
NHS weight loss jabs might 'not be suitable' for these 5 groups
GPs will be prescribing Mounjaro to a select few people as the rollout begins, but others may need to avoid the jabs completely
GPs can now prescribe Mounjaro, but only to a select group of patients who meet stringent criteria, such as having a BMI over 40 and being diagnosed with four out of five qualifying conditions. But people with other pre-existing conditions may not be able to access this weight loss drug at all.
Dr Crystal Willie from ZAVA clarified that weight loss drugs "may be unsafe depending on medications you are taking or pre-existing medical conditions". This includes three specific conditions:
Pancreatic disorders like pancreatitis
History of thyroid cancer
History of gallbladder disease
Women who are pregnant, breastfeeding or planning to do either might also be advised to avoid the medication. The same goes for people on certain medications like insulin or immunosuppressants.
Dr Willie told the Mirror: "You should speak to your doctor about any conditions or medications before taking any weight loss injection. Mounjaro weight loss injections can lower your blood sugar levels too much if taken in combination with sulfonylurea or insulin (other diabetes treatments).
"You shouldn't take Mounjaro alongside other weight loss injections, such as Saxenda or Wegovy. This could increase the risk of serious health risks and side effects."
The doctor also revealed that weight loss medication might actually not do what people think, as research from ZAVA found up to 20% of people using the GLP-1 drugs don't see the expected results or hit a weight loss plateau.
There are a variety of reasons for this, including:
Incorrect dosage
Missing doses
Not improving your diet and an inactive lifestyle
Not keeping hydrated
Excessive alcohol consumption
Persistent stress
Having a poor sleep routine
Other health conditions may interfere with the effectiveness of weight loss drugs, like diabetes, hypothyroidism, insulin resistance and PCOS. Medications like antidepressants or steroids may also cause weight gain or hinder fat loss.
Dr Wyllie added: "While Mounjaro is an effective medication for weight loss, it's normal to encounter a plateau at some point. To enhance your results, it's important to follow the prescribed dosing schedule and aim to reach the appropriate maintenance dose, as higher doses are generally associated with greater benefits.
"Beyond medication, factors like maintaining a balanced diet, regular physical activity, managing stress, and getting enough sleep play a crucial role in supporting your weight loss journey. If progress stalls despite these efforts, consulting your healthcare provider is essential to evaluate your plan and make necessary adjustments."

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Naturally, and as with any line of healthcare work, providing abortion care comes with its own set of challenges. Kendall will talk with women from all sorts of complex situations, and this may well be the first time they've opened up about their issues to a healthcare provider. Kendall also faces preparing patients for the physical realities of the procedure itself, which, while safe, can also be "very painful". Of course, there are the usual challenges faced by so many nurses in 21st-century Britain, from pressures to time constraints. As Kendall noted, "You always want more time to spend with people to make sure that they have everything they need, that they're going home and feeling confident about what they're doing, and in terms of actually taking the medication to feel that they understand the whole system." But then you factor in that this is a procedure many will have not had much time to plan for, with life often "getting in the way" at every turn. Kendall explained: "This isn't the kind of appointment that someone has booked in for weeks and weeks and weeks. Life gets in the way. And so we do get people who arrive late because of train travel if they've come from afar, or child care issues, that's a big one that we get. We just try to make sure that we can see everybody as soon as they want to be seen." Like many women, Kendall knows through her own personal experiences just how important this line of healthcare is, but all too often, abortion care remains a taboo subject. She believes this lingering stigmatisation can be tackled by people, including high-profile figures and celebrities, sharing their personal stories. Although the nature of her work may seem heavy, Kendall has found many moments of positivity in her career so far. She revealed: "One of my favourite pieces of feedback I ever had was when I first started out and the patient left a note to say, 'I really appreciated that the nurse somehow made me laugh in what was like a really difficult situation for myself'. She just talked about how she went away and felt really satisfied with the experience. She felt supported, didn't feel alone in that situation, and she felt confident about what had happened." Kendall also derives satisfaction from times when, during challenging safeguarding situations, when she's implemented much-needed support for an individual, "and maybe helped them to get out of, or to take a step to get out". She reflected: "There have been some horrible stories in the news recently about some really upsetting cases of femicide. I think knowing that maybe you play your role in preventing something like that by escalating those referrals." Under the Global Gag Rule, organisations such as MSI are prohibited from receiving US government funding as they provide abortion services, slashing access to services such as family planning and maternity centres in a campaign Kendall fears will "result in deaths of millions of people" However, ultimately, Kendall holds out hope that the world is "continuing to move in the right direction" on this front. Polls show that British people overwhelmingly are not represented by those who walk in the March for Life protests - an annual US-funded anti-choice event, set to take place again this September. Furthermore, as noted by Kendall, there have been signs of progress elsewhere in the world, with more than 60 countries and territories having liberalised their abortion legislation over the past 30 years. Out of these, as per the International Planned Parenthood Federation (IPPF), just four, including the US, have regressed. As an American who regularly hears concerning stories about abortion legislation from back home, Kendall is "proud to be a part of ensuring" women's access to essential healthcare. She said: "It's nice to work in a clinic that's dedicated to doing this because it just means that like everyone that's working here has got like-minded, that you know that hopefully people coming in feel that and feel like it's a non-judgmental space and that they're here with a nurse who wants to support them."