
I was left with ‘bulldog face' for tummy & 7 TEETH fell out after using fat jabs…but it was all worth it for 1 reason
At her heaviest, Hope weighed more than 18 stone and was once cruelly mocked by a stranger because of her size
TOOTH BE TOLD I was left with 'bulldog face' for tummy & 7 TEETH fell out after using fat jabs…but it was all worth it for 1 reason
FOR Hope Lancaster Colquhoun, her perfect smile had always been a source of pride - so it was a moment of pure horror when she looked in the mirror to see two rows of broken teeth.
The mum was forced to have at least seven teeth yanked out by dentists after a weight loss jab allegedly caused them to snap in half - and that wasn't her only shocking side effect.
Advertisement
7
Hope Lancaster Colquhoun, pictured before taking weight loss injections, has shed an incredible nine stone - but ended up with broken teeth
7
Hope was forced to have at least seven teeth taken out after they snapped in half
7
Hope, 42, also saw her stomach sag into a 'bulldog's face'
Hope, 42, who had dreamed of losing weight not teeth, also saw her stomach sag into a 'bulldog's face' after taking Mounjaro, dubbed the King Kong of weight loss injections.
Yet despite her excess skin and cracked teeth - which have left her needing dentures for life - she insists the prescription-only so-called 'fat jab' has saved her life.
Advertisement
She has shed an incredible nine stone, and dropped seven dress sizes.
'The weight just slipped off me, but sadly, so did my teeth,' Hope told Sun Health, recalling her most terrifying side effect of Mounjaro, which is increasingly popular across the nation.
"My gnashers before were perfect and I was really proud of my natural smile. I never had any dental work and kept up with my oral hygiene more than most people I knew.
"But one day, I noticed they felt different.
'As I ran my tongue against the top of my mouth, I noticed a sharp, jagged edge.
Advertisement
'I looked in the mirror and was left horrified as not one, but multiple, of my teeth had completely snapped in half.'
Hope's stomach dropped at her reflection.
'I wondered what on Earth was happening to me,' said the content creator, who lives in Hebburn, Tyne and Wear. "In a panic, I called my husband, who rushed me to the doctor's.'
Weight Loss Jabs - Pros vs Cons
There, Hope - once cruelly called a 'whale' by a stranger because of her size - says she was told the damage was likely down to having lost so much weight in such a short timeframe.
"I tried to cry, but the pain in my mouth was too much to take,' she added.
Advertisement
'While I had lost weight, I had also lost such an important part of me.'
Hope's dentist later told her at least seven of her teeth had to be immediately pulled out.
"I sat in the chair, feeling sick to my stomach, as they yanked my natural teeth away,' she said.
"I knew they weren't going to hold on for much longer, but it didn't make the situation any less unbearable.
"I came back home that day, unable to speak, and sat staring at my calendar filling up with more dental appointments.'
Advertisement
'ISOLATING'
Hope had turned to Mounjaro - used for weight management and to treat diabetes in adults - after a years-long battle with her weight had rendered her 'a complete shell' of herself.
At her heaviest, she weighed more than 18 stone. Wearing size 22 clothes, Hope lived in fear of being stared at and judged by others - including at her own sister's wedding.
'On my sister's wedding day, I felt defeated,' admitted Hope, originally from Texas, US.
'While everyone was getting their glam done, I was helping set up because, at that point, my looks didn't matter. I was just the 'bigger one' in the background. I dreaded walking down the aisle, as I knew people would look at me and judge how heavy I was.
'I've always been made fun of. Once, I got a call from my niece saying someone took a photo of me at our local grocery store and captioned it, 'Whales shouldn't be put in clothes.'
Advertisement
'Even to this day, I struggle with wearing shorts in public out of fear my photo might get taken again. People have nicknamed me 'marshmallow'. It's been isolating.'
Everything you need to know about fat jabs
Weight loss jabs are all the rage as studies and patient stories reveal they help people shed flab at almost unbelievable rates, as well as appearing to reduce the risk of serious diseases.
Wegovy – a modified version of type 2 diabetes drug Ozempic – and Mounjaro are the leading weight loss injections used in the UK.
Wegovy, real name semaglutide, has been used on the NHS for years while Mounjaro (tirzepatide) is a newer and more powerful addition to the market.
Mounjaro accounts for most private prescriptions for weight loss and is set to join Wegovy as an NHS staple this year.
How do they work?
The jabs work by suppressing your appetite, making you eat less so your body burns fat for energy instead and you lose weight.
They do this my mimicking a hormone called GLP-1, which signals to the brain when the stomach is full, so the drugs are officially called GLP-1 receptor agonists.
They slow down digestion and increase insulin production, lowering blood sugar, which is why they were first developed to treat type 2 diabetes in which patients' sugar levels are too high.
Can I get them?
NHS prescriptions of weight loss drugs, mainly Wegovy and an older version called Saxenda (chemical name liraglutide), are controlled through specialist weight loss clinics.
Typically a patient will have to have a body mass index (BMI) of 30 or higher, classifying them as medically obese, and also have a weight-related health condition such as high blood pressure.
GPs generally do not prescribe the drugs for weight loss.
Private prescribers offer the jabs, most commonly Mounjaro, to anyone who is obese (BMI of 30+) or overweight (BMI 25-30) with a weight-related health risk.
Private pharmacies have been rapped for handing them out too easily and video calls or face-to-face appointments are now mandatory to check a patient is being truthful about their size and health.
Are there any risks?
Yes – side effects are common but most are relatively mild.
Around half of people taking the drug experience gut issues, including sickness, bloating, acid reflux, constipation and diarrhoea.
Dr Sarah Jarvis, GP and clinical consultant at patient.info, said: 'One of the more uncommon side effects is severe acute pancreatitis, which is extremely painful and happens to one in 500 people.'
Other uncommon side effects include altered taste, kidney problems, allergic reactions, gallbladder problems and hypoglycemia.
Evidence has so far been inconclusive about whether the injections are damaging to patients' mental health.
Figures obtained by The Sun show that, up to January 2025, 85 patient deaths in the UK were suspected to be linked to the medicines.
Feeling 'deeply self-conscious', Hope eventually confined herself to home.
'I didn't leave the house except for groceries or to pick up my kids from school,' she told us.
'Scrolling on social media or watching TV became quite tough.
'There was a constant reminder that I should be thin.
Advertisement
'If I wanted to be accepted, or partake in certain trends, I had to lose weight.
The weight just slipped off me, but sadly, so did my teeth
'I was a complete shell of myself, with no social life, happiness or motivation.
'Not only that, my health was suffering, too.'
Back then, Hope would eat McDonald's for breakfast, followed by leftovers from the previous night for lunch. For dinner, she'd have a carbohydrate-heavy meal, such as pasta and chips.
Though she tried to lose weight naturally - including going to the gym, having consultations with a dietitian and using other weight loss medications - she had little-to-no success.
Advertisement
7
Hope is facing a lifetime of dentures after her teeth snapped
7
Hope with her husband
As well as the devastating impact on her mental health and social life, Hope says she suffered from months of unexplained illness and frequent fainting episodes.
She ended up being raced to hospital with 'dangerously high' blood sugar levels.
It was after Hope was diagnosed with diabetes that her doctor suggested Mounjaro - which studies have indicated could, if prescribed widely, slash heart attack and cancer rates.
Advertisement
Hope was prescribed the jab by Oushk Pharmacy for £189 a month to help her manage her condition. And the effects, she says, were 'life-changing'.
'I found myself craving healthier foods, drinking more water and just overall more active,' said Hope, who now wears size eight clothes and feels like a 'new person'.
'Within a month, I noticed I wasn't feeling so depressed either. I reversed any health issues and was able to come off my medication as I didn't need it anymore.
'My diabetes is now excellently controlled – and considering I was on the brink of death with it, I'm pretty proud of myself.'
Mounjaro, the brand name for tirzepatide, works by suppressing your appetite, making you feel fuller for longer.
Advertisement
This week, The Sun revealed that Health Secretary Wes Streeting wants the NHS to 'get with the times' and speed up its roll-out of 'game-changing' weight loss jabs.
What to do if you lose too much weight too quickly whilst on Mounjaro
IF you're losing too much weight too quickly while on Mounjaro, it's important to take action to avoid potential health risks like muscle loss, malnutrition, dehydration, and fatigue. Here's what you can do:
Evaluate Your Caloric Intake
Mounjaro reduces appetite, which can make it easy to eat too little. If you're losing weight too fast (more than two to three lbs per week after the initial adjustment period), try: Tracking your food intake to ensure you're eating enough calories (apps like MyFitnessPal can help).
Increasing protein intake to preserve muscle mass (aim for 0.6–1g per pound of body weight).
Adding healthy fats and complex carbs (e.g., avocados, nuts, whole grains) for balanced energy.
Adjust Your Dosage (With Doctor's Approval)
If your weight loss is too rapid or causing side effects, your doctor may: Pause dose increases or lower your dosage.
Adjust your treatment plan to stabilise your weight loss.
Strength Training & Exercise
To prevent muscle loss: Incorporate resistance training at least two to three times per week.
Stay active with low-impact exercises like walking or yoga.
Hydrate & Manage Electrolytes Drink enough water (Mounjaro can reduce thirst).
Electrolytes matter - Consider adding magnesium, sodium, and potassium if you feel weak or fatigued.
Monitor for Malnutrition & Deficiencies
Rapid weight loss can cause vitamin/mineral deficiencies (especially B12, iron, and electrolytes). If you experience: Fatigue, hair loss, or dizziness, ask your doctor about supplements.
Consider Further Medical Guidance
If your weight loss is excessive or causing health concerns, speak with your healthcare provider.
They might adjust your dosage, diet, or exercise plan to help stabilise your weight loss.
Tirzepatide - which can be prescribed privately in the UK - has been approved for NHS use by the National Institute for Health and Care Excellence. NHS England is rolling out the medication, starting with the highest-priority patients — 220,000 over three years.
But Mr Streeting said: 'I want to see us put our foot down on the accelerator.
'We need to get with the times and make sure those who might not be able to afford these drugs are able to access them.'
Some 1.5million Brits used weight loss injections in March.
Advertisement
But Hope's experience of shedding the pounds wasn't all positive.
'During the weight loss, at one point, I compared my stomach to a bulldog's face [due to the excess skin],' she told us. 'But over time, my skin has shrunk.'
She is also facing a lifetime of dentures after her teeth snapped.
Following the removal of her broken gnashers, Hope had a partial denture fitted. '[This] made me feel like a granny, though at least I could smile through the pain again,' she said.
LIFETIME OF DENTURES
She has since had four fillings and spent over £3,700 on fixing her teeth.
Advertisement
And more work is needed in the future.
But despite her turmoil, Hope doesn't regret her decision to inject Mounjaro one bit.
'I'd encourage people to consider the jab because of how life-changing it's been for me,' said Hope, who, as well as taking Mounjaro, switched up her diet to include lots of fruit and vegetables, healthy protein such as lean chicken, and at least five litres of water.
She also joined a gym, and stayed active by chasing her sister's spider monkeys around the house.
'Even my sister and mum both take it now.
Advertisement
'Weight loss journeys are hard and all of our stories are different.
'This isn't the easy way out, as some might say, as we still have to make healthy food choices, stay active and prioritise our health.
'For those of us with multiple conditions, such as myself, it's been a lifeline.
'I credit Mounjaro for giving me another chance at life.'
7
Hope's teeth when they started looking brown and yellow from decay
Advertisement
7
Despite her turmoil, Hope doesn't regret her decision to inject Mounjaro
On April 17, 2024, Hope tied the knot - and the mum had 'never felt more beautiful'.
'I've completely got my life and confidence back,' said Hope, who has suffered from other - minor - side effects including regular burping, diarrhoea and headaches.
'My family are completely overjoyed by my transformation. They've watched me struggle for years, but now they're so proud of the person I've become.
'People have said I'm cheating or [are] commenting that I've lost too much weight. But none of them told me to stop eating when I was slowly killing myself being obese.'
Advertisement
She added: 'I feel like a totally new person. I can't believe it.
'It's like I've found the answer I've been searching for my whole life.'
The Sun has contacted Eli Lilly, the manufacturer of Mounjaro, for a comment.
It said: "Patient safety is Lilly's top priority, and we take any reports regarding patient safety extremely seriously.
"Regulatory agencies conduct extensive independent assessments of the benefits and risks of every new medicine and Lilly is committed to continually monitoring, evaluating, and reporting safety data to ensure the latest information is available for regulators and prescribers.
Advertisement
"We encourage patients to consult their doctor or other healthcare professional regarding any possible side effects they may be experiencing and to ensure that they are getting genuine Lilly medicine."

Try Our AI Features
Explore what Daily8 AI can do for you:
Comments
No comments yet...
Related Articles

Telegraph
12 minutes ago
- Telegraph
Skinny is back in fashion – but it's a trend that could prove deadly to the over-60s
In case you hadn't noticed, skinny is back. Sigh. Both the jeans and the Twiggy physique to slip into them. But while the glossies are full of suggestions on how to style your denim, there's a bit of an information gap when it comes to shedding the midlife pounds without damaging your long-term health. Fail to lose enough and you won't fit into that Hobbs summer dress. Shed too many and you could really be storing up trouble. As we age we lose muscle as well as fat and that places individuals at risk of becoming frail. I thought it was just an adjective, but frailty is actually a medical condition, which is common in older people. Symptoms include reduced muscle strength, fatigue, slower walking pace, lower activity levels, weight loss and increased vulnerability. Research by The Royal College of Anaesthetists and the University of Nottingham has just revealed that frail patients stay an average of three days longer in hospital after an operation than patients who are fit for surgery. Those who are severely frail remain on wards for six days longer. They are also three times more likely to suffer from complications and three times more likely to die in the first year after surgery. No wonder then that experts have called for all surgical patients over the age of 60 to be screened for frailty as standard practice to bolster recovery and slash extended stays in hospital. It sounds like an eminently sensible idea, but it might be better if more emphasis were placed on prevention rather than cure. In the age of the fat jab, a great many older people are reaching for Ozempic and Mounjaro to reduce their appetite and silence the food noise that has plagued them for most of their lives. But it's all too easy to get hooked. Photos of early adopter Sharon Osbourne are enough to put the wind up anyone. The 72-year-old wife of erstwhile hellraiser Ozzy was among the first celebrities to publicly confirm using the diabetes drug Ozempic in December 2022. She lost three stone in four months, but had subsequently admitted it was 'too much'. Her gaunt 'Ozempic face' caused concern among her fans and so she set about gaining a little of her old weight back. But to her consternation, she discovered she couldn't. The pendulum – or its metabolic equivalent – had swung too far. And although she's been off the drug for a while, she remains a shadow of her former self. Then, just last month, Dame Patricia Hewitt, 76, who was health secretary in Tony Blair's government, urged the NHS to tell slim elderly patients to maintain a higher 'buffer weight'. This came after she became severely ill on holiday in Australia, spending six weeks in hospital, during which time her weight plunged 'absolutely catastrophically' to below seven stone. She has since been advised to gain two stone to protect her health in the future. It might sound counter intuitive, but science has identified a 'longevity paradox' in that overweight, older adults are less prone to fragility and actually outlive those who are underweight, especially among women. Supermodel Kate Moss once observed that nothing tastes as good as skinny feels. She's 51 and sylph-like as ever. But perhaps any day now she'll conclude that tastes change over time and future-proofing her body is the most delicious treat of all.


Daily Record
2 hours ago
- Daily Record
'I lost 6stone with weight loss jabs but there's one side-effect no one tells you about'
Scottish woman, 41, says 'obesity is a disease' she she felt like 'food had control' over her brain A Scottish woman who shed over six stone in weight after hitting rock bottom has revealed she was initially so ashamed of using Mounjaro she kept it secret. Mounjaro is a prescription-only treatment for weight loss, it's also prescribed for type 2 diabetes. Marianne Bell, 41, was grieving the death of her father, she felt emotionally and physically exhausted when she decided her life had to change. She said: 'I've tried everything - every diet, every quick fix, even a gastric balloon. When I started Mounjaro, I felt ashamed. I didn't want people to think I'd cheated.' Marianne was scared she'd fail again, so the 41-year-old turned to Mounjaro as a medical aid. She's now lost 6st 3lb (40kg), dropping from 15st (96kg) to 8st 7lb and she no longer stays silent about how she did it. Marianne has said she views fat loss drugs like Mounjaro as medical treatments, not vanity tools. She pointed out that people are not shamed for using insulin or inhalers, she questioned 'why should this be different?' Adding that 'the stigma is what keeps people stuck'. Marianne explained that this 'isn't the easy way out'. Mounjaro is 'just one tool' and you 'still have to show up, do the work, and heal from the inside out', she said. She added: 'You don't owe anyone an explanation. You're allowed to do this quietly. You're allowed to get help. Don't let shame keep you from freedom.' Marianne, who's from West Lothian, Scotland, said Mounjaro has 'completely transformed' her life - and her relationship with food, including the obsessing over 'food noise'. She described a constant internal radio, bugging her with questions such as 'what will I eat next? Should I eat that? What's wrong with me?' She explained that she felt as though food had control over my brain and it was exhausting for her. Mounjaro, she said, didn't just help with appetite, the prescription also quieted the chaos in her head. She added that her real transformation was deeper than diet - and this was a welcome side effect of Mounjaro. She said: 'For the first time, I had space to think about things that mattered. I could feel hunger and fullness again instead of guilt and chaos. 'The biggest shift wasn't physical, it was emotional. I've learned to love my body, even with imperfections. I've stopped apologising for taking up space.' Marianne felt overwhelmed with grief at her dad's funeral, she'd lost weight but would eat to numb the sadness. She explained: 'That used to be a trigger. I'd eat to numb. But I didn't. I let myself feel it. That was a breakthrough. I proved to myself I could face pain without food.' She is now in the maintenance phase and, while fearing weight will creep back on, has worked to control her anxieties. 'I didn't do this for anyone else. I did it for me,' she said. She has not been 'relying on willpower alone'. She said: 'Mounjaro gave me the breathing space to build the habits, routines, and emotional tools that keep me going.' Marianne documents her life on TikTok @mariannewellness where she has built a supportive community. She discusses feelings of self worth and the struggles she has faced and got through. She says the messages she receives from followers on TikTok often bring her to tears. And while she spends her day working in financial services, the rest of her time is used to coach other women to escape cycles of emotional eating and self-sabotage. 'I've always been drawn to coaching and mentoring,' she said. 'But it was through my own journey that I found my real purpose. I want to help women feel at home in their bodies.' 'Women message me saying, 'I thought I was the only one who felt this way.' We've been made to believe we're weak if we need help but that's a lie. Obesity is a disease, not a failure of character.'


The Guardian
4 hours ago
- The Guardian
Walk on the wild side: Gillian Anderson and Jason Isaacs on their epic hiking movie The Salt Path
'I have played a lot of powerful, well-dressed women in my career,' says Gillian Anderson. They flash before your eyes: Margaret Thatcher (The Crown), Eleanor Roosevelt (The First Lady), Emily Maitlis (the Prince Andrew/Newsnight drama Scoop) – as well as the formidable sex therapist in the Netflix hit Sex Education, a role that led to her being inundated with dildos from over-enthusiastic fans. 'These are all women in control of themselves and their environment. Any time I have an opportunity to steer against that, particularly lately, it's of interest to me.' There is steering in another direction, and then there is the screeching handbrake turn represented by her role in The Salt Path, adapted from Raynor Winn's 2018 memoir of homelessness and hope along the coastline of England's south-west. Playing Winn, Anderson is shown making a single teabag stretch for several cuppas, withdrawing the final £1.38 from her bank account, and warming her blistered feet by a pub fire. A typical day begins with her peeing in the undergrowth. It's a far cry from Agent Scully in The X-Files. Winn's response to a double catastrophe in her life in 2013 was to embark on the lengthy South West Coast Path walk with her husband, Moth. The film's opening scene shows the couple's tent being flooded during a King Lear-level storm. A flashback then reveals how they ended up in this sorry, soggy state. A bad investment left them saddled with crippling debts and the couple lost the farm in Wales where they had brought up their now-adult children. While cowering in the hallway from bailiffs, Winn took inspiration from a cherished book glimpsed among their partly packed belongings: Five Hundred Mile Walkies, in which Mark Wallington recounts the trek he and his dog took around the south-west. He must have miscalculated the journey, however. It is in fact 630 miles, including many steep ascents and descents. And as if penury and homelessness were not challenging enough, Moth had recently been diagnosed with a rare brain disease, corticobasal syndrome, and advised by doctors to rest. Stairs, he was told, would be particularly problematic. Twelve years and those 630 miles later, Moth Winn is, miraculously, still alive. He is played in the film by Jason Isaacs, who sits beside his screen wife today in a London hotel room. Their contrasting body language is instantly revealing. The 56-year-old Anderson, friendly but with a casually authoritative aura, is perched side-saddle in her chair, one leg crossed away from me, so that she seems almost to be looking back over her shoulder in my direction as she speaks. Isaacs, 61, leans forward, elbows on knees, keen to get stuck in. It is as if they are still playing their parts from The Salt Path: Raynor Winn, with her patina of reserve and caution, and Moth, eager to make sure everyone else is comfortable, a people-pleaser even when the people aren't worth pleasing, as some of those they meet on their travels manifestly are not. A passerby berates them for wild camping, beating their tent with his stick. In a scene that hasn't made it from page to screen, Winn is humiliated by a woman who spots her scrambling on the ground for dropped coins and assumes she is drunk. Despite those flashes of conflict, Winn had doubts about how her story would work on screen. 'It's about two people and a path,' she tells me from the home she and Moth now share in Cornwall. 'I couldn't grasp how that could be a film.' But Marianne Elliott, the acclaimed stage director of War Horse, Angels in America, and Company, makes her screen directing debut here and tells me she always saw The Salt Path as inherently cinematic. 'Ray and Moth hardly talk on their walk,' she says. 'They are carrying their trauma on their back, but then they slowly calm down and start to look up and engage with the majestic landscapes. And they are changed by it. It felt like nature was playing with them, like a wild beast – sometimes giving them beauty and wonder, and sometimes battering them cruelly. They were reformed by the elements, if you like.' Playwright and screenwriter Rebecca Lenkiewicz, who adapted The Salt Path for the screen, says she saw nature as the key to unlocking the film version. 'Any reservations were about the walking,' she says. 'You know: how do we make walking dynamic for that amount of time? It felt like we needed almost to take the weather and the landscape as a character. It needed to be a film with a lot of silence. It's not some chatty, walky comedy.' Watching Isaacs trudging across English landscapes, however magnificent, feels incongruous after all those scenes of him suffering existential despair in luxurious five-star surroundings in the Thailand-set third season of The White Lotus. I assume he will be heartily sick of talking about the series by now, but it is he who brings up the similarity between the characters he plays. 'They're both men who lose everything. And they react in very different ways, which is a measure of who they are.' His character in The White Lotus was prone to suicidal ideations. So, too, was the apparently upbeat Moth. 'He laughs all the time, even when he's describing the toll his disease has taken on him. But he felt suicidal on the walk. He and Ray were crippled with shame, and the future was this abyss for them. They hid that from one another. They constantly made each other laugh. Acting is a game of pretend, and that's what they were both doing.' What were Anderson's first impressions of Raynor? 'I was surprised at how guarded she was,' she says. 'Of course, it must be strange: you've got two relatively famous actors who are going to play you showing up at your house. But it was interesting to encounter a certain steeliness. It was informative for me to see that.' 'You can be quite steely,' Isaacs says. 'You've got that in you.' 'Oh, definitely,' she agrees. 'I know that about myself.' Having been surprised when her memoir was optioned, Winn says she was even more taken aback by the casting. 'I remember thinking, 'How is that going to work? How will someone so perfect and glamorous capture me in that raw state?'' Things got even more confusing when she told Moth the news. 'He thought I meant Pamela Anderson.' During the first meeting between the four of them, the Winns explained to the actors the details of how they packed, knowing that they couldn't take more than what could be carried on their backs. 'Then they put the tent up for us right there in the living room,' Isaacs says. 'I'm not sure if I'd … ever … camped … before,' says Anderson, stringing the words out as though anticipating derision. 'You'd never pitched a tent?' asks Isaacs in mild disbelief. 'Not as far as I can remember,' she says. 'I might have pitched one for my kids in the back garden.' Isaacs says he is 'all about climbing things, jumping off things, swimming through things. Canyons and stuff. I like extreme physical experiences. Even at my advanced age, I see something and I think, 'That'd be fun to climb up. Or slide down.' I'm still a 12-year-old boy trapped in a 100-year-old body.' As a child, he went wild camping with his family in Wales. 'We'd get woken by farmers. Or livestock.' Once, they parked in heavy fog on a small hill and pitched their tent. 'You couldn't see your hand in front of you. We woke up to find we'd camped on a roundabout.' Anderson gasps and claps her hands: 'That's such a good story!' The Salt Path began life as a diary that Winn kept on the walk, and which she later wrote up as a gift for Moth – and, more urgently, as a way of preserving the experience for him as his memory began to fade. That diary spawned a Big Issue article and then a book, nominated for the Costa prize in 2018. The judges called it 'an absolutely brilliant story that needs to be told about the human capacity to endure and keep putting one foot in front of another'. The picture will doubtless reignite interest in the South West Coast Path, and attract more walkers after a recent downturn. To anyone tempted to wonder whether walking is having 'a moment', what with the film of The Salt Path following David Nicholls's novel You Are Here (about a friendship that blooms on a 200-mile coast-to-coast hike across the north of England), it is as well to remember that what the Winns did was born out desperation. They found beauty and a kind of salvation, and the walk even seemed to help Moth to defy his doctors' prognosis, but it was often a ghastly, hardscrabble journey. 'They were desperate and lonely and scared,' says Isaacs. 'They wanted to avoid towns because they got treated badly there and they had no money to buy food. They were happier by themselves away from people. They experienced both sides of human nature: tremendous compassion and generosity but also abuse and neglect. They were frightened of the police and of anyone who would come along and dehumanise them just because they were homeless. Though the book itself was a love letter to Moth, there's a marked lack of sentimentality when they speak about what happened. They got all kinds of different benefits from the walk but they still wanted a warm roof over their heads.' One thing that is impossible to capture on screen, he says, is their persistent hunger. 'It colours everything. We do our best to tell the story but that's a physical ache. They would stand at cafe windows watching people eat.' Anderson is nodding along. 'Ray talks in the book about pretending to eat, and how the fantasy of eating, the act of moving the mouth, does half the job,' she says. Winn tells me that living below the breadline has altered her for ever. 'It changes how you feel about material things,' she says. 'Having let go of everything we had, possessions don't concern me in the same way they did before. Anything that doesn't enrich your life just gets in the way. The stuff we gather can easily start to control us.' Winn says her life is much as it ever was, though Moth now tires more easily, and requires extensive physiotherapy. 'Except without the worry of paying the rent.' As the author of several bestselling books, does she allow herself the occasional luxury these days? 'I do,' she sighs. 'Sometimes it's nice to have the whole pasty instead of just half.' The Salt Path is in UK and Irish cinemas from 30 May.