Sustainability. An outsiders question

[Itcostshowmuchnow]

I am curious what happens when you lose all the weight. If no lessons about adequate nutrition have been learned do you need to be taking these injections for life?

No, she doesn’t want answers, she wants to have a go and goad. She wants to make people feel bad for taking the drugs, she knows we can take them long term, and it pisses her off, she wants to tell people how they will just get fat again.

As said. I’d bet good money she’s been on other threads, under other user names, doing the same thing. haunting the forum.

something about the fact we can all take these drugs and become slim, stay slim is upsetting her. A lot.

I suspect she’s a weight problem herself. Can’t get or afford the drugs. I think if we saw the op, behind her anonymous key pad, it would be very revealing.

For a large proportion of us, this is BS. My GP admitted years ago that I was probably insulin resistant. I was definitely prediabetic. The Mounjaro enables me to lose / keep the weight off. Without it, I can cut down to 400/500 calories a day and after the initial 2 or 3 weeks of weight loss, nothing comes off. 4 years ago, I was monitored by my GP while I stuck to an extreme low calorie diet for a year and a half. Lost 18lbs.

I don't actually have much appetite restriction, but the WLI seems to somehow reset my system (apologies, but I don't understand the science of it). Probably due to the other use of the Mounjaro for diabetes and my insulin resistance.

As well as being a goady twat OP, I fear that you might be a bit thick, without an ounce of critical thinking skills

thing is, it isn’t about us, or the drugs, it’s about the op and her issues, she reminds me of the poster who was obsessively haunting another thread, who claimed to be a dentist or hcp.

this is someone with signficant issues, very signficant.

the truth is, we will all be slim and healthy, she will remain a person with signficant issues.

The OP thinks all that means that obesity isn't a disease though. She doesn't understand that diseases can have environmental triggers; she thinks they only qualify as diseases if they occur spontaneously in the body without external causes and contributing factors. So everything that you say here will only compute to her as proof that obesity is solely caused by greed and laziness. Apparently the WHO classifying it as a disease doesn't count because according to the OP, she knows better.

OP: I think the world is flat.
Response: um no, there’s scientific evidence that it is round.
OP: well it’s just my personal opinion! Sorry? No, I haven’t looked at the evidence. Can’t we have different opinions???? IT’S MY PERSONAL OPINION! PERSONAL OPINIONS DON’T HAVE TO BE BASED ON FACTS!!!!

😂

I think the answer to why the OP has started this thread is simple

plain slim girl
pretty fat girl

who gets the attention and the advantages in life?

but what if that pretty fat girl can lose and keep off the weight?

I think that it is simply that the OP doesn’t want to lose her advantage and so feels the need to attack the fatties

well rest assured I (and possibly most of us) don’t give a flying fuck about slim advantage, I just want to live a healthy life without the associated health conditions that obesity brings, and if it pisses off people like you then that is just a bonus

If she’s the poster who’s been obsessively haunting this sub forum claiming to be a hcp, shes a woman, in her sixties, who is fat. But claims not to think she is with a bmi if 29.

don’t know if it is, but the style seems similar, could be one of the others who obsessively post on these sub forums and are obsessive about the fact we can take these drugs.

😂 of course offense was intended!

you have assumed that people are obese because they don’t have the basic intelligence to understand about calories and fat and exercise.

you want to upset and offend. You want to be smug and superior.

I have read some very interesting g articles about this very issue. The ‘skinny privilege’. The superiority people feel over overweight people. This medicine threatens that superiority.

we all have our insecurities - this thread would suggest your insecurity is you intelligence and you think this is a way to flex that.

Can someone please tell me what this goady nonsense is doing on the WLI board? This is a supportive space for people who need the medication. We weren’t wanted in the main weight loss chat board - fine. MNHQ gave us our own space. People of a healthy weight who wish to goggle and gawp under the pretence of ‘just being curious’ are welcome to satisfy that curiosity with the significant and growing body of academic research on GLP1 medications.

If mj gives me a similar experience to people who are a healthy weight it's a world apart from mine. I take a low dose so still get hungry but it's nothing like the screaming need to eat I had before. It's nothing about willpower or ignorance, it's about constantly fighting your own body and feeling desperate to eat. It's life changing and an absolute revelation

It's hard to know who to believe on obesity science, isn't it?

Multiple esteemed scientists who have been studying it for several years, decades even. All of whom are clear that hormonal deficiencies, often caused by the pervasive sneaky increase in ultra processing techniques in our food production, explain the explosion of obesity since the 1970s when UPF started to sky rocket. (And all of whom completely believe that 'just move more' is a load of old bollocks.)

Or some random on mn.

If only there was an objective way to know who is likely to be more accurate...

And all readily available on the internet

I always think that, for me personally, the best way to predict what may happen in the future is to look at what has happened in the past.

And for me, weight wise, that has been up and down for decades. So I just know that I cannot keep this weight off without help

I've now lost 5 and a half stone on MJ and my BMI is 22 ish. I didn't need to learn any lessons on nutrition, I could write you a book on the topic. My second book could be about exercise in all its various forms and how important it is

I was once ignorant like you OP. I truly believed that keeping weight off was about will power, eating less, moving more

I now have come round to understanding more and I believe the science that points in the direction of obesity being a disease.

I don't want to take MJ for life but I'm open to a maintenance dose as I think I'll need it

How are people going to afford £200 a month for life? Correct me if I'm wrong, isn't that what they coat? And can you even get hold of them if you've got a healthy BMI? I think a lot of expensive yoyoing could happen

The patents are up in a couple of years and cheaper, generic versions will come onto the market. It's likely the companies making the jabs now will develop pill versions which will be much cheaper. The NHS are embarking on a very slow rollout which means that over the next decade they will be prescribing these drugs to more people (and the cost should be outweighed by the savings of reducing obesity). As further guidelines come out regarding maintenance it may be that people who have lost weight with the drugs can obtain subsequent prescriptions at a lower BMI in order to avoid regain. So no, people won't be spending £150+ per month for life.

A lot of people can afford this.

you can get maintenance plans. Around £120 a £150 a month.

My current dose and supplier is more like £150. Around £30/ week for massively improved health feels like the best possible way to spend my money and I'm offsetting a lot of that with reduced food bills. I can afford it the same way anyone can afford their personal 'fun money' - by earning enough money that I have more than £30 a week spare.
You can't start on them at a healthy BMI (unless you lie to the prescribing chemist) but you can stay on a maintenance dose once you reach a healthy weight. Mounjaro is approved for life if required and from everything science understands about formerly obese bodies and their desire to return to obesity that's a sensible approach.
If expensive yoyoing does happen, so? I don't understand why people who aren't taking them seem so worried about that when it comes to WLI.

At the moment I can't see why I wouldn't be able to continue to afford it for life. That might not be the same for everyone, of course. In any event, the likelihood is that the cost will come down over the next few years and also that they will be more widely available on the NHS. They're working on producing a pill rather than an injection which will reduce costs significantly in itself.

I do think maybe the "outsiders" on these threads need to accept that most people who've been obese for most of their adult lives are not going to stop being obese without medical intervention.

It doesn't matter whether that's a moral failing, as they seem to think, or a scientific inevitability, as all of the recent evidence on obesity and metabolism conclusively proves. Obese people may get thin temporarily but they do not, except in a tiny minority of cases, stay thin, no matter how hard they try. Fact.

So these concerned bystanders need to decide for themselves whether we're more expensive and annoying when we're healthy, in work and paying privately for a maintenance dose of Mounjaro, or whether we're more expensive when we're progressively less healthy and less mobile, unable to work for as long or as much (or at all), and highly likely to be in need of some sort of long-term medication and surgery from the NHS anyway 🤷

generally uou stay on a lower dose for life, so as you can get 5 weeks out the pen, likely on the region of 30 quid a week, I am lucky I can afford this.

and you can only get at a healthy bmi if you started obese, as this is to prevent regain.

What do you mean how are people going to afford it?

and who is trying to get hold of it with a healthy BMI? You can’t start them with a healthy BMI. What’s that got to do with the conversation here?

How much yo-yoing do you think went on before these injections?

I very much doubt you're actually worried about my finances. Why on earth would they be anything to do with you? Please stop with the faux concern.

Surely this can be said about almost anything. How do people afford car lease costs? How do they afford pets? Or beauty treatments? Or holidays? Or large TV/internet subscriptions?

The cost is not a concern for me. Especially when weighed up against my long term health.

You’d more likely be on a low dose longer term so it’s more like £140 a month. Some people have lease cars for £500. I used to spend about £100 on takeaways so for me it’s an extra £40

My gym membership plus personal trainer costs me around £200 a month. It's an investment in my health, like these injections are for people, so I pay it. Like I said, the drug costs will come down in the next few years anyway and this won't just be a medication for wealthy people but it is the case that for a lot of people who have been battling obesity for a lifetime already, the price is more than worth it. Which is why posts like the OP's are so obtuse - if it was as straightforward as eating less and moving more, why would people pay for the injections in the first place? That in itself shows how hard it is and how committed the users are to losing weight.