Anyone got injections for losing 1 stone?

[Onthevergenow]

I’m perimenopause and cannot shift the weight, it’s really affecting my mental health. I’m a short ass so it really shows the extra weight. BMI 25.5/26.
Ive started to socially withdraw due to weight
Would I be able to get the injections?

@InfoSecInTheCity I don’t want to be obese , I also dont want to be slightly overweight.
Good for you that you have lost the weight and can maintain , don’t understand the absolute need for the catty reply ?
I along with other PP and OP simply querying why it’s prescribed for obese and not overweight ?
Its not like I’m in the normal range , my BMI is overweight and I’d say I look really chubby and it’s impacting how I feel , so just seems unfair ?

Because like with every medication it comes with risks. Risks of gastrointestinal damage, risks of pancreatic damage, gallstones, low blood sugar…

If you are obese you live already with the health risks of being obese (stroke, heart attack, diabetes, cancer) , so the risks of taking Mounjaro are weighed up against the benefits of losing weight and the reduction of obesity related risks. The scales balance out and it is seen as less risky overall to take Mounjaro. That same calculation for mildly overweight people does not balance out as being less risky to take Mounjaro.

I have spend my whole life dieting, logging and weighing food and then regaining the same 5-8kg. I gain weight easily (family history of type 2 diabetes and I have PCOS so likely some insulin resistance) but mostly by BMI has been below 27 due to logging, eating mountains of broccol and rarely eating grains and never eat UPF.

I started taking MJ in June, my BMI was 26.5 and my cholestrol crept up to 5.1. I have easily lost 10kg, and for the first time in my life I haven’t had to be obsessed with keeping control on what I eat. I have t weighed anything at all. It’s a total revelation. Yes I have never been obese but my weight has been a big struggle my entire life and now it’s just not. I’m planning to take a low dose long term.

Someone of the comments on this thread are very judgemental. That somehow because I was never overweight enough I must keep on struggling a use up so much energy / willpower on not being overweight.

FWIW my mum is the same. Like me she mostly managed to stay out of the overweight zone until menopause. Now she is 3 stone overweight, taking statins for her cholesterol and pre-diabetic.

Yes mate. Because we need it to not get obese again. You don't.

Re: the risks. This is an interesting one.

The biggest risk seems to be the risk of muscle loss, which is a really big issue - but you can mitigate by lifting weights and eating enough protein.

My cholesterol has reduced from 5.1 to 3.6 (now in normal range). The other risks are far more likely at a higher dose, and most people who are only marginally overweight wlll be stickong to a low dose (I’ve not gone above 2.5mg). Gallstones is associated with rapid weight loss not really MJ specifically.

Another reason why non obese people want to take MJ is because it lowers inflammation in the body which could then in turn give other health benefits - so I think it might be one of these things - that there are both risks and rewards and each person has to do their own calculation.

Don’t know why people are so po faced about it on here.

OP, plenty of people do it by fudging their height / weight etc and buying it online.

I know a few people who have done it. They have successfully lost a few stone, but obviously too early to say if they will keep it off etc.

Haven’t medical professionals done the calculation, and decided that it cannot yet be approved for use by people who are under a BMI of 27? This is not just use in the NhS or funded use but all use even private and paying should be limited to those with a BMI over 27.

So it doesn’t need laypeople with no medical or scientific expertise to hazard a guess, because people who better understand the scientific data have analysed it and determined that only those who meet specific criteria should use it.

That data may change with extended use, time and studies, but right now, the data available from the testing completed suggests that there is a cutoff by which the risk/benefit ratio leans more toward risk than benefit.

As I said I did have a BMI of 27 albeit very briefly, and I am saying for me personally, the impact of lower cholesterol and the lack of food noise is enough for me to accept the risks of taking a low dose longer term. Personally I haven’t had my inflammation tested but it’s a known side effect.

Healand clinic OP? Supports micro dosing I believe.

I actually think these drugs should be available, for people who are at the high end of a healthy bmi or just over, but to be honest I think that would mean they need to over the counter rather than prescription, as it will be very hard to monitor. 27 bmi is the starting point with health conditions which isn’t that high, so they have made them widely available, and yes of course maintenance for anyone eligible is critical, no point folks getting slim then piling it all back in again,which in the vast majority of cases will be what happens. That’s even more dangerous for the individual, and other meds we stay on like bp meds or statins, we don’t say right it’s in the healthy range now so let’s stop.

The licencing of a drug is all to do with research evidence. There have been robust clinical trials of WLI for people with BMI over 30 (27 with comorbidities/certain ethnicities), those trials have also extended into maintenance. There haven't been (that I am aware of) clinical trials for WLI for those with a starting in the normal bmi range who want to lose small amounts of weight. Someday that research may happen, if it does (and the medication is shown to be safe) then prescribing guidelines could change.

Yes but they charge £175 a month fot decanted microdoses 🤯 there are also private doctors who’ll prescribe kwikpens

my BMI is 24.9 and I’ve just been prescribed Mounjaro again (previously used it to get from 17st to 10st)

I had to lie about my weight but I would’ve been prescribed it still at 10st at a maintenance dose if I carried on with the same provider

I am on them with around 2 stone to lose. Not sure why people are being so sniffy.

This really frustrates me !!!

I lost 1.5 st on my own in 3 months without WLI

then started WLI and another 4 st lost in 6 months with will power (in total 5) excersize and meal planing

this is not a magic pill for a few lb

most of us have life long struggles and WLI is supporting to finally reach a normal body size , something we dream of thinking it would never happen

if a few laughing emojis enjoys , imagine a lifetime of smirks and laughing emojis because :

you could fasten your airplane seatbelt
sit comfortable in a chair
Could not fit in a picnic bench
couldn’t find clothes to fit you in normal shops
etc

now who has the laughing emoji . This is why people react !

I bet they are doing these trials right now. Along with trials of it for other issues - there are reports of it helping gambling, alcoholism, adhd etc.

Why wouldn’t they? Could be an absolute goldmine for the manufacturer. As well as a boon for humanity. And there will be no shortage of people willing to do the trials I suspect.

I don't get this attitude either tbh.

I would love to lose 1.5 stones. I've done it before, once, through not eating. I was hungry. I slept a lot so I wouldn't eat.

I am not menopausal and I have gained back that weight and I'm constantly hungry. I'm trying to lose this weight for about a year ago. A pound off and a pound on.
If I could get a WLI, I would use it to get to my target weight and then either stay on it or go back to eating and I would gain it back (which would definitely happen).

Just go on a diet

Sorry to choose you individually but this is what puzzles me. How do you need it to stop getting obese again? Surely you just join the ranks of us who have to live a life of denial and moderation and calorie counting and regular exercise? Of course I don’t know about pre existing conditions but if your medical issues were brought on by obesity and the weight loss had managed those conditions. Why must you continue to take it? This is a genuine question by the way. Not a dig at you or anyone on WLI.

Obesity is a disease. We become obese through eating more than our caloric needs for whatever reason that is, but once we are obese our bodies are damaged by the condition. Obesity causes damage to fat cells by enlarging them and can also lead to creation of new fat cells so when fat is lost the cells don't act like fat cells of a non obese person. They release less leptin leading to increased hunger. Obesity also causes long term changes in insulin resistance that can persist after fat loss. On top of that obesity raises the risk of certain cancers and the risks can remain after fat loss which means it's extremely important to maintain fat loss after being obese so use of long term medication to do that is beneficial and proportionate.

Thank you. I really appreciate the reply. 😀.

Because they don’t have obesity. The reasons are all to do with relative risk. Risk that you will regain the weight without the meds (high) plus the risk to health of being obese (high) versus not having obesity, but taking a drug with potential serious side effects in order to lose a stone. I get it’s frustrating, especially with all the smart arses telling you to eat less and move more!

If you have deep pockets, it’s not a problem for you though - you can find clinics in the UK that will prescribe off label, and all the risks to you will be your own.

Sure - but looking at my mum (and late grandma). I don’t really want to have high cholesterol or wait until I gain more and develop type 2 diabetes. I go to the gym every day both cardio and weight lifting so it’s just about the constant vigilance to eat less.

For me, looking at the options the best / easiest was to let my BMI go up to 27 to fall within the prescribing criteria.

I don’t disbelieve that but it’s hard to believe that all these metabolic changes happen magically at a BMI threshold of 27 to all people and that they don’t ever apply to people with a BMI of 26 or 26.5. It seems arbitrary because it is arbitrary. Quite honestly it is likely that the benefits of WLI would apply to lots more people. The risk: benefit threshold for that to be publically funded I agree must be a high one but if people want to obtain it privately then a rigid BMI cut off actually seems a bit silly rather than the clinician making a judgement taking into account factors such as what had already been tried and ruling out people with EDs. If OP can find a private provider willing I don’t think they should be pilloried.

Drs prescribe lots of drugs off licence for lots of conditions all the time so it’s not necessarily a dodgy thing to do at all.