Life after weight loss jabs ?

Muddywellies said:
Ive just read on FB and dressage rider lost 5 stone on mj and states that his scores are higher and judges comments are better. Hes saying he's so glad he did it.

What baffles me is what happens then ? Its a known fact that as soon as you stop, the cravings / old habits return and weight goes back on. Only way to alleviate it is to stay on the meds for life.

Im seeing hundreds of adverts for quality riding attire (boots, show jackets etc) all being sold due to weightloss. How can anyone possibly re-train life long eating habits when the problem is temporarily removed ie the food noise stops. When you stop, the food noise returns. Surely these jabs are purely a temporary quick-fix?

(Edited to add that I wasnt thinking about bariatric patients with genuine health concerns due to weight. Thats a whole different thing).
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Having used mounjaro myself,I lost 4 stone over the course of a year. I used mounjaro as genuinely everything else hadn’t worked,or had worked short term,but when reverting to normal habits the weight piled back in(I’m talking weight watchers/slimming world etc). I calorie counted and went to the gym 3x a week but nothing was shifting the weight,and being peri menopausal as well,that didn’t help. The jab cut the food noise and the cravings out…completely. I calorie counted whilst on the jabs,and still calorie count today. I’ve not been on mounjaro for 3/4 months now,and have stabilised just 2 kgs over my target weight,so it is absolutely possible to maintain your weight loss after the jabs. Am I paranoid about putting the weight back on? Absolutely!! But I think this helps me be mindful of what I’m eating now every day. I roughly calorie count still so have an awareness of what and how much I ca eat to maintain my weight loss. If people need to stay on the jabs to maintain,then so be it..If it wasn’t for the price hike of them I have no doubt I would stay on them! Mounjaro has totally changed my life..gone from a size 18 to a size 10/12,and I’m damn sure my horse is thrilled that he’s no longer lumping round an extra 4 stone in weight!!!
 
Muddywellies said:
Gosh, just came across this 😯
news.sky.com

Mounjaro and Wegovy may need to be continued for life, new research suggests

Almost two million British adults have used the weight loss jabs in the last year. The overwhelming majority are paying privately.
news.sky.com news.sky.com
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Why is this so shocking? Maybe we should tell asthmatics to just breathe a bit deeper rather than take an inhaler for the rest of their life. Or diabetics to use a bit of willpower to make their pancreas work properly so they don’t need insulin for the rest of their life.
GLP-1s are treating life long conditions for some people.
Maybe just maybe fatties weren’t fatties for eating too much but due to something not working properly in their body and it’s now being medicallly treated.
 
It all stems from fatphobia and basically blaming overweight people for being overweight when it is widely recognised obesity is a disease and guess what we now have medical help.
Why should it bother anyone what medication another is on regardless of what it is for?
 
m1stify said:
It all stems from fatphobia and basically blaming overweight people for being overweight when it is widely recognised obesity is a disease and guess what we now have medical help.
Why should it bother anyone what medication another is on regardless of what it is for?
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Exactly 👏👏

It drives me mad that people keep commenting about eating less and exercising more. Of course this does help but some peoples weight loss is more complicated than that and if the jabs help then that’s great.
 
Muddywellies said:
With bariatric cases I would agree. But for those millions of people paying to take weight loss (diabetic) meds to lose a couple of stone . . . . . .
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A couple of stone is still a decent amount of weight though.

Agreed that if there’s a shortage for diabetic patients then there’s a problem but otherwise what’s the big deal?
 
ecb89 said:
Why is this so shocking? Maybe we should tell asthmatics to just breathe a bit deeper rather than take an inhaler for the rest of their life. Or diabetics to use a bit of willpower to make their pancreas work properly so they don’t need insulin for the rest of their life.
GLP-1s are treating life long conditions for some people.
Maybe just maybe fatties weren’t fatties for eating too much but due to something not working properly in their body and it’s now being medicallly treated.
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Diabetics and morbidly obese people can be prescribed glp-1 . Just as asthmatics are prescribed qvar, ventolin etc.
 
Ceifer said:
Exactly 👏👏

It drives me mad that people keep commenting about eating less and exercising more. Of course this does help but some peoples weight loss is more complicated than that and if the jabs help then that’s great.
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For me to lose weight I have to drop to an absolute max of 800 calories and work my backside off walking miles, exercising ALL the time. I do it as I've got nothing else to focus on and the benefit of ADHD hyperfocus. Its not sustainable for most people. I cant take GLP1s sadly, or otherwise I would.
 
Ceifer said:
A couple of stone is still a decent amount of weight though.

Agreed that if there’s a shortage for diabetic patients then there’s a problem but otherwise what’s the big deal?
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Yes, but the people im surrounded by who are taking it are overweight due to lifestyle. There's a great difference in
lifestyle weight gain (jow many of us put on weight when we got married- they call it 'contentment') and a genuine health condition.
 
Muddywellies said:
Yes, but the people im surrounded by who are taking it are overweight due to lifestyle. There's a great difference in
lifestyle weight gain (jow many of us put on weight when we got married- they call it 'contentment') and a genuine health condition.
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But if this drug jumpstarts a change in lifestyle isn’t that a good thing? And these people will have to be paying for it. If it was on the NHS id have a different view but currently the NHS only funds if you’re practically half dead
 
Muddywellies said:
Yes. Till the weight goes back on
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Maybe they need to stay on it then?
If the lifestyle changes don’t last.
Having been on it, you need to make sure you have good nutrition as your food intake is less.

I am still convinced that some peoples weight gain is a hormonal issue that can’t be purely rectified by lifestyle changes and does need to be medicated.
 
I find it interesting that we (or at least most decent people do) treat drug addicts, alcoholics, and people with mental health issues and issues with restrictive eating with a great deal of sympathy and respect - yet when someone has issues surrounding over-eating they should just "eat less and exercise more". Yes for plenty of us who just like chocolate and dislike the gym (i.e. me) and need to drop a few pounds, it can just be a case of self-discipline, but for many it is not that simple. Food and our attitudes towards it are often deeply psychological, if the jabs can help people to remove the 'food noise' as it's been coined and take control of their life then I think they are a massive development in public health. I agree however that they are abused by a lot of people as a quick-fix who could just make changes to their lifestyle.
 
I think UPF and high sugar foods have payed havoc with hormone regulation, and so GLP-1 meds replace the GLP-1s that should be there naturally but have been stripped away by diet. I'd like to see UPF mostly banned - or at least very heacily taxed, when in fact it's cheap. And education re food massively improved but that will hever happen. Modern diets are making people sick and fat because if you take away hormones that regulate appetite, then weight management become alost impossible. No-one has enough willpower to switch off appetite or resist the cravings to eat in response to 'food noise' (another word for appetite). But that is a societal problem. It's almost impossible to avoid UPF these days. And sugar is in EVERYTHING. I eat a very low sugar diet, with minimal UPF most of the time. It takes 1 biscuit to wake up the sugar-monster again. It takes about 4 days of white knuckling it before the urge to eat carbs switches back off. And it really is like a switch. But it is so, so hard to get the switch turned off in modern life.
 
Ambers Echo said:
I think UPF and high sugar foods have payed havoc with hormone regulation, and so GLP-1 meds replace the GLP-1s that should be there naturally but have been stripped away by diet. I'd like to see UPF mostly banned - or at least very heacily taxed, when in fact it's cheap. And education re food massively improved but that will hever happen. Modern diets are making people sick and fat because if you take away hormones that regulate appetite, then weight management become alost impossible. No-one has enough willpower to switch off appetite or resist the cravings to eat in response to 'food noise' (another word for appetite). But that is a societal problem. It's almost impossible to avoid UPF these days. And sugar is in EVERYTHING. I eat a very low sugar diet, with minimal UPF most of the time. It takes 1 biscuit to wake up the sugar-monster again. It takes about 4 days of white knuckling it before the urge to eat carbs switches back off. And it really is like a switch. But it is so, so hard to get the switch turned off in modern life.
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I think you might be on to something there. When I go on the very low calorie diet theres no calories for UPF, and all the stuff people say about the hunger and food noises going, kicks in after about a week.
 
There was a expert on the radio saying she blames the upf manufacturers saying they market things as healthy like protein bars when they are literally rubbish. We need better food, exercise and health knowledge that should be taught in schools as a compulsory subject.
At our gym they have started doing beginners classes which I think is great like indoor cycling for beginners. It's a very nice steady class without the competitive people there.
 
Ceifer said:
Maybe they need to stay on it then?
If the lifestyle changes don’t last.
Having been on it, you need to make sure you have good nutrition as your food intake is less.

I am still convinced that some peoples weight gain is a hormonal issue that can’t be purely rectified by lifestyle changes and does need to be medicated.
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Absolutely. There are indeed some people who need medication. Just not the estimated 2 million people. (90% of which are buying privately as they do not meet NHS criteria)
 
Muddywellies said:
Absolutely. There are indeed some people who need medication. Just not the estimated 2 million people. (90% of which are buying privately as they do not meet NHS criteria)
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Far, far too many people using it to be thin who absolutely do not fit the criteria. Theres going to be an issue with more than a few who have gone too far and start to look skeletal. I'm not even sure how you put a stop to it
 
Muddywellies said:
Absolutely. There are indeed some people who need medication. Just not the estimated 2 million people. (90% of which are buying privately as they do not meet NHS criteria)
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and the 90% buying privately still have to meet strict guidelines, and are paying for it our of their own pocket, the benefit is that they will save the NHS money in the long run when they don't suffer from obesity related conditions. So win win for the NHS and the public that fund it. Why do you have such a problem with that?

Yes there are people that abuse it an take it when they shouldn't but there are many drugs that people abuse.
 
I know a fair few people who have openly admitted to me about lying to meet the criteria to get these injections, because it's an easy way to lose weight (their words). Several have ended up with gallbladder issues due to not making an effort to eat better whilst on them, and one has even had to have their gallbladder removed because of it. They were told to stay off the jabs now because of pancreatitis attacks too, and they went straight back to their normal eating habits. Weight piled on again, and they have gone back on the jabs, lying to meet criteria again, because "it's so easy and I can still eat takeaways and stuff, but not bother with food for a few meals to off set it"... Despite being told of the impact it will have given the previous problems. I've always been on the slim side, combination of genetics, disordered eating and being mega active due to the farm, horses, dog etc... I do admit to being a bit miffed when I get told "I'm skinnier than you now without even trying" 😂 Those that use it as support to genuinely make healthy changes to their lifestyle easier, even if they need it for life to keep those changes going, those people I fully support, having witnessed my mum do that and lose 7 stone she put on due to illness, medication and subsequent disability. It's helping her keep it off, keep the healthy changes in place, and mitigate the fact she cannot physically exercise enough to lose weight due to her impairments. Also, she was borderline type 2, so she's now avoided that being an extra issue
 
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The main issue I can see with the jabs - as highlighted by the big study linked to above - is that many people lose muscle as well as fat.

These drugs are clearly absolute game-changers for many people, but I think it's going to take some time before we work out how best to use them. Fortunately, there's no shortage of real-world data.
 
calder said:
The main issue I can see with the jabs - as highlighted by the big study linked to above - is that many people lose muscle as well as fat.

These drugs are clearly absolute game-changers for many people, but I think it's going to take some time before we work out how best to use them. Fortunately, there's no shortage of real-world data.
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Actually that's a huge problem - there is a total shortage of real world data. People are buying the drugs through so many different sources, and the data could be anywhere. There also isn't reliable data capture in terms of how many calories patients are getting, what their eating habits are like, what their lifestyle is like. Pretty much all the follow up data that can be sourced is post trial and only for the cohorts that have been on the drug itself. Because there is no record of who is and isn't taking these drugs, we can't compare a population of patients on GLP-1s to patients who haven't taken them - we can't guarantee that the absence of a recorded medication is the same as a patient never having taken them.
 
Ceifer said:
I am still convinced that some peoples weight gain is a hormonal issue that can’t be purely rectified by lifestyle changes and does need to be medicated.
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There are definitely different body types - ectomorpths, endomorphs and mesomorphs. Most of us are a bit of a combination I suppose, but one probably dominates.

Ectomorphs are thin and have little muscle, tend not to bother much with eating; endomorphs tend towards fat; mesomorphs tend towards muscle. Mesomorphs can eat more than endomorphs because that muscle needs fuel.
 
KikiDee said:
I find it interesting that we (or at least most decent people do) treat drug addicts, alcoholics, and people with mental health issues and issues with restrictive eating with a great deal of sympathy and respect - yet when someone has issues surrounding over-eating they should just "eat less and exercise more". Yes for plenty of us who just like chocolate and dislike the gym (i.e. me) and need to drop a few pounds, it can just be a case of self-discipline, but for many it is not that simple. Food and our attitudes towards it are often deeply psychological, if the jabs can help people to remove the 'food noise' as it's been coined and take control of their life then I think they are a massive development in public health. I agree however that they are abused by a lot of people as a quick-fix who could just make changes to their lifestyle.
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My guess is that the issue is: is this drug going to prove to be dangerous?

I know almost nothing about it. I didn't even know its name until I read it on this thread. I don't know what it feels like to take it. I can't imagine that it stops a person from overeating but that's because I find it hard to imagine, that's all. I'd love someone who takes it to explain all this to me.
 
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Ambers Echo said:
I think UPF and high sugar foods have payed havoc with hormone regulation, and so GLP-1 meds replace the GLP-1s that should be there naturally but have been stripped away by diet. I'd like to see UPF mostly banned - or at least very heacily taxed, when in fact it's cheap. And education re food massively improved but that will hever happen. Modern diets are making people sick and fat because if you take away hormones that regulate appetite, then weight management become alost impossible. No-one has enough willpower to switch off appetite or resist the cravings to eat in response to 'food noise' (another word for appetite). But that is a societal problem. It's almost impossible to avoid UPF these days. And sugar is in EVERYTHING. I eat a very low sugar diet, with minimal UPF most of the time. It takes 1 biscuit to wake up the sugar-monster again. It takes about 4 days of white knuckling it before the urge to eat carbs switches back off. And it really is like a switch. But it is so, so hard to get the switch turned off in modern life.
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Just one thing about carbohydrates: we all need carbohydrates. They are fuel for our bodies. But 'carbs' are somehow in the black books because they are equated with sugar I suppose. Complex carbohydrates are what we need. We can't lump all carbohydrates together.
 
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