Why are you NOT on injections?

[Froum]

Just curious why other people have chosen not to go down the glp 1 route.

For me I have just heard one too many horror stories. I am extremely grateful to be in a healthy (albeit overweight) body that I just can’t take the risk. I have a random phobia of vomit/nausea. Genuinely couldn’t think of much worse in terms of side effects.

Also, I have lost significant amounts of weight in the past. And once I get going I don’t find it too difficult. So I know I don’t really need the medication. I can keep it off too as long as I don’t use food as a crutch when going through a difficult time. The weight I’m losing right now al came on during my divorce process. I lived off lasagna and cheese boards. Just to cheer myself up. Luckily I am in a better place

And id rather have the money each month (thinking of treating myself to a cosmetic treatment and it’s more justifiable in my head if I think I’ve saved money from not spending it on wl jabs).

I really dont think poorly of people who choose medication. Just thought I should say that.

I thought you couldn’t get it online unless your BMI was high enough?

@WateryBottle I don’t think everyone does have that ‘constant food noise’ though - I certainly don’t - it’s not why I’m overweight. After week 2 of feeling sick an awful lot and tummy ache on mounjaro I’ve decided I don’t think I want the associated risks when I do know I can lose weight by being consistent on calorie counting , upping exercise a bit and not lapsing at about the 6 month mark- I think I thought too much about the ‘feeling full ‘ aspect ( and my problem is healthy food but too big portions it seems and wine ) and didn’t really register that the SE were ‘very common’ -I foolishly thought because I ate well and drink loads of water I wouldn’t get them - I do understand though why those who have no willpower- have never lost weight in a non medicated way and are happy to put up with the risk of feeling sick/vomiting/ bowel issues might think it’s a magic bullet.

I have health anxiety so I know I will be panicking about the most minor of symptoms. I would love to go on it though. I lost 3 stone on my own last year with 3 more to go. For some reason I can't stop eating

It’s a bit judgemental to say that people who can’t lose weight have no willpower.
It is more difficult for some people.

I’ve got Type 1 diabetes and none of them are approved for type 1s. I do think this is odd.

It’s not that difficult to fudge your BMI if you’re close to the cut off @Inmydreams88
168 lbs at 5’2” is obese same weight 5’3” is overweight so claim slightly shorter. Weight throughout the day increases so weigh in at night having drank loads of water an easy extra 5lbs. Take your photo with the most unflattering clothing and camera angle while letting your tummy out.
Family history, surely someone you know has high blood pressure.

I really don't think people should be encouraged to lie or deceive to get a prescription...

@ScratchyMcScratchface sorry that’s my wording - it should have said those ‘who’ can’t lose weight and also have no willpower - I fully realise plenty of people who don’t lose weight have plenty of willpower in many cases - me being one !! I just don’t always engage it consistently and that’s been my problem. But I know for others it can be hormonal, insulin resistance, thyroid etc - many reasons

Thanks @Crikeyalmighty

Terrifies me - as can affect the pancreas! (Pancreatitis ) . My friend died of pancreatic cancer - no way would I go on these!

Oppressive food noise? Is that always wanting to eat?

This, plus I believe which goes down like a lead balloon on mn..... 'eat better, move more!'

I guess so in its simplest form - not just always wanting to eat but feeling in constant turmoil about guilt about eating “too much” or deprivation at not eating what you would like. It takes over your life and consumes all of your thoughts.

For me, food noise is rather than thinking about food only at meal times and getting on with your day outside those times, I think about it constantly. What I wish I was eating, how bad it will make me feel, how I can’t have the calories, just wanting to constantly be chewing on something, being tempted by all the food smells out and about.. when I’ve had my healthy meal I’m already wanting snacks. When I’m not eating healthily it’s constant planning of the next sugary/carby snack/meal, never being satisfied, planning my days around different eateries/shops, not wanting to do anything apart from binge. It’s just constant thinking about food.

I don’t have the jabs and have controlled my weight most of my life but I do wish I didn’t want to eat all the time.

Faking a higher weight to qualify for injections to help you lose weight it is truly warped and nothing to boast about.

@SuperTrooper14 well as someone who is struggling on my 2nd week on them, if someone who is an ok weight wants to feel really shit for several days a week with nausea, tummy upsets etc - just to lose even more and not be able to eat a great many things without feeling ill they really have a screw loose - and money would be better invested seeing a therapist. I appreciate not everyone gets side effects but many many do and actually the ones I’ve read who seem to get far less effects are diabetic - which to be frank is what it was developed for, so that kind of makes sense. Big pharma though realised far more money to be made off weight loss

@SuperTrooper14 just pointing out how easy it is to manipulate the BMI requirement. Right or wrong people who are overweight vs obese are taking WLI,

I know EXACTLY this feeling and it’s bloody awful. I don’t deny myself a snack or two but I make sure it’s very low fat and takes a while to eat! I very carefully cut an apple into cubes to eat…that can take 15 mins, low calorie cuppa soups, a well sliced raw carrot or bunch of radishes…all low fat and all take while to prepare and eat.
I really do understand….i just didn’t know there was a name for constant snacking.

probably because of potential negative impact on pancreas and might possibly make your diabetes more unstable as you cannot predict your blood sugar levels (ie the impact the glp1 will have), whereas t2 may still have some remaining beta cells and are less likely to go hypo...

I have three friends on MJ, they have certainly lost weight and now have lovely slim figures, but at what cost - all 3 of them look noticeably older than they did 6 months ago, with gaunt faces and more wrinkles and they have all complained about their thinning hair which is also noticeable - one of them wears a baseball cap every time she leaves the house now as she is so self conscious about it.

Also the long term side effects which are currently unknown (I know these drugs have been used for diabetics for 20 years but 20 years is not long enough to consider long term side effects and I’m sure the drugs work differently when used for diabetes vs weight loss). And studies show that people regain the weight once they stop the drugs, I know there is anecdotal evidence from people who post on threads here where people insist they have come off the drugs and maintained their weight loss but the data says different.

Amazing for your friends, the slimming of an overweight face will always have a few more lines because the fat is no longer there giving the illusion of line free. The hair loss is normal when losing weight for some people, it does grow back. They must be so pleased at no longer having long term obesity related health issues looming over them. Here’s to them finding new joy as their slimmer healthier selves having shed the shackles of being overweight.

Do you have to keep taking the injections when you reach your target or just if you put on more weight?

@TalkToTheHand123 You don’t have to do anything. It depends on the individual. Some people will want to continue taking the medication for maintenance. Some will stop and maintain their weight. Some will stop and find it hard to maintain and so might start taking it again.

Judging by the dietary claims of some TicTokers they will have to go onto maintenance dose. They are still eating the same junk and snacks but just less of it due to appetite suppression. No attempt to eat a healthy diet.
Part of the process is to alter your insulin levels by reducing carbs and refined sugars. If you have insulin resistance you will just slip into old eating habits. It’s tragic really. But today’s announcement re NHS access to WLI may help some of those who can’t afford private injections. But there will probably be a time limit and is probably off the back of rising hospital admissions. It seems that acute cholecystitis is becoming a real problem. Although not necessarily a direct result of drug but the rapid weight loss.