Honestly, I don’t know why the government pays for roads and public transport when people could just be healthy and walk? It’s like people just expect to get places easily, where is the personal accountability?
You know if you lose weight you haven’t lost it for life?So chronic health conditions aren’t worth treating in your view? What’s the alternative?
Personally I couldn’t care less if someone gets healthy without developing good habits, it’s the outcomes not the process we should care about.
So chronic health conditions aren’t worth treating in your view? What’s the alternative?
Personally I couldn’t care less if someone gets healthy without developing good habits, it’s the outcomes not the process we should care about.
I actually don’t know people who’ve done that….sounds like a fun crowd for you thoughYou have been even weirder with this shit sarcasm recently. It just shows how far from the real world your bubble seems to be.
I'm guessing you don't know people who have had a gastric band and then just eaten cake and found ways to get around it?
Why shouldn’t we?It’s not free for weight loss through the NHS and you really aren’t thinking this through. Perhaps we should offer neltrexone for alcoholics free as well
There was an recent article in the Cov Telegraph web site about primary school kids fund raising for Charterhouse rennovations.Genuinely think there's a discussion to be had about parental responsibility and child obesity.
You are trying your hardest to miss the point.So chronic health conditions aren’t worth treating in your view? What’s the alternative?
Personally I couldn’t care less if someone gets healthy without developing good habits, it’s the outcomes not the process we should care about.
Again it's responsibility isn't it? It will be everybody else's fault but theirs.There was an recent article in the Cov Telegraph web site about primary school kids fund raising for Charterhouse rennovations.
The picture showed 7 kids 4 of which are fat, children were not that fat 50 years ago. I don't think it is much to do with lack of exercise I think it is the food they're eating.
Why shouldn’t we?
BMI is pointless anyway.Because it doesn’t change a persons actual behaviour it suppresses it. It also can have significant side effects as does the weight loss drugs which can include vomiting, nausea plus worse.
Also how you define who would have a weight loss drug? BMI I assume. So if someone is 2 points under what is the advice. Fill your face with more doughnuts until you are even fatter?
As for the one I know whose on it she’s already moaning she can’t eat a big fry up in the morning - I’m sure that’s going to be used for the next 40 years she may be alive
The NHS already issues all kinds of medicines that suppress behaviours.Because it doesn’t change a persons actual behaviour it suppresses it. It also can have significant side effects as does the weight loss drugs which can include vomiting, nausea plus worse.
Also how you define who would have a weight loss drug? BMI I assume. So if someone is 2 points under what is the advice. Fill your face with more doughnuts until you are even fatter?
As for the one I know whose on it she’s already moaning she can’t eat a big fry up in the morning - I’m sure that’s going to be used for the next 40 years she may be alive
The NHS already issues all kinds of medicines that suppress behaviours.
Your sneering tone towards the people electing to use this medicine is telling.
Why are you asking me to do a doctor’s job? You think I’m campaigning for people to be given weight loss drugs with wild side effects for the fun of it?So how would you define who is eligible for a weight loss drug.
I doubt you’ve ever had more than calpol in your life. I’ve had naltrexone- it’s side effects are impossible
What’s telling is you haven’t a clue what you are talking about
I thought it improved their health, not have wild side effectsWhy are you asking me to do a doctor’s job? You think I’m campaigning for people to be given weight loss drugs with wild side effects for the fun of it?
Again, I don't disagree in some cases.Treating the issues linked to obesity costs the NHS something like £6.5 billion a year and not only adds to NHS waiting times it also keeps people on the waiting lists as often obesity has to be addressed before certain procedures can be implemented.
Surely a weight loss drug supplied by the NHS is a good idea as a preventative medicine to cut down waiting lists and the cost of treatment if obesity is left unchecked.
I don’t think obesity is that difficult of a condition to diagnose. Mk1 eyeball, a tape measure and a set of scales. I’m curious as to why you think it would take longer than 5 minutes to diagnose.Again, I don't disagree in some cases.
However, how's it working out just throwing sertraline at people after a 5 minute appointment?
You can get anti-smoking medication on the NHS so treaments to go alongside weight-loss should be covered to a point.Treating the issues linked to obesity costs the NHS something like £6.5 billion a year and not only adds to NHS waiting times it also keeps people on the waiting lists as often obesity has to be addressed before certain procedures can be implemented.
Surely a weight loss drug supplied by the NHS is a good idea as a preventative medicine to cut down waiting lists and the cost of treatment if obesity is left unchecked.
Another one trying hard to miss the point.I don’t think obesity is that difficult of a condition to diagnose. Mk1 eyeball, a tape measure and a set of scales. I’m curious as to why you think it would take longer than 5 minutes to diagnose.
Gluttony requires different treatment to obesity.You can get anti-smoking medication on the NHS so treaments to go alongside weight-loss should be covered to a point.
That point being it can't be a lifelong substitute for unhealthy diets and lack of exercise.
You didn’t answer the question. What makes you think obesity is so difficult to diagnose it takes longer than 5 minutes? Surely answering that question would be making your point.Another one trying hard to miss the point.
That's probably why "weight specialists" prescribe rather than GPs.Gluttony requires different treatment to obesity.
“The NHS has updated its guidelines for prescribing Mounjaro (tirzepatide) for weight management, effective from June 23, 2025. Adults are eligible if they have a BMI of 40 or more, or 37.5 or more for individuals from Black, Asian, and Minority Ethnic (BAME) backgrounds, and have four or more confirmed diagnoses from a list of specific health conditions. These conditions include Type 2 diabetes, hypertension, dyslipidaemia, cardiovascular disease, and obstructive sleep apnoea. The guidelines also specify who is excluded from taking Mounjaro, including those under 18, pregnant or breastfeeding women, and individuals with a personal or family history of medullary thyroid carcinoma or Multiple Endocrine Neoplasia syndrome type 2.The point is just throwing meds within minutes doesn't work.
Yes, injections will help some on their way to get started and they will change their way of living.
Should they just be put on moujaro for life after 5 minutes with a doctor like they do for sertraline?
What are you on about now? You just said it would take 5 minutes with some scales.“The NHS has updated its guidelines for prescribing Mounjaro (tirzepatide) for weight management, effective from June 23, 2025. Adults are eligible if they have a BMI of 40 or more, or 37.5 or more for individuals from Black, Asian, and Minority Ethnic (BAME) backgrounds, and have four or more confirmed diagnoses from a list of specific health conditions. These conditions include Type 2 diabetes, hypertension, dyslipidaemia, cardiovascular disease, and obstructive sleep apnoea. The guidelines also specify who is excluded from taking Mounjaro, including those under 18, pregnant or breastfeeding women, and individuals with a personal or family history of medullary thyroid carcinoma or Multiple Endocrine Neoplasia syndrome type 2.
Here's a more detailed breakdown:
Eligibility Criteria:
Exclusions:
- BMI: A BMI of 40 or higher is generally required.
- BMI Adjustment for BAME Groups: A lower BMI threshold of 37.5 or higher is applied to individuals from South Asian, Chinese, other Asian, Middle Eastern, Black African, or African-Caribbean ethnic backgrounds.
- Co-morbidities:A confirmed diagnosis of at least four of the following five conditions:
- Type 2 diabetes
- Hypertension (high blood pressure)
- Dyslipidaemia (abnormal blood fats)
- Cardiovascular disease (heart disease)
- Obstructive sleep apnoea
- Age: Individuals must be 18 years or older.
Important Considerations:
- Pregnancy and Breastfeeding: Mounjaro is not recommended for pregnant or breastfeeding women.
- Specific Medical Conditions: Individuals with a personal or family history of medullary thyroid carcinoma (MTC) or Multiple Endocrine Neoplasia syndrome type 2 (MEN2) are excluded.
- Hypersensitivity: Individuals with a known hypersensitivity to tirzepatide or any of its components are not eligible.
In essence, the NHS guidelines aim to ensure that Mounjaro is prescribed responsibly to individuals who can benefit most from the medication for weight management, while minimizing potential risks. “
- BMI Measurement:
If your BMI is not documented in your medical records within the last three months, you will need to have it measured by a healthcare professional.- Consultation with GP:
If you believe you meet the criteria, it's crucial to consult with your General Practitioner (GP) to discuss your eligibility and next steps.- Medication Review:
Your healthcare team will monitor your progress and review the ongoing appropriateness of Mounjaro treatment, including dose adjustments and potential discontinuation.- Potential Side Effects:
Be aware that Mounjaro can have potential side effects, and your healthcare team will discuss these with you.- Lifestyle Changes:
Mounjaro is intended to be used alongside diet and exercise.
No one is going to get meds for life 5 minutes after walking into a GP. Took 30 seconds on google to find that out.
But how do they get healthy without developing good habits? Just because they've lost weight doesn't mean they're healthier.So chronic health conditions aren’t worth treating in your view? What’s the alternative?
Personally I couldn’t care less if someone gets healthy without developing good habits, it’s the outcomes not the process we should care about.
To be fair at that age responsibility falls on the parents, not the kids.Again it's responsibility isn't it? It will be everybody else's fault but theirs.
I said to diagnose obesity. I never said to come up with a treatment plan. My point stands. No one is being proscribed an obesity medication after 5 minutes which is what you keep insisting is the case.What are you on about now? You just said it would take 5 minutes with some scales.
You can also get paragraphs about anti depressants but you get them thrown at you within a couple of minutes and off you go.
To be fair at that age responsibility falls on the parents, not the kids.
I said to diagnose obesity. I never said to come up with a treatment plan. My point stands. No one is being proscribed an obesity medication after 5 minutes which is what you keep insisting is the case.
You very obviously can. It’s you who bought up 5 minutes and as you can see from the guidelines what you claimed clearly doesn’t happen simply because it happens against the backdrop of already diagnosed conditions which also didn’t happen after a 5 minute GP consultation. Type 2 diabetes for example takes a GP visit, referral, blood samples being taken, lab work and further consultation. Many processes and lots of time is taken to diagnose type 2 diabetes. Connect that with the very simple to do like a BMI test (minutes if not seconds, it’s an equation based on very few factors). The two things connected is what gets you on diet medication as a supplementary treatment.It was you who said "Yeah but you can tell if somebody is fat" within 5 minutes.
Not really, here is a similar situation which results in patients being put on medication for life, a nice little earner for pharma and often sweet benefits for doctors prescribing their products.Treating the issues linked to obesity costs the NHS something like £6.5 billion a year and not only adds to NHS waiting times it also keeps people on the waiting lists as often obesity has to be addressed before certain procedures can be implemented.
Surely a weight loss drug supplied by the NHS is a good idea as a preventative medicine to cut down waiting lists and the cost of treatment if obesity is left unchecked.
My sister has never taken insulin or glucose and she was diagnosed must be 10 years ago with type 2. She had early intervention and lifestyle changes manage her condition without the need for drugs. So yes, I was aware. She also wasn’t obese, the opposite of anything.Not really, here is a similar situation which results in patients being put on medication for life, a nice little earner for pharma and often sweet benefits for doctors prescribing their products.
The NHS has been supplying insulin since it's inception but more recently it's become more widely known that you can reverse type 2 diabetes and no longer require insulin or metformin pills with dietery changes.
I certainly never questioned the need for and benefits of insulin and glucose reducing drug therapy until maybe 10 years ago, how about yourself?
And that's just the tip of the iceberg when it comes to the basic flawed operations of the NHS.
The dietary changes they advise these days are not dissimilar to what doctors used to advise in the early 1900's, then along came the new wonder drug insulin and the best part of 100 years of a methodology relying far too heavily on drug intervention.My sister has never taken insulin or glucose and she was diagnosed must be 10 years ago with type 2. She had early intervention and lifestyle changes manage her condition without the need for drugs. So yes, I was aware. She also wasn’t obese, the opposite of anything.
This is what happens. Treatments evolve with research and understanding. Like prescribing obesity drugs to cure obesity linked illnesses, like in many cases type 2 diabetes or to be more factual put type 2 into remission so the use of insulin etc isn’t required in many cases. Treating the cause in many cases not the symptoms.
Treating the symptom and not the cause is seldom the correct corse imo.Treating the issues linked to obesity costs the NHS something like £6.5 billion a year and not only adds to NHS waiting times it also keeps people on the waiting lists as often obesity has to be addressed before certain procedures can be implemented.
Surely a weight loss drug supplied by the NHS is a good idea as a preventative medicine to cut down waiting lists and the cost of treatment if obesity is left unchecked.
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