07/09/2026
I overheard a conversation in A&E yesterday that honestly blew my mind.
A group of women were comparing how long they had been taking MJ and what dose they were on. (Cant say the whole name as its not allowed)
“I’ve lost a stone in 18months and I can still go out drinking.”
“I had a massive Indian last night.”
“I only feel dodgy for two days after my injection .”
“I’m sick when I eat too much so that keeps my weight down”
It was almost as though becoming unwell was something to brag about because they could eat and drink whatever they wanted and still lose weight.
And before anyone jumps on me, I am not against medical weight loss.
These medicines can be genuinely helpful and effective for some people. They may reduce appetite, improve blood-sugar control and support clinically meaningful weight loss, particularly when combined with changes to diet, activity and behaviour.
However, they are not risk-free or suitable for everyone. Common side effects include nausea, vomiting, diarrhoea, constipation and reduced appetite. More serious complications can occur, and risks may increase with dehydration, heavy alcohol use, unsuitable combinations of medicines or use without proper assessment. Weight can also return after stopping treatment if long-term habits and support are not in place.
They should be prescribed and monitored by a qualified healthcare professional, with appropriate checks of your medical history, other medicines, progress, side effects and nutritional needs. They are intended to complement, not replace, a balanced reduced-calorie diet, adequate hydration, physical activity and behavioural support.
What concerns me is the growing belief that the jabbies do all the work, while nutrition, hydration, movement and healthier habits no longer matter.
They absolutely do matter.
I have been a weight-loss consultant for 13 years. I firmly believe that almost any sensible plan can work if you follow it consistently.
For years, The 1:1 Diet was called “extreme” because it involved structure, nutritionally formulated products, portion control and accountability.
Yet taking jabbies, eating poorly, drinking heavily and accepting that you may feel unwell for days is now being treated as completely normal.
How did we become the extreme option?
Jabbies have been used to treat diabetes for around two decades. The newer medications can be extremely effective for weight management, but they are tools, not a cure for obesity.
Even the official guidance says they should be used alongside a reduced-calorie diet, physical activity and behavioural support.
Your body still needs protein.
It still needs vitamins, minerals, fibre and fluids.
It still needs movement to help protect your muscle mass.
And your mind still needs support to change the habits that contributed to your weight gain in the first place.
The 1:1 Diet, when followed properly and with the support of a trained Consultant, remains one of the most cost-effective structured ways I know to lose weight while receiving the nutrition and accountability your body needs.
Jabbies may quieten the food noise, but they cannot build your habits for you.
Whatever tool you choose, please use it to improve your health, not simply to see what you can “get away with.”
