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.

Some people are just shitty and hate fat people, and think they should suffer greatly to become acceptable.

These people don’t understand and don’t have the bandwidth to understand. They simply don’t care that obesity is still a mystery to many drs, and one day the medical community will have a better grasp on what actually causes it. The shitbags will say it’s just lazy people eating to much, but I’ve yet to meet a morbidly obese person who doesn’t have deep seated psychological issues at the root of it.

Seeing and hearing those with their ill informed opinions is a useful filter. I don’t want to be friends with someone who bases their opinions on disliking a group of people because they’re fat.

I don't see why 'socially acceptable' is remotely relevant. Medically acceptable is surely the only thing that matters? I'd be nervous about using the injections myself, but it's no skin off my nose if other people do. The best of luck to them, genuinely!

Ah the abuse of people who don’t agree with one demographic of people being enabled to hoover up a huge percentage of NHS money to the detriment of everybody else.

I dont hate anybody let alone hate somebody for the size of their body. What I do have a problem with is the sense of entitlement some of this demographic has- that they are more worthy, that the NHS needs to prioritise them and everybody else can make do with the crumbs that are left.

Why? NICE have approved it for people with type 2 diabetes. I have type 2 diabetes. NHS won’t provide it for me, I’d have to go through a couple of years of their “weightloss service” first. This involves me going weekly to see a nurse, attending a Weightloss group, and being handed a load of leaflets about exercise and diet. The waiting list is currently 6 months. I have struggled with weight loss since I hit menopause and have been actively trying to lose weight with little success. If it was as simple as reading a few leaflets and being weighed once a week, I’d have done it by now. In order to manage my diabetes I have regular check ups with the GP practice, along with annual and biannual checks of eyes and feet. The cost of all this far exceeds the cost of the medication. In fact, after 12 weeks I have lost a stone and latest bloods show I am not in the type 2 range any more. £600 quid and my diabetes has gone. I’m not annoyed I had to pay for it, but I am annoyed that the NHS is penny pinching with these drugs when overall it will save them so much money in the long run.

Absolutely this. I don’t care. But I do know that if I needed a drug I couldn’t access via the NHS, I would find a way to pay for it. I’m tired of people complaining they won’t be prescribed it.

I just don't get it. Eating less shit food, no matter how hard it is = less calories.
Why should limited nhs money be spent on something that could easily be addressed by people eating less junk?

NICE recommend a lot of things that the NHS can’t afford. If those that are obese want the jabs they need to pay for them themselves. They’re already getting their fair share of NHS funding.

And that no diet works. Yes it does.

Other people are going through agony getting well with precious little from the NHS.

Unfortunately, some of them will insist on seeking out the WLI forum to inflict their ramblings on us.

Personally I find it amusing and a little validating actually, but other obese people struggle with societal stigma and are affected by people being twats.

I'd be really keen to see two numbers: the cost of Mounjaro for all adults with a BMI over 30 or 27 with co-morbidity annually; and the cost of treating all weight-related conditions inc type 2 diabetes, heart disease, high cholesterol, knee/joint issues etc, annually. I'd be very surprised if the first is more expensive than the second. Prevention is surely better than cure.

So here's the sneering judgement. Or maybe you say that about all the life long medications people have to be on?

One could argue that anorexia is also self inflicted.

Surely it’s just a case of eat more, move less, exercise a bit of willpower to eat more, educate yourself on proper nutrition. I mean, how stupid is that, to starve yourself and then expect the NHS to pick up the pieces.

Much like obesity. Just eat less, move more, exercise a bit of willpower, educate yourself on proper nutrition. I mean, how stupid is that, to make yourself obese and then expect the NHS to pick up the pieces.

Obviously I don’t actually think that, because I’m not an arsehole and those two conditions are way more complex than that, usually rooted in some very deep stuff - stuff that if one doesn’t have personal experience of, one is unable to comprehend. I wouldn’t expect them to, either.

Both conditions deserve much more empathy and respect.

Because people don't actually do that, and it's pointless making healthcare policy for the population you want rather than the one you have.

I accept that the NHS is currently constrained by logistics, albeit that's easy for me to say as someone who can easily enough afford mine. There are so many people for whom WLI will be the best option and not everyone can necessarily be helped at once, even when there's good reason to expect WLI now to save money in the long term. But these are arguments about practicalities. We already know that saying eat less junk to people is not going to tackle societal obesity.

Oh come on. It was so clear from the OP that she is pro MJ.

No both conditions deserve equal funding. Anorexia and mental health get sweet fa, and patients are being left to die. They have no option but to get well. I think we pander to obesity far too much. This demographic gets vast sums of money spent on them in the most expensive areas of the NHS due to their behaviours already.

It’s not fair and it most certainly isn’t ok to demand even more.

I think it’ll be stuff like this thst pushes through private health care. We pay NI/ taxes and then can’t get timely treatment. It has to wait till your an emergency or at grave risk . I’m not using mounjaro but am waiting for treatment and it could be years just for an appointment. Or I’ll get sick enough that they have to treat me, the joys.

I think people get to the fuck it point at least if I pay for it myself I’ll actually get care but then the funding of nhs becomes contentious. Why should some people get millions of pounds worth of healthcare whilst some people die waiting? It seems inequitable. I do think there should be an option to buy off NHS with their chunky discount as part of a weight loss club type thing.

Careful with all that reaching. I didn't say it shouldn't be available on the NHS. I said I'm sick of those who don't meet the criteria moaning about it.

Will money and savings work the same way?...
Oh I'd have saved more for retirement,but just had to spend on holidays and fun...
Give me money, I'm entitled to it....discrimination and ableist if you don't!

YABU OP - you know fine well the only socially acceptable solution for the people who feel like that is that we should not get fat in the first place.

The same way?! If the percentage of people who actually save for pensions was as low as the percentage of people who manage to cure their obesity by not eating junk, we'd be even more fucked than we are. If you must make half baked analogies, at least get the proportions right. No pun intended.

Obesity is a condition predominantly found in developed countries.

It's an addiction and as with any addiction it requires will power to overcome it.

As I said earlier, I am against swapping one addiction / dependency (food) for another (WLI). It's masking the real issues not curing them.

id be really interested to see this too, the cost of WLI has to be significantly less than treating the issues that come with long term obesity.
The same as treating early would be less costly than ignoring people until what was a minor issue is major.

as long as we have people fighting and training insults or whataboutery then nothing actually has to change. Those in charge can leave the masses squabbling while lining their own pockets.

fwi, I’ve been paying for MJ and lost a life changing amount of weight that has been impossible without MJ due to PCOS and insulin resistance. Potential cost of t2d treatment and any other weight related problems would be many times the MJ that I can’t carry on with if prices increase as expected.

The real issue is that humans didn't evolve for lives where we always have access to enough food. For most of our history there's been an ever present threat of starvation. We as a collective eat a lot of fatty, sugary, calorific food when opportunity presents because that's usually been useful behaviour for members of the species.

It would be lovely to think there's a cure for the mismatch between what we evolved for and what we now live in. But unless you're talking about a return to hunter gathering and subsistence agriculture, which I'll take you seriously enough to assume you're not, there's zero evidence such a 'cure' exists. Ongoing WLI use might be the closest thing we get.

So the NHS is expected to find weight loss drugs for life?

See to me the NHS are missing a trick, its the same with weightloss surgery. Why wait until people are morbidly obese and really ill before you do anything? Surely its a false economy? Treat them with the jabs or bariatric surgery before they get the associated illnesses and cost the NHS thousands!