Millions in the UK will soon have access to groundbreaking weight-loss drugs through the National Health Service (NHS).This move aims to help individuals manage their health and combat obesity.
Wegovy, one such drug, is already available to a select group of patients. Another,Mounjaro,is set to join the NHS arsenal soon,though its full rollout could take over a decade.
Though, NHS experts have raised concerns about the immense pressure on services due to the unprecedented demand for these weight-loss medications.
How do Wegovy and Mounjaro Work?
Table of Contents
Two drugs are currently available: semaglutide, marketed as Wegovy, and tirzepatide, sold as mounjaro. Interestingly, semaglutide is also a key ingredient in ozempic, a medication used to treat diabetes.
Both Wegovy and Mounjaro are administered weekly through pre-filled pens, allowing patients to self-inject the medication.
“These drugs mimic a hormone called GLP-1, which is naturally produced in the gut,” explains Dr. Sarah Jones, a leading endocrinologist. “GLP-1 helps regulate appetite and blood sugar levels. By increasing GLP-1 activity,these medications can lead to important weight loss and improvements in blood sugar control.”
“It’s important to remember that these drugs are not a quick fix,” Dr. Jones cautions. “They work best when combined with lifestyle changes, such as a healthy diet and regular exercise.”
The NHS decision to make these weight-loss drugs more widely available reflects a growing recognition of the complex challenges posed by obesity.It also highlights the potential of these medications to improve the health and well-being of millions.
Two new weight-loss drugs, Wegovy and Mounjaro, are making headlines for their effectiveness in helping people shed pounds. These injectable medications, administered weekly, target areas like the upper arm, thigh, or stomach.
Both drugs function as appetite suppressants by mimicking a hormone called glucagon-like peptide-1 (GLP-1), which is naturally released after eating and signals fullness.Mounjaro also influences another hormone, glucose-dependent insulinotropic polypeptide (GIP), which plays a role in metabolism and energy balance.
Treatment typically begins with a low dose, gradually increasing to a maintenance level.
How Much Weight Can people Lose?
Patients often start noticing weight loss within a few weeks of starting these medications.Clinical trials suggest that when combined with lifestyle changes like diet, exercise, and behavioral support, Wegovy users could lose over 10% of their body weight after a year. some studies indicate that Mounjaro users might achieve even greater weight loss. However, it’s important to note that direct comparisons between the two drugs are challenging, and weight regain is possible once treatment is stopped.
Who Can Access These Drugs on the NHS?
Currently, only Wegovy is available through the NHS in England, Wales, and Scotland. It requires a prescription from a weight management specialist, and access is limited.
“To be eligible, adults must be obese and have at least one weight-related health condition, such as high blood pressure,” explains the NHS. “People with cardiovascular disease who are overweight but not obese may also qualify for the drug.”
Patients are expected to follow a diet and exercise program, and the medication is typically prescribed for a maximum of two years.
The National Institute for Health and Care Excellence (NICE) has recommended that Mounjaro also be made available to NHS patients in England starting in March 2025. This would be in conjunction with guidance on diet and exercise.
Initially,Mounjaro will be available only to obese patients with a weight-related health condition who are under the care of a specialist. However, from June 2025, access will be broadened. The specifics of this wider rollout, including ongoing monitoring and support, are yet to be steadfast.Detailed NHS England guidance is anticipated in early 2025.
A groundbreaking weight-loss drug, Mounjaro, could potentially benefit millions in the UK, but access will be carefully managed due to anticipated high demand. The National Institute for Health and Care Excellence (Nice) estimates that approximately 3.4 million people might eventually qualify for the medication.
To ensure a gradual rollout and prevent overwhelming the healthcare system, Nice has recommended a phased approach. It is projected that around 300,000 individuals could benefit from Mounjaro within the first three years.
“It is possible that around 3.4 million people could eventually qualify for Mounjaro,” Nice stated.
The UK goverment has also announced plans to offer weight-loss injections to unemployed individuals in England who are living with obesity. Prime Minister Sir Keir Starmer has described this initiative as potentially “very important” for both the economy and individual well-being.
Though, experts in the field of weight loss have cautioned that the NHS obesity services are already facing significant strain and struggling to meet the existing demand for these types of medications. They emphasize that these injections should be used as part of a thorough treatment plan,rather than a standalone solution.
“The injections should only be used as part of a wider treatment plan,” said a leading weight-loss specialist.
Weight-loss injections like Wegovy and Mounjaro are increasingly popular, but their availability and potential side effects are raising concerns. While these drugs can be purchased privately at various locations, including supermarkets, pharmacies, and clinics, experts warn against obtaining them from unregulated sources.
The cost of these injections can range from £200 to £300 per pen, depending on the dosage. A BBC investigation in November 2023 uncovered alarming instances of semaglutide, the active ingredient in these drugs, being sold online without prescriptions and even offered in beauty salons.
Side Effects and Risks
Common side effects associated with these weight-loss injections include nausea, vomiting, bloating, constipation, diarrhea, and hair loss. While many individuals find these side effects manageable and temporary,some discontinue use due to their severity.
“For many the side-effects are manageable and tend to go away in time; others say they stopped taking the drugs as of them,” a medical expert noted.
More serious, though rare, side effects can include gallbladder and kidney problems, as well as depression. Experts emphasize that abusing these drugs,such as using them for rapid weight loss or purchasing them from unregulated sources,can significantly increase the risk of complications,including life-threatening conditions like pancreatic inflammation.
Therefore, medical supervision is crucial when using these medications.
Weight Regain After Stopping Treatment
research suggests that individuals often regain most of the weight they lost within a year of discontinuing these injections, as their natural food cravings return. This highlights the importance of adopting long-term lifestyle changes, such as improving diet and increasing physical activity, while on the treatment.
health Secretary Wes Streeting has expressed concerns about the potential for a “dependency culture” developing around these drugs. while Wegovy shortages have been reported in the past, the manufacturer, Novo Nordisk, assures that the NHS has a secure supply.