Piling the weight back on when stopping MJ

[Richtea67]

Hi all....I'm so disappointed. I lost 3 and a half stone, have been off injections for a month and regained nearly 7lbs 😩. I was a slow loser (1-2lb per week) and focused on changing habits and reducing portion size rather than diets/calorie counting (this has led to binging previously). I have kept up with a lot of the habits (smoothie for breakfast, cutting out alcohol and healthy high protein snacks). But portion sizes have definitely gone up as I'm hungrier! And I've been more tempted by the biscuits at work and the kids treats! Any advice?? I'm considering re starting if I put too much weight on, but financially this would be a struggle, which is part of the reason I came off them. My starting weight was 14.5 stones, weight when stopping injections 11 stones and at present nearly half a stone back on!! Help!

Thank you.

I'm not implying anything. I'm being very direct that to lose weight and keep it off takes a radical lifestyle overhaul.

Again that is sometimes not possible but you just keep thinking that.

Think about it logically. The nhs would need billions to put everyone overweight who wanted it on monjaro. They’d need to set up so many new weight loss centres. That money is needed to set up - so it’s needed now. Obese people will likely not get sick for years in the future - and gradually. So where do the nhs get that money now? Just say everyone with cancer, depression, dementia - just F off so we can focus on weight loss for 5 years. People who are obese now have higher risks of developing certain conditions in the future but thin people still get sick too. Smoking, recreational drugs, poor diet, inactivity all cause illness. But a lot is genetic too. Sadly some people will always get heart disease - think of footballers having sudden death. This drug is not the cure for all disease! It’s not even the certain cure for obesity. Nobody knows the long term benefits of monjaro on weight loss, let alone cardiovascular outcomes. So basically the nhs would collapse quicker than a house of cards if it tried to roll out monjaro to everyone who wanted it. Especially as it seems even people with 5lb to lose want it. Would people really want that? The majority no. So the nhs rightly has a roll out plan for those likely to get most benefit for the risks the drug does pose - those obese and with risk factors. As data collects on long term benefits and risks and as the drug price drops due to generics entering market this might change. But the nhs will always consider the budget impact. It is a finite pot of money that is never enough for even the basic life extending services - like cancer. Waiting lists going up. Tbh I think monjaro should continue to be strictly limited on nhs until more long term data to justify the costs.

@AmythestBangle I certainly think menopause makes it more difficult - prior to it I could lose weight far more easily just by being very careful for a few months and at a quicker rate than using MJ - at 63 it does feel more of a long haul slog even with or without MJ .

@MatildaMovesMountains @Onemorecoffee77777
As a clinician I prescribed these drugs for diabetics for many years and saw far lower results than among those who now choose to pay. There were far higher drop-out rates due to side-effects (admittedly this was pre-MJ so was liraglutide and semaglutide so I would expect more but not to the extent I saw it) and far lower weight loss results.

Part of that could be down to diabetes but I suspect a lot is down to the fact that the medication was given free on the NHS. Not all but many patients who pay are engaging more with their own treatment and following dietary and lifestyle advice more closely. I suspect rolling this out on the NHS will have a high cost but not have the hoped for results so am not in favour of it on the whole

Or a remedial hypnotist 😀

Also ozempic was limited at 1mg whereas Wegovy is prescribed up to 2.5mg I believe - more than double the amount leading to much better weight loss results

The patronsing sanctimony of your post was off the charts. All that judgemental language about taking responsibility, getting out in the fresh air, just say no IMPLIES that nobody who is obese has ever done any of those things. And the framing of it as being about consequences IMPLIES that there's some kind of justice in being fat as a result of all of this.

Literally nothing you have said is any help whatsoever to anyone with weight issues and I'm sure you know that. It's just you taking the chance to be superior and air your unpleasant opinions on obesity.

@TheSpoonyNavyReader really sorry to hear everything you've gone through.

I'm training for another half marathon, I have my 18K long planned for tomorrow. So the magical weightloss golf, should I do that before or after?

@MoodSwingSet Magical weightloss golf 😂Yeah cos you never see fat golfers. Or fat horse riders.

People are obsessed with the idea that people who are overweight are that way because of mental/emotional issues. Do they also think whippets are simply more well balanced than famously uptight and unhappy (yes I’m being ironic) labradors? The difference between them is genetic.

This thread is exactly why many of those on the jabs keep it a secret.

until you have been there, you just don’t get it.

i started WLI at BMI30 and the difference is phenomenal. I’m eating so much better - healthy food, proper portion control, and I’m weight training and feeling stronger than ever.

even with positive changes, coming off it scares me as the food noise switch will be back on.

im hoping the tablet will be a long term maintenance option.

op you have done so well. Keep at it and don’t be disheartened. It’s good to address now before it’s a 3 stone regain.

Love this post. A balanced, educated opinion amongst the “move more, eat less” posts that don’t quite get it.

I could very easily be in your boat. I was overweight as a teenager but started to control what went into my mouth and exercised regularly. I am also a doctor too, not that it's relevant. I would very much like to eat whatever I like but I make the decision not to. Good luck in your journey and I really mean that.

I never once said you are stupid. I just learned that if I eat more calories than I need, I put on weight. So despite my body wanting the calories I deny myself it. My body hasn't learned to be satisfied with not eating more. I just make the decision to not eat something. Anyway. Good luck in your journey. Hope you find what works for you going forward.

Lots of mention in this thread of using WLI "for life". Sadly that is not possible 😭😭😭
I've been told I won't be prescribed after September due to my age.
I gave myself 6 months on Wegovy, thinking that was reasonably what I could afford. It worked well for me but I had horrific constipation and started losing my hair. Anyway, I was happy with my weight loss so stopped using it.
After a couple of weeks I had 4 days of raging feelings of starvation. No matter what I ate, I couldn't get rid of the compulsion to carry on eating. I kept telling myself it was my brain, no way I could be hungry, I had eaten so many meals but was still ravenous. I was crying all the time, thinking here we go, this will be all the weight back on. In genuine despair I started on Mounjaro. This hasn't worked as well for me, very slow weight loss, but without the side effects I had with Wegovy. I had decided this is it for life, but I spoke to an advisor about my slow weight loss. She said it was probably my age and I would have to stop soon anyway. I'm dreading stopping, I've started tapering down this time in the hope that I won't get the same level of cravings when I have to stop.
I'm 9 pounds over healthy BMI but really happy with my weight now, I can't bear the thought of putting 4 stones back on.

How old are you? There are no age limits for Mounjaro so I don’t know what your ‘advisor’ is on about

I hope you don't treat obese patient telling them from your high horse to make the right choices" " eat less move more"...the current obesity guidance recognises it as a complex chronic disease.
I wonder if you also tell drug addicts to choose better, alcoholics to stop drinking, smokers to just stop?

I'm not arguing.
Like I said I sincerely hope you find what works for you.

Where do you get it from? There are prescribers that offer maintenance plans when you get below bmi25. I think you have been badly advised.

@SaltedPotato you sound like myself - although I’m not a doctor - I realised after6 weeks on MJ that I’m probably not the best person for it - and I didn’t like the heartburn or nausea and mainlining rennies even on 2.5 - then again my willpower is good and I don’t really get food noise - my vice is too big evening meals- I like cooking and I like wine a few times a week - I got fed up of having to eat so blandly - I’ve gone back to calorie control (1100 ) and 2 dance classes a week ( first time in 20 years)

I will be 75. The first question on the consultation page is are you aged 18-74. If you say no it says you're not eligible to apply. 🙄

They are happy to carry on supplying me, just not once I get to 75 😏

Lie? Sorry … I’ll get my coat…