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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.

Mounjaro / Wegovy with > 5st / 30kg to lose: Thread 5

992 replies

VelociraptorsVelociRapping · 26/01/2025 20:04

Thread FIVE of this lovely community. Anyone using weight-loss injections to lose more than 5 stone or 30kg is very welcome to join us, no matter what stage of the process you are on.

Please don’t post discount codes on this thread as your post will be deleted. These need to go in the dedicated thread on this board.

OP posts:
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16
RobinEllacotStrike · 04/02/2025 07:50

From the Telegraph today. I'm ordering a new pen today. I wonder if I will be impacted? I'll report back.

www.telegraph.co.uk/news/2025/02/04/weight-loss-jab-loophole-clampdown-online-pharmacies/

Weight-loss jab loophole closed for thin people
Those too slim to be eligible for injections can no longer get prescription without seeing a doctor under new guidance
Laura Donnelly
Health Editor
04 February 2025 6:23am GMT
Loopholes allowing slim people to obtain weight-loss jabs without seeing a doctor have been closed in a clampdown on online pharmaciess_.
New rules from the General Pharmaceutical Council (GPhC) will mean that people can no longer obtain the injections without undergoing a consultation, or checks being carried out via their regular GP.
It follows an explosion in private prescribing of the jabs, which are heavily rationed by the NHSS_.
Although more than half a million people are using the weight-loss drugss_ in the UK, just 5 per cent are getting them on prescription from the NHS.
Over the past year, jabs such as tirzepatide, marketed as Mounjaroo_, and semaglutide, marketed as Wegovy for weight loss and as Ozempic for diabetes, have become increasingly popular.
Trials have found that the drugs could prevent and treat a host of health problems, cutting deaths from heart attacks and strokes, as well as combating obesity.
Jabs being misused
However, there are increasing concerns that the injections are being misused by women who lie about their weight as they are too slim to be eligiblee_ in order to get “beach body ready”.
Senior medics have warned that A&E units were now treating casualties of the injections on a daily basis.
Almost 400 people have been admitted to hospital after suffering from serious reactions to the drugs, with an upsurge in cases this autumn, figures from the Medicines and Healthcare products Regulatory Agency (MHRA).
In total, more than 17,000 side effectss_ had been reported to the regulator by the end of November.
People wanting to buy weight-loss jabs online will face more stringent checks under the new rules, introduced from Tuesday.
The GPhC, which regulates pharmacies, has told online pharmacies that they can no longer prescribe the drugs based simply on a patient questionnaire.
They have been told that they must conduct “two-way communication” with the patient, either in person or via video, or independently verify the information provided.
This means either contacting the person’s GP or regular prescriber, or checking their medical records, the guidance says.

The change aims to close the loophole which allows consumers to pretend that they weigh more than they do in order to obtain drugs which are normally restricted to those who are obese, or have a BMI of at least 27, and suffer with weight-related health problems.

It will no longer be enough to prescribe the drugs following an email correspondence, from questionnaires or by people sending in photos of themselves.
The GPhC said it was responding to concerns relating to the unsafe prescribing and supply of medicines onlinee_, including weight-loss jabs.
As well as medicines being obtained by those who are too slim to be eligible, there have been reports of online pharmacies setting targets to encourage heavy prescribing of the drugs.
Duncan Rudkin, chief executive of the GPhC, said: “The message of this updated guidance is clear: online pharmacies should only supply a medicine if the prescriber has had an appropriate consultation with the person, and has made sure they have all the necessary information to check if that medicine is safe and suitable for them...
“We know online pharmacy services can provide a very valuable service, but through our inspections and investigations, we’ve seen too many cases of medicines being supplied inappropriately online and putting people at risk.

“This updated guidance will support online pharmacies to protect their patients, and we expect them to act now to make sure these safeguards are in place.”

Other key changes to the guidance include emphasising that online pharmacies need to follow the law and guidance on the advertising and promotion of medicines.
The GPhC said it was working closely with the MHRA and the Advertising Standards Authority to tackle inappropriate advertising and promotions.
Nick Kaye, the chairman of the National Pharmacy Association, which represents 8,000 independent community pharmacies, said it was pleased its concerns had been taken on board.
He said: “Delivering good care whilst maintaining the highest levels of patient safety is the number one priority for pharmacies and we hope this updated guidance will help to protect the safety of patients needing weight-loss injections and other higher-risk medication.
“It’s also important patients avoid unregulated sellers of medication, such as beauty salons, who could pose a serious risk to their health.”
Louise Edwards, the chief strategy officer at the GPhC, said the new safeguards would “help prevent people providing false information about their weight, to obtain medicines that are not clinically appropriate for them and could cause them harm”.

She said the medicines regulator had previously issued an alert when medicine had been misused for “aesthetic weight management by people who were not obese”.
“Through our inspections, we’ve seen inappropriate prescribing and supply by online pharmacies, and have taken enforcement action against at least 12 pharmacies in relation to their supply of weight-management medicines” she said.

RobinEllacotStrike · 04/02/2025 08:05

"Personally I think the rule of only weighing once a week is another unhealthy idea that has come from diet groups, that we've all been brainwashed to believe is the correct way."

I think you could be onto something here.

I've always gone the other way & not weighed at all. Jumping on very sporadically to recoil in horror. But it doesn't work as I always gain weight. Add an injury that prevents me from being active for a year and hello 8 MORE kilos.

Weighing everyday has to be considered. The maintenance of this weigh loss is going to require more changes & I need to consider the best way to track weight without feeling rubbish.

Wilful ignorance is not an effective strategy for change.

InfoSecInTheCity · 04/02/2025 08:17

@RobinEllacotStrike my understanding is that the issue is people being prescribed initially. The goal is to get to healthy weight so at some point in all of our journeys we will be taking MJ while under BMI of 27, but it shouldn't be when prescribed for the first time.

You have your history of being on it continuously for a while and having titrated up beyond the initial starter dose while having a higher BMI, so it shouldn't be a problem.

RobinEllacotStrike · 04/02/2025 08:26

Thanks @InfoSecInTheCity
That makes sense and I hope you are right.

MooBaggage · 04/02/2025 08:50

RobinEllacotStrike · 04/02/2025 08:26

Thanks @InfoSecInTheCity
That makes sense and I hope you are right.

Fingers crossed - I heard about it on the news driving into work this morning and was instantly massively anxious - having only just found something that is changing my life, I can't cope if for some reason it disappeared.... But the measures sound sensible and needed - I suppose it might take slightly longer for prescriptions to be issued if we need to have video consultations - and the price might increase...

I did a random weigh in this morning - I can't cope with regular weekly (or daily!) weigh ins, so just weigh when I get the urge. 12lbs off so far - I'm expecting it to slow down soon, but am just pleased it's actually all coming together! I'm keeping my protein high, lots of fruit and doing a few minutes weights every day (can't do more than 5 mins at the moment!).

RobinEllacotStrike · 04/02/2025 09:10

@MooBaggage good work with the weights. Don't be discouraged by 5 minutes- it's an excellent start to build on.

When I started back at yoga (at the gym initially) I thought I was going to throw up. But it changes and improves- I think with any exercise we just need to do it regularly and if you do improvement comes quite quickly.
6 months on I am astonished & delighted at my new found strength & flexibility & how good it feels to be in my body.

There is this guy on instagram i remember- basically the says you just have to do it. Your brain will tell you you are tired, busy, all number of excuses why we can't exercise. He says we have to ignore all of this and just do it. Of course it's Instagram so he is saying it in a funny& memorable way. Long may he live in my head 😬😂

Certainly the times in my life when I have been happiest & healthiest I've been prioritising exercise.

Darlinghag · 04/02/2025 09:27

I am a daily weigher too. I don’t know if I am necessarily I’m doing it withiut any sort if negative impact but I do think it has helped desensitise me to fluctuations. Hopefully one day enough so that it is of no issue at all.

Re: changes to prescription rules etc. I really don’t mind a video consultation or some sort of check in for mine, at least once a quarter or something. I do think things are lax, but I am concerned about the maintenance era of getting MJ, but hoping that by next year things will settle and there are more options. My prescriber is not great in that sense, they do not message or check in at all, just issue. They also don’t seem to be informing the GP I don’t think - they put a letter on my account everytime and say that I should share it, but it doesn’t look like they are! As it happens, I haven’t seen my GP since I started and don’t take other meds, so haven’t needed to, but I will if I do go. I thought my GP would have got in touch if they do know - but maybe they do and don’t care either!

Darlinghag · 04/02/2025 09:32

Also!! Because I am excited and can’t wait til weigh in day check in - I hit my Jan target today!! Now under 15st 7!! Don’t know what happened last three days haha!

gimmemounjaro · 04/02/2025 09:52

@MooBaggage

When I started strength training 6 months ago, I was so weak and so paranoid about doing myself an injury that I started out doing 2 reps with 1kg dumbbells.

Now I do 3 sets of 20 reps each of 5-6 different exercises, using up to 5kg, plus 60 squats and calf raises every day. It's so rewarding to see yourself getting stronger. I wish I'd done it years ago!

Hope it's right that existing patients will be able to carry on as before without the new (expensive) checks. My provider does ask for photo ID and a full body photo including your face so that's quite hard to fake I guess. The ones relying on photos of the scale rather than the body, or the body without the ID would be easier to con.

I must say though that it's pretty encouraging that only 400 people have ended up in hospital, 0.08%. Especially since lots of people seem to adopt their own dosing protocol (like the OP on that thread the other day who got the maths all mixed up, thought she was injecting 2.5mg but injected 8.3mg by mistake). I wonder if the 400 includes those getting it from their hairdresser or whatever.

Arglefraster · 04/02/2025 10:02

@CanIGoHomeNowPlease I'm so sorry to read about your mum 💐

Darlinghag · 04/02/2025 10:08

@gimmemounjaro i would put money on it mostly being people who are either completely messing up dosing like that, not disclosing health conditions, over suppressing until they are ill, or buying fake Mounjaro.

my provider asked me to do photos in the mirror and on the scale, with a date on a piece of paper. I think i would actually prefer to jump on a video call once in a while and prop the phone up and weigh ‘live’ mainly because contorting myself to get a full body pic is a nightmare!!

Arglefraster · 04/02/2025 10:20

@WafflingDreamer I love the glasses confusion 🤣 I'm faceblind so would be totally confused. I don't really notice weight loss in other people either unless I hug them or they lose so much weight that it changes how they move.

Only my DH knows & I don't plan to tell people. I can't discuss my weight with people at all it's so horrifying to me & in particular will be hiding weight loss from my mother for as long as possible.

@Curvy4life that weigh in is an anomaly & anomalies are interesting because they teach us something. In a lab it might mean the acid wasn't the correct concentration/ the "room temperature" solution was sitting in the sun etc or you just discovered an amazing new catalyst 😁
However anomalies are not significant in their own right - it's the trend & if they're reproducible that matters.
For weight I like using the app Happy Scale because it's all about reporting the trend.
Your anomaly might teach you that hormones are bastards (you likely knew this!) your scales need new batteries, x food makes your body hold water etc etc
TL:DR chin up it's just one reading - I only ever lose 3 weeks in 4 regardless of what I'm doing! KBO

gimmemounjaro · 04/02/2025 10:25

I wouldn't mind a live consultation at all - but I don't want to pay extra or have to go and get weighed at the GP surgery (also for a fee presumably)!

I have actually been refused MJ already. Another pharmacy I used years ago for something else sent me a 10% off voucher. But when I tried to order MJ with it they wouldn't prescribe because my previous prescription with my usual provider was too recent. I had to wait three weeks, by which time the offer code had expired, and while they said they would honour it, it was a bit of a faff to get the money back. So I didn't bother in the end and have stuck with the same place throughout.

Darlinghag · 04/02/2025 10:31

@gimmemounjaro i hear ya, i wouldn’t be happy to go to my GP or faff with a private one every month. I’d be ok with a six monthly or annual one though.

however, i know its because i get so many non weightloss benefits that coming off it doesnt feel like an option to me - not unless GPs will give me something for my digestive issues (nothing else worked so far!!) Plus an adhd diagnosis that would medicate the the brain noise out.

its cheaper for them to leave me to it looool!

gimmemounjaro · 04/02/2025 10:38

I feel the same @Darlinghag

Financially I'd love to come off it 😅
I'd spend some of the money on a gym membership and some yoga.

But life is so much better on it. Leaving aside the other benefits and just thinking about the eating and weight loss part, I wonder if there ever comes a point where your body fully adapts to the new weight / lifestyle and would be ok and remain stable without MJ. (Like do you ever establish a new healthy set point that your body then fights to stay at.) I think the evidence says not for most, but not sure whether they have tested that in people who have been on MJ long term, eg 2 years.

SilenceInside · 04/02/2025 10:39

It's basically impossible to get a face to face appointment with my GP. They're swamped with patients and have recently had a "Requires Improvement" inspection that they are struggling to improve on. I seriously doubt I would be able to get my GP to verify my weight, and I doubt they would respond to a request from a private prescriber for information. So that worries me a bit!

Darlinghag · 04/02/2025 10:45

@SilenceInside it might be a by exception method; reporting only if they shouldnt, it basically says as much in my current provider’s letters - not that they seem to send them!

@gimmemounjaro same!! Really feel lucky to afford it consistently, but i am conscious it ls a big chunk of my fun fund! I’ve got a big holiday in May and it could go there. Although I am very excited about the prospect of flying slimmer. Last time I flew, the belt fitted (it was longhaul not easyjet or whatever so more generous!) but the tray to eat was really uncomfortable.

ElanBridge · 04/02/2025 11:00

gimmemounjaro · 04/02/2025 10:38

I feel the same @Darlinghag

Financially I'd love to come off it 😅
I'd spend some of the money on a gym membership and some yoga.

But life is so much better on it. Leaving aside the other benefits and just thinking about the eating and weight loss part, I wonder if there ever comes a point where your body fully adapts to the new weight / lifestyle and would be ok and remain stable without MJ. (Like do you ever establish a new healthy set point that your body then fights to stay at.) I think the evidence says not for most, but not sure whether they have tested that in people who have been on MJ long term, eg 2 years.

Thanks @gimmemounjaro for the recommendation to the podcast about coming off MJ. The doctor says towards the end that if a person uses MJ after being obese for a short period of time due to pregnancy, other drugs, etc then they may be able to keep the weight off long-term after stopping MJ. It’s made me realise that after a lifetime being obese and a BMI over 45 at the start of this journey, I’m probably going to have to take it forever, even if a very small dose.

I’m also hoping that today’s news about the tighter controls on pharmacies might ensure a better supply for the long term for those of us who really need MJ, as opposed to those who want to drop 5lb and go and get it from the beautician. I’d be devastated to see it withdrawn for those of us with chronic obesity, due to misuse by those for whom it’s not a lifesaver.
Sorry for the rant!

gimmemounjaro · 04/02/2025 11:20

I'm with you there @ElanBridge
I hope to come off it in July after a year but having been obese for 30 years I expect I will continue to need it too. I hope it's possible to stay on it. She is very firm that MJ is meant to be a lifelong medication rather than a cure.

I feel great (having lost ~4 stone and with 2 more to go) and can't believe I would ever eat like I used to again. I feel like a different person in body and mind. It will be interesting to find out whether that is 100% MJ or whether I have made behavioural and psychological changes that will last beyond MJ.

RobinEllacotStrike · 04/02/2025 13:13

I've placed my order for another 7.5mg with The Family Chemist.

I had to got through a new consultation but it was online. I had to send a photo of me on the scales which was tricky but I think I managed it.

I chose this supplier as their prices were quite standard/didn't fluctuate as much as others and I knew I was in for the long haul with 50kg to lose. I thought there would be a benefit to me in choosing a supplier that I could stay with for the entire process. So many of the questions I had to answer were evidenced by my previous purchases which they have a record of.

RobinEllacotStrike · 04/02/2025 13:17

The Family Chemist asked for an email address for my GP surgery
🤣🤣🤣🤣🤣🤣🤣🤣🤣🤣🤣🤣🤣🤣🤣🤣🤣
Good luck with that!!!

My GP are notoriously uncontactable.

Having said that I do go in there to weigh myself occassionally and I give the slip the device print out to the receptionist and they have been putting my weight and BP on my records which do show up on the NHS ap.

gimmemounjaro · 04/02/2025 13:21

Oh that's a good idea @RobinEllacotStrike and might be just the kind of evidence they need. If your GP surgery ever responds to them of course 😂

RobinEllacotStrike · 04/02/2025 13:23

Do you think might be able to access my NHS medical records information directly? I guess I could send them screen shots from the ap if required.

But yes I think it is good for my GP to at least know I am on MJ and that it is going really well & I am losing weight - so I am supplying evidence of that.

Darlinghag · 04/02/2025 13:26

@RobinEllacotStrike crikey!

it sounds like its not really feasible long term, i cannot see how anything other than exception reporting would work!

i also don’t really get why we cannot choose to have our records shared online etc. i’m not in england so things are different, but I personally just dont have a problem with all medical info/medication listed on my nhs record as a standard so the prescriber can check themselves for any contraindications. Its so disjointed!

claudiawinklemansfringetrimmer · 04/02/2025 14:15

ElanBridge · 04/02/2025 11:00

Thanks @gimmemounjaro for the recommendation to the podcast about coming off MJ. The doctor says towards the end that if a person uses MJ after being obese for a short period of time due to pregnancy, other drugs, etc then they may be able to keep the weight off long-term after stopping MJ. It’s made me realise that after a lifetime being obese and a BMI over 45 at the start of this journey, I’m probably going to have to take it forever, even if a very small dose.

I’m also hoping that today’s news about the tighter controls on pharmacies might ensure a better supply for the long term for those of us who really need MJ, as opposed to those who want to drop 5lb and go and get it from the beautician. I’d be devastated to see it withdrawn for those of us with chronic obesity, due to misuse by those for whom it’s not a lifesaver.
Sorry for the rant!

I’m sort of in the middle ground there- was slim in my teens and early twenties but have been overweight/obese for 8ish years due to a succession of depression, medication, chronic fatigue and 2x pregnancies. I absolutely can’t afford to stay on injections long term- I’m only getting them now because of a small inheritance- so hoping I can make enough lifestyle changes to make maintenance easier when I come off.

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