is taking weight loss medication cheating?

[theweightlossqueen]

i used to be a super sporty child and then life happened. i've put on a few pounds and my food (mainly snacking) choices aren't the best...

i feel like if i just dedicated time to exercising then i'd get fit but i don't want to keep the current relationship that i have with food, you know?

is taking weight loss medication cheating, really?

Are you quite serious?

Ok so it’s 27 with comorbidities and 30 without, when prescribed privately. Understood.

And on th4 nhs, prescribing guidelines do not change based on who prescribes, how is this so hard for you to understand. The only difference is th4 nhs is choosing not to treat anyone below I think it’s 40 bmi due to cost and so many people eligible, however it will eventually roll out to everyone who meets the 30/27, they think it will take 12 years.

again due to cost and logistics. The prescribing guidelines don’t change, what the poster was refering to was who the nhs is treating first.

That drug interactions are dangerous and disclosure of the prescribed drugs you are taking? Too right I am.
We were assured that Apixaban was no problem when taking out a tooth when it was first introduced. Within a few months it became obvious it was going to be a major problem. Fortunately they now have an antidote/reversal drug.

Do you understand this drug at all and it’s contradictions??

edit, sorry auto correct, contraindications

@Angrymum22 I was at the dentist for a check up! Nothing was prescribed or used on me. Duh.

You don't understand about the prescribing criteria. It's the same whether private or NHS. The NHS have made a practical decision due to resources, to only prescribe to those on tier 3 weight loss. That's all.

I’ve actually not had a patient who has been taking Mounjaro

Kinda makes your whole 'but I'm a medical professional dontcha know' schtick utterly redundant then, doesn't it?

I just take prescribing any drug very seriously. What’s the problem with that? Better to check every possible/potential problem than cause even more problems for a patient. We now have a policy of refusing treatment if we don’t have an up to date list of meds. Been caught out too many times so our indemnity now insist on strict policies and protocol.
Most patients understand why but we still get a few that lack common sense.

Good for you. That's reassuring to know if I go to you for dental treatment. But it's irresponsible to come on to a thread talking about a medication you know nothing about and have never encountered professionally and talk 'as a medical professional'. Your work makes you no more informed than the rest of us.

And the MHRA continually update drug interactions as they become apparent. For those who keep throwing the clinical trial data at me, the size of the trial was quite small, from memory the first one was 2k the second 1k and the third 700. No doubt as it is used by millions worldwide more data will become available.

I’m out, honestly this has moved to crazy.

I’m well aware of that but when we come across a new med it is important to learn a little bit about how it will impact us. If we ignored patients medications we’d be in big trouble.
My personal experience with serious drug side effects does make me a little more cautious when starting a new drug, however.
It’s odd how there is so much blind faith in WLI but so much suspicion with other types of drugs.

Did you go through the list of medical professions and hit on dentist as being the one furthest removed from the subject in hand?

shoulda gone with vet

seriously though you sound like the very worst of student nurses that I trained with, ones that invariably dropped out after their first stint out of the classroom and onto a ward

What we? You aren’t going to be taking it, and we are all clearly way more knowledgeable than you are 😂

A retired doctor of teeth lecturing us on something they clearly know nothing about…

I AM A MEDICAL PROFESSIONAL on the bingo card has never been so apt

No, I was trying to see if you were in fact confused about the forthcoming roll out on the NHS where patients with higher BMI and higher clinical need will be prioritised as there are so many who meet the prescription threshold that it is not possible to prescribe on the NHS at the same time due to the cost and the amount of time it would take so the rollout will be staggered.

I thought that maybe that was the reason you didn’t understand why the person you had referred to in a previous post was eligible to have it prescribed and were confusing the general prescription criteria with the initial higher threshold people will need to meet to actually have it prescribed through the NHS to start with. I thought possibly that could explain your confusion about the poor TikTok women you linked and suggested she had got it by fraudulent means.

When I bought my pen I filled out the form which asks a number of questions about whether I have a number of medical conditions and also asked if I had anything that hadn’t been covered already in another section. There is a section where you list your existing medications which I did and was the same as I have done when I visited the dentist, rheumatology and orthopaedics.

It's strange people are equating learning with doing. I knew all about healthy eating, macros, protein, exercise etc but didn't put it into action. Same way I can learn all about space but not go up in a fucking rocket!

Mounjaro gave me help with willpower and "food noise"

Thankyou for your observations you sound like the women I came up against when I first qualified in the late 1980s. I have always questioned throughout my clinical life because if we don’t no progress is made. But I also have seen so many new procedures and drugs come and go. Which is why I’m also cautious.

Glad that it is working for you and you are healthy now. Out of interest if you suffer with gum disease, which is genetically linked to diabetes & cardiac disease, has it improved while you have been taking Mounjaro.

If it has maybe it is yet another positive side effect and as dentists, where currently there are no effective drugs to treat periodontal disease, it would be interesting to consider studying it as a potential treatment.

It is one of the truly heartbreaking parts of our job watching patients gradually losing their teeth despite intensive treatment and dedicated oral hygiene measures carried out by the patient.

I’m off to Google scholar to see if there is any observational data around Mounjaro and perio disease.

I came hear to say this. Most people with obesity have spent a lot of time learning about healthy eating and successfully using that knowledge to lose weight. 80-95% of who do this regain despite the knowledge. The medication is not designed to teach us about healthy eating it allows us to apply what we already know over the long term. It removes the homeostatic mechanisms in the body that drive us to seek out high calorie foods when we weigh less than our current set point. This is why it needs to be a long term solution and lots of people gain weight when they stop the drugs (just like all the diets out there)

@Angrymum22 this is me. All my life I've had perio problems and currently have three monthly hygienist appointments and follow the instructions I'm given. Apparently my teeth are extremely clean but nothing seems to help with the gums. I think there's a genetic element.

Anyway been on MJ for five months and happy to let you know if things start to follow a different pattern. Not that a study of one is any good at all, but you know. Might be of interest.

Did you mean to quote me when you posted this bilge?

this post has nothing to do with me or what I sad

A clinical trial of 2k people is not small, it is very large.

I did a little research and Metformin has recently been highlighted as a possible drug for treating perio disease it looks like it may slow down the loss of bone and in some cases may encourage new bone to form. Like most of the effects it is anti-inflammatory so maybe WLI may become a drug of choice in the future.
A drug which can reduce the risk of diabetes, heart disease and periodontal disease all wrapped up in one would be great. The weight loss is a bonus side effect.

Current genomic research into breast cancer tumours is now reaching 1 million. The statistical results allow a much more accurate level of reliability in predicting outcomes for recurrence and death in the 5 yrs post diagnosis in the most common form of breast cancer.
I’m slightly more comfortable with my predicted outcomes with the drug I take, which has some difficult side effects, including osteoporosis.
With Anastrazole I looked closely at the risk/benefit ratio, do I want to be alive in 5 years v am I happy that osteoporosis may be a problem and I decided that I would like to be around regardless of the risk. The data now spans 10-20 yrs depending on the studies used. Ten years and counting for genome studies 20 yrs for Anastrazole trials. Mostly post clinical trials.
Tirzetapide only has clinical trials so I would want to see much more data from long term population studies with a broader range of individuals at all BMIs. This is my personal choice and not everyone is risk averse like me. But as I’ve mentioned before I am now screened annually for damage to heart valves from a drug I’ve taken for the last 35 yrs. it doesn’t make me wrong but just more cautious with medications. There are likely to be loads of benefits associated with WLI but I would be cautious at the moment due to lived experience of as yet unknown side effects.
One drug I was prescribed which on paper was far more efficacious than the alternative I had been taking was withdrawn after 10 yrs on the market because it caused liver damage in around 25% of users. This wasn’t seen in any clinical trials and only started to cause concern once it had reached the market.
Only time will tell if WLI are as safe as they seem.

I really don’t have a problem with people benefitting from them. I’d just like to see a robust system of monitoring their use. I’m sure that everyone on this thread is taking the drug with their GPs knowledge and is well supported by the private pharmacist prescribing them.

But you said you can’t take them due to liver issues?

look you are not taking the drugs, you will never take the drugs, you’re obsessively posting about the drugs, not just on this thread. It is one of the oddest things I’ve seen, and that’s saying something.