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I've lost 5.5 stone on Mounjaro but still eat chocolate & get takeaways every week – the truth everyone needs to hear

I've lost 5.5 stone on Mounjaro but still eat chocolate & get takeaways every week – the truth everyone needs to hear

The Irish Sun4 days ago
A WOMAN who has lost 5.5 stone on Mounjaro in eight months has shared the advice everyone needs to hear.
La Hauser, from the UK, took to social media to share why you shouldn't be losing weight too quickly on the weight loss jab.
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La Hauser shared a warning for those on weight loss jabs
Credit: facebook
2
Over eight months, La has lost 5.5 stone and still enjoys a takeaway
Credit: facebook
La revealed that she was losing 2.7lbs a week on the
But she reckons she has found the key to success on the injection, and it still allows her to eat takeaways.
She wrote: "I started in January and have lost an average of 2.7lbs per week.
"I've lost 5 and a half stone in total. I still have a few stone to lose to be at the weight of my preference.
READ MORE WEIGHT LOSS STORIES
"There are so many posts where people are saying they are disappointed they have only lost 3 pounds and their mate lost 3 stone in the first week."
Instead, La said those on their weight loss journey should concentrate on being consistent, rather than how much they are losing.
She even revealed that by going for a slower approach, she was still able to enjoy sweet treats and takeaways while
She continued: "Don't compare to others. Focus on your journey. Focus on what makes you feel joy.
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"I eat a takeaway/restaurant meal every week. I eat chocolate every day, but I track every calorie so I know I'm still focused even when it's an unhealthy option."
The less is more approach is obviously more sustainable than depriving yourself of everything, like a crash diet, so you stay consistent even without the drug.
"Don't deprive yourself as you're in it for the long haul, make it sustainable, make it enjoyable," she added.
The post was shared on the Facebook group,
One person wrote: "I totally agree! Keep up the good work - been on for almost 2 months - lost 16. I'm pleased."
Another commented: "Well said and well done."
"Great advice," penned a third.
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.
Meanwhile a fourth said: "Totally agree."
"Well done, looking great,' claimed a fifth
Someone else added: "Thank you! I needed to hear this right now!"
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Fat jabs are a nightmare for anorexics – I'll never get over my girl Nikki's death but I'd worry if she was still here
Fat jabs are a nightmare for anorexics – I'll never get over my girl Nikki's death but I'd worry if she was still here

The Irish Sun

timean hour ago

  • The Irish Sun

Fat jabs are a nightmare for anorexics – I'll never get over my girl Nikki's death but I'd worry if she was still here

Sue Grahame makes a stark warning four years on from her beloved daughter's death, and recalls Big Brother star Nikki's tragic last days in unbearable pain and unable to bathe or dress herself DYING TO BE THIN Fat jabs are a nightmare for anorexics – I'll never get over my girl Nikki's death but I'd worry if she was still here NIKKI Grahame was just seven years old when her mum said she came home from gymnastics club upset because another child had said her bum looked big in her leotard. That one tiny comment sparked the beginnings of an eating disorder in Nikki, which would see her spend the next decade in more than 18 different institutions, including two-and-a-half years in Great Ormond Street Hospital. Advertisement 16 Nikki Grahame shot to fame on Big Brother in 2006 Credit: Getty 16 Nikki with mum Sue Grahame before her 2021 death from anorexia Credit: David Cummings 16 Sue said she'll never get over the loss of her 'darling Nikki' Credit: David Cummings When she shot to fame on Big Brother in 2006, fans had no idea that behind her iconic diary chair meltdowns was a lifelong struggle with anorexia so severe that even the most experienced doctors described it as "the worst they'd ever seen." Now in a raw and emotional interview, Nikki's devoted mum Sue relives her gruelling journey with anorexia and recalls the last days before her tragic death from the disease, aged just 38. And she warns against the use of skinny jabs such as Ozempic or Mounjaro by people who are already slim - saying it could trigger or worsen eating disorders. 'Worst they'd ever seen' "I think these jabs are a nightmare for people with eating disorders because they are already skinny and it means they can restrict their food even more," Sue, now 71, told The Sun. Advertisement "It would have been a worry for me while Nikki was alive. I don't know if Nikki would have taken them or not. She was already limiting her calories every single day, that was a huge part of her life. "I wouldn't have let her take the jabs, I'd have said, 'over my dead body'. "For people like Nikki, everything is counted, measured and weighed; it becomes their whole life. She would weigh herself before breakfast and again after each meal. It's constant. "To me, it's a short-term fix, to get an injection, because you need an education on how to look after your body, how to nurture it, how to nourish it. And just getting an injection, that's not going to change your ways, is it?" Advertisement When shown examples of "thinspiration' content which can be found on social media sites such as TikTok, where influencers post images of ultra thin women and what they eat, Sue was shocked. 'Nikki used to go on sites like this and look at this kind of thing," she said. Nikki Grahame goes mad in Big Brother house in emotional scenes in new documentary 'I know when I've walked into the room and she suddenly turned her phone off. 'Back then there were lots of websites about how to be as thin as you can. These people should be bloody locked up. It's disgusting. Advertisement 'People should be locked up' 'I can honestly say I've never been on a diet. Never. And so it wasn't something Nikki learned from me." Sue said the first signs of Nikki's anorexia came when she was seven and she suddenly stopped eating and became withdrawn. 'There was the comment from the girl in gymnastics and she started to become withdrawn, that was the first sign," Sue said. "She started to get smaller and very picky with her food, so the alarm bells started to ring. Advertisement 'I took her to the GP and he stood her in front of him and he asked her what she had eaten today. Of course she lied to him. 'She was so young, doctors refused to believe there was anything wrong with her." 16 Nikki became known for her meltdowns and tantrums in the diary room Credit: Rex 16 Nikki was just seven when she started suffering from anorexia Credit: David Cummings Advertisement 16 Nikki on the balcony of the London flat where she died age 38 Credit: David Cummings Sue remembers being fobbed off by doctors until one day, Nikki was so weak she couldn't stand, and she carried her into the GP surgery where she refused to move until they admitted her daughter to hospital. "I didn't want her to be admitted to hospital but I couldn't get her to eat anything, she'd trick me," Sue said. 'It got to the point where I had to make her eat naked so she wouldn't stuff food in her knickers or anything. Advertisement 'Because it started so young, by the time Nikki became an adult it was so engrained for her. Her purpose, her way of life, was to stay as thin as possible. 'She was very competitive about it. She'd walk on to a ward and want to be the skinniest anorexic in there. I would despair. 'When she was in Great Ormond Street, she had this wonderful doctor Professor Bryan Lask and he said 'You're not the worst I've ever seen Nikki, you are by far the worst I've ever seen' - and he travelled the world lecturing on anorexia." 'Don't leave me mummy' Sue recalls the heartbreaking day she left seven-year-old Nikki as an inpatient in hospital for the first time. Advertisement 'She kept saying 'Mummy don't leave' and I said, 'Nikki I don't have a choice because you won't eat for me'," Sue said. 'Then they said, 'You can't see or speak to her for two weeks'. I said no, but they insisted. 'As we were leaving Nikki was screaming and these people just came from nowhere and pinned her down on the floor while we were rushed out of the unit. It was hell on earth, it was unnecessarily cruel." Sadly, Nikki did not improve. Advertisement She refused to eat and became so thin nurses would have to force her to eat through a nasal tube. 'It got to the point where I had to make her eat naked so she wouldn't stuff food in her knickers or anything Sue Grahame Later on, she had to have a tube fitted surgically direct to her stomach as she kept pulling the nasal tube out, but that didn't work either as she pulled the tube out of her body. Sometimes she'd be sedated for a month at a time, as doctors desperately tried to increase her BMI with forced feeds. Sue said it some of the treatments were so "cruel" it was "gut-wrenching". Advertisement 'The whole system of trying to treat anorexics it doesn't work," Sue said. 'I've been to all those units and some of them are pitiful. 16 Nikki spent most of her life from age 7 to 18 in and out of eating disorder units Credit: David Cummings 16 Nikki before she entered the Big Brother house Credit: David Cummings 16 Nikki's anorexia worsened during Covid Credit: Splash Advertisement 'In my mind none of them delivered for Nikki, it just strengthened her resolve. 'There was one place that I'd have to bring her back to after a weekend visit home or something, and she'd lie on the floor and beat her hands and feet and scream and cry and say 'Mum don't leave me here, please don't leave me!' 'But I didn't have a choice because she wouldn't eat for me, what was I supposed to do? 'Barbaric' treatments 'There was one place where they'd melt Mars bars down and make them set the table until it was gone and if they didn't finish it they'd have to sleep on the kitchen floor. Advertisement "At one point she was put her under for a month to be tube fed. So I just used to go and sit by her bed and talk to her and hold her hand. 'She'd wake up and say 'I can feel all that food inside of me - I can't take it mum, it's torture'. 'Staff weren't always very kind. A lot of things I could accept if it was making a difference but it wasn't. 'It was very barbaric and cruelty just doesn't work." Advertisement Nikki's admissions to hospital stopped when she reached 18, but her struggles with anorexia continued and she also developed severe OCD behaviour around hygiene and preparing food. Sue said she was supportive of Nikki entering Big Brother because she was pleased to see her having some fun after the "hell" she'd been through as a child, however she did worry about how she'd cope with her eating disorder in such an environment. 'Going on Big Brother was great for her, it did give her a taste of a normal life, but obviously those demons were always there," she said. Because it started so young, by the time Nikki became an adult it was so engrained for her. Her purpose, her way of life, was to stay as thin as possible Sue Grahame "When she got a call to say she had been chosen she started jumping around saying, 'I'm in, I'm going into Big Brother!' Advertisement 'I was pleased for her but worried because at the time she couldn't eat in front of people and she wouldn't allow people to cook for her. 'I couldn't even cook for her because it she had this OCD as part of her illness and she became obsessed with hygiene. 'She had to clean her own plates before she'd eat on them, she had lots of rules. "That was the thing that worried me. But I just thought you know she's been in hospital from age seven til 18. Give the girl a bloody break. She had no life up to that point. Advertisement 'This is why she used to have hissy fits in the Big Brother house because she learned in these units that if you shouted the loudest you'd get attention. "I used to watch her on the live stream and I could see she was having fun but I also knew when the s**t was going to hit the fan. I could predict it when she was heading for a meltdown. I'd think 'Christ here we go' and all of a sudden she'd let rip." 16 Nikki won a National TV Award for her appearance on Big Brother in 2006 Credit: Rex 16 Mum Sue with Nikki as a baby Credit: David Cummings Advertisement 16 Sue said she vowed to always support Nikki through her illness Credit: David Cummings After Big Brother, Nikki enjoyed the fame the show brought and would travel the country doing appearances, even landing herself a magazine column. She entered the Big Brother house a total of five times, including the Canadian version. When TV work dried up, she moved to Nice, France where she worked in a Hard Rock Cafe branch, and learnt to speak French. Advertisement After moving back to London, she went back to college to try and get her Maths and English GCSE and got a job in a local junior school as a teaching assistant. Sue said that in the years after Big Brother "she held her own" in her battle against anorexia, but Covid exacerbated her condition. Nikki would walk on to a ward and want to be the skinniest anorexic in there. I would despair Sue Grahame 'She had a flat with a gym so she wouldn't come and stay with me during Covid, but then they closed the gym and so she spent £900 on a cross trainer," Sue said. 'I used to illegally drive up to London because she was so isolated. Advertisement 'And while I was there she'd get on this cross trainer obsessively and I'd beg her to stop. I'd say, 'I don't want to lose you' and she'd say 'I'm not going anywhere. I said, 'Yeah that's what Karen Carpenter said'. 'Covid definitely didn't help Nikki, but I can't help feeling she'd already thrown the towel in. 'Because for months before, we'd be walking. I'd turn around, she'd be on the floor. Her legs would just gave way. 'Her body was packing up. She had been starved for so long. She never even had periods. Advertisement "I don't think she was ever meant to make old bones in this world." 16 Big Brother gave Nikki the chance to travel the country doing PAs and writing magazine columns Credit: PA 16 Nikki with her friend Imogen Thomas Credit: INSTAGRAM/IMOGEN THOMAS 16 Mum Sue was pleased to see Nikki enjoy life after her difficult childhood Credit: David Cummings Advertisement 16 Sue said life has been tough since Nikki's death but she's trying hard to heal Credit: David Cummings In the weeks before her death, both Sue and social services tried to encourage Nikki to become an inpatient again but she refused. Instead she decided to travel to her mum's in Dorset, stopping on the way at a pharmacy to pick up her meds. 'She was only 10 minutes away when she passed out in the pharmacy, hit her head on the floor and they had to blue light her in to Dorchester hospital," Sue said. Advertisement 'She was in there for two weeks and I went in every day for the two weeks because it was just a regular ward, not an eating disorder unit and I wanted to take the weight off of the nurses because she needed supervising. 'If they brought her food, it would either go down the toilet or in the bin or out the window. 'I moved into a Premier Inn so that I could just walk there each day and I used to shower her and and watch her eat her meals. 'The mental health team said there was an eating disorders unit but it only had six beds and they were full. That might have made the difference. Advertisement I have never been loved as much as Nikki loved me Sue Grahame 'The nurses at the hospital were quite aggressive with her. Maybe they resented her. No one ever has any patience for anorexics. 'Her BMI was dangerously low. She was just skin and bones. She was pitiful to look at. "Then this nurse came in and said 'This isn't the place for you. This is a surgical ward. Nikki if you can walk up and down those steps outside there you can go home tomorrow. 'And I looked at her and the state Nikki was in and I couldn't believe it." Advertisement Final journey Nikki was discharged from hospital later that day alone and took a taxi to her flat in London. 'She rang me from the taxi and said 'Hi Mum, I'm on my way home'. She was so weak, I couldn't believe they'd discharged her," Sue said. "She told me she really needed the toilet and the poor thing had an accident in the taxi she was so ill. I told her to get her friend to come over when she was at home and help her clean up and then I'd come over in the morning. 'Then she rang me up half three that morning. She used to do that a lot but it was usually when she was out clubbing. Advertisement 'She said 'My friend came around and she helped me in the bath and put me in my jimmy jammies and then she saw me into bed, but I just wanted to tell you that I'm coping all right. ''I've just got up and been to the loo by myself on my walker.' 'I said, 'Every day take it slowly, you're not in a hurry, you'll get there. 'She said, 'Mum I'm tired. I love you.' I told her to go to bed and that I loved her." Advertisement Nikki died that same morning. Sue was on a train on her way to London when Nikki's friend called her and broke the news. 'Goodbye darling' She rushed to Nikki's flat, where she said her final goodbye. 'I just lay on the bed with Nikki and cried," she said. Advertisement 'The worst thing was watching the undertakers come and put her in a body bag and taking her out. 'I went down in the lift with them and we got to the outside door and I said 'Which side is her head?' 'They said it's up there. I just stroked the bag from the outside and said 'Goodbye darling'. It's awful, awful. I'll never get over it. It was the worst day of my life." Sue said she blames the hospital for Nikki's death and even looked into taking legal action but no law firm would take the case. Advertisement She believes it was irresponsible for them to discharge her when she "couldn't even bathe herself or dress herself" and says she should have been transferred to a mental health unit. 'Even if I'd have taken it to court and won, I didn't want the money," Sue said. "I wanted things to change. Maybe I would have tried to get a unit built somewhere that would help others with anorexia. 'That nurse shouldn't have said, 'If you walk up and down the stairs, you can leave', because she clearly wasn't well enough to leave the hospital. If that's a rule, it shouldn't be. Advertisement 'Nikki died on a Saturday morning. And I was walking my dog on the Monday morning when that same nurse rang. She was crying and she said, 'I'm so, so sorry. She shouldn't have gone home.' 'They shouldn't have let her home just because she put a bit of pressure on. She didn't know what was best for her." Signs and symptoms of anorexia if you're under 18, your weight and height being lower than expected for your age if you're an adult, having an unusually low body mass index missing meals, eating very little or avoiding eating any foods you see as fattening believing you are fat when you are a healthy weight or underweight taking medication to reduce your hunger (appetite suppressants) your periods stopping (in women who have not reached menopause) or not starting (in younger women and girls) physical problems, such as feeling dizzy, dry skin and hair loss Four years on from Nikki's April 2021 death, Sue says she's still struggling emotionally. She has relocated from Dorset and lives in East Sussex with her chihuahua Joey. Advertisement Just two months ago, she suffered another heartbreak when she had to have Baby, Nikki's chihuahua who she had cared for since before her death, put to sleep aged 19. 'Until the day I take my last breath I won't get over Nikki's loss," she said. 'Nothing in this world scares me anymore because the worst possible thing has happened. "Life is tough, but since I came down here I'm trying extremely hard. I've made a couple of really good friends. Advertisement 'But I have to say I have never been loved as much as Nikki loved me. And it wasn't because I was a pushover, it was because from day one of her illness I was fighting for her. 'I try and be philosophical because at the end of the day, she was mine for 38 years. How lucky was I? And people still write lovely things about her. They still love her. 'She wasn't everybody's cup of tea but for me she was very special. And even if I died tomorrow, I know I was truly loved in my life, and that's something not everybody can say." Advertisement If you or a loved one is struggling with an eating disorder, the charity Beat offers support, call the helpline on 0808 801 0677

Family horror as suicide clinic ‘sends them WhatsApp saying their mum, 58, is dead and her ashes are in the post'
Family horror as suicide clinic ‘sends them WhatsApp saying their mum, 58, is dead and her ashes are in the post'

The Irish Sun

timean hour ago

  • The Irish Sun

Family horror as suicide clinic ‘sends them WhatsApp saying their mum, 58, is dead and her ashes are in the post'

Maureen Slough's family say their beloved mum had been battling mental illness for a long time TRAGIC MUM Family horror as suicide clinic 'sends them WhatsApp saying their mum, 58, is dead and her ashes are in the post' AN IRISH family was left devastated after allegedly receiving a text from a Swiss assisted dying clinic that their mum was dead and her ashes would be sent by post. Maureen Slough, a 58-year-old from Cavan, travelled to the Pegasos clinic on July 8 to seek an assisted death - without her family's knowledge - according to the Irish Independent. 2 Maureen Slough, a 58-year-old from Cavan, travelled to the Pegasos clinic on July 8 to seek assisted dying Credit: Facebook 2 Her heartbroken daughter Megan Royal says the family were not aware of their mum's plan to end her life Credit: Facebook Maureen reportedly told her family that she and a friend were going to Lithuania. "I was actually talking to her that morning and she was full of life," Maureen's partner Mick Lynch told the newspaper, speaking about the morning of her death. "She said after having her breakfast... she was going out to sit in the sun. Maybe she was heading off to that place. I still thought she was coming home." Her daughter, Megan Royal, then received a heartbreaking WhatsApp message, which allegedly said her mum had died listening to gospel music sung by Elvis Presley. The family is shocked that the clinic would accept an application for assisted dying from Maureen, who they say had long struggled with mental illness. She had also attempted suicide a year prior, after the deaths of her two sisters. Adding to their dismay, the family claims the clinic never informed them of her plans. Friends are reportedly horrified by the clinic's method of returning the ashes via parcel post. Her friend, Stephanie Daly, told the newspaper: "You get letters in the post, not people." Desperate for answers, the family found out Maureen had paid a reported £13,000 to the Pegasos Swiss Association to assist her death. Car bursts into flames in busy Glasgow street sparking rush hour chaos The Pegasos group is a non-profit voluntary assisted dying organisation. According to its website, the clinic believes it's "the human right of every rational adult of sound mind, regardless of state of health, to choose the manner and timing of their death". The group allegedly said it received a letter from Megan, stating she was aware of and accepted her mum's decision to die. The clinic also claims it verified the letter's authenticity through an email response from Megan, using an email address her mum provided. But Megan insists she never wrote the letter or verified any contact from the clinic, the report said. The family claims Maureen may have forged the letter and created a fake email address to verify it. Her brother Philip, a UK solicitor, claims Maureen provided the clinic with "letters of complaint to medical authorities in Éire in respect of bogus medical conditions" - which Pegasos then used as supporting documents for her application. Megan reportedly argues her mum's decision to go to the clinic was made in a state of grief, as a result of her sisters' deaths. She also cites her mum's difficult upbringing as a child. It is understood that in the past few weeks, the family has received handwritten goodbye letters from Maureen. The Pegasos group maintains that it carried out an extensive assessment of Maureen's mental health - including an independent psychiatric evaluation. They added that Maureen told the clinic she was in unbearable and unrelievable chronic pain and that they received supporting medical documentation from her pain-management consultant. Regarding the letter, the clinic claims Megan confirmed its authenticity via email and apologised for not being able to accompany her mum to Switzerland. The clinic claims the letter expressed that while Megan was unhappy with her mum's decision, she accepted it. Maureen's brother wants the Foreign, Commonwealth and Development Office, along with Swiss authorities, to conduct an investigation. "I am working on the assumption that my sister created this email and the clinic's procedures were woefully inadequate in verification," he wrote. "The Pegasos clinic has faced numerous criticisms in the UK for their practices with British nationals, and the circumstances in which my sister took her life are highly questionable." When approached for comment by the Daily Mail, The Pegasos Swiss Association said it could not "share, confirm, nor deny the identities of our patients in public". It added: "When talking about voluntary assisted death in Switzerland, it is important to understand that all organisations are legally bound to do careful prior assessment. "Pegasos has always respected the applicable Swiss law without exception and continues to do so." Maureen's family's story is not unique. Other families have also slammed Pegasos, claiming they had no knowledge that their loved ones would undergo assisted deaths. In 2023, Pegasos reportedly vowed to contact a person's relatives beforehand after 47-year-old teacher Alistair Hamilton - who had no diagnosed illness - died, leaving his family shocked. However, in 2025, the organisation appeared to break this promise. Anne Canning, a 51-year-old British mum, who was battling depression after the sudden death of her son 19 months prior, ended her life at the clinic, ITV first reported. Her family were allegedly not informed of her decision - only finding out after they received goodbye letters she had written shortly before her death.

Concern over weight gain after 'skinny jabs'
Concern over weight gain after 'skinny jabs'

Irish Examiner

time10 hours ago

  • Irish Examiner

Concern over weight gain after 'skinny jabs'

Health chiefs have raised concerns about people regaining weight after using Wegovy and Mounjaro, saying that patients coming off the drugs should be given support to help prevent them piling on the pounds again. Research shows that many people regain weight after stopping treatment if they are not supported, the National Institute for Health and Care Excellence (Nice) said. The health watchdog said that people coming off the drugs should be offered "structured advice and follow-up support" to help prevent weight gain. The guidance is for people who are offered the treatments through Britain's NHS. An estimated 1.5 million people are taking weight loss jabs in Britain, but the vast majority are paying for them privately so will not be eligible for NHS support after they have finished their treatment. The new "quality standard" from Nice says that NHS patients should be monitored for at least a year after they complete treatment, and extra support should be offered if needed. It emphasises building "long-term behavioural habits, use self-monitoring tools, and draw on wider support — from online communities to family-led interventions and local activities". "Successful weight management doesn't end when medication stops or when someone completes a behavioural programme," said Professor Jonathan Benger, deputy chief executive and chief medical officer at Nice. "We know that the transition period after treatment is crucial, and people need structured support to maintain the positive changes they've made. Dr Rebecca Payne, chair of Nice's Quality Standards Advisory Committee, added: "Weight management is a long-term journey, not a short-term fix. "The evidence is clear that advice and support for maintaining weight after stopping medicines or completing behavioural interventions can help prevent weight regain and enable people to experience lasting benefits. "We've seen excellent examples of services that already provide comprehensive discharge planning and ongoing support. "This quality standard will help ensure all healthcare providers adopt these best practices, giving every person the best chance of maintaining their weight management success over the long term. Henry Gregg, chief executive of the National Pharmacy Association, said: "We know that although medication can be effective in speeding up weight loss in some people, it is not a silver bullet and patients need to make long term lifestyle changes to make their weight loss sustainable." Professor Kamila Hawthorne, chairwoman of the Royal College of GPs, said: "There is no one-size-fits-all approach to tackling obesity — what works for one patient will likely not work for another and, as with any medication, weight-loss drugs do not come without risk. "It's also the case that patients will likely need support to sustain their weight loss once they stop taking the medication. As such, this is important and sensible guidance from Nice. "As a college, we've been clear that whilst weight loss medications have significant potential benefits for patients who are struggling to lose weight, they mustn't be seen as a 'silver bullet' and ensuring access to sufficient 'wraparound' services — particularly for when patients come off their medication — will be key to optimal health outcomes."

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