Putting on weight to get WLI

[Mayflower282]

Anyone else trying to gain weight so that doctors will prescribe weight loss jabs? I’m 1 stone under the requirement and tempted to just stuff myself over Xmas and then be able to start injections in Jan.

Do you mean paying privately or via GP?
You can stuff yourself if you want I suppose. Its crazy to make yourself obese (which can change you metabolically, forever) to get a drug that you don't know will give you horrific side effects or will even work for you.
But you do you. Enjoy the pies 🤣

Don’t people just lie and use a fat filter? So many people using it that wouldn’t fit the criteria. My sister asked if I would get it and I’m not even overweight!

Or you could spend the month trying to lose some weight.

This is so unhealthy. The jabs aren’t for you, so don’t take them. Just spend the time trying to lose weight

What if you then have an adverse effect to the medication, can't take it and then you will have an additional stone to lose.

Are you talking about private or NHS? If it is NHS, have you checked the criteria in your area? It is very strict. I was eligible to be forwarded for weight loss surgery but not the injections from my GP which seems crazy! You need lots of other qualifying criteria not just weight. I went private and went from BMI of 46 to 32 so far.

She'll mean privately. Virtually no one qualifies via the NHS, and I'm sure the OP would have mentioned if she had 4 out of the 5 weight related health conditions that were needed.

@Mayflower282 clearly this is not a sensible option. If you are already a stone under the starting criteria then you are not obese, and not really even close to it. As PP have said there are risks to your idea, you could gain weight and find you are one of the small percentage of people GLP-1s don't work for. Or you might find you have side effects that mean you don't want to continue, and be stuck with the additional weight. Never mind the potential damage to your metabolism of becoming obese.

WLIs will be there for you if you do ever get to the point where you are obese. I don't see that it's sensible to rush to make yourself obese if you can do anything else to avoid it. Which you can.

This is bonkers.

Op - double check the requirements for private prescribing. 1 stone is approx 2 bmi points, and there are some situations (ethnicity, health conditions) that enable prescribing at bmi 27.

Presumably OP is struggling to do this, hence she wants the jabs. Dont be so glib.

OP, I agree it’s frustrating and wrong that you aren’t allowed the jabs, I’m in a simaikr position where I am crippled by and miserable with food noise but don’t have the BMI to get them prescribed. but I don’t think it’s a good idea for all the reasons people have mentioned

Just to play devils advocate I had pancreatitis from MJ. Granted I’d lost nearly 6 stone by then but I had way more to lose than you. If you were unlucky to have an adverse reaction you’ll be stuck with that extra weight. Honestly in your situation I’d try without the jabs.

FFS. Just put some effort in and lose weight. Eat less, move more.

That's crazy, why on earth would you put on a stone because you want help losing weight? You would only end up having more to lose
Weight loss jabs are not a magic solution that dissolve fat

It does seem a little crazy. What is your current weight and BMI. If it were Oniy a couple of pounds I’d say drink more and weigh/take photo on a bloated day of your cycle (if you still have them) but a whole stone seems a little extreme

I can understand your mindset op! I was under the requirements for the jabs and thought the same as the stubborn weight won’t shift. Actually, in November I was really sensible, cut down alcohol, stopped eating shite, lots of protein, veg & water & movement. Lost half a stone and feel much better.
I’m finding all the Xmas food tempting this week but staying strong for now. I’ve got a couple of social things coming up but I’m determined not to go wild over Christmas and then do another good stint in Jan/Feb to hopefully lose another half stone.

No matter how fat you are, they’re basically impossible to get on the NHS. If the NHS is what you mean? You need 4 out of 5 other conditions on top of being morbidly obese.

If you mean privately, you can get them from quite a low BMI really (not even obese, just overweight). Going from maybe a slightly high normal BMI to overweight to get jabs is mental.

Don’t play with your health like that!
might not do you any good, anyway. A morbidly obese friend has been refused by GP because the practice won’t prescribe, full stop.

It's a risky game to play for so many reasons.
Firstly, the jabs are recommended for certain categories of people because the risk/gain ratio is considered to be balanced there.
However, the biggest risk I think is that you will put on the weight deliberately and find the jabs don't work for you. They work for people who do not produce enough GLP1 themselves - this is what causes the propensity to overconsume to the point of obesity. You are not one of those people. You may well be producing enough GLP1 already if you are not naturally obese.
So what happens when you put on the extra stone, pay for the GLP1 jab and find they don't work because you were never really a suitable candidate?

I mean if you can afford it, sure, seems odd, but you do you.

No practices prescribe, it’s about 200k odd people getting the injections in the uk, over 40 bmi and 4 out of 5 weight related health conditions like high blood pressure, high cholesterol, sleep apnea, diabetes etc. it’s as rare as rocking horse shit.

but if the op wants to gain weight and buy them privately, that’s her choice.

A fat filter! Genius 😂

My practice prescribed for me. I had a BMI of just over 27 (I'm white Caucasian) and the only condition I have is Diabetes. However I'd tried various diabetes medications and my BS was still very high.

My GP and my Diabetes nurse are amazingly supportive

@AnnaQuayInTheUk I think people are commenting about Mounjaro being prescribed by GPs for weight loss alone. For which the criteria are as described, BMI of 40 plus, with 4 out of 5 specific co-morbidities, very few people meet those criteria.

Being prescribed it to controlled T2 diabetes where other diabetes medication has not stabilised your blood sugars is a completely different route to accessing Mounjaro and not what was being discussed. If someone's T2 diabetes is being well controlled by other T2 diabetes medication, then they would not be offered Mounjaro.

We are discussing for weight loss. You may have further info and the op is diabetic and wishes it for that purpose. But all we can see is her op which indicates it’s for weight loss which is a different criteria.

It is not wrong that she isn't allowed jabs. The current evidence base looking at risk vs benefit supports prescribing it to patients with a BMI >30 or BMI >27 and specific co morbidities/ ethnicities.

Given the amount fo current research ongoing it is likely that these prescribing guidelines will change, particularly the list of co-morbidities. But that data is not in yet, so OP will need to wait.

Well if it were that simple there’d be no need for WLI would there?

I’m in a similar position o/p. I was obese, I lost 3 stone by myself- before WLI were available.

i still have 2-3 stone to get me out of the overweight category and into a normal BMI. I just can’t do it. It’s been years now and I’ve lost and gained the same stone 3 times.

i know what i have to do, I’ve done it before. I know i need to eat less and move more. But exercise drives my appetite, and i really struggle to keep under 1200 cals long term.

it’s not an option to give up work and spend hours daily preparing a rigid calorie controlled diet and exercising/walking/cleaning/moving about. I am desk based so spend 10 hours a day sat on my arse.

so yes, I have thought about regaining the weight so I qualify for wld. At least take the food noise out of the equation so I’m not constantly structuring my life around what I am going to eat and when, and living a life of constant denial.

reason I haven’t? Like po have said it was a lot of self discipline to get out of the obese category and I don’t want to regress. I worry about the damage to my skin from gaining and losing again, as well as the side effects- and what if it doesn’t work for me?