Thread 2 - BMI under 27 - Off Label/less to lose

[Beachforever]

New thread from:

https://www.mumsnet.com/talk/weight-loss-injections/5509897-bmi-under-27-off-labelless-to-lose

@Lorrrrrrewith no other health conditions?

Sorry me again - on voy there are different plans - monthly/3 month/6 month. What do people do?

I do have underlying health conditions.

I think that’s the difference. The clinician said off label just brings the BMI requirement down my 2 points

Correct.

I did 3 months. But it depends how quickly you want to swap out. I liked Voy, but they’re more expensive. If you’re not too worried about price I’d do 3 months. If you’re keen to get it cheaper asap just do one.

Off label means prescribing it in a way that isnt part of the guidelines. How they do that is the choice of the company, presumably ME have decided to allow a lower BMI but still require a weight related health condition. Voy have decided to prescribe at a lower BMI and without.
I don't have a health condition, didn't declare any and wasn't asked for any. I was asked about my weight history, expectations etc and I got the impression they were grilling me a little to make sure I didn't have a history of disordered eating, but I think that's a good thing!

I signed up for 3 months with voy. It wasn't cheap but I felt it was long enough to try it to see if it works and not be too tied in if it didn't. Do check the conditions, there is a cancellation fee if you cancel early (though obv a discount if you commit)

Newbie here! I signed up with Healand 2 months ago, BMI 22 and lifelong constant food noise (have previously been much heavier, and then miserable most of my life on a diet). It has helped me so much. I’m now at 21 where I want to stay. Ideally I’d prefer to move to another provider like Swift doctor now because they’re cheaper and I’d also like to get a pen instead of individual syringes. Swift say they do maintenance with a lower BMI limit of 21, so I need to make sure I don’t fall below that. Does anyone know the process of verification with Swift? Will I need to film myself on the scales or something? I’d also like to experiment with spacing the doses out a bit longer, as I think I can handle a bit less suppression, do they allow that? I assume then they still make you buy the pens every month as they probably won’t tell you to make it last longer than 30 days? Should I discuss this with them honestly? So helpful reading everyone’s experiences!

Did you have a video consult with voy too?

I just had to send a photo to Voy wearing fitted clothes (leggings and vest top).
I've got a discount code link for Voy if you would like it.

Same albeit they did reject my first photo. I I “carry my weight well” until I turn sideways.

I sent a photo in a sports bra & shorts for my second attempt and they approved straight away.

Oh dear, I mustn’t carry my weight well because they’ve already approved it 🤣

For Swift Dr maintenance I had had to give a full length photo in fitted clothes, a video of me standing on the scales, a photo of my ID and a photo of my last prescription. No telephone or video consultation was needed.

They approved me with a BMI of 21 but I didn’t switch straight to them after Healand so I don’t know if they would accept the Healand prescription.

I ordered my last pen from Swift Dr coming up to a month ago and they haven’t requested that I buy a new one yet.

Hahaha this happened to me too, so very humbling 😂

Same here. One look at my photo and the pills were in the post.

I'm denser than I look with decent muscle mass, so put on some uncomfortably snug shorts and top and flopped my CS overhang out. Then slumped my shoulders and puffed my chin a bit.

The height/ weight/ BMI were honest (I was weighing in with an afternoon BMI of 27.5 that day) but I did maximise its unflattering effects to make it look overweight. I'd just reached my limit on struggling continuously on weight loss being slower than life gains such as going on holiday and feeling restricted in food choices with no benefit for it.

Jab 3 this evening and morning BMI is down to 26.1 today. In my leggings today, I don't feel like my legs are stuffed in like sausage meat which is great.

I'm already feeling better in myself, and looking forwards to feeling better again. I don't need dramatic, and having been weight lifting in recent years, I'm not quite sure where the realistic goal is as it will weigh more than it did prior to muscle gain. I just want to stop feeling relatively heavy and my clothes to fit better again and it's great to feel like I'm getting somewhere.

The effect so far is that I'm feeling sated sooner when eating (more leftovers on the plate) and more resistant to a mindless nibble. My meals are generally decent so there wasn't much room to change there. We had an extended family lunch out last weekend and that evening when my family had pizza, I ended up having yoghurt and berries as that was more appealing, but otherwise I've mainly had my usual meals.

I'd like to say that I'm buying less dark chocolate in... but a teenager seems to be compensating 😂

Hi can I join? I was approved yesterday by med express. BMI of around 26.8. I had a baby 6 months ago and am so sick of gaining and losing the same 5 pounds! Now I’ve been approved for wegovy I’m worried about starting 😂 did anyone else feel like that?

I think most of us felt like that to be honest! Lots of positive experiences though, good luck!

So I used the insulin syringe to access the “golden dose” this week and I found it so much easier than I thought. In fact, much easier than using the pen itself. I find the plunger of the pen so stiff to push down especially with sweaty, clammy hands as I get myself worked up trying to overcome my fear of needles! Anyone else struggle to push the pen plunger down?

I think I’m going to start extracting all my doses with insulin syringes from now on.

Hello there! I’m also a newbie. My very first doses of Wegovy have been delivered today and I’ll start tomorrow AM.

I’ve gone with Simple Online Pharmacy with a BMI of 26.6. I had to send photos and they asked for tummy circumference together with proof of some meds I’m taking (for low mood) and that was it.

I opted for a 3-month course starting month 1 at 0.25, month 2 at 0.5 then month at 1mg. I’ve been reading this thread with great interest so may stagger some of the injections with click counting if I find that the lower doses work for me, and based on what others are doing. Thank you for sharing.

My current weight is 70.3kg and I’m hoping to get down to 60kg steadily.

Like others, I’m time (and motivation) poor so really struggle to get regular exercise in. I’m hoping with this route it will help me shift a bulk of my tummy weight and then the plan is to taper down/off the WLI and maintain that through better/healthier choices.

I’m going to check in at least weekly to record my progress.

Jab 14 for me tomorrow (Wev 0.25). I’m trying to get my head around maintenance.

I can honestly see why it would be tempting to keep going and go lower. But my BMI is 22.8 this morning and I’ve never been this weight as an adult. I’ve said all along that I want to make sure I can maintain. So I need to put my focus on that now and not chase lower numbers.

I’ve continued weight lifting, so I’m pretty sure I’ve maintained my muscle mass as much as possible.

Hope everyone has a good weekend.

Well done @OnTheTop Have you stayed on that dose the whole way through?

My weight loss has stalled, Im thinking of going up to 0.5 (wegovy) I've still been eating smaller portions than before, but I've not been as organised with my shopping so more convenient snacks have been slipping in. I've still been tracking and seems to be averaging 1500 calories a day, and though I know that's always a margin of error it's a bit disappointing that's not enough to lose! Still weight training too, so trying to get the balance of enough of a deficit to lose weight but not so much that it causes my training to stall.

Thanks @Proteinpudding, yes, I’ve stayed on 0.25 the whole time.

It’s definitely less effective now and if I had more weight to lose, I would be considering going up a dose. But I have still been able to lose on it, I’ve just been much more hungry! 😳

Sorry if this has already been posted but has anyone started with Voy and then moved to a cheaper provider? I have been on mounjaro previously so voy prescribed me 5mg with a BMI of 25. The next order is £70 more with voy than with swift doctor who I hear is also good for maintenance.
Im three weeks in on 2.5mg (using up old pen) and 4 pounds down but have struggled to get past this weight before so thinking of going upto 5mg soon. My average calories for the week have been 1300 but I have been pretty hungry.

Oof, took jab 9 last night and decided to go up a dose to 0.5mg (wegovy). Was a bit of an impulse (after a weekend where I'd gone back to lots of junk - not a binge in terms of volume, but definitely re choices) Woke up feeling rough today! Headachey, tired, bloated. I didn't notice any side effects when I first started so I was a bit unprepared!
I've got plenty of fresh fruit and veg in, drinking lots of water, and have some healthy batch cooked meals ready so I'm hoping that'll see me through! It's nothing bad really I think I was just a bit complacent as I've been so lucky so far!