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Extremely hacked off by GP. Won’t prescribe Mounjaro

1000 replies

Hakunatomato · 02/09/2025 09:57

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.

OP posts:
Thread gallery
11
Zov · 02/09/2025 22:50

DarkForces · 02/09/2025 22:28

I'm constantly stunned at the fury at people taking wlis on these threads. They have the potential to change the whole health profile of our population, making nhs treatment more affordable in the long term. They could well mean you have longer with people in your life who are currently obese and have all the risks linked to this. You'd think we'd be celebrating rather than berating people for using them. They are a transformative advance for health care and weight management and providing them to people who need them for as long as they need makes sense from pretty much any angle I look at it. Prevention is better than cure, except for conditions that could be prevented by weight loss it seems!

Missing the point much? The OP has lost 5 stone on the weight loss injections, and now they have gone up a lot in price, she can't afford them, and now wants the NHS to fund them for her to make sure she doesn't regain the weight.

The GP has said 'no' (understandably!) and she has come on here to state how 'hacked off' she is about it. Yes, people are furious at that entitled and defeatist attitude. There comes a time when people have to take some responsibility, and not expect the simple solution to everything to be handed to them on a silver platter. Especially when that solution comes at a cost to the taxpayer and the NHS! (Which is already on its knees!)

She has already lost the weight, and wants to CONTINUE the weight loss injections for FREE now to maintain that weight loss. Errrmm, why not do as everyone else has always done, and eat healthily and live a healthy lifestyle, now you have lost the weight?!

I thought these magic beans weight loss injections were meant to get rid of the 'food noise' and train people to eat healthier and eat less. So they could adopt a different/healthier way of living. Now they've moved the goalposts and said 'oh no I neeeeed to be on the weight loss injections for life.'

No. No you don't. Once you're at target weight, you don't need to be on them any longer. To suggest you do, is a defeatist attitude, and shows you have no intention of making any real effort, or doing anything to help yourself.

I agree with previous posters, the entitlement is astounding.

usernamealreadytaken · 02/09/2025 22:52

MargoLivebetter · 02/09/2025 19:54

But the NHS spends a fortune on the treatment of Type 2 Diabetes, high blood pressure, joint issues, back pain, eyesight deterioration etc - a great deal of which is caused by obesity. Long term chronic conditions that could be avoided or greatly reduced with the use of WLI. Some people may want to stay on them long-term but plenty won't. The side effects are very significant for some people and even if they are not very significant, they are often enough of a PITA to put people off sticking with them indefinitely.

I used to be married to a rugby player and he was frequently injured. Every single week at least one member of the club would end up in A&E! No one raised any red flags or suggested that they stopped playing rugby. I have lots of friends whose DC play football and they seem to be endlessly back and forth to the GP, physios or consultants about Achilles strains, muscle tears, meniscus tears and other knee injuries etc. All treated on the NHS with no one saying they should take more personal responsibility.

There are plenty of women who have had breast implant complications that require long term treatment that the NHS funds. Where are all the people castigating them for having boob jobs in the first place. Nowadays, there are so many people having dodgy surgical procedures or even non surgical cosmetic procedures abroad that go wrong and the NHS picks up the pieces often long term.

As we age, we become a giant collection of chronic long-term health issues - all of which the NHS treats. It is just madness to suggest that the NHS is only there for acute medical issues.

@Skodacool this is taken from the Department of Health: "Updated 2 February 2024*
Obesity costs the NHS around £6.5 billion a year and is the second biggest preventable cause of cancer.
Over one in four (26%) adults and 23.4% of children aged 10-11 years in England are living with obesity, placing huge pressure on the health and care system."

It seems like a no brainer to me to look at better ways of managing this issue and I doubt that even if every obese person in the country took WLI it would come to £6.5 billion a year.

You’re being disingenuous. T2 is often caused by obesity, which is largely avoidable if individuals don’t overeat the wrong stuff. “Food noise” is a trendy new tern the drug companies have come up with to make it all a bit softer.

Plenty of people criticise people who have disastrous and unnecessary cosmetic surgery then lumber the NHS with the cleanup costs.

Arguably, the DC with “seemingly endless” minor injuries are just front-loading their NHS costs, as they are more likely to remain healthy and active and be less of a burden in later years.

Given that so many children are obese, do you think lifelong drug dependency is a healthy way to steer them, or instilling a better health attitude from a young age?

ForeverDelayedEpiphany · 02/09/2025 22:54

RosesAndHellebores · 02/09/2025 22:47

Breakfast: 1tbs Greek Yoghurt, a few nuts and a dsp all bran, 2 tbs mixed berries.
Lunch: small salad with tuna, sardines, cottage cheese or eggs, an apple and two satsumas
Dinner: Greek salad and Seabass, two satsumas. Or chicken breast, or salmon, or bean stew or turkey bol with brown rice.

Two glasses of slimline tonic.
Every single day. Three stone lighter.

I'd live lasagne, curry, enchiladas, wine, sandwiches and crisps fkr lunch.

It can't happen.

Absolutely 💯 this. Eating sensibly is the key. Not stuffing your face with crap and UPF and wondering why the weight gain is faster than a bloody cheetah.

I think some people just enjoy eating junk though, like my neighbours. One of them shouted out in reply to another neighbour as she was stuffing another pizza box into the bin that she decided she didnt care about how much she weighed... until she hits perimenopause and it is too hard to shift.

Thatfluff · 02/09/2025 22:55

TSHconfusion · 02/09/2025 10:25

Can I ask do people on MJ intend to stay on it forever? I had assumed the idea was that the drug helped you changed your lifestyle to make healthier habits and choices and then come off it and be able to sustain that. Just trying to understand as it seems crazy to be on it forever

I took it for 4 months and lost 2 stone, but really didn’t like the constant drained/sluggish feel. It did its job and now the eating regime I developed has become standard, and the weight is still coming off.

usernamealreadytaken · 02/09/2025 22:55

MargoLivebetter · 02/09/2025 19:59

@RethinkingLife I've just posted that the Government estimates that obesity related illnesses costs the NHS £6.5 billion per year. You are saying that according to the King's Fund research if all eligible people took WLI it would cost £3.1 billion, that is less than half the current cost for treating their obesity related illnesses. Imagine the savings to the NHS after a year!!!! I think I will write exactly that to my MP and the Health Secretary. We desperately need to save the NHS some money and this seems like an easy way to do that.

But the £3.1bn would be on top of the existing £6.5bn, not instead of; their existing medical issues wouldn’t magically disappear on day one.

ResusciAnnie · 02/09/2025 22:55

Zov · 02/09/2025 22:50

Missing the point much? The OP has lost 5 stone on the weight loss injections, and now they have gone up a lot in price, she can't afford them, and now wants the NHS to fund them for her to make sure she doesn't regain the weight.

The GP has said 'no' (understandably!) and she has come on here to state how 'hacked off' she is about it. Yes, people are furious at that entitled and defeatist attitude. There comes a time when people have to take some responsibility, and not expect the simple solution to everything to be handed to them on a silver platter. Especially when that solution comes at a cost to the taxpayer and the NHS! (Which is already on its knees!)

She has already lost the weight, and wants to CONTINUE the weight loss injections for FREE now to maintain that weight loss. Errrmm, why not do as everyone else has always done, and eat healthily and live a healthy lifestyle, now you have lost the weight?!

I thought these magic beans weight loss injections were meant to get rid of the 'food noise' and train people to eat healthier and eat less. So they could adopt a different/healthier way of living. Now they've moved the goalposts and said 'oh no I neeeeed to be on the weight loss injections for life.'

No. No you don't. Once you're at target weight, you don't need to be on them any longer. To suggest you do, is a defeatist attitude, and shows you have no intention of making any real effort, or doing anything to help yourself.

I agree with previous posters, the entitlement is astounding.

Another comprehension fail - OP is 16 stone. That’s not ‘goal weight’ unless you’re a sumo athlete.

No offense OP, I’m the same weight 😁

Hotflushesandchilblains · 02/09/2025 22:55

Naunet · 02/09/2025 22:42

There's no need to be so agressive, I'm not attacking you.

Frankly you are making huge assumptions about other people and how easy you think it is for them. I think it's a narrative you must get something out of.

I am not assuming or underestimating anything except that you made an exceptionally ignorant statement. I understand that most people have to make efforts to control their weight and that includes the things you mention.

What you are overestimating is how much those things are helping you manage your weight. They undoubtedly help. But they are not the whole picture. What the science shows us is that obesity is a multi factor problem which includes genotype - literally how you are built. Some people are more likely to gain weight, gain it more quickly and get to higher weights than others and have more trouble shifting the weight. There are countless studies showing this.

So whether you think you are not being aggressive or not, trotting out the same old tired tropes is ill informed and is adding to the stigma of obese people as just not trying hard enough.

I am sick of it, frankly.

MsRumpole · 02/09/2025 22:57

Naunet · 02/09/2025 22:22

Will power is effective though, that's why not everyone is obese. Don't assume it comes easy to everyone who isn't overweight, it doesn't. It's harder for some, absolutely.

Willpower works for me in all respects apart from food.

I like a glass of wine or a G&T, but I barely ever actually have one and have no trouble stopping at one glass when I do, even if everyone else is out to get drunk. That's easy. I used to really enjoy smoking (years ago, this was) and still occasionally miss it, but I am able to be around people who smoke and say no. That's a bit harder but I'm able to do it. I do a difficult and demanding job that is very hard to enter and requires me to work long and unpredictable hours and give up huge amounts of time that most people would consider their free time. I am able to be disciplined in my finances. You get the general picture. I am not an undisciplined person. The fact that I can do these things does not stop me from understanding why others may find it very hard not to drink to excess or smoke knowing that it's bad for them or may not want or be able to work in the way that I do.

I fully accept that many people are a healthy weight because they work at it, not because it comes naturally. But I have worked at it too, in many ways over many years, and I have lost substantial amounts of weight approximately every 8 or so years since my 20s. I cannot begin to tell you the amount of mental and physical resources that I have devoted to losing weight, getting fitter, being healthy, and maintaining those gains over the last thirty years. It is not an exaggeration to say that most of my waking life as an adult has been focused on what I've eaten, what I want to eat now, what I'm going to eat when I will allow myself to eat, and how I feel about all of those things. (It's that internal chatter that MJ has turned off for me which has made it possible for me to eat less, although I like exercise and despite my size was already moving considerably more than most people I know).

Regardless of how I have approached weight loss - Weightwatchers, Slimming World, intermittent fasting, time restricted eating, low carb, Mediterranean, Paul McKenna, no UPF, straightforward calorie counting, several years of psychotherapy, CBT, non-Paul McKenna hypnosis sessions, even a form of music therapy, personal training - and how much I have lost using those methods (6 stone, 4 stone, 5 stone, etc, big numbers), I have not been able to maintain those losses for more than a few years. I don't think that I am a lazy or unconscientious person, or that I'm not sufficiently motivated, or that I am just too stupid to know that if I eat less and move around more I'll lose weight. I think that this particular thing, which I accept is hard is for you and requires you to make an effort, is - for whatever reason - harder for me to achieve, and I need extra help to do it. There may well be other things that I find doable that you would need extra help with, but this isn't one of them.

The statistics tell us that the overwhelming majority of people - like over 90% - who lose large quantities of weight will put it back on and more besides, so I'm also not a statistical outlier. Far from it. All of the evidence is that willpower is not the answer once you get obese. There is also evidence that a tendency to obesity is genetic: both of my parents were obese people from families that tended to obese and having been a very thin child I jumped from underweight to two stone overweight in the year I started my periods.

There are other reasons that I've identified in therapy for becoming obese in the first place that I won't share here because they're no one's business, but none of them are "I am a lazy thoughtless person who just sits around and stuff herself for fun".

As I have said earlier on this thread (with a link to a source as a starting point), our bodies literally do not recognise a state of "dangerously overweight" and have no mechanism to automatically reduce our weight from unhealthy to health, because for the vast majority of our collective history as a species the danger we have evolved to manage is that of not having enough food, not of having too much. Our weight set point goes up every time we gain weight and does not go down when we lose weight, meaning that every time I lose 5 stone my body thinks it has experienced a famine and gathers all of its resources to get me to put that weight back on again. Our bodies do not know the difference between "there's a famine, I'm now 5 stone instead of 9 stone" and "I have lost 5 stone because I was too fat to be healthy at 14 stone and my healthy weight is 9 stone". It all feels like starvation to the body. That's because it's only in the last 30 seconds, from an evolutionary point of view, that retaining too much weight has become an existential threat.

So. I take MJ because nothing else so far has worked despite my best efforts. I pay for it myself because I can afford to and because apart from being very overweight I'm actually too healthy to qualify for an NHS prescription. Once I've reached my target weight I will phase it out; I agree that it's desirable to do without medication of any sort if you can. However, if I have the same difficulty maintaining a healthy weight as I have had in the past without MJ then I may go back onto it, because I'd rather be on MJ all my life than be obese all my life if that's the choice that's presented.

PS this isn't an AMA, it's a response to the many posters who have suggested that OP and others like her just haven't given good old willpower a good enough shot. We have. We really have.

Thatfluff · 02/09/2025 22:57

To add though, my weight gain over the last 5 years was grief at losing my parents and sibling in quite quick succession. So I’ve been able to work through the grief which has helped. Those saying just use willpower clearly don’t understand how emotional eating works.

SunnySideDeepDown · 02/09/2025 22:58

Hakunatomato · 02/09/2025 10:25

Thank you. I am expecting a hundred comments from people who know nothing about the mechanics of diabetes and telling me to eat less and be more active. I can see that you understand. To make such comments is akin to saying to an alcoholic well you have managed 3 weeks off booze, so we won’t help you until you become so unwell and have stage 4 liver disease.

But thousands of substance misusers go into recovery without the use of medication.

Accountability OP. You didn’t magically gain weight, it’s not due to your genes or something out of your control. You ate the wrong diet for decades, watched your weight increase. Mounjaro is incredible in that almost everyone on it loses weight easily by having a reduced appetite - like we all do when unwell. It’s great that you invested in yourself.

Im a healthy weight. Im sympathetic to people with obesity having seen the effects in my family members. I work bloody hard too and pay good taxes without using the NHS beyond screenings. Should I be moaning about everyone in jabs because I pay tax and don’t use the NHS? Your argument is flawed. Most of us work hard and pay tax, that’s normal. Some people use public services more than others - if you want to be healthy, you’re going to need to take some accountability for your actions.

Thereisalways1 · 02/09/2025 23:01

OP I agree the NHS is a disgrace! I was forced to go private for an ADHD assessment and now privately medicated. This costs me, at the moments about £300 a month between clinical costs and medication. My NHS board had stopped all adult ADHD pathways and my mental health was at rock bottom. Hopefully I will have finished my titration soon so cost will maybe go down to about £200. I know it’s not the same, but medication has been life saving for me!

Hotflushesandchilblains · 02/09/2025 23:02

MsRumpole · 02/09/2025 22:57

Willpower works for me in all respects apart from food.

I like a glass of wine or a G&T, but I barely ever actually have one and have no trouble stopping at one glass when I do, even if everyone else is out to get drunk. That's easy. I used to really enjoy smoking (years ago, this was) and still occasionally miss it, but I am able to be around people who smoke and say no. That's a bit harder but I'm able to do it. I do a difficult and demanding job that is very hard to enter and requires me to work long and unpredictable hours and give up huge amounts of time that most people would consider their free time. I am able to be disciplined in my finances. You get the general picture. I am not an undisciplined person. The fact that I can do these things does not stop me from understanding why others may find it very hard not to drink to excess or smoke knowing that it's bad for them or may not want or be able to work in the way that I do.

I fully accept that many people are a healthy weight because they work at it, not because it comes naturally. But I have worked at it too, in many ways over many years, and I have lost substantial amounts of weight approximately every 8 or so years since my 20s. I cannot begin to tell you the amount of mental and physical resources that I have devoted to losing weight, getting fitter, being healthy, and maintaining those gains over the last thirty years. It is not an exaggeration to say that most of my waking life as an adult has been focused on what I've eaten, what I want to eat now, what I'm going to eat when I will allow myself to eat, and how I feel about all of those things. (It's that internal chatter that MJ has turned off for me which has made it possible for me to eat less, although I like exercise and despite my size was already moving considerably more than most people I know).

Regardless of how I have approached weight loss - Weightwatchers, Slimming World, intermittent fasting, time restricted eating, low carb, Mediterranean, Paul McKenna, no UPF, straightforward calorie counting, several years of psychotherapy, CBT, non-Paul McKenna hypnosis sessions, even a form of music therapy, personal training - and how much I have lost using those methods (6 stone, 4 stone, 5 stone, etc, big numbers), I have not been able to maintain those losses for more than a few years. I don't think that I am a lazy or unconscientious person, or that I'm not sufficiently motivated, or that I am just too stupid to know that if I eat less and move around more I'll lose weight. I think that this particular thing, which I accept is hard is for you and requires you to make an effort, is - for whatever reason - harder for me to achieve, and I need extra help to do it. There may well be other things that I find doable that you would need extra help with, but this isn't one of them.

The statistics tell us that the overwhelming majority of people - like over 90% - who lose large quantities of weight will put it back on and more besides, so I'm also not a statistical outlier. Far from it. All of the evidence is that willpower is not the answer once you get obese. There is also evidence that a tendency to obesity is genetic: both of my parents were obese people from families that tended to obese and having been a very thin child I jumped from underweight to two stone overweight in the year I started my periods.

There are other reasons that I've identified in therapy for becoming obese in the first place that I won't share here because they're no one's business, but none of them are "I am a lazy thoughtless person who just sits around and stuff herself for fun".

As I have said earlier on this thread (with a link to a source as a starting point), our bodies literally do not recognise a state of "dangerously overweight" and have no mechanism to automatically reduce our weight from unhealthy to health, because for the vast majority of our collective history as a species the danger we have evolved to manage is that of not having enough food, not of having too much. Our weight set point goes up every time we gain weight and does not go down when we lose weight, meaning that every time I lose 5 stone my body thinks it has experienced a famine and gathers all of its resources to get me to put that weight back on again. Our bodies do not know the difference between "there's a famine, I'm now 5 stone instead of 9 stone" and "I have lost 5 stone because I was too fat to be healthy at 14 stone and my healthy weight is 9 stone". It all feels like starvation to the body. That's because it's only in the last 30 seconds, from an evolutionary point of view, that retaining too much weight has become an existential threat.

So. I take MJ because nothing else so far has worked despite my best efforts. I pay for it myself because I can afford to and because apart from being very overweight I'm actually too healthy to qualify for an NHS prescription. Once I've reached my target weight I will phase it out; I agree that it's desirable to do without medication of any sort if you can. However, if I have the same difficulty maintaining a healthy weight as I have had in the past without MJ then I may go back onto it, because I'd rather be on MJ all my life than be obese all my life if that's the choice that's presented.

PS this isn't an AMA, it's a response to the many posters who have suggested that OP and others like her just haven't given good old willpower a good enough shot. We have. We really have.

Edited

Thanks @MsRumpole - its becoming increasingly clear that there are people on this thread more interested in putting the boot in than actually offering helpful or supportive advice. Seems to be happening more and more on MN these days.

PS - plenty of diabetic people are on MJ for the rest of their lives. Does not seem to attract the same degree of pearl clutching from the anti WLI brigade.

nocoolnamesleft · 02/09/2025 23:02

Stop blaming your poor GP for national prescribing guidance beyond their control.

samarrange · 02/09/2025 23:05

Coffeeandcrochet · 02/09/2025 22:26

I'm sorry but this just isn't true. At current prices, mounjaro has been modelled as being cost effective, not cost saving. The cost is estimated around £20,000 per quality-adjusted life year gained, compared with diet and exercise, once savings due to avoided complications of obesity have been factored in, for people with a BMI over 35 and at least one weight related comorbidity. This means it's appropriate to find it as the overall benefits are considered to justify the cost, but that's not the same as it getting cost saving.

One of the curious consequences of a publicly-funded medical system is that obese people actually represent a saving for the system. Not as much as smokers, who are huge net contributors to the NHS, but obese people have lower lifetime healthcare costs than normal-weight people. This study (free to read in its entirety) was an eye-opener for me.

The point is that while treating an obese person's cardiovascular issues (or a smoker's lung cancer, etc) can be very expensive for a year or two, those people tend to die quite young. And what actually costs the system more over time is repeated hospitalisations of people in their 80s and 90s, with frequent TIAs, falls, etc.

Note that the study doesn't consider the costs of social care or pension payments*. That would further tilt the balance "in favour of" 😳 smokers and the obese, as if you live 20 years less you collect 20 years less pension and you probably don't spend any time in a care home. (Next time you're near a care home, have a look how many of the residents are overweight. Not many, I'm guessing. There's a reason we talk about "little old ladies" more than "big fat old men".)

So if I was a conspiracy theorist I might be thinking that the government is actually happy for people to smoke or be obese because it staves off higher taxes to care for the non-smoking, normal-weight elderly. (That's a joke... for now.)

*To be fair, it doesn't consider the financial cost of time off work due to obesity-related disability either.

Lifetime medical costs of obesity: prevention no cure for increasing health expenditure - PubMed

Although effective obesity prevention leads to a decrease in costs of obesity-related diseases, this decrease is offset by cost increases due to diseases unrelated to obesity in life-years gained. Obesity prevention may be an important and cost-effecti...

https://pubmed.ncbi.nlm.nih.gov/18254654/

FluffySnugglyBlankets · 02/09/2025 23:05

Thatfluff · 02/09/2025 22:57

To add though, my weight gain over the last 5 years was grief at losing my parents and sibling in quite quick succession. So I’ve been able to work through the grief which has helped. Those saying just use willpower clearly don’t understand how emotional eating works.

It's not just emotional eating though. The stress of the situation will make you gain weight far easier too. I gained weight for the same reason and my doctor told me I could try to lose it but I probably couldn't at that time due to the stress I was under. I wasn't eating badly but I didn't have the energy to prepare quite as good food as usual. Now it won't come off.

SunnySideDeepDown · 02/09/2025 23:06

MsRumpole · 02/09/2025 22:57

Willpower works for me in all respects apart from food.

I like a glass of wine or a G&T, but I barely ever actually have one and have no trouble stopping at one glass when I do, even if everyone else is out to get drunk. That's easy. I used to really enjoy smoking (years ago, this was) and still occasionally miss it, but I am able to be around people who smoke and say no. That's a bit harder but I'm able to do it. I do a difficult and demanding job that is very hard to enter and requires me to work long and unpredictable hours and give up huge amounts of time that most people would consider their free time. I am able to be disciplined in my finances. You get the general picture. I am not an undisciplined person. The fact that I can do these things does not stop me from understanding why others may find it very hard not to drink to excess or smoke knowing that it's bad for them or may not want or be able to work in the way that I do.

I fully accept that many people are a healthy weight because they work at it, not because it comes naturally. But I have worked at it too, in many ways over many years, and I have lost substantial amounts of weight approximately every 8 or so years since my 20s. I cannot begin to tell you the amount of mental and physical resources that I have devoted to losing weight, getting fitter, being healthy, and maintaining those gains over the last thirty years. It is not an exaggeration to say that most of my waking life as an adult has been focused on what I've eaten, what I want to eat now, what I'm going to eat when I will allow myself to eat, and how I feel about all of those things. (It's that internal chatter that MJ has turned off for me which has made it possible for me to eat less, although I like exercise and despite my size was already moving considerably more than most people I know).

Regardless of how I have approached weight loss - Weightwatchers, Slimming World, intermittent fasting, time restricted eating, low carb, Mediterranean, Paul McKenna, no UPF, straightforward calorie counting, several years of psychotherapy, CBT, non-Paul McKenna hypnosis sessions, even a form of music therapy, personal training - and how much I have lost using those methods (6 stone, 4 stone, 5 stone, etc, big numbers), I have not been able to maintain those losses for more than a few years. I don't think that I am a lazy or unconscientious person, or that I'm not sufficiently motivated, or that I am just too stupid to know that if I eat less and move around more I'll lose weight. I think that this particular thing, which I accept is hard is for you and requires you to make an effort, is - for whatever reason - harder for me to achieve, and I need extra help to do it. There may well be other things that I find doable that you would need extra help with, but this isn't one of them.

The statistics tell us that the overwhelming majority of people - like over 90% - who lose large quantities of weight will put it back on and more besides, so I'm also not a statistical outlier. Far from it. All of the evidence is that willpower is not the answer once you get obese. There is also evidence that a tendency to obesity is genetic: both of my parents were obese people from families that tended to obese and having been a very thin child I jumped from underweight to two stone overweight in the year I started my periods.

There are other reasons that I've identified in therapy for becoming obese in the first place that I won't share here because they're no one's business, but none of them are "I am a lazy thoughtless person who just sits around and stuff herself for fun".

As I have said earlier on this thread (with a link to a source as a starting point), our bodies literally do not recognise a state of "dangerously overweight" and have no mechanism to automatically reduce our weight from unhealthy to health, because for the vast majority of our collective history as a species the danger we have evolved to manage is that of not having enough food, not of having too much. Our weight set point goes up every time we gain weight and does not go down when we lose weight, meaning that every time I lose 5 stone my body thinks it has experienced a famine and gathers all of its resources to get me to put that weight back on again. Our bodies do not know the difference between "there's a famine, I'm now 5 stone instead of 9 stone" and "I have lost 5 stone because I was too fat to be healthy at 14 stone and my healthy weight is 9 stone". It all feels like starvation to the body. That's because it's only in the last 30 seconds, from an evolutionary point of view, that retaining too much weight has become an existential threat.

So. I take MJ because nothing else so far has worked despite my best efforts. I pay for it myself because I can afford to and because apart from being very overweight I'm actually too healthy to qualify for an NHS prescription. Once I've reached my target weight I will phase it out; I agree that it's desirable to do without medication of any sort if you can. However, if I have the same difficulty maintaining a healthy weight as I have had in the past without MJ then I may go back onto it, because I'd rather be on MJ all my life than be obese all my life if that's the choice that's presented.

PS this isn't an AMA, it's a response to the many posters who have suggested that OP and others like her just haven't given good old willpower a good enough shot. We have. We really have.

Edited

Can you actually substantiate any of that? Particularly your explanation around increased set weight and famine. Where’s the evidence that this is a physiological phenomenon applicable to the human race?

DarkForces · 02/09/2025 23:06

Zov · 02/09/2025 22:50

Missing the point much? The OP has lost 5 stone on the weight loss injections, and now they have gone up a lot in price, she can't afford them, and now wants the NHS to fund them for her to make sure she doesn't regain the weight.

The GP has said 'no' (understandably!) and she has come on here to state how 'hacked off' she is about it. Yes, people are furious at that entitled and defeatist attitude. There comes a time when people have to take some responsibility, and not expect the simple solution to everything to be handed to them on a silver platter. Especially when that solution comes at a cost to the taxpayer and the NHS! (Which is already on its knees!)

She has already lost the weight, and wants to CONTINUE the weight loss injections for FREE now to maintain that weight loss. Errrmm, why not do as everyone else has always done, and eat healthily and live a healthy lifestyle, now you have lost the weight?!

I thought these magic beans weight loss injections were meant to get rid of the 'food noise' and train people to eat healthier and eat less. So they could adopt a different/healthier way of living. Now they've moved the goalposts and said 'oh no I neeeeed to be on the weight loss injections for life.'

No. No you don't. Once you're at target weight, you don't need to be on them any longer. To suggest you do, is a defeatist attitude, and shows you have no intention of making any real effort, or doing anything to help yourself.

I agree with previous posters, the entitlement is astounding.

Actually all the studies show that you absolutely need to continue treatment to keep the weight off. The Surmount studies are widely reported if you're actually interested in facts rather than assumptions

Empress13 · 02/09/2025 23:08

Goldengirl123 · 02/09/2025 10:15

It’s not your GP’s fault. It’s the government guidelines

This ….

MsRumpole · 02/09/2025 23:08

SunnySideDeepDown · 02/09/2025 23:06

Can you actually substantiate any of that? Particularly your explanation around increased set weight and famine. Where’s the evidence that this is a physiological phenomenon applicable to the human race?

I didn't write that long and thoughtful post to spend the rest of the night doing your googling for you.

samarrange · 02/09/2025 23:09

SunnySideDeepDown · 02/09/2025 23:06

Can you actually substantiate any of that? Particularly your explanation around increased set weight and famine. Where’s the evidence that this is a physiological phenomenon applicable to the human race?

This is discussed in the rather good self-help book "What you can change... and what you can't", written by a leading psychologist (Martin Seligman) in reaction to the unevidenced slop of most self-help books of the time (the mid-1990s). I don't have the book handy, but it is full of actual references to the scientific literature, so I presume he didn't just rustle this claim up out of thin air.

MsRumpole · 02/09/2025 23:10

@SunnySideDeepDown also, said long and thoughtful post refers to an earlier post by me on this thread with a link to a source that deals with the set point stuff.

ScorchingEgg · 02/09/2025 23:12

May have already been mentioned - have you looked into switching to wegovy? That’s what I’m doing due to price.

DOCTORCEE · 02/09/2025 23:14

Hakunatomato · 02/09/2025 09:57

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.

Prescribing rules don’t allow it - not your GP’s fault.

KoalaKoKo · 02/09/2025 23:21

Honestly I am fed up of people who have normal working bodies that metabolise food at a normal rate commenting on how people should eat less or exercise more - all of us don’t have the same mechanics. I have metabolic issues - I put on 3 stone in 2 years without changing my diet and I think without these drugs I would have been at your starting weight within a year or two. I tried eating 1200 calories a day and nothing came off before mountjaro - I had skinny people/rude ah’s comment on how they were surprised I was so fit and assumed I didn’t walk places etc because people make assumptions about people without knowing their history.

I am not in a situation where I think I should qualify for free weight loss drugs but I think the 4 conditions is ridiculous especially if you only have one and it limits your quality of life or life expectancy. Having such a prescriptive formula is crazy, these drugs can change people’s lives - it shouldn’t be just for those who can afford it! For me it has helped me lose some weight but it has also healed the inflammation in my body, I no longer take probiotics for gastritis, my posture is better and I am developing muscles I don't think I could have before this. My gastritis seems to be gone, my thyroid is improved, my inflammation is down and my gyno pains are vastly reduced!

Without the inflammation I am also becoming a little addicted to my exercise classes because it is fun and doesn’t hurt! The pains I had monthly for suspected endometriosis are mostly gone - I wasn’t morbidly obese but I was heading that way despite exercise and diet so I 100% understand where you are coming from. Some people will never understand what it is like so the ‘Am I Being Unreasonable’ vote is irrelevant- they haven’t walked a mile in your shoes!

I once had a colleague rant about how fat people are lazy and have no self control as she ate an entire pack of biscuits - no joke - the girl barely moved but was naturally a 6-8! She was one of the laziest people I have worked with but said she would never employ a fat person! Some people will never know what it’s like to try so hard and be failed by your body! My issue is metabolic but other’s have issues with leptin which causes overeating- it’s all linked to chemicals in our diets that have messed up our microbiomes! Tell anyone who doesn’t understand to do one! You should get it on the nhs - it is an illness that if untreated will cost the government a lot more money!

KoalaKoKo · 02/09/2025 23:25

ScorchingEgg · 02/09/2025 23:12

May have already been mentioned - have you looked into switching to wegovy? That’s what I’m doing due to price.

This depends on if it it metabolic or leptin related - if weight gain is caused by over eating (ie an issue with leptin) then wegovy would work well - but if the issue is more to do with how your body burns fuel then wegovy might not work. Not all of us are fat for the same reasons!

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