I would not
shift it. It really is my Miracle
drug and not one person
in the world will
Convince me otherwise. I have kept the weight off. its only been 8 months but the minute if it goes back on I will
be back onto it no matter the cost. My pain, my
mental health (you have no idea of the shame we carry for
being fat) and the fact I’m not taking near as much other drugs in
mymsystem means way more to me than keeping others happy. I will
be in it for life if I need to and I will
never hide that or be ashamed of it.

It was designed as a medication for type 2 diabetics to help control sugar levels.
People who are prescribed it on this basis will be prescribed it for life.