Latest news with #weightloss
The Sun
31 minutes ago
- Health
- The Sun
Woman on Mounjaro warns people to ‘NEVER go cold turkey' after revealing brutal side effects when she had supply issues
A WOMAN has shared the brutally honest truth about what happened when she was forced to ''go cold turkey'' from Mounjaro. Content creator Freya has been using the fat jab to help manage her weight. 3 3 However, in a recent post, the young TikToker revealed she had to temporarily stop the popular medication while waiting for a new pen to arrive — and the effect was immediate. Mounjaro is regarded by some as the King Kong of weight loss jabs. Sun GP Dr Zoe Williams acknowledged that Mounjaro, which has been rolled out on the NHS, can save the lives of people with 'life-threatening levels of obesity.' But despite this, the NHS warned: 'Never take an anti-obesity medicine if it has not been prescribed to you. "These types of medicines may not be safe for you and can cause serious side effects.' About half a million Brits use weight loss drugs - and the number is expected to double in the next year. Mounjaro works by suppressing your appetite, making people feel fuller for longer. The injections are licensed for patients with type 2 diabetes and to assist those who are clinically obese (with a Body Mass Index of 30 or over). One jab is administered each week but the duration is dependent on someone's weight. The now-viral video, which has racked up more than an astronomical 1.1million views, shows Freya demolishing a stacked cheeseburger. I went on fat jabs but the hair loss was unbelievable so I quit - I'd rather be chubby with hair than skinny and bald ''Take this as a sign to NEVER go cold turkey from Mounjaro,'' she wrote. ''I would have done very sinister things for this burger. ''My hunger is out of control - I want to punch everyone who is not food in the face.'' In the comments, Freya, who posts under the username @ freyatheblondieee, explained: ''Having issues with getting my next dosage, which is the only reason I'm cold turkey right now. 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 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. ''It's not by choice - I think drastically dropping is far too risky for weight gain.'' The TikToker also confirmed she had been on a '' high dose '' of the jab. Social media users react The brutally honest clip sparked over 600 comments left by fellow fat jab users - many of whom opened up about their experience of '' food noise ''. ''Food noise'' is the term used to describe the near-constant stream of thoughts about eating that some people struggle to switch off. More often than not, this leads to cravings for calorie-dense, low-nutrient foods and episodes of bingeing. One wrote: ''I gained three stone in six months after I stopped it. Went to Turkey, had the [ gastric ] balloon.'' Another chimed in: ''The hunger that comes after it is awful - I've put on a stone in six weeks. Waste of money.'' A third said: ''I forgot to order my jab in time and was a literal feral person. This made me laugh so much but equally terrified to come off.'' However, others pointed out that in their eyes medications like Mounjaro aren't a permanent fix - but rather tools to help users develop healthier habits in the long run. One follower shared: ''I was absolutely starving when I came off it. ''Took so much willpower for a couple of weeks, but now I'm eating just like I was when I was on it. ''Lost three stone with Mounjaro and another two since stopping. You just have to push through until the hunger passes.'' Another said: ''Been off it three days and I'm definitely eating more. But this is where willpower comes in. I'll never be the 26 stone I was last year.'' What are the other side effects of weight loss jabs? Like any medication, weight loss jabs can have side effects. Common side effects of injections such as Ozempic include: Nausea: This is the most commonly reported side effect, especially when first starting the medication. It often decreases over time as your body adjusts. Vomiting: Can occur, often in conjunction with nausea. Diarrhea: Some people experience gastrointestinal upset. Constipation: Some individuals may also experience constipation. Stomach pain or discomfort: Some people may experience abdominal pain or discomfort. Reduced appetite: This is often a desired effect for people using Ozempic for weight loss. Indigestion: Can cause a feeling of bloating or discomfort after eating. Serious side effects can also include: Pancreatitis: In rare cases, Ozempic may increase the risk of inflammation of the pancreas, known as pancreatitis, which can cause severe stomach pain, nausea, and vomiting. Kidney problems: There have been reports of kidney issues, including kidney failure, though this is uncommon. Thyroid tumors: There's a potential increased risk of thyroid cancer, although this risk is based on animal studies. It is not confirmed in humans, but people with a history of thyroid cancer should avoid Ozempic. Vision problems: Rapid changes in blood sugar levels may affect vision, and some people have reported blurry vision when taking Ozempic. Hypoglycemia (low blood sugar): Especially if used with other medications like sulfonylureas or insulin. The reality of Mounjaro Although many have boasted about weight loss success since using Mounjaro, last year it was revealed that Scots nurse Susan McGowan, 58, died after taking low-dose injections of Mounjaro over a fortnight. A probe also found that nearly 400 people have gone to hospital after taking weight loss drugs. The common side effects include nausea, vomiting and diarrhoea, which can lead to severe dehydration. And if that wasn't bad enough, doctors say they have also seen 'life-threatening complications', including seizures, bowel obstruction and inflammation of the pancreas. Model Lottie Moss, 27, even said she had a seizure after taking high doses of Ozempic. The makers of Mounjaro, Lilly UK, said patient safety is its 'top priority'. Lilly UK stressed: '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. 'If anyone is experiencing side effects when taking any Lilly medicine, they should talk to their doctor or other healthcare professional.'
Daily Mail
31 minutes ago
- Health
- Daily Mail
Transform YOUR body in 28 days! Users are reshaping their lives with this pilates app: 'I'm down 6kg in 25 days'
Daily Mail journalists select and curate the products that feature on our site. If you make a purchase via links on this page we will earn commission - learn more Can you really transform your body in just 28 days without leaving your house or splashing out on a gym membership? Thousands of people are saying yes, and it's all thanks to this popular Wall Pilates plan from Simple. Designed to help you lose weight and get fit fast, Simple's Wall Pilates programme has been helping thousands of users sculpt their bodies, shed stubborn weight and feel more confident – no gym, no equipment, and no previous Pilates experience required. Simple App Wall Pilates Programme Reclaim your life, build your confidence, and find your way back to great health with the Simple App Wall Pilates Programme. This incredible program offers everything that you need to feel your best, with your built-in AI coach Avo providing you with guidance and support every step of the way. The best part? When you subscribe today, you'll get three months free, making achieving your dream health even easier (and cheaper!). 3 months FREE Shop The best part? When you subscribe today, you'll get three months free, making achieving your dream health even easier (and cheaper!). Making healthy living and weight loss far more achievable, Simple Life App's science-backed programme pairs gentle-yet-powerful at-home Pilates workouts with personalised nutrition coaching to help you build strength, lose weight and keep it off - no equipment required. Combining low-impact, high-results workouts with personalised nutrition advice and expert habit-tracking tools, the customisable 28-day plan is changing lives, with over 179,000 people seeing real, lasting changes. Whether you're looking to tone your thighs, tighten your core or boost mobility, these gentle wall-based workouts have been helping users feel stronger and more energised in as little as 15 minutes a day. One such success story is Laci, who dropped 86lbs in a year thanks to the Simple App's integrated fasting and Wall Pilates programme. 'The integrated programme gave me definition in my arms and legs,' Laci explained. 'And I cant emphasise enough the mental load it removes, including stress relief. It gives me a moment to breathe and relax. She added: 'Wall Pilates is a great way for someone who isn't used to intense exercise to ease back into movement. Its low impact, easy on your joints and you're not doing a lot of jumping and intense movement. It's a 'no excuse' reason to get up and move.' You'll begin by completing a detailed survey about your health goals, lifestyle preferences, fitness level and past experiences with building healthy habits. This helps Simple tailor a personalised plan to support your journey toward feeling better and living well. You'll then receive a customisable 28-day workout plan that updates every month, with each week's plan based on your previous week's results to ensure optimal success. Boasting numerous tracking tools, including progress, food, hydration and movement, the AI-powered Simple App has everything you need to keep you motivated and on top of your health. There's even Avo - the in-app coach that's there to provide guidance and support during every step of your journey. You can rely on Avo to provide everything from workout ideas to diet advice - always straightforward, friendly and non-judgmental. The Pilates challenge is already so popular that more than 179,000 have signed up to experience the Simple difference. People truly trust the program, too, with more than 18 million people downloading it (and rating it an impressive 4.7 overall). Perfect for beginners and Pilates-lovers alike, the app enables you to train virtually anywhere, whether you're at home or on the go. These workouts focus on common trouble zones that might need some extra attention. From sculpting your legs and glutes and strengthening your core to getting your lower body summer-ready, the Simple Pilates programme is designed to make you the ultimate fitness guru of your own life. And truly, almost anyone can take advantage of the programmes. These workouts work wonders, but they're also low impact – meaning there's far less strain on your joints and it's easier to work yourself into the workouts. You may be able to achieve it all in as little as 15 minutes a day, which is an amazing advantage for those who don't have as much time to spare, while up to hour-long workouts are also available for those with more time to spare. Take the plunge now by downloading the app and signing up with a whopping three months free and explore just how the Simple app can transform your life.
Malay Mail
41 minutes ago
- Health
- Malay Mail
Too young, too heavy: Malaysia ignoring a ticking health bomb as childhood obesity surges, says WHO
KUALA LUMPUR, July 23 — Like any other teenager, Muhammad Mikhael Qaiser Mohd Yuzaini longs to participate in sports and physical activities. But the 14-year-old tires easily, neither can he stand for extended periods or handle physically demanding tasks. The main reason: his weight. As of early March this year, he weighed in at 103 kilogrammes (kg), a figure considered obese for his height of 168 centimetres (cm). 'I'm truly determined to lose weight this year because I want to live a healthier and more active life,' declared Muhammad Mikhael Qaiser, who is fondly known as Mikhael and is currently undergoing treatment to reduce his weight. Childhood obesity has become a global health crisis, with poor dietary habits and sedentary lifestyles, fuelled by screen time and lack of physical activity, contributing to this 'epidemic'. According to the World Health Organization (WHO), Malaysia has one of the highest childhood obesity rates in Southeast Asia. Childhood obesity in Malaysia has been on a steady rise over the past 15 years, with over 30 percent of children aged five to 17 classified as overweight or obese in 2022. (Under the United Nations Convention on the Rights of the Child and Malaysia's Child Act 2001, a child is defined as anyone under the age of 18.) Meanwhile, a study titled 'Prevalence of Childhood Overweight and Obesity in Malaysia: A Systematic Review and Meta-analysis' published in November 2024, found that the prevalence of childhood overweight, obesity and excess weight in Malaysia almost doubled over a 26-year period from 1996 to 2022. According to WHO, in 2022, 37 million children under the age of five were overweight; and over 390 million children and adolescents aged five to 19 years were overweight, including 160 million who were living with obesity. Overweight is a condition of excessive fat deposits in the body, while obesity is a chronic complex disease defined by excessive fat deposits that can impair health. Obesity can lead to increased risk of type 2 diabetes and heart disease. It can also affect bone health and reproduction, and increase the risk of certain cancers. Obesity influences the quality of living, such as sleeping or moving. The diagnosis of overweight and obesity is made by measuring people's weight and height and by calculating the body mass index (BMI): weight (kg)/height² (m²). The body mass index is a surrogate marker of fatness and additional measurements, such as waist circumference, can help the diagnosis of obesity. The BMI categories for defining obesity vary by age and gender in infants, children and adolescents. Struggles of teenager In 2021, when Mikhael was 11 years old and weighed 70 kg, he was offered the opportunity to participate in a study conducted by paediatric specialists at Universiti Malaya Medical Centre (UMMC) to address his obesity issue. His parents were informed that as part of the study, Mikhael had a 50 percent chance of receiving either an actual weight loss medication or a placebo. Wanting to help their only child shed his excess weight, Mikhael's parents agreed to let him join the study. Over the course of the four-year programme, Mikhael received injection-based treatment. But by the time the programme ended, his weight did not decrease. Instead, it continued to rise, reaching 103 kg by early Ramadan (March) this year. (It was later confirmed that Mikhael had been placed in the placebo group, meaning he did not receive the actual medication throughout the study period. This explained why there was no significant change in his weight despite the structured programme). This concerned his parents, prompting them to refer Mikhael back to the Paediatric Obesity Clinic at UMMC, which has been operating since 2006, for further treatment in hopes that he could eventually reach a healthy weight of around 65 to 70 kg. Starting in April, Mikhael has been advised to take an oral medication, Metformin 500 mg, once daily, and after two weeks, two pills per day to help improve insulin efficiency. He is also required to meet with a doctor every three months for follow-up treatments. Meanwhile, his father Mohd Yuzaini Abu Bakar, 48, who resides with his family in Taman Medan in Petaling Jaya, Selangor, said Mikhael had been cute and chubby since infancy. He said Mikhael loved milk and could finish eight big bottles of formula milk per day until the age of three. Mohd Yuzaini, a medical laboratory technologist at UMMC, said he and his wife began consulting a paediatrician when their son was four years old due to concerns about his rapid weight gain. Since both parents work at UMMC, they were more exposed to health issues and found it easier to access medical support. On Mikhael's eating habits, Mohd Yuzaini said he loves to eat and is not picky about food. 'Whether it's home-cooked or food bought outside, he's fine with it, even trendy or viral food and drinks. There was a time when, every time we went out, he insisted on getting a drink from a popular coffee chain, even though we knew it was high in sugar. As parents, sometimes we just couldn't say no to him,' he said. Mohd Yuzaini said on their way to work every morning, they would drop Mikhael off at the babysitter's house before he went to school. 'At the babysitter's, he would usually buy nasi lemak or fried noodles from a nearby shop for breakfast… his favourite. 'At school, during recess, he would eat nasi lemak or fried noodles again. After school, he would return to the babysitter's house and get ready to go to the religious school (tahfiz school) in the afternoon. His mother would usually pack lunch for him with extra portions, just in case he got hungry later. 'At the tahfiz school, food is also provided, and it's common for people to donate meals there. After school ends at around 7 pm, we would all have dinner together,' he said, adding snacks like biscuits and chocolates as well as bread, fruits and instant noodles were readily available at home in case Mikhael got hungry at night. According to WHO, in 2022, 37 million children under the age of five were overweight; and over 390 million children and adolescents aged five to 19 years were overweight, including 160 million who were living with obesity. — Reuters file pic Hidden genetic risks Sharing that Mikhael's obesity is likely not solely due to his diet, Mohd Yuzaini said it may be influenced by genetic factors although no medical tests have been carried out to confirm this. 'Many members of my family, including me, have obesity issues,' he said, adding his weight once peaked at 165 kg (his height is 176 cm). 'In the past, I used to be active in rugby. When we're involved in sports, we eat and stay active, so we are able to keep our weight under control. But later on, I stopped playing rugby and focused on my job… I became physically less active and started to gain weight.' Mohd Yuzaini, who has six siblings and is the eldest, said his immediate younger sibling passed away due to heart disease caused by obesity. 'Another two siblings are also obese, with one of them having had a leg amputated due to diabetes,' he said, adding that in 2007, he decided to undergo bariatric surgery after his doctor warned he would eventually develop diabetes, hypertension and heart disease if he did not undergo the procedure. Mohd Yuzaini experienced weight loss after the surgery and two years later, his weight dropped to 107 kg from 165 kg. 'Since then, I've been maintaining my weight and if it increases, it's only slightly. Thankfully, my previous borderline blood pressure (readings) and sugar levels have stabilised,' he said. Commenting on the treatment Mikhael is currently receiving, Mohd Yuzaini said it combines the expertise of three clinics – paediatrics, sports medicine and dietetics – and is administered by the Paediatric Obesity Clinic at UMMC. Doctors at the sports medicine clinic gave several exercise recommendations for Mikhael, such as walking up and down the stairs for 30 minutes daily and using a portable pedal exerciser that can be used anytime and anywhere. Said his father: 'We tried it (exercises) during the fasting month (this year) and, thankfully, after the festive season, we saw his weight drop by three kg. 'We'll continue with the suggested approach, combining (intermittent) fasting with exercise… we're aiming for Mikhael's weight to drop to 90 kg by the end of this year.' FAMILY DIET CHANGES Mohd Yuzaini said he and his wife Zaliza Mat Som, 58, have also started controlling their son's diet. 'We've implemented a kind of intermittent fasting for him… he skips breakfast as advised by the doctor and he is allowed to eat during break time at school. 'For his lunch and dinner, we've reduced his portions – he is allowed just a fistful of rice (low glycemic index). We've also cut down on oily and fatty foods, while adding more vegetables and fruits (to his diet),' he added, stressing that dieting is important because Mikhael's current weight puts him at risk for prediabetes. Mohd Yuzaini also said that through changes in his family's eating patterns and by exercising regularly, even his wife has experienced weight loss. 'We want to support Mikhael in achieving his ideal weight, so we too have to make changes towards a healthier lifestyle,' he said. Mohd Yuzaini, meanwhile, suggested that health programmes involving nutritionists, fitness trainers and counsellors be conducted more frequently in schools for students as well as their parents, so they are better informed on how to tackle obesity while also raising awareness about obesity-related diseases. 'Parents should also be informed of their children's (physical) condition, especially when their schools conduct certain tests like the 'Ujian Standard Kecergasan Fizikal Kebangsaan Untuk Murid Sekolah Malaysia' (SEGAK), which can indirectly help prevent obesity among students,' he added. SEGAK is a mandatory physical fitness test conducted twice a year in all government schools in Malaysia, designed to measure students' physical fitness levels based on health indicators. Parents must lead While Mikhael's family is doing their part, experts say the real change must start at home – and with consistent parental support. Sharing his views, fitness coach Kevin Zahri, popularly known as 'Cikgu Fitness Malaysia', said parents must become role models for their children, not just in terms of behaviour but also lifestyle, personal health and nutrition, and should always practice the principles of 'lead by example' and 'walk the talk'. According to him, being overweight or obese at a young age not only affects physical health but can also impact a child's emotions, self-confidence and mental well-being. 'A sedentary and inactive lifestyle is easily carried over into adulthood and difficult to change. Therefore, parents need to help children set boundaries for screen time and video games, and ensure that they are consistently involved in physical activities. 'Physical activity or recreational time should not be treated as a 'special occasion' but rather made part of a child's daily routine to nurture their mental, emotional and physical development from an early age,' he said. Touching on his '30-Day Health Challenge' online programme, held monthly throughout the year, Kevin said the response has been very encouraging, with many families participating to support children who struggle with excess weight and obesity. 'Many parents initially wanted to enrol only their overweight children in the programme, but I encouraged them to join as a family. This is to prevent the child from feeling ashamed, stressed or having low self-esteem. 'It turned out that my approach not only makes the programme more enjoyable for the whole family but they also get to lead a healthier lifestyle. With the 'fit family' concept, it becomes more meaningful as they spend quality time together and support each other,' he said, adding parents should not rely solely on doctors or schools to look into their children's health. Kevin added that while supplements can be used, for example by athletes or to make up for certain nutrient deficiencies, they are not a substitute for real food because what is more important is making healthy food choices to maintain good health. 'My daughter is a national tennis player, while my son goes for football training four times a week. They both take supplements, including multivitamins, to support their growth and cover any nutritional gap. 'As parents, we must take responsibility in leading our own 'circle of influence', which is our family. Start small, like doing physical activities together every Saturday, such as walking, playing badminton or pickleball,' he said, adding that more information about his programme is available at In conclusion, Mikhael's experience underscores the complex web of factors that contribute to childhood obesity – from possible genetic predisposition and family lifestyle to eating habits and emotional influences. His journey also reflects the harsh reality faced by many Malaysian children whose health is silently shaped by daily routines, social norms and limited physical activity. His story is not unique but rather a wake-up call. If childhood obesity continues to be overlooked or normalised, the long-term consequences on health, well-being and national productivity could be severe. Early intervention, family support and stronger public awareness are crucial to change the narrative – one child, one household at a time. Tomorrow: From type 2 diabetes to fatty liver and sleep apnoea, part two explores the risks of non-communicable diseases (NCDs) in children due to obesity, and highlights the importance of early treatment and public awareness. — Bernama
Telegraph
4 hours ago
- Health
- Telegraph
I lost almost 3st in a year with fat jabs. It's not cheating
I feel reborn. I've been trying to think of a less dramatic way of saying it, but it's my birthday this week and I have acquired a delightful new lease of life in my 60s, so reborn is the right word. It's almost a year since I wrote in these pages that I was starting Mounjaro (tirzepatide), one of the new weight loss drugs that is revolutionising medical science essentially by sending a signal to your brain to tell it you are full. How has that gone? Well, on a purely practical level, I am no longer carrying an excess 38lb around with me – not far off what Royal Engineers must bear on their backs to complete an eight-mile ruck march in two hours. I was carrying my load 24 hours a day, on a small frame and without a soldier's brawn (we'll come to muscle in a minute). I can only offer my sincere apologies to my hips and knees – since drastically taking the pressure off them, all the pain I was experiencing has vanished. For those who have never struggled with their weight, as millions of us do, Mounjaro and Ozempic (semaglutide, a diabetes drug which can be used off-label for weight loss) are 'cheating'. Just jab fatty's little helper into your thigh once a week and, according to certain critics, it will magic away the pounds without the penitence and self-denial that sections of society appear to feel the fat owe to the thin. While 'fat-shaming' is now frowned upon (although people judge the obese all the time, of course they do), the media can be snarky about those who take medicine to help them slim down. They're not the only ones. 'You really don't want to lose any more,' your thinnest friend will advise you. It's always the slimmest friends who have the greatest difficulty watching you become a healthy size – as if they count on you to be the fat one, and feel betrayed when you start attracting some of the admiring attention that should belong to them, obviously. That's why many people who are 'on the pens', particularly women, I suspect, keep it a secret, even from their partners. They are scared of being seen as weak-willed and feeble. It is somehow shameful to take a weight-loss drug in a way it is not shameful to take statins, metformin or other drugs that become necessary when you are – yes – overweight. Try to make sense of that double standard if you can. Well, it's nobody's business, and anyway I'm far too happy with my new self to care what anyone thinks, but my transformation has taken persistence and hard work. Accelerated weight loss equals rapid muscle wastage, and I can't afford to lose any muscle at my age. Taking advantage of your new, suppressed appetite and shrunken stomach, it would be perfectly possible to exist on a pain au chocolat and a packet of crisps a day (some do), but you would rapidly become ill and malnourished. Your hair would fall out (one of the commonly cited side-effects of Mounjaro). I hired an exceptional personal trainer, James Wilkinson, from my local gym in Saffron Walden, and we set out on a mission to replace any muscle that was wasting away. Lifting weights at least twice a week, I was under orders to eat as much protein as I could. Cottage cheese was my new best friend. A sentence I never hoped to write. 'You were as weak as a kitten when we started,' James often reminded me when I was squashed and protesting loudly in a medieval leg-press contraption known (not fondly) as the 'bacon-slicer'. I've had more dignified smear tests. A couple of months ago, I texted James in a panic saying that my legs were suddenly looking 'really weird' and a bit like stringy hams. What could be wrong? 'Er, that's called muscle, Allison,' said the trainer. (He has kept his other clients entertained with reports of my cluelessness ever since.) Reader, I am an anatomical drawing! Legs are looking really good, arms are a work in progress, but something called 'definition' has been sighted. I am not yet ripped, more lightly frayed, but give me time. Looking back at the first entry in my Mounjaro diary last August, I weighed just over 12st, way too much for a 5ft 4in female with narrow hips lurking somewhere beneath the pillowy plumpness. My BMI was 28.8 (overweight) and, unsurprisingly, I was pre-diabetic. There was also a family history of heart attacks. 'You are at a crossroads,' my doctor, Rob Howlett, a private GP in Cambridge, told me flatly. 'If you carry on along this path, ahead lies diabetes, stroke, heart disease and dementia.' Gee, the four horses of the health apocalypse. All of that could be reversed, though, Dr Rob promised. Mounjaro, he said, was 'the closest thing to a miracle drug' he had encountered in his forty-year career. 'It's not just about weight,' he told me, 'the drugs reduce visceral fat, improve blood sugar control and lower the risk of heart disease.' Basically, the midlife 'midriff bulge' that the much-missed Terry Wogan used to tease Radio Two listeners about doesn't just make it an ordeal to do up a zip; it increases your risk profile for all the major Nasties. Still, I hesitated. For months. Truth be told, I am secretly one of those judgmental, get-a-grip-woman, just-eat-less puritans I can't stand. I had lost weight before by myself, so I could do it, couldn't I? 'Yes, but you keep putting it back on again,' said the doctor, jabbing at my notes which charted the dizzy highs and self-loathing lows of my constant battle to shed the pounds since having two implausibly large babies in the late Nineties. (Hoovering up leftover chicken nuggets from kids' teas solidified that 'baby weight' into a permanent malaise.) 'The drugs offer powerful, reliable results where diets and willpower often fail,' Rob said. 'That doesn't mean they should replace a healthy lifestyle, but they can give people the head start they need to reclaim their health.' Feeling pretty low by that point, both physically and mentally, I gave in and signed up with Dr Claire Gillvray, who runs a wellbeing and weight loss clinic in Cambridge. Claire both supplies Mounjaro and offers support to patients, including advice on diet and exercise classes. It was certainly worth the extra expense in the first few months when I bombarded her with queries. I began on the 2.5mg starting dose and felt it take effect within hours, although many people don't experience that until a larger injection. The 'food noise' in my brain that would see me rustling in the kitchen cupboards for something sweet an hour after I'd eaten dinner was stilled. I was elated when I lost 5lb in the first fortnight, but thereafter progress was slow and steady. Sometimes a pound a week, sometimes nothing at all. In the entry for Friday, Sept 13, when I was stuck at 11.7st, I drew a sad face with a downturned mouth. On Sunday, Sept 29, I was 11.1st – 'Lost 1 1/4lb this week, too slow,' I scribbled furiously. 'Not enough exercise?!!' Frequently, I would vent my frustration in texts to Dr Claire, who would calmly reply that 'things are changing internally and remember you are doing this for your long-term health.' Yes, yes, marvellous to think my poor old liver is less fatty, but I want to LOSE WEIGHT, dammit! It occurred to me that, counterintuitively, I was eating too little, so I increased my daily calories a bit. It helped. At the seven-week point, on Oct 4, a moment of triumph: 'Into the ten's!' I had dropped below 11st. People are understandably impatient to see the weight drop off. The mistake many make is increasing the dose too quickly, which can lead to those unpleasant side effects the media never stops printing scare stories about. (Boris Johnson reported that he was shedding 4 or 5lb a week on Ozempic when he started to dread the injections because they were making him feel ill. 'One minute I would be fine, and the next minute I would be talking to Ralph on the big white phone; and I am afraid that I decided that I couldn't go on.' I recommend Boris gives it another go with more user-friendly Mounjaro.) I have only ever gone up to 5mg, the second-lowest dose, and the only problems I've had are with constipation (magnesium tablets at night and a bit more fibre fixed that) and the ghastly 'sulphur burps' which make your mouth fill up with the noxious fumes from a stinky volcano. (I had an attack of the Etna reflux at a smart London dinner and spent the evening trying not to breathe out lest I horrify my famous neighbours on either side.) Mounjaro for me has always been a slender handrail to hold onto as I try to reset my dysfunctional relationship with food. 'Eat what you need first and then eat what you want,' trainer James advised. It really helped to think very consciously about feeding my body the good stuff it needed to thrive and build that all-important muscle. One evening, on my way home from a drinks party and starting to feel hungry without having had dinner, I stood scanning the shelves of tempting snacks in the train station shop. The old me would have picked up a bar of Dairy Milk, maybe a sandwich and some crisps – exactly the carbs I was now trying to avoid. 'There's nothing for you here,' I thought, and walked away. I really wanted a snack, but the progress I had made was more precious to me. Not only was Mounjaro helping to reduce my appetite, but I didn't want to taint my success so far by eating junk food. That was a turning point. Another milestone came in early December when Rob sent me an email. Subject: 'Blood test results and Gold Blue Peter badge.' My weight, he said, had dropped from 11st 13lb to 9st 13lb – a reduction of 16.4 per cent. I was no longer diabetic. Bad cholesterol had fallen by 30 per cent. Something called triglycerides (fat in the blood) dropped by 40 per cent. 'Amazing!' my doctor exclaimed. 'Not just the drug, Allison, you have made a big difference as well. But the combination of the two is stunning.' What a feeling of accomplishment – I was overjoyed. I had restored my body to her rightful self. To borrow a mantra on the gym wall, which I would once have found tooth-rottingly absurd, I was the me I wanted to be. Not just that, there was a new mental clarity. Having cut back on refined carbohydrates and focused on protein and fibre, I was now free from the blood sugar surges and crashes that had dictated my mood for so much of my life. It was like I'd been chained to a lunatic (greed/comfort eating) for years and suddenly released. It took time to adjust. My rings were loose on my fingers, and I suffered from a strange kind of body dysmorphia, unable to navigate my new size. In a favourite boutique, I found a top I liked but there was only an extra-small or a large on the rail. I asked for a medium and Hayley, the owner, laughed. 'You'll get into that extra-small,' she said. Who, me? She was right – it fitted. My daughter sold many of my bigger clothes on Vinted; others I've donated to charity shops, while some old favourites went to another Mounjaro user who's lost a heroic 4 1/2st and is now down to my original size 14 (another 2st to go before she reaches her goal). I have bought myself a new wardrobe of colourful or striking clothes I would never have dared wear. My new blue-and-white Margaret Thatcher pussy-bow tribute dress would have looked frumpy on me before, instead of elegant, I know. This new person no longer wears cardigans over summer dresses in the heat. 'You've been used to trying to hide your body, now you're not hiding,' Hayley said, and I realised that was true. Buying new clothes isn't cheap, of course, but think what I've saved on that hip replacement a consultant warned I'd probably need before I started Mounjaro – and the excruciating pain that has since vanished. I've also been able to revive outfits that I'd imagined I'd never wear again. What a surprise and a pleasure it is to put on a skirt you last wore pre-motherhood and find that it fits! Someone flatteringly asked if I'd had a facelift – no, but another major saving! I do have friends on Gaunt Watch – they've sworn to warn me if my cheeks look like they're caving in, which can be a consequence of excessive weight loss. If I had a magic wand right now, I would wave it and give this feeling – this lovely freedom from self-consciousness, this sense of being confident and entirely happy in your own skin – to every single person who has struggled time and again to lose weight and fallen back, dejected, into the sticky embrace of the Cookie Monster. Please don't think of it as cheating; think of it as a leveller that gives everyone the willpower to shed burdensome pounds and embed routines that make for sustainable change. A month ago, Health Secretary Wes Streeting said: 'The NHS should be providing this medication to as many people as is needed. Obesity is now one of the leading causes of ill health, costing the NHS billions.' He's absolutely right. Although Mounjaro has finally been approved for use on the NHS in England, it is only under incredibly strict criteria – including that patients must have a BMI of 40 or over, plus four other weight-related conditions such as type 2 diabetes and heart disease. This spectacularly misses the point: weight loss like mine (and early intervention) is meant to prevent those serious conditions from developing in the first place. We could curb the obesity epidemic and start getting millions who are mired in misery and hopelessness off the sofa – and off disability benefits too. Dr Claire Gillvray is passionate about the medication as a health game-changer and wants everyone who needs Mounjaro to be able to access it. 'I worry about the health inequality and the delay in access within the NHS,' she says. 'I want to use it with my patients to get them ready for hip surgery and those with mental health problems to prevent them developing metabolic syndrome and dying 20 years younger than they should, but that unfortunately feels like years away.' Claire Gillvray, Rob Howlett and James 'See, I told you you could lift it' Wilkinson have been my guides on this incredible journey. 'You've changed your life around, Allison,' Claire says, 'gained healthy life years, but it has not just been about the injection. You have worked really hard. I'm proud of you.' If I can do it, so can you. I had no interest in exercise, and my main food group was paprika Pringles. Today, I'm lifting two-and-a-half times the weight I could a year ago and, every morning, I sprinkle on my Greek yogurt a protein-rich sawdust that rightly belongs on the floor of a gerbil cage. It's worth it because zips do up without protest, my triglycerides are world class and I'm not going to get dementia. At speaking engagements around the country, I've met Telegraph subscribers who read my original Mounjaro article last September and decided to try it too. (Wives tended to lead the way, with dubious husbands grumbling, but soon converted, and now approaching smug.) They come up beaming, often hug me, gesture down at their sylphlike forms and whisper, 'Best thing ever.'
Malay Mail
6 hours ago
- Health
- Malay Mail
Too young, too heavy: Is Malaysia ignoring a ticking health bomb as childhood obesity surges, says WHO
KUALA LUMPUR, July 23 — Like any other teenager, Muhammad Mikhael Qaiser Mohd Yuzaini longs to participate in sports and physical activities. But the 14-year-old tires easily, neither can he stand for extended periods or handle physically demanding tasks. The main reason: his weight. As of early March this year, he weighed in at 103 kilogrammes (kg), a figure considered obese for his height of 168 centimetres (cm). 'I'm truly determined to lose weight this year because I want to live a healthier and more active life,' declared Muhammad Mikhael Qaiser, who is fondly known as Mikhael and is currently undergoing treatment to reduce his weight. Childhood obesity has become a global health crisis, with poor dietary habits and sedentary lifestyles, fuelled by screen time and lack of physical activity, contributing to this 'epidemic'. According to the World Health Organization (WHO), Malaysia has one of the highest childhood obesity rates in Southeast Asia. Childhood obesity in Malaysia has been on a steady rise over the past 15 years, with over 30 percent of children aged five to 17 classified as overweight or obese in 2022. (Under the United Nations Convention on the Rights of the Child and Malaysia's Child Act 2001, a child is defined as anyone under the age of 18.) Meanwhile, a study titled 'Prevalence of Childhood Overweight and Obesity in Malaysia: A Systematic Review and Meta-analysis' published in November 2024, found that the prevalence of childhood overweight, obesity and excess weight in Malaysia almost doubled over a 26-year period from 1996 to 2022. According to WHO, in 2022, 37 million children under the age of five were overweight; and over 390 million children and adolescents aged five to 19 years were overweight, including 160 million who were living with obesity. Overweight is a condition of excessive fat deposits in the body, while obesity is a chronic complex disease defined by excessive fat deposits that can impair health. Obesity can lead to increased risk of type 2 diabetes and heart disease. It can also affect bone health and reproduction, and increase the risk of certain cancers. Obesity influences the quality of living, such as sleeping or moving. The diagnosis of overweight and obesity is made by measuring people's weight and height and by calculating the body mass index (BMI): weight (kg)/height² (m²). The body mass index is a surrogate marker of fatness and additional measurements, such as waist circumference, can help the diagnosis of obesity. The BMI categories for defining obesity vary by age and gender in infants, children and adolescents. Struggles of teenager In 2021, when Mikhael was 11 years old and weighed 70 kg, he was offered the opportunity to participate in a study conducted by paediatric specialists at Universiti Malaya Medical Centre (UMMC) to address his obesity issue. His parents were informed that as part of the study, Mikhael had a 50 percent chance of receiving either an actual weight loss medication or a placebo. Wanting to help their only child shed his excess weight, Mikhael's parents agreed to let him join the study. Over the course of the four-year programme, Mikhael received injection-based treatment. But by the time the programme ended, his weight did not decrease. Instead, it continued to rise, reaching 103 kg by early Ramadan (March) this year. (It was later confirmed that Mikhael had been placed in the placebo group, meaning he did not receive the actual medication throughout the study period. This explained why there was no significant change in his weight despite the structured programme). This concerned his parents, prompting them to refer Mikhael back to the Paediatric Obesity Clinic at UMMC, which has been operating since 2006, for further treatment in hopes that he could eventually reach a healthy weight of around 65 to 70 kg. Starting in April, Mikhael has been advised to take an oral medication, Metformin 500 mg, once daily, and after two weeks, two pills per day to help improve insulin efficiency. He is also required to meet with a doctor every three months for follow-up treatments. Meanwhile, his father Mohd Yuzaini Abu Bakar, 48, who resides with his family in Taman Medan in Petaling Jaya, Selangor, said Mikhael had been cute and chubby since infancy. He said Mikhael loved milk and could finish eight big bottles of formula milk per day until the age of three. Mohd Yuzaini, a medical laboratory technologist at UMMC, said he and his wife began consulting a paediatrician when their son was four years old due to concerns about his rapid weight gain. Since both parents work at UMMC, they were more exposed to health issues and found it easier to access medical support. On Mikhael's eating habits, Mohd Yuzaini said he loves to eat and is not picky about food. 'Whether it's home-cooked or food bought outside, he's fine with it, even trendy or viral food and drinks. There was a time when, every time we went out, he insisted on getting a drink from a popular coffee chain, even though we knew it was high in sugar. As parents, sometimes we just couldn't say no to him,' he said. Mohd Yuzaini said on their way to work every morning, they would drop Mikhael off at the babysitter's house before he went to school. 'At the babysitter's, he would usually buy nasi lemak or fried noodles from a nearby shop for breakfast… his favourite. 'At school, during recess, he would eat nasi lemak or fried noodles again. After school, he would return to the babysitter's house and get ready to go to the religious school (tahfiz school) in the afternoon. His mother would usually pack lunch for him with extra portions, just in case he got hungry later. 'At the tahfiz school, food is also provided, and it's common for people to donate meals there. After school ends at around 7 pm, we would all have dinner together,' he said, adding snacks like biscuits and chocolates as well as bread, fruits and instant noodles were readily available at home in case Mikhael got hungry at night. According to WHO, in 2022, 37 million children under the age of five were overweight; and over 390 million children and adolescents aged five to 19 years were overweight, including 160 million who were living with obesity. — Reuters file pic Hidden genetic risks Sharing that Mikhael's obesity is likely not solely due to his diet, Mohd Yuzaini said it may be influenced by genetic factors although no medical tests have been carried out to confirm this. 'Many members of my family, including me, have obesity issues,' he said, adding his weight once peaked at 165 kg (his height is 176 cm). 'In the past, I used to be active in rugby. When we're involved in sports, we eat and stay active, so we are able to keep our weight under control. But later on, I stopped playing rugby and focused on my job… I became physically less active and started to gain weight.' Mohd Yuzaini, who has six siblings and is the eldest, said his immediate younger sibling passed away due to heart disease caused by obesity. 'Another two siblings are also obese, with one of them having had a leg amputated due to diabetes,' he said, adding that in 2007, he decided to undergo bariatric surgery after his doctor warned he would eventually develop diabetes, hypertension and heart disease if he did not undergo the procedure. Mohd Yuzaini experienced weight loss after the surgery and two years later, his weight dropped to 107 kg from 165 kg. 'Since then, I've been maintaining my weight and if it increases, it's only slightly. Thankfully, my previous borderline blood pressure (readings) and sugar levels have stabilised,' he said. Commenting on the treatment Mikhael is currently receiving, Mohd Yuzaini said it combines the expertise of three clinics – paediatrics, sports medicine and dietetics – and is administered by the Paediatric Obesity Clinic at UMMC. Doctors at the sports medicine clinic gave several exercise recommendations for Mikhael, such as walking up and down the stairs for 30 minutes daily and using a portable pedal exerciser that can be used anytime and anywhere. Said his father: 'We tried it (exercises) during the fasting month (this year) and, thankfully, after the festive season, we saw his weight drop by three kg. 'We'll continue with the suggested approach, combining (intermittent) fasting with exercise… we're aiming for Mikhael's weight to drop to 90 kg by the end of this year.' FAMILY DIET CHANGES Mohd Yuzaini said he and his wife Zaliza Mat Som, 58, have also started controlling their son's diet. 'We've implemented a kind of intermittent fasting for him… he skips breakfast as advised by the doctor and he is allowed to eat during break time at school. 'For his lunch and dinner, we've reduced his portions – he is allowed just a fistful of rice (low glycemic index). We've also cut down on oily and fatty foods, while adding more vegetables and fruits (to his diet),' he added, stressing that dieting is important because Mikhael's current weight puts him at risk for prediabetes. Mohd Yuzaini also said that through changes in his family's eating patterns and by exercising regularly, even his wife has experienced weight loss. 'We want to support Mikhael in achieving his ideal weight, so we too have to make changes towards a healthier lifestyle,' he said. Mohd Yuzaini, meanwhile, suggested that health programmes involving nutritionists, fitness trainers and counsellors be conducted more frequently in schools for students as well as their parents, so they are better informed on how to tackle obesity while also raising awareness about obesity-related diseases. 'Parents should also be informed of their children's (physical) condition, especially when their schools conduct certain tests like the 'Ujian Standard Kecergasan Fizikal Kebangsaan Untuk Murid Sekolah Malaysia' (SEGAK), which can indirectly help prevent obesity among students,' he added. SEGAK is a mandatory physical fitness test conducted twice a year in all government schools in Malaysia, designed to measure students' physical fitness levels based on health indicators. Parents must lead While Mikhael's family is doing their part, experts say the real change must start at home – and with consistent parental support. Sharing his views, fitness coach Kevin Zahri, popularly known as 'Cikgu Fitness Malaysia', said parents must become role models for their children, not just in terms of behaviour but also lifestyle, personal health and nutrition, and should always practice the principles of 'lead by example' and 'walk the talk'. According to him, being overweight or obese at a young age not only affects physical health but can also impact a child's emotions, self-confidence and mental well-being. 'A sedentary and inactive lifestyle is easily carried over into adulthood and difficult to change. Therefore, parents need to help children set boundaries for screen time and video games, and ensure that they are consistently involved in physical activities. 'Physical activity or recreational time should not be treated as a 'special occasion' but rather made part of a child's daily routine to nurture their mental, emotional and physical development from an early age,' he said. Touching on his '30-Day Health Challenge' online programme, held monthly throughout the year, Kevin said the response has been very encouraging, with many families participating to support children who struggle with excess weight and obesity. 'Many parents initially wanted to enrol only their overweight children in the programme, but I encouraged them to join as a family. This is to prevent the child from feeling ashamed, stressed or having low self-esteem. 'It turned out that my approach not only makes the programme more enjoyable for the whole family but they also get to lead a healthier lifestyle. With the 'fit family' concept, it becomes more meaningful as they spend quality time together and support each other,' he said, adding parents should not rely solely on doctors or schools to look into their children's health. Kevin added that while supplements can be used, for example by athletes or to make up for certain nutrient deficiencies, they are not a substitute for real food because what is more important is making healthy food choices to maintain good health. 'My daughter is a national tennis player, while my son goes for football training four times a week. They both take supplements, including multivitamins, to support their growth and cover any nutritional gap. 'As parents, we must take responsibility in leading our own 'circle of influence', which is our family. Start small, like doing physical activities together every Saturday, such as walking, playing badminton or pickleball,' he said, adding that more information about his programme is available at In conclusion, Mikhael's experience underscores the complex web of factors that contribute to childhood obesity – from possible genetic predisposition and family lifestyle to eating habits and emotional influences. His journey also reflects the harsh reality faced by many Malaysian children whose health is silently shaped by daily routines, social norms and limited physical activity. His story is not unique but rather a wake-up call. If childhood obesity continues to be overlooked or normalised, the long-term consequences on health, well-being and national productivity could be severe. Early intervention, family support and stronger public awareness are crucial to change the narrative – one child, one household at a time. Tomorrow: From type 2 diabetes to fatty liver and sleep apnoea, part two explores the risks of non-communicable diseases (NCDs) in children due to obesity, and highlights the importance of early treatment and public awareness. — Bernama
