How easy is it to obtain Mounjaro online if slim?

[TheCalmPinkKoala]

I know this might be controversial but I’m interested to hear people’s options. I have a lot of friends who have managed to get monjaro online despite being slim. They just lie about their weight and height and if asked for photos they stick their tummy out to make them look bigger. I’m intrigued as to how they are going to manage monjaro - one says she is started on 2.5 dosage and then went up to 5mg and is going to stay on that until she loses a stone and then will wean herself off it. She is quite healthy and eats well and exercises but put on a stone and wants to lose it quickly in time for summer. Is this actually realistic? I’m not looking for people to comment saying how unethical it is - I just want to understand it more so I can understand her. Is it really that easy to get monjaro just by doctoring photos and lying about your weight? And is it really ok to take it for a while and then come off it (pressming you change any eating habits so you don’t put the weight back on? I pressume she will have to continue lying to the online pharmacy (she used voy) about her bmi as I’m sure they stop prescribing if your bmi is 22?

It’s not a high risk medication at all… it’s classed as moderate risk. Similar to NSAIDs or SSRIs and half the country is on those…

in these discussions people are always quick to cite the risks of taking the medication, but rarely the risks of not taking it. The effects on the heart, increased risks of T2 diabetes, etc are well-known. But the shocking thing to me is that the link to cancer is rarely mentioned. Being overweight or obese hugely increases your likelihood of getting cancer.

@SilenceInside I think we have a different idea of what we'd consider 'high risk'. To me, high risk is both severe impact and a high likelihood. The stats simply don't show that for weight loss drugs. They've been around a long time and used by a large number of people and it just isn't evidenced. You don't have to take them, I'm not sure why you're so concerned with the health of those who do though, or why you're apparently unconcerned with the other health risks of a higher BMI - as someone else said on this thread, for many people weight gain creeps up consistently in mid life, taking them at BMI <30 prevents us from getting to >30 and the related health issues with that.

One unexpected side effect that I am really pleased about, and is a significant health benefit, is for me it's completely removed any interest in alcohol - I don't get any 'buzz' at all if I drink now. I don't have an alcohol problem, but I have always been mainly drawn to alcohol to relax/deal with stress which scares me as I have multiple family members who have developed serious alcohol issues later in life, including two who have died from it. Breaking the habit of a drink to unwind is fantastic, and well worth any other possible risk imo. But I've not had a single negative side effect so far, so I don't think my pancreas is melting, or any of the other claims made on this thread.

Current research seems to be indicating that this class of drugs is having benefits far wider than was expected. For example, studies have now shown that they significantly reduce the risk of developing pancreatic cancer and other studies have shown bowel cancer benefits.
There is also research underway looking at addiction treatment and dementia.treatment.
I suspect in due course this class of drugs (and there are a lot already developed and under development) will become used for all sorts of illnesses beyond obesity.

@Proteinpudding the comment about a melting pancreas was flippant sarcasm! Surely nobody reading it would think that it was a serious comment... I take Mounjaro myself, have been for 2 years, and I have been obese or morbidly obese essentially my whole life until this point.

“High risk” is the term used by the GPhC to describe WLI and refers to the possibility of misuse and of people accessing it without meeting the prescription criteria. This thread is about those issues, about how easy it is for someone slim to access POM for obesity. It’s not high risk in terms of side effects or negative outcomes. I have not suggested or claimed it is.

I am not concerned about what other people do. Clearly plenty of people have a very different attitude to risk and to the guidance around these medications. I think I’m allowed to discuss and post about the reasons why decisions were made and about the facts of the matter.

GLP1s look to have many applications beyond obesity and diabetes treatment as I’ve already said. That still doesn’t mean it’s appropriate, generally, for anyone at any healthy weight to access them only for cosmetic weight loss.

I don’t know any other medication where people who don’t take it are so concerned about the potential side effects that may be suffered by those who do take it. It’s a bizarre phenomenon!

I really respect you as you’re so helpful on these sub forum. But it does annoy me how you gatekeep in this space, how you dismiss the people who clearly lay out why they don’t deem it to be high risk for them by spelling out what the high risks are and why they are likely less for them, but it mostly annoys me the way you try to diminish weight loss to just being about cosmetic reasons.

How would you feel if everyone said you did it purely for vanity? I have said on this thread that health is very important to me, that’s why I researched as much as I did and am on this forum. Weight loss has never been entirely about vanity for me, I’m not pretending it’s not a factor, of course it is I live in the same society as you where my worth is measured by my aesthetic, but for me and a lot of women I know health is a huge factor. If you go on the thread that has women 25-27 BMI, you’ll see charts, graphs, very careful doses, talk of strength training, protein, concerns about maintaining strength for exercise. It is not a thread of vacuous women trying to drop pounds over night.

I literally work in risk compliance. I spend my day filling out risk assessments and advising senior leaders on risks. I’m not a medical professional, but I have done so much reading on this (no not all on MN) I am an anxious person who does not like being ill, I simply wouldn’t ever have done this if I deemed this to be ‘high risk’.

Yep! The number of people who feel the urge to air their various concerns about WLI usage, who've not even done the most basic research to be aware that an already obese person has no risk free option available.

I think a lot of it is probably because people are very attached to the idea that diet and exercise is the solution. To some extent I understand it, because we pushed that for so many years in the absence of anything better, even as it continually failed for most people.

I don’t, clearly, think of it as gatekeeping. I cannot gatekeep here, I don’t have the authority to. If you’re annoyed by me then please don’t read my posts or respond to me.

I am quite happy for you to say that I lost weight for vanity reasons. You can hold that opinion if you like.

I think there’s a lot of value being held in the word “cosmetic” that I don’t mean or intend. I’m using it as a comparator term, to describe weight loss that isn’t medically indicated. I don’t know how else it would be described? Perhaps there’s a better term. Also, usually I am talking in general, across numbers of people, but often people take it as referring specifically to them as an individual. Which is understandable, but again, not what I intend or state.

I mean you must know by now it’s far from a high risk medication, there are tens of millions on it globally, many slim, either from starting at a health weight or lying to get it, they have nearly 40 years of data, and there has been not one death due to correct usage the legit drug, it’s just a peptide/synth hormone we all produce naturally,

it has to be one of the safest meds there is,

My v slim friend buys it from her Botox place.

They’re researching the good effects it has on inflammation particularly for heart problems now- which is fab.

People who are obese aren’t necessarily medically unwell, they are at higher risk of other conditions, this drug is to help reduce that risk. I don’t believe diet related health risks are the preserve of the obese.

Well, she buys something from her Botox place...

LOL

I think also a lot of people shouting about risk don’t understand that sensible WLI users are doing the ‘diet and exercise’ - the only difference is WLI help us do it long term and see results.

Yes, I rather suspect the noise made about people who are supposedly dropping weight still eating crap and not moving is out of all proportion to their actual numbers. If I were betting!

I've been strength training for nearly fifteen years, and I do a sport 3-4 times a week. I'm not stupid enough to think that I've got better willpower than someone who started very obese, I know I've got the luxury of time/money/lifestyle to do those things. I wouldn't dream of telling someone who hasn't been doing the same for that length of time that they are taking the high risk, easy way out for vanity. I think posters who think they have that right should take a good look at themselves.

Fwiw @SilenceInside since you keep saying the drugs are high risk, but won't actually say what those risks are, I looked up what the General Pharmaceutical Council actually say about the drugs. The only 'high risk' references I could find were in relation to their comments of people using them without a proper prescription or consultation, or people buying them from unlicensed sources, ie black market. There's no information on their drug information page that they consider the drugs themselves are high risk, and that includes in the section of legitimate off label prescribing. If you have any other source Im happy to be corrected.

@Proteinpudding I said it once, in one post, and then clarified what I meant once I realised that people thought I meant high risk in the context of side effects. I referred to the GPhC, and this thread is about slim people accessing POM for obesity, so in that context I thought it was appropriate to mention the GPhC view on this. So this medication is at high risk of misuse and of people trying to access it inappropriately, as I already said in my previous clarification.

So when you wrote high risk medication, you meant it was a medication at high risk of misuse, umm ok.

however again, the controls need to be balanced with not prohibiting people who do access legitimately, the vast majority, with the small minority who may misuse, and the very clear safety record.

especially as we have seen even with all the black market crap, it’s all very safe, something like 200 deaths globally from the black market shit, compare that to 2000 people a year dying from taking nurofen,

high risk of misuse doesn’t mean high risk to the health of the individual..

many drugs are at risk of misuse, from paracetamol to ketamine. If a drug has an enviable benefit people will want it and find a way to get it.

@SilenceInside and as I said, I can't find any source for the GPhC that says they consider the drugs to be high risk, or high risk for 'slim people'. Only reference to the risk of people buying black market, or using them unprescribed, which of course is going to be deemed risky. So it seems you keep telling us the drugs are high risk if you're not obese and what you were actually basing it on is that they're high risk if you're buying them illegally from beauty salons or the back of a lorry? You say you're not trying to gatekeep, but it seems like you're willing to misrepresent the facts if it serves your argument that you don't think non-obese people should have access.

@Safarisagoody I can only apologise for the misstep, whether you believe me or not - I am not perfect as much as I would like to think I am! I agree with everything else you say in your post.

@Proteinpudding no, you keep saying that I am saying that.