Extremely hacked off by GP. Won’t prescribe Mounjaro

[Hakunatomato]

I have been self funding Mounjaro for the past year, and have a debt on credit card because of it. As a result, my HBa1c has gone from 19 to 5.5. I have lost almost 5 stones, now down to 16 .stones so effectively I have put my diabetes into remission as a result. I can no longer afford it because of the price rises and have asked my GP to start prescribing it. Their response is that because my blood sugar is now nearly normal they won’t do it, despite me having a bmi of 46. When I finish the course I have I now have to watch my good work go in to reverse and watch my health decline. All for the sake of the £30 a week is would cost my GP at wholesale NHS cost. If I put the weight back on again and wait while my blood sugar levels rise and I will have to apply again. I am so pissed off.. The relatively small cost as opposed to what the bills will be when my Diabetes returns doesn’t make sense.

Not without also having four of the co-morbidities from the list of five and being on the tier 3 weight management pathway. GP’s can’t just prescribe it.

Genuine question. How do you resist when you are hungry? How do you distract yourself from noticing your hunger?

Most of them haven't been 'doing the right things' have they? They've been overeating and eating foods that made them gain weight. These medications reduce appetite so they are now eating less and are therefore losing weight. As I said, the environment makes it hard for many people to maintain a healthy weight and good health in general but that doesn't entirely remove personal responsibility from the equation.

They aren’t though, are they?

I did exactly the same as you. Reversed the same health issues. Went from 27 stone to 12 stone. But I didn’t use weight loss injections, I just stopped eating shit.

I don’t see why you think you will suddenly be unhealthy again coming off the weight loss injections.

ETA - sorry I see what you mean. They won’t prescribe it as you don’t meet criteria. But seriously, don’t get into the mindset that you need these injections. What will you do, stay on them until the day you die? You’d have to come off at some point.

drink pint of water, keep busy, drink tea

But drug addicts and alcoholics don’t stay in rehab forever. At some point they have to make a decision to stay clean and live life differently than before. What do all the people taking WLI think will happen after being on it a year or so?

food addiction?

load of bollocks

Some real bullshit and nastiness on here .
These people are so bloody sanctimonious 🤬🤬

I have a older sister …85 years old …has never ever been fat ever . Size 8 , 5ft 2 inches tall.
My god …can she eat and always has done.
She actually eats more in one day than i do in 5 ‼️
3 good size meals a day …including dessert.
Like a couple of drinks , odd few sweets , loves cheese .
Nothing she doesnt like or eat

Still a size 8 . ‼️
In perfect health .

So ….what is it about ????? Metabolism ? Genes ? Who knows …we are NOT all built the same

Great user name there, you really are.

Drugs and alcohol are also abundant and cheap, but we're not all junkies or alchies. Young kids never (well, rarely!) used to smoke, but most still managed not to be obese. So what you're really saying is that addiction is only driven by cheap availability when it's food, and convenience and choice isn't laziness but it's always a medical condition? Riiiiiiight.

Not sure how so many obese children (very few with slim parents) manage to, pardon the pun, feed their addiction independently. While I agree that some instances of obesity will be complex and due to issues like addiction, you absolutely cannot argue that in some cases, laziness, greed and indulgence aren't huge contributing factors. Childhood, and even worse infant, obesity should be treated as child abuse.

You need to take responsibility for yourself. You've done fantastically well but it's up to you to maintain it. Why should tax payers fund the drugs when you haven't even tried?

This is a really good example of why there is reluctance from many clinicians for the NHS to fund this. It gives people an easy way out and gives them free will to eat, drink and live unhealthily as they think it'll be ok because the tax payer will pick up the tab for making them thin again. It's a slippery slope.

I have diabetes (type 2), and my GP refused to prescribe Mounjaro for me, @bumblebee3122. I hadn’t been on any weight loss medication, but was still refused.

But that doesn't mean you have to eat it.

But every woman in the country will go though menopause with slowed metabolism. We all have to take responsibility. Eating less and moving more does work. When it doesn’t it isn’t being done enough.

But it can fund heart disease medication and joint pain medication and depression medication and diabetes medication in the form of metformin , or insulin if you can't get your bloods under control, and diet groups that are fucking useless spouting out of date information like eat less move more 🤦all of these things the nhs can prescribe to one person, but not mounjaro that would and indeed could wipe out most of the above. Mmm me thinks maybe the big pharma don't want to have all these medicines not prescribed anymore, it maybe suits them to have fat unhealthy depressed folks chomping away on myriad medication that the nhs buy and supply like sweeties. The NHS is a cash cow for the pharmaceutical industry, they've come across a dilemma in this medication, they can make us fit and healthy but they want the ££££for it. Fit and healthy people don't need multiple medications,and don't make the ceo 's of big pharma rich, they need us to pay for this miracle drug the ceos aren't benevolent healers happily handing out their miracle drug to all that need it of course not, they want their ££££, and giving it to the nhs to dole out wouldn't achieve this simple as.

"is literally programmed to make your weight go up and never down in response to calorific deficit (whether famine or dieting induced)" - I don't ever remember seeing any obese people whatsoever in actual famine situations, what utter nonsense. You're using "famine" to mean a bit hungry. Nobody who cannot ingest enough calories over a sustained period puts on weight.

Ok so what’s the plan? People can’t take MJ forever.

I’m not the PP but in a similar situation. I do something. Work, housework, hobby. Even if I’m just watching television that’s what I’m ‘doing’, I’m not eating as well.

I recognise that I’m hungry (before dinner very hungry) and realise that it is natural and won’t harm me. Yes, its unpleasant but so is being obese. I say this as someone who kept the weight off this way until I was in my late forties and then ‘got comfortable’ after moving to the country and starting to work from home.

I’m allowing myself to be hungry again now and have lost a stone in eight weeks at 54 years old. It helps to eat very limited carbs and never eat until I’m full. This is all very doable (for me, with no other health issues). I used Micheal Mosley’s Fast800 books to get me started but pay very little attention to the detail of that now.

The sensation of hunger being a bad thing is a modern concept invented by food companies.

This.🤷‍♀️

Why do you have to watch your health decline? Just eat the same amount that you were on the injections, surely?

I think it costs the NHS £30 per week, but a lot more if individuals are buying it privately, @iseethembloom.

As a previous poster has suggested - a middle ground would be for the NHS to supply it at the same cost that it costs them - £30 a week - but I suspect the drug companies would not allow this, because they want to carry on making whacking profits from private sales of WLIs.

Finally someone who thinks same as me. If the food industry wasn't putting all sorts of crap in our food we wouldnt have such an obesity epidemic.

But lots of people who claim depression ARE just a bit sad for a short period, in the same way as some fat people are just greedy overeaters (I'm one of those on occasion).

Oh come on. You don’t need to be buying crap. We eat very well and cheaply with next to no UP crap.