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Weight loss injections/treatments

Discuss weight-loss injections and treatments, including personal experiences. Mumsnet hasn't checked the qualifications of anyone posting here. You may wish to speak to a medical professional before starting any treatments.

To ask if anyone with a normal BMI has taken mounjaro

56 replies

OptimismvsRealism · 23/10/2024 19:50

And how it affected you?

(Assuming for diabetes but for any reason really)

OP posts:
TakeMeToFlorida · 25/10/2024 07:38

Oh I went back to the Reddit thread and saw I could click underneath comments for more replies @frequency and there were more comments when I expanded that were talking about sub-1000 calorie intakes than I read the first time. I can see that a reader could come away from that either taking on board the 600 calories a day advice posters or the 1200+ calories a day posters, it was more split than I thought at first glance.

Frequency · 25/10/2024 08:46

MN is very pro-ana, most forums are. I think MN is slightly more balanced than some others but there is an element of competitive under eating on pretty much all food and diet threads. I'm not sure if it is fuelled by pro-ana thinking or just toxic competitiveness. You also see it on cleaning threads and threads about work hours etc.

On pretty much any thread a good chunk of posters work 3000 hours a week, eat half a blueberry a day, can feed a family of five for a week with a lentil and half a boiled egg, and steam clean their kitchen floor every 3.6 seconds 🤔 It would be comical if it wasn't often aimed at people who are genuinely struggling.

I do agree there is a use for Mounjaro etc especially when it comes to treating BED and food addiction but there should be a lot more medical supervision and support with it and it should be harder to get hold of it if you don't need it.

Sadly, the UK has a history of over reacting and banning medicines that could be helpful if they have too many side effects when abused (ie amphetamines which can be used safely and effectively under medical supervision and are in other countries). I think this is the way GLP1 inhibitors will go. Its a shame for those it could genuinely help but if we carry on as we are someone is going lose their life.

TakeMeToFlorida · 25/10/2024 08:59

Totally agree @Frequency and the media aren't helping when they whip up all these headlines about how these drugs might have miraculous effects on cancer/dementia/gambling addictions etc which someone might read and think that refers to the injections - when in fact, it's just a new area of medical technology that might have a wide range of uses but none so far proven, and definitely not in the form that it takes as a weight loss med. So we get posters like the OP imagining they'll be injecting it in the near future, which would be totally catastrophic if it was the pens people are taking for obesity rather than maybe some other form of the drugs that may or may not be developed in the future for other purposes.

Also, I definitely think toxic competitiveness plays into the undereating threads here, but there is also a major revulsion and contempt for fatness and an extreme demonisation of a lot of normal foods (carbs, UPFs, sugar usually) which feel very pro-ana. And a huge normalisation of very extreme restriction - eating once a day, doing prolonged fasts on a regular basis, claiming 800 calories is a maintenance number and weight loss requires cutting even more. I see that kind of content here a lot, especially pushed at menopausal women.

FlappingMadly · 25/10/2024 10:20

I’ m tired and have a lot going on so this is going to be blunt @Frequency and @TakeMeToFlorida
First, you are not on MJ yourself so just read the posts to what? Judge?
I am willing to bet that that nobody is better researched on nutrition than the fat person. We are a lot taking it now so there will always be extremes but I see people taking it very very seriously.
And thirdly, Speed? Really? It shows your framing very clearly.
Pro-ana? JFC, you idiots. I wrote a long reply to this but idiots suffices.

@OptimismvsRealism staying slim with good nutrition, being aware of the recommended fibre and exercising will give you the organ protection you need. Check your vit D and other mineral levels and eat a range of colours. At 21 BMI you will not be given MJ without a comorbidity requiring it.

TakeMeToFlorida · 25/10/2024 11:00

I'm on MJ @FlappingMadly - I totally support it for obese patients and so posts like the OP's get me really worried that widespread abuse of the drug will lead to it being withdrawn from people who need it. I also find the pro-ana content of MN really horrifying, that's not on MJ discussions specifically but across the site with regard to all diet and weight loss conversations. I'm really familiar with eating disorders and the triggering, terrifying nature of diet culture in oir society. Any weight loss strategy is going to have elements of that and the jabs are no exception. When I read about people eating horrifyingly small amounts (through MJ or other diets) I find it really alarming. I also struggle with the gastric side effects of MJ reminding me of previous purging behaviours and I have stayed on a low dose with the intention of taking it slow, treating it as a long term strategy and avoiding nausea, vomiting and diarrhoea (I had a very bad experience when going up to 5mg that plunged me back into some very dark days) so yeah, I came to this thread really worried that the OP is talking about a powerful medication with side effects and risks in such a cavalier fashion. I think it's an amazing drug for obese people to lose weight and embed a healthy lifestyle and get help to maintain that but I know that's not how everyone is using it. Lots of people, yes! But for someone with a BMI of 21 to be anticipating going on it is really frightening to me, because I do know how serious it is.

Frequency · 25/10/2024 18:06

@FlappingMadly I apologise if you felt judged by my posts. I would never judge anyone for using weight loss aids. I completely understand the motivation to do so, and in some cases, when used properly MJ et al can be part of an effective treatment for obesity and certain EDs.

My judgment is solely aimed at the companies that profit from it and the social media platforms (and I include MN in this) that allow a potentially dangerous medication to be so aggressively marketed.

I don't want weight loss jabs to be removed from the market, I believe they will be, but that wouldn't be my choice for them. I think they should be more heavily regulated and that users should receive more medical supervision, support, and nutritional advice.

If they are working for you, and you are managing to eat a healthy, varied diet with enough calories to maintain essential bodily functions, then great. I am honestly pleased for you and I wish you all the luck in the world with your weight loss and eventual maintenance.

I'm not sure why you are upset about my comments on the historical use of amphetamines for weight loss or what you think my thoughts on the similarities between the way the drugs are/were marketed reflect? It is honestly just that it feels to me very much like we've been here, done this before and the results were that potentially useful medications such as ephedrine (which like GLP1s were originally developed for other conditions, specifically breathing conditions like asthma) were removed from the market due to them being abused by people using them for weight loss and performance enhancement.

I'm not the only person who has noticed the similarities between the past use of stimulants for weight loss and the current use of MJ et al.

www.dazeddigital.com/beauty/article/58533/1/brief-history-diet-pills-weight-loss-drugs-ozempic-obetrol-fenphen-benzedrine

The fact remains that the jabs are being used dangerously by a large number of people and their posts about their diet and weight loss do smack of pro-ana culture. The rabid defensiveness and attempts to shut down anyone who wants to discuss their concerns about the abuse of these medications also has echos of not just pro-ana culture but the more recent health at every size/body positivity movement.

And yes, diet culture and social media platforms in general have a worrying undertone of pro-ana culture, even MN. As @TakeMeToFlorida said there are dozens of posts every month from people saying they can only eat >800 calories a day if they want to lose weight and if anyone points out that this is scientifically impossible, they are shouted down by other posters who are encouraging the OP to eat even less and telling her she has some kind of metabolic disorder that can only be cured by extreme starvation.

If your maintenance calories are 800 a day you are either in a coma, 1ft tall or you are a medical miracle and should donate your time/blood/DNA to medical science because your body literally holds the cure to malnutrition in third world countries. Or, perhaps slightly more likely, you are not counting your calories properly and are actually eating around 2000 cals a day.

Smallsalt · 25/10/2024 19:05

Frequency · 24/10/2024 06:08

It's just an opinion. Which is why I said I think and not research has shown.

If you look back at the 60's and 70's speed was also hailed as a miracle drug until people started dying.

My opinion is based on the similarities between anorexia and the appetite effects of the drugs. When you read ED forums compared to weightloss jab forums the tone is very similar, even up to the harm reduction techniques the posters share. If Mounjaro etc were healthy harm reduction tips like eating plenty of high-quality protein would not been needed.

When I eat the way someone on Mounjaro eats it is dangerous and I need help. Either extreme restriction is dangerous or it's not. (It is, FYI) You can't have it both ways.

You don't know how the majority of people on weight jags eat. You are making gross assumptions.

If you don't like em, don't take them. And butt the fuck out.

TakeMeToFlorida · 25/10/2024 19:40

Smallsalt · 25/10/2024 19:05

You don't know how the majority of people on weight jags eat. You are making gross assumptions.

If you don't like em, don't take them. And butt the fuck out.

Lots of people eat really well on MJ. The best thing about it for me has been the energy and motivation to make healthy, nourishing food because I've broken out of some bad cycles - I eat on MJ the way I've always wanted to eat, with balance and enjoyment and no restrictive rules that only ever sent me into a binge. And I exercise for strength and a mental health boost instead of a punishment.

But I am really careful about the social media around it that I consume and the threads on here that I read. There is a lot of casual abuse - I'm really bothered on the odd occasion that I read something on a thread like that someone is spreading a pen over eight weeks, having bought a higher dose to save money (something I saw earlier this week) - I think it's so dangerous to mess with prescribed medication and ignore the expiry date from opening. I used to lurk on the 'what I eat on MJ every day' threads to get some ideas but I hid them quickly - so maybe they are full of great advice now, I truly don't know - because of the posters who were living off the occasional protein shake and skipping meals. For me personally, that stuff is triggering and I don't like it so I don't look. Similarly, there are threads where people are sharing anecdotes about others getting illegal substitutes of the drugs or faking pictures to get it prescribed and that makes me worried that access will be restricted for all of us because of those people.

I think MJ is such a great and valuable health boost for those of us who need it and an amazing way to eat well but I do see people misusing it, it does happen - and the fact we're all on a thread started by someone who wants to take MJ with a BMI of 21 is an example of where it gets worrying and where it can be dangerous and harmful.

Smallsalt · 25/10/2024 19:58

@TakeMeToFlorida I don't believe for one second that that's why she has STARTED THE POST. It's just another Mounjaro Baaaaad thread.
The vast majority of people take the drug as prescribed and use it to eat sensibly with reduced food cravings.
But you wouldn't think that from the hysterical tabloid reporting.

People taking illegal substitutes are not taking Mounjaro so that's irrelevant.
People eeking out pens........well perhaps if the NHS made it more available then people wouldn't resort to that.
That the health service is more likely to push people into major bariatric surgery than to prescribe an effective drug is ridiculous.

People abuse lots of things. Drugs prescription and illegal.They abuse alcohol.

But I never see post after post of faux concern about them. That's because people for whatever reason are taking the opportunity to fat bash.

If people want to clutch their petticoats about GLP1 medicines it's simple .......DONT USE THEM.

Arraminta · 25/10/2024 20:15

Since starting MJ I have more healthily than since....well, probably since I was a child and my Mum cooked from scratch every night?

MJ has completely killed my sugar/refined carbs cravings. I find it very easy now to choose healthy foods and make better decisions. And, being 18lbs lighter and looking so much better gives me far more satisfaction than scoffing a large bar of Cadbury's Dairy Milk.

UncharteredWaters · 30/10/2024 11:41

OptimismvsRealism · 23/10/2024 19:58

Diabetics with normal BMI can get it (I don't know if this is an off licence use, maybe).

I think probably most people will end up on it in the near future. As long as supply can meet demand I don't see a problem.

For their diabetes - that’s the licenses indication.
it’s off licence for weight loss if normal bmi and no diabetes.

supply can’t keep up
with demand. I know many diabetics who can’t get their meds via the nhs because of private weight loss clinics

gimmemounjaro · 30/10/2024 13:39

supply can’t keep up
with demand. I know many diabetics who can’t get their meds via the nhs because of private weight loss clinics

Not Mounjaro though - semaglutides. There is a good supply of MJ and it's being prescribed for diabetics who can't get Ozempic. So take your attempt at guilt tripping elsewhere pls.

Cataddicted · 13/01/2025 00:22

I started taking it on a bmi of 26…just a few days ago. The reason is I’ve put on a stone in perimenopause and I’m struggling to shift it. I also had slightly high cholesterol which warranted it.

it may have been unnecessary but in a few days I’m making better food choices and not obsessing about eating and drinking - I’m hoping it simply helps me change old habits.

i doubt I’ll even invest in a second pen as i don’t feel I’ll need it.

so far I’ve felt fine but I’m drinking so much water and taking vitamins. My main concern is proteins so I’m tracking nutrients on a fitness tracker. I’m also trying to build muscle at the same time as my body composition is really unhealthy in it’s fat percentages

I know many won’t agree with this approach and maybe it’s not right but I can let you know if I have side effects.

CobaltRewind · 13/01/2025 02:42

I’ve lost over 2 stone on MJ and I’ve just signed up with Cloud for maintenance.

I am a normal BMI now.

I am delighted with the unexpected impact of MJ, reduction in desire to drink (massive as I was drinking everyday) I don’t stand and eat large amounts of chocolate straight from the fridge, my ADHD symptoms and ‘inner chaos’ has calmed down, massively less impulsive.

I never went above 5mg.

LongtimeLurker2 · 13/01/2025 05:10

Cataddicted · 13/01/2025 00:22

I started taking it on a bmi of 26…just a few days ago. The reason is I’ve put on a stone in perimenopause and I’m struggling to shift it. I also had slightly high cholesterol which warranted it.

it may have been unnecessary but in a few days I’m making better food choices and not obsessing about eating and drinking - I’m hoping it simply helps me change old habits.

i doubt I’ll even invest in a second pen as i don’t feel I’ll need it.

so far I’ve felt fine but I’m drinking so much water and taking vitamins. My main concern is proteins so I’m tracking nutrients on a fitness tracker. I’m also trying to build muscle at the same time as my body composition is really unhealthy in it’s fat percentages

I know many won’t agree with this approach and maybe it’s not right but I can let you know if I have side effects.

My BMI is higher than 29 and I've been looking at taking it to help with weight loss. Where did you get yours from. I'm just starting to look at where to purchase.
I'm in Peri and have piled the weight on.

HansHolbein · 13/01/2025 06:50

@Cataddicted Where did you get this prescribed from?

PinkArt · 13/01/2025 21:04

OptimismvsRealism · 23/10/2024 20:53

Well I'm not interested in it for its weight loss properties, just its organ protecting ones

Which specific organ protecting properties are you looking for in medication prescribed for diabetes and obesity?

Cataddicted · 15/01/2025 15:21

From Numan. They are great for the first pen as they offer a great discount and care but I will shop around if I need more after

Cataddicted · 15/01/2025 15:22

I am actually the reverse as I was worried about DAMAGING organs. I read so much about the pancreas, kidneys etc that I was paranoid over the stomach ache it gave me

NamechangedforThisOneForObviousReasons · 15/01/2025 15:36

I've taken it for weight loss..starting BMI was about 26/27. I want to get to 20 BMI. I've had no side effects whatsoever and am a few weeks in. I wouldn't take it with a starting BMI of 21 as you'll loose weight which is unlikely to be healthy when you are already lovely and slim. Chat with your gp and see what they say.

Guitaryah · 15/01/2025 15:56

OptimismvsRealism · 23/10/2024 19:58

Diabetics with normal BMI can get it (I don't know if this is an off licence use, maybe).

I think probably most people will end up on it in the near future. As long as supply can meet demand I don't see a problem.

It will have a different effect on the body for someone who is diabetic than it would for someone who isn't and who is using it for weight management. For the latter no one with a BMI of 21 will get it prescribed legitimately, nor have there been trials on it. It is an amazing medication for weight management where the risk balance of being obese outweighs the potential risks (and for some what are quite hideous side effects)- misusing it when at an already 'healthy' weight isn't good.

HansHolbein · 15/01/2025 15:57

@Cataddicted If Numan have prescribed you with a BMI of 26 then that goes against their prescribing license and the guidelines. They should not have prescribed you this medication.

To be prescribed Mounjaro you need to have a BMI of 30 or 27 with health related issues and/or certain ethnicities.

Unless I have misunderstood, this is very concerning. I have emailed them and asked for clarification.

GardeningEconomist · 15/01/2025 16:04

Cataddicted · 15/01/2025 15:21

From Numan. They are great for the first pen as they offer a great discount and care but I will shop around if I need more after

I hope they are not breaking prescription guidelines

This goes to show how the whole sector is open to abuse. Chemists should not be prescribing to those who only want to lose a stone to look good. The regulator needs to get a grip on social media code sharing and inaccurate information being given by people wanting the drug.

The sooner it is available from GP only the better it will be for all.

Bilbette · 15/01/2025 16:08

HansHolbein · 15/01/2025 15:57

@Cataddicted If Numan have prescribed you with a BMI of 26 then that goes against their prescribing license and the guidelines. They should not have prescribed you this medication.

To be prescribed Mounjaro you need to have a BMI of 30 or 27 with health related issues and/or certain ethnicities.

Unless I have misunderstood, this is very concerning. I have emailed them and asked for clarification.

I am with Numan and have sent my assigned clinician a screenshot of the post, I’ve also said that if this is true then I wish to cancel my subscription as I don’t want to be associated with an unscrupulous prescriber.

it worries me greatly.

Guitaryah · 15/01/2025 16:14

I do think sending a photo is a bit wild because it could be from years ago, makes it pointless really. A video call or requiring a photo to be taken via an app/website so that it's clear it's current is surely better. I don't think everyone should miss out as some abuse it, but it's not exactly hard to get it should you be inclined even if you aren't eligible.