What made you decide to ignore the potential health issues down the line and start injections?

[BringOnTheSunshineNow]

I'm not being goady here.

Just feel that on some days I should totally do this but then on others it's nuts.

I don't know how you can't worry about damage to your system.

I'm 3st overweight

@BringOnTheSunshineNow the online pharmacies that I have used have a named doctor review each consultation before it's prescribed. That's very usual.

I think most people put on weight after they stop any diet.

It certainly seems that it would be s good idea to view taking these drugs as a path to changing your eating habits forever.

But that's not necessarily a bad thing.

Fo they consult with you in real life?

The site's I've looked at seem to require some info from the patient then a photo. There's no actual consultation with a dr.

People are prescribed this medication by an approved healthcare professional who is a prescriber

Doctor delivered healthcare has been on the way out in this country for many years now, and Trusts increasingly try to avoid employing doctors, while GP practices often have 'physician associates' despite the risks

The situation of a pharmacist (privately) prescribing WLI to an obese person who has declared their medical and medication history is far safer than lots of what goes on in the NHS these days

@BringOnTheSunshineNow by "in real life" I presume you mean a video or phone call? No, they review the details and photos that I submitted online. Some pharmacies do offer phone and/or video consults if you want them.

It's much like when I have my blood pressure review from the NHS, I submit my home blood pressure readings online and they are reviewed by the GP or pharmacist.

You send through all the required medical information, and it is then reviewed by an appropriately qualified medical professional. If they have any further queries, they will contact you. Only after it has been approved by that appropriately qualified medical professional will you be prescribed the medication.

What do you mean ‘in real life’? That’s the sort of thing my kids said when they were 5 (meaning as opposed to some imaginary game they were playing)!

many Companies offer this if you wish to pay for it. Most of us find it unnecessary, we provide all the info accurately, it is reviewed by a doctor and our gp notified. If you need more though, you can pay for it. You can go ans see them in person too.

just google private doctors who prescribe this. I think also bupa do it. As said, most of us are happy to go with a pharmacy and don’t need a face to face with a doctor, but if you do due to anxiety you can have this. The service is on offer. But there is no point googling pharmacies if you actually want a doctor,

I didn't ignore the risks of taking the injection. I carefully weighed up the options. I'm a lot more obese than you though and had a starting BMI of nearly 45.

I spoke to completely impartial medical colleagues who were able to give me their honest opinions on risk v benefits. I spoke to my GP and the practice nurse and I also spoke to my neurologist. I am likely to need medical procedure for an issue I have and the risk will be greatly reduced if I can get my BMI under 30. My risk of getting diabetes and other health issues is quite high. As is my risk if I stayed at a BMI of 45 of not living 20+ more years to worry about the side effects of the medication.

I thought about it thoroughly and I have tried my hardest to stay on the lowest dose that I can. I have been obese my entire life, the healthiest BMI I've ever had was 34 and that was after spending 2 years living in a very remote area of a country with very limited access to processed food and minimal transport.

Ultimately I need to live, obviously this is never guaranteed and some of the damage I have done to my body of 20/30 years of being overweight may not be reversed by being a healthier weight but hopefully some of it will. I want to run with my kids and most importantly for me I need to instill healthy eating and exercise habbits into my young children so they never have to make this choice.

Would I have made the same decision if my starting BMI was 31 possibly not

This post is thinly veiled criticism so no idea why I'm even engaging but Op, if you are genuinely contemplating taking MJ without any conversation with your doc, no conversations already about your weight, tests or knowledge about your own health and your risks being obesity and overweight, and weighed that agajnst taking MJ or other WLI, that's on you. Don't extrapolate it to the rest of us. There's a lot of us and we can't be lumped together. You probably have noticed that the NHS is not prescribing much of it. So do we wait for that stroke or to have a leg amputated? Quite a few on this thread have mentioned diabetes. It's actually you who needs to do your due diligence. Technology and health care has moved on. 'In real life' lol.

Hi OP, I'm just curious, again honestly not trying to goad, genuinely interested, did you have a covid vaccination? Boosters?

I am not sure about the analogy here given that I suspect quite a few people now wouldn’t bother and would give more pause for thought than going blindly into a vaccination strategy that didn’t actually achieve what it wanted. And how many of us are offered under a certain age the boosters.
if anything I would say the Covid vaccine programme is a negative on this

@BringOnTheSunshineNow I got follow-up questions from my prescriber once they had reviewed my health form. I'm on thyroxine so they wanted to check a few bits and to ensure I was aware that weight loss may impact my thyroxine needs. They also write to my doctor to let them know I was taking it, in case my blood tests show a change in need.

However I do think not all providers are a diligent.

I'm very pleased with the results so far and have had very little side effects (burps when eating more than the new optimum and constipation when not drinking enough).

I've had fewer headaches than normal. I've mostly felt energised apart from the odd day here and there.

When I lost weight in the past (pre-menopause and thyroid issues) I was advised that you need to maintain the new weight for 6 months before the body accepts it as the new norm and stops trying to regain weight. The recommendation for maintenance plan was 200-300 cals more than you were eating your lose weight, preferably from the fibre and healthy food options rather than junk. That seems to be sensible and achievable.

I'm still enjoying my food but having smaller portions. We've changed our crockery to smaller to support this, so that should help in the maintenance

I work in the NHS and we are working on our plans to provide MJ to the patients that will most benefit from it. I'm sharing my experience with clinical colleagues very candidly to help prepare.

It's not for everyone but for quite a few the benefits statistically clearly outweigh the risks

But it is important to do your own evaluated decide based on your own situation and risk appetite

Good luck which ever way you go

Everyone who obtains them from regulated sources will be taking them on the advice of their Doctor (a Doctor has to prescribe).

I guess we can turn this around… what’s making you ignore the potential health risks of being obese, and not do anything about it?

Well yes, exactly.. My point being that millions and millions went in for the covid vaccine. A vaccine that had just been rolled out and had basically next to 0 research done it at and absolutely no real evidence to show what damage it may do in the long term but people did it to try and eliminate an immediate risk. I was just wondering if OP was one of those people. I'm fairly sure you can work my analogy, no?

Yes but looking back doing so was a mistake I get the analogy if you are saying that going for Mountjaro to get rid of an immediate risk without thinking through the longer term consequences is fine which is exactly what the OP is worried about. And I think the idea that it would stop Covid being a risk is false.

because the question was would you do it again and I am saying I think quite a lot of people knowing what we do now might have a different approach.

The OP didn't ask in her post if people would do it again. She asked how people weighed up the risks of getting a jab with limited research on the side effects long term, because she was worried about it. hence why I asked if she'd had a covid jab, which was very much the same but much worse and on a much larger scale.

Turning 35 in December. I've officially spent 10 years as a fat person, and I just can't yo-yo diet and fail, and feel shit for the rest of my life until I die.

My mum died a few years ago from complications of type 2 diabetes. All she did was stump her toe on a sharp rock, it wasn't healing and she was found to have peripheral arterial disease, the infection spread and she died. She was 56.

I'm not pre-diabetic, but the chances are I will be soon if I don't sort myself out. I want to be alive for my grandchildren.

I genuinely couldn't find any health issues! After a few months researching, I realised mounjaro is a bit of a wonder drug with the only downside being muscle loss which can be mitigated against by exercise.

Someone posted a great YouTube video on here all about the health implications and they r pretty much all only positive!!

I need to lose about one and half stone, I think my BMI is around 27/28

I decided not to get WLI, I do not like the risk of side effects and longterm issues that might arise

I also do not know what this food noise is that I read about, does it mean you are always thinking about food? I do not do this, I only eat 3 meals a day, no snacks, I do get hungry between meals though , and I maybe have some cake and choc after tea, I think I maybe need to ditch that bad habit, I have a bit of a belly that I would like to get rid of😄

I be bothered trying to convince anyone to take the medication. If they’re for you, you’ll know. And if they’re not, you’ll know. It really is as simple as that. The decision either way really doesn’t need a huge amount of naval grazing as part of the process.

Well, you could ask 'what made you ignore the potential health issues down the line?' to anyone who is overweight, because let's face it, that's what we all did. I think you have to consider the benefit of a medication before deciding to take it. I'm not ignoring the potential side effects but neither am I ignoring the obvious problem of obesity anymore.