AIBU to seek a consensus on who is a socially acceptable recipitent of Mounjaro?

[Periperi2025]

So it seems that much of mumsnet and society judge users of WLI extremely harshly seeing them as fat and lazy people who should just eat less, move more and use more willpower. But apparently not all of us, some of us after divulging enough medical history as 'okay'..."not you just the other fatties!!"

So, are people with diagnosed endocrine and metabolic conditions, acceptable?

What about people with undiagnosed endocrine and metabolic disorders, it's taken me over a decade to get to the point i am now, which is under endcrinology with a confirmed 'problem' and a working diagnosis but nothing more, my story is sadly far from unusual. You don't know who they are, they don't know who they are (although they may have astrong inkling), quite the conundrum!!

What about people with diagnosed Type 2 diabetes, who once were also just fat people without type 2 diabetes (mostly)?

What about people who are just fat now but statistically likely to develop type 2 diabetes in the future, like the current Type 2 diabetes patients were 10 years ago?

What about the people with severely disordered eating? As a society and a health service we deem it justifible and, hopefully preferrable to treat Anorexia Nervosa, including as inpatients at great expense (£500+ per day in the NHS), compared to treating an obese eating disordered patient with Mounjaro at a cost of approx £9 per day to the NHS for the highest dose. Presuambly in a civilised society we think that both groups of patients deserve a chance at a better quality life and improved life expextancy, and we dont think that Anorexics should just eat more and move less?!

So my AIBU is?
Are all of the above groups socially acceptable recipitents of Mounjaro?

YABU - no there are not all acceptable the gluttunous, lazy, weak willed cheats.

YANBU - of course they are all socially acceptable recipitents given that they meet the prescribing criteria for Mounjaro which has been accessed for Risk vs Benefit via peer reviewed research.

I would be in the non-socially acceptable group, and I don’t advertise that I’ve used medication to lose weight, but in guessing people speculate and assume.

I should have been able to make better choices and stick to it, I’m educated and indeed work for the NHS. However, I simply lost and gained the same stone in weight for a couple of years.

I am physically disabled, more so now that I’ve lost weight than previously in fact. And short as heck. Which both make it harder.

but I just did not have the willpower and motivation to stick to the calorie deficit needed for long enough to lose the weight needed. I don’t know why, my job is incredible stressful and draining and working with people in shared offices also with poor habits definitely didn’t help.

i don’t believe the nhs should have funded me currently, they did offer me the tiered approach but I didn’t find it helpful. If and when prices come down significantly I do think it should be prescribed to people with the same guidance as private providers and with the ability to stay on for maintenance. It should go alongside support groups, gym prescriptions, nutrition support and careful monitoring.

I’ve lost 5st7 and have gone from 14st to 8st7. A BMI of 33ish to 22ish.

It's honest, i agree with all i wrote, which bit do you find problematic?

Oh come on. You are writing about a subject you clearly feel sensitive about, and others may do to, and you write this:

YABU - no there are not all acceptable the gluttunous, lazy, weak willed cheats.

It sounds more efficient than "cheating". The initial outlay vs the potential cost savings in the the long term is an issue with everything the Government pays upfront for, it has to be said.

Because honestly, all those words have been used on threads on here multiple times. I didn't pluck them out of thin air just to be goady.

and we dont think that Anorexics should just eat more and move less?!

As a recovered anorexic, yes a lot of people really do think that "Just eat more!" will solve the problem.

Do many health professionals think this?

Absolutely this!

The default treatment is food is your medicine and you are forced to eat 3 big meals,2 desserts and 3 snacks every day. I have a dd who is recovering anorexic and its sheer agony but you have to do it to heal your brain. They offer very little else and the consequences of not following it is forced tube feeding.

Yep- they all do. It’s the default treatment.

Fed up of hearing move more and eat less.

Why do they hand out methadone on prescription? Why do district nurses tell me oh this yellow line bandage used after compression costs the nhs well over £30 each time as if it cancels out the private prescriptions I pay for. I’m looking at the rest of my life with a limb in wraps etc but I don’t regret trying to help myself.

Years ago they use to put people destined for bariatric surgery in hospital for 2 week stays to see how they eat. (Sunderland weight loss ward as one such old tv piece) could you imagine that today!! Personally think the injections are harder than surgery.

Back to playing pig in the middle! A surgeon who says I’m still very much diabetic v’s a GP surgery who took me off the oral medication supplied by prescription and told me I was in remission.
Here’s to the blood test next week 🙈 certain parts of these injections were never truly thought out, and that’s the real blame.

There will be cost benefit analysis done at some point. Costs for the NHS will have already gone down. Sadly they will rise again when people come off it due to affordability. At that stage I suspect that the NHS will reconsider loosening the rules. That said I think that people tend to have more success when paying out of their own pocket. When it's free there's less motivation to stick at the diet.

Wouldn't it be amazing if off the back of mounjaros success they could make an opposite to a GLP 1 agonist, that stimulates appetite and food noise in as positive a way as mounjaro quietens it, and comes as a weekly injection.

Problem is in a capitalist society there probably isn't much money in it, so there won't be the same drive for big pharma.

Anorexia funding is being cut even though it’s the biggest cause of MH death. This is what I think is so unfair.All MH provision for children and adults is dire, there are massive waiting lists even though people are dying. Yet those with obesity hoover up so much NHS money with all the expensive conditions it causes and now they’re getting huge amounts of NHS money for expensive weight loss injections on top.

It simply isn’t fair.

There are drugs already that do this but sufferers have to want to take them. What would be preferable is a shed load more money put into other treatments, early intervention and MH provision across the board. Apparently we don’t have the money for any of that but we do for weight loss jobs on top of NHS money already being hoovered up by the same set of people. It’s pretty appalling really and as a parent hard not to be enraged.

It's not acceptable because we just replace one addiction/ dependency with another. How can this be right or healthy?

Same, and the berating of anyone who doesn't cheer the life long supply of it.

I understand being upset at reduction in funding for a condition close to your heart but blaming another group that have a genuine health needs which also reduces life expectancy is a bit odd.

Lack of money in the NHS is far more the result of elderly/ end of life care, than it is wli. Over 80% of healthcare costs go on people in the last 12 months of life, do you begrudge these people the care they receive.

Health prevention (which arguably wli come under) is super efficient health care.

Also, i deliberately didn't go down to route of funding in my OP, as it just becomes another debate about the NHS, rather than one about societal attitudes.

Op you clearly have s as n agenda! It’s not idle musings off the back of other threads or media comments!!

everyone taking it couldn’t give a toss what people think!

all the arguing is between people not taking it! 😂 crack on!

The ignorance with your OP is huge.

This is what happens with anorexia.

A 13 year old starts restricting , parents go to CAMHs who can’t take them on because the wait lists are huge. Parents are sent away with a meal plan and left to it.

The Anorexia then gets entrenched as once a brain is staved it’s hard to turn things around.

Parents go back to CAMHS who then take the child on. Parents are told they are the treatment and have to make their child eat. They have to do all the treatment and support all meals, ditto schools with no extra funding.

Child deteriorates further. Family therapy starts. It’s once a week for an hour.

Child then becomes so unwell she’s hospitalised
on the local paed ward.By this time the Anorexia is entrenched even further.

CAMHs look to see if they can get inpatient care. There are no beds in the whole of the country due to lack of funding.

Child shuffles in and out of paed ward with no specialised treatment and has to be force fed. Trauma develops. The anorexia becomes even more entrenched, for many irreversible.

Eventually said child turns into an adult. If they’re lucky they’ll become so ill they’ll get one of the few inpatients beds available or specialised care but the wait lists are huge, some trusts now only offer palliative care for the sickest .

Now you tell me why parents of children who are being subjected to this don’t have a right to be livid when the obesity demographic following the hoovering up of huge amounts of NHS funding get even more NHS funding and the latest treatments?

This! I’ve been self-funding MJ for 3 months and am demonstrably healthier for it. My sister and my best friend are the only people who know I’m using it. My sister said it’s cheaper than braces, which was the catalyst for her own weight loss as she couldn’t physically eat the crap.

I also don’t bang on about being naughty, sinning, having a shit to get my silver bloody seven.

Because obesity is another health condition it isn't the opposite side of the anorexic coin just because they both involve weight. Why aren't you angry at trauma patients or cancer patients or other mental health patients for needing healthcare funding that could go on anorexic services?

Because they’re not self induced.

Obesity is what is crippling the NHS and it’s self induced.

What you spend your own money on is your business. As far as the nhs funding it, it should be fully funded for those with medical conditions aside from their weight and only for weight as part of a wider lifestyle plan where they are morbidly obese and need a kick start, we cannot be funding these drugs without the commitment to lifestyle changes

Most people truly don't care. And you should care less about what other people think. Worry about yourself.
But we all need to remember that the NHS can't be everything for everyone.

People above the BMI threshold who don’t have medical/ pharmaceutical contraindications.