BMI 25 have I got any chance of being allowed to buy weight loss injections?

[Contraversialcatergory]

That’s my question really - would appreciate any advice. For context I am 43 yo mother of three with my youngest 3 yo. I weigh 75 kg and want to try to about 70 and I am struggling to shift the dial via fasting and exercise.

the Boots website says you have to be BMI 27 or 30’eithout conditions to be allowed to start but wondering anyone else has managed it with a slightly lower BMI?

It was initially a medicine for diabetes. Medications can have multiple uses. Just as Botox wasn’t initially designed as an anti wrinkle treatment. Nor was Roaccutane designed for acne.

As stated on this thread it is already available off label via legitimate prescribers for BMIs of 25. I will not be at all surprised if the BMI continues to decrease for off label use, it’s already available to smaller BMIs off label for microdosing.

My point is so what. She is unhappy with her weight and wants to stop being unhappy and is taking an action that is proven to be very effective. I simply don’t understand what that’s got to do with your admittedly very serious health conditions which you have my sympathies for btw.

I got it by fibbing about my height and weight. Frustrating to be fat but not fat enough (my BMI was 28). This was a while ago though, friends tell me some providers let you have it now with a lower BMI.

It’s a bit weird that you only mention fasting and exercise as your attempts to lose weight. Is that because you’ve always used that to lose weight in the past and now are not finding this method is effective? What else have you tried? I’ve used WLI but think there’s a danger in people who are not overweight using them. I think that’s a fair summary of my thoughts. Generally speaking the trend is pushing people to much lower weights than would be achieved naturally so all of a sudden a healthy 10stone size 10 /12 thinks they should be 8 stone.

edited for my stupid spelling

My point is, why do you care if she wants to take it?? It’s not like she’s expecting to get it for free on the NHS!

If she’s prescribed it legitimately why would you have an issue. It does not impact you, there is no shortage, I can’t see why you’re trying to gate keep it.

I do find that there’s definitely an element of gatekeeping around these drugs. Maybe it’s because the very overweight people who are now slimming down want their chance to look down on others who are now heavier than them??!

God, there’s some holier-than-thou people on this thread.

I got Mounjaro in 2024 from Voy with a BMI of 27. I had a bad back (entirely unrelated to my weight) but they were happy to prescribe. I’ve stayed on a low maintenance dose since last summer (with another provider) and my BMI is now 20.5.

Voy, I understand, will prescribe to those with a lower BMI - I’d investigate and see what you can find out.

I can never follow the logic on these threads. My provider is happy to allow me to have a maintenance dose indefinitely as long as my BMI is 20 or above. If I can be on the medication with a BMI of 20, why on earth shouldn’t the OP get it with a BMI of 25?

Muscle weighs more than fat.

You can’t convert fat to muscle, but you can develop muscles and become lean.

Start working out with dumbbells.
Start with about 3-4 kg and work your way up - progressive overload.
check out Caroline Girvan on YouTube.

Um no it doesn’t. A pound of muscle weighs the same as a pound of fat, it just takes up less space.

For the cool people, taking a drug that’s needed for a serious condition is very difficult to taking that drug if you don’t have that condition. I know you’re all “Live and Let Live” but no. I’m emotionally incapable of accepting being called a cheater when there is actual technical cheating going on. Voy and med express have made a business decision to increase their sales; doesn’t make it right. I hope they’re legally allowed to prescribe at low bmi because to me it smacks of assisting those with eating disorders.

*Very different

Is it really worth the potential long term risks for the sake of 5kg?

What potential risks and can you quantify them please, ie what’s proven, what percentage of people etc?

A medication that a) doesn't work for everyone and b) can have some unpleasant side effects.

This drug is meant to be life saver for seriously obese people, we should be discouraging people from using it just to lose a few pounds.

– A BMI of 25 is not a medical red flag
– Medicine exists to treat disease, not to tweak an acceptable baseline
– At BMI of 25 the tradeoff of risks to benefits is weak
– It can create psychological dependence, with no measurable health benefit
– WLI also reduce lean muscle mass, at BMI of 25 this is more pronounced as you don't have the fat surplus
– When demand increased for low-risk users supplies tighten, prices rise and higher need patients may struggle with access.
– It shifts the cultural view of normal bodies 'not being good enough', increasing pressure not otherwise content and happy people to unnecessarily, medically intervene with healthy bodies.

This is not about individual autonomy or judgement, it's about system-level concern, and it's called social responsibility.

You can / should find this out for yourself or from your prescriber (not a random poster on MN).

oh please, her body, her money. op, as suggested, course you can get it at bmi 25, its great not just for weightloss, but heart liver and kidney health and may reduce chance of dementia, so i encourage everyone who can afford to, to take it.

lol, so none then,😂

Nah, it’s called jealousy.

@Chewbecca what long term risks exactly?

I have done. Please do tell me what the more likely long term risks are specifically pointing to mounjaro because everything I’ve found is related to rapid weightloss. Not something I am doing because I didn’t have a lot to lose.

For the cool people? Why are you so chippy? What is your problem exactly? Why on earth would it annoy you?

And not comprehending social responsibility is called ignorance.

It’s crazy how upset some folks are at the thought of this , dressing it up as faux concern, as they are furious these drugs exist and they can’t get their hands on them, so many people fucked up mentally about weight.

if the prescriber feels it’s appropriate to prescribe these incredibly safe drugs ad the patient wishes them, it’s no one else’s business and spamming the internet with outrage won’t change it,