By the time I went for my over-fifties NHS health check aged 55, I was shocked to realise I had put on more than two stone, and was now officially classed as obese, with a BMI over 30. With a family history of type 2 diabetes, I had been trying to lose weight healthily by eating more protein, moving more, and keeping to a calorie deficit, but still the weight would not shift.
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It seems plenty of other people feel reticent about telling people they are using them too. A Mumsnet survey of 1,000 people in July and August found that 75 per cent of GLP-1 users had not told their parents, 80 per cent had not told their colleagues and 41 per cent had not told close friends. Over half of respondents said they kept it a secret because they feared judgement or disapproval.
Dr Catherine Smith at the Women’s Clinic prescribes GLP-1s as a treatment option for menopausal women. She explains that weight gain during midlife is due to the “metabolic syndrome of menopause”, when cholesterol profiles change, and insulin resistance, or blood sugars, run higher. “That can be hard to improve with just diet and exercise,” she says. “So, we start with the basics of increasing exercise, improving diet, and considering HRT. And then, for some women, who have tried everything, we’ve noticed that GLP-1s can really help,” she says.
While GLP-1 injections have numerous side effects, and their cost is rising significantly, they continue to grow in popularity. And it’s important to balance any associated risks against the illnesses associated with obesity, which costs the NHS nearly £11.4bn a year.
Since starting Mounjaro in June I have lost just over a stone. Despite the price rises, I plan on staying on a lower dose for another few months, so that I can lose at least another stone. I’m now open about my use but not everyone wants to be.
*Jenny, 46, has two children and lives in London. She has lost five stone using Mounjaro since last summer. She has only told her husband that she is on weight loss medication.
I have always been sensitive about my weight. I was bullied and teased as a child, so I have never really wanted my weight to be the topic of conversation.
At the moment, I am titrating down. So, I’ve done the first step down in dose, and I’ll continue like that each month and see how I go. If I get to a point where my weight starts to creep back up, I’ll probably stay on it a bit longer term, because the last thing I want is to regain the weight I’ve lost.”
“Food for me is an addiction. In any situation, whether good or bad, I was always thinking: can I use this as an excuse to eat more? I had a gastric band fitted when I was 24 stone and got down to about 14 stone. I was running half marathons and 10k regularly. I had hypnotherapy and went to a fat camp. I really tried everything. And then I got back up to 16 stone with the gastric band still in place, and I was just in tears.
In March 2024, I started seeing adverts for Juniper, and I thought: I’m going to do this. Other than my husband, I only told one friend at work. Partly it was the cost, because I know a lot of people wouldn’t be able to afford it. Partly it’s the stigma. As a fat person, you are always being told you’ve got to lose weight. But when you do lose it, then you’re told: but not like that! If there was an injection that stopped alcohol dependency or heroin addiction, everyone would be so pleased but somehow this is different.
*Leyla, 45, a primary school teacher from South Tyneside has two children. She is in medically induced menopause and can’t take HRT. Since starting Mounjaro in June she has lost two stone.
I haven’t told my parents, who would worry about me using a relatively new drug, or any colleagues, some of whom can be quite judgemental. But since losing two stone I feel so much better and I am planning on continuing on Mounjaro despite the price rise. I have two more 5mg pens in my fridge, which should take me down to my goal weight of 10st 8lb. After that I will go down to 2.5mg for a month and then go to fortnightly injections.”
* names have been changed
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