This video highlights the systemic absurdity of using BMI as a rigid gatekeeper, effectively punishing patients for their success by denying them the maintenance care they need. It is a stark reminder that current medical guidelines often fail to treat obesity as the chronic, long-term condition it actually is.
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I Tried To Go Back On Mounjaro (GLP-1)… They Said NOAdded:
Hi everyone. So, yesterday in my 7-week update, I mentioned that I tried to go back on Mounjaro and the online pharmacy that I used actually refused. So, in this video, I want to break down exactly what happened. Um about a week ago, I tried to go back on Mounjaro and they wouldn't let me. Um and because of what happened, I'm now in a position where I actually don't have a choice anymore. I have to stay off it.
So, I really wanted to sit down and properly explain what happened because this has actually been a little bit of a turning point for me mentally and I think it's something that a lot of people won't realize unless they're in this position and this situation themselves.
Um firstly, for anyone who hasn't seen any of my previous videos, just for a bit of context, I was on Mounjaro for about a year. Um I lost about 60 lb. It worked amazingly well for me, probably better than anything I've ever tried before. I love Mounjaro. It totally changed my life, changed how I was eating, changed how I was thinking about food. Um but then last September, when the prices went up by three times, I had to come off it cuz I really could not justify the cost anymore.
So, I didn't just stop. I did everything properly. I tapered down from 15 mils to to five. I put really healthy habits in place.
Um I felt like I'd done everything right and now I've been off it for about 7 weeks. Um I really felt like I'd come off it in a sensible way and I was actually really confident coming off the medication because I felt like I'd educated myself and my body was responding well to the new habits I had put in place. So, the first month, genuinely fine, couple of bumps in the road, no major issues, didn't feel massively out of control and if anything, I actually felt like it was quite easy. And I felt like I'd actually reset my habits enough that I could be fine without it.
Then over the last couple of weeks, things have started to shift a little and this is where the situation has actually changed a bit for me. So, couple of weeks ago, I had a few moments where I was really close to slipping back into bad habits and then last week, one moment in particular, really stood out. I actually went and bought all the food that I used to binge on before I started Mounjaro. And this isn't just one or two things, this is a whole basket of food and I was in complete autopilot in the shop.
It felt like I'd gone back in time and that I was repeating the exact same behavior patterns that I used to have.
I brought it all home, put it all out on the table and I remember just looking at it and feeling sick.
It felt awful and I felt like I was just stepping back into my old life again and I was ashamed. I felt regretful. I just felt just horrible with myself.
Now, the important part is I didn't actually go through with eating it. I stopped myself and I gave it away to some children a few doors down. Um so, from the outside, that probably sounds really positive, but mentally, it really shook me because it made me realize that those urges have not disappeared.
They're still there. They're still something I'm going to have to manage.
And that's really what led me to think about going back on Mounjaro.
So, I looked at where I am now. So, my BMI is 25. Um so, I am in the healthy weight range and I have actually maintained my weight loss whilst I've been off the jab. I haven't gained anything, so my weight is within the healthy range. I'm still about 14 lb aw- away from where I want to get to for my target weight.
So, I kind of started rationalizing it and I thought maybe the sensible thing to do would be not to struggle through this unnecessarily, but to go back on Mounjaro for a short period of time, kind of like a maintenance period, but try and get these last few pounds off and do it in a more controlled way rather than battling with myself.
I wasn't talking about going back on it forever, just a few more months and then I kind of recognized I might have come off it a bit too early because there is no information. If you don't have support, it's really hard to know how to do these things.
But because my BMI is now 25, I knew that I couldn't go to a new provider.
Most places in the UK require you to have a BMI of over 30, over 27 with a medical condition. So, I knew that wasn't an option.
But I'd been using the same pharmacy online for for the whole year.
Um they were a reputable company. They had my full history. They'd seen my weight loss from the beginning. They'd prescribed every dose I'd been on. I was even getting reminder emails from them to order. So, in the back of my mind, going back to them made total sense and I assumed that if I explained the situation, that I'd come off, um I feel like I'd come off too soon, I probably needed a bit more support about coming off and I want to go back on a low dose just to kind of finish it properly, that it wouldn't be a problem.
Now, I knew I'd have to start probably at 2.5 mg and I was fine with that. I wasn't trying to jump back in at a high dose or do anything irresponsible. Just really wanted to manage things properly.
So, I went on their website, filled everything out, although most of my details were already filled in. Um I updated my current weight, uploaded photos and then there was a section where you could add additional information. So, I explained everything really clearly, told them exactly what had happened, why I wanted to go back on it, what my concerns were.
After that, I paid for the order on my credit card, which isn't cheap, and I waited.
Later that day, I got an email saying that they couldn't verify my BMI from the photos um because it didn't show my full body fat properly.
And that was fair because the photos weren't great and I'm not great at taking these photos. So, I retook them, made sure that everything was clear, showed everything that they wanted, sent them back, and then waited again. And by this time, I was getting quite anxious cuz I just really wanted to go back on the jab. Um and then the next day, I got another email.
And this is where things started to feel a little bit strange. They said that they still couldn't verify my BMI and they wanted to arrange a video consultation. And they sent me a link to arrange it.
And at this point, I'm starting to feel really confused. Now, I'm not worried, but just confused because I've been a patient for a year. They've got all my records, all my previous photos, my full prescribing history, everything.
So, it felt odd that there was suddenly so much friction in the process.
Anyway, I agreed to the consultation. I booked it in.
During the call, I explained everything again. I told them coming off Mounjaro um because I kind of couldn't afford it anymore. I told them about the near binge situation. I feel like I'd come off it too early. Just wanted to go back on a low dose to stabilize things, to reach my target weight, maybe do a bit of maintenance while I come off it properly.
Now, the person I spoke to was lovely, very polite, understanding.
No issues in how the conversation was handled whatsoever.
But ultimately, the outcome was very clear.
Because my BMI is now in the normal range, they could not prescribe Mounjaro to me.
Um I did try and push back. I explained if I hadn't come off the medication when I did, I would still be sitting at the same weight with the same BMI and I would still be on Mounjaro. So, from my perspective, the situation hadn't changed. The only difference was that I had stopped and I hadn't ordered from them since the beginning of February, so nearly 3 months. But their position didn't change.
The fact that I had come off the medication meant that I no longer met the criteria to be prescribed it again.
And that was that.
So, after that happened, I didn't just leave it.
I did try a couple of other companies.
Again, really reputable pharmacies in the UK just to see if there was any flexibility, especially because I wasn't trying to start from scratch. I was trying to go back on from what I would consider maintenance reasons. Um and I explained the whole situation again in the sections where you can put any other information. Told them I'd been on Mounjaro for a year, that I'd lost 60 lb, that I'd come off it and in hindsight, I felt like I'd come off too soon, wanted to go back on a low dose just to stabilize things, reach my goal weight properly, then maybe have a bit of maintenance, come off it [snorts] maybe at 2.5 mg dose instead of the 5 mg dose that I came off at. Both times, I had the same answer.
Because my BMI is 25, they won't prescribe it.
And what I found out through these conversations is that although it's not technically a legal requirement in the UK, it is treated as a clinical standard. So, most legitimate pharmacies, even the online ones doing private prescriptions, are sticking very, very closely to the guidelines, which basically means you need a BMI of 30 or 27 with an additional health condition.
And if you don't meet that, they're not going to prescribe you.
And so, it wasn't just my original prescriber, it was across the board.
And I'll be honest, this process was really frustrating because with both of those new companies, I had to pay up front before they even reviewed anything. So, by this stage, I'm nearly 600 lb out of pocket, which is just insane. I'm still waiting for the refunds. And I can't keep doing that. I don't have the money to keep paying out just to be told no and then having to chase it back. I've been told that I will be getting the money back, so it's not a problem, but it's not the point. I've got that money which isn't being on my credit card at the moment.
So, realistically, at this point, I don't have anywhere else to turn with it. And I know some people are probably thinking, well, there are companies out there who will prescribe it for maintenance.
Um and a few people did actually comment that on my last video, which is which is really helpful. I I really, really do appreciate it.
But I really can't find them and I can't afford to keep on putting this money on my credit card.
So, this is where we're at. Um we're at a situation where nobody is going to prescribe me Mounjaro unless I put weight on.
So, at this point, I'm really not sure if I even want to keep looking for companies who will prescribe me at 25.
So, >> [sighs and gasps] >> realistically, I'm now looking at this whole situation that this wasn't supposed to happen.
Um at the time it felt like a really good idea to go back on it. It felt logical. It felt like I was just trying to manage these things sensibly.
But, realistically, I would eventually have gotten myself into debt about it. I would have had to have paid that credit card off.
I haven't got a clue how, but I would have. That's not a smart decision. I just bought my house in October. Um which in the UK is not an easy thing to do by yourself. So, I'm paying a mortgage by myself. I've got things that I want to do to the house.
Um things I want to invest in long-term.
Getting myself into debt on credit cards is not sensible.
Um I've obviously got my three cats who have got epilepsy. Their medication is expensive. Their vets bills are expensive. So, me getting myself into between 200 and 330 pounds worth of debt every month on Mounjaro realistically, was not the answer. So, although a week ago I was desperate to go back on it, I do think this has actually happened for a reason. It's almost like every door closed on this one one after the other until there really just was not an option left.
So, instead of feeling stuck because of that, it's actually shifted my mindset by quite a lot. And now I'm in a completely different headspace.
I can't think, "Maybe I'll go back on it." And I'm not looking for ways around it anymore, which is really great. So, I'm not trying to find another provider.
Um the safety net and the option of Mounjaro has gone now. And in a weird way, it's actually made me feel more positive, more certain, because now I know that this is it. I'm doing this without Mounjaro.
Um and I actually believe now that I really, really can. So, now I'm in a position where the only way I can go back on Mounjaro would be if my BMI increased to a point where I'd qualify again. And I'm not willing to do that.
So, this is where we're at. I can't go back on Mounjaro. I'm reliant just on me.
And let's see how I get on over the next few weeks. And thank you guys all for your support, as always.
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