u/Hopeful_Candle_9781

They're looking for a dietician in Lincolnshire: https://www.jobs.nhs.uk/candidate/jobadvert/E0187-26-0007

Also a GP in Lincolnshire: https://www.jobs.nhs.uk/candidate/jobadvert/E0187-26-0008

> Assessing suitability for, initiating, titrating, monitoring, reviewing and discontinuing weight management medication in accordance with relevant NICE guidance and local prescribing arrangements.

> Supporting the safe use of GLP-1 and GLP-1/GIP therapies where clinically appropriate

Some more info on it all here: https://lincolnshire.moderngov.co.uk/documents/s74919/9b%20Appendix%20B%20Healthy%20Weight%20Assurance%20Report.pdf

..

And a pathway design lead in Northamptonshire https://www.jobs.nhs.uk/candidate/jobadvert/C9270-26-0634

More info here: https://leicesterleicestershireandrutland.icb.nhs.uk/new-nhs-weight-loss-service-for-people-in-leicestershire-rutland-and-northamptonshire/

And the national schemes are here: https://www.gov.uk/government/news/pioneering-projects-to-transform-obesity-care-backed-by-85-million-from-government-and-industry

I know the NHS are very restrictive atm but I think this will slowly change and I like to shout out when I see change in the right direction.

There's new projects funded by Lilly and the government setting up new obesity pathways.

I think it would be useful to have one of us on the inside who was really passionate about mounjaro.

I can't do it, I suck at project management.

Job advert: https://www.healthjobsuk.com/job/UK/Northamptonshire/Leicestershire\_Northamptonshire\_Rutland/Northamptonshire\_Healthcare\_NHS\_Foundation\_Trust/Project\_Management/Project\_Management-v8158793

Scheme: https://leicesterleicestershireandrutland.icb.nhs.uk/new-nhs-weight-loss-service-for-people-in-leicestershire-rutland-and-northamptonshire/

National scheme: https://www.gov.uk/government/news/pioneering-projects-to-transform-obesity-care-backed-by-85-million-from-government-and-industry

​

Does anyone have access to the full article?

https://www.bmj.com/content/394/bmj-2026-100237.full

I'll ask in r/scholar too.

So..

I like things to be transparent. I've been looking into the lillydirect thing.

So I've just been told by a clinic that want to sign up that these are the list prices for lillydirect and then lilly pay onescript or pharmacy2u for dispensing and delivery.

So a CQC clinic pay the first column for the pen and the dispensing service and then the dispensing pharmacy send the pen to the customer. The clinic can only sell the pen for list price plus £6.25.

Anything else comes under consultation fees.

I know lotus have joined, I like lotus, I'm not picking on them. They just happen to be one of the first.

Lotus have it displayed at checkout like "Mounjaro Injection + The Lotus Programme".

Dose	Lillydirect List	Lotus First month	Lotus Retail price
2.5mg	£119.70	£104.00	£154.00
5mg	£135.00	£138.00	£168.00
7.5mg	£186.15	£191.00	£221.00
10mg	£210.45	£216.00	£246.00
12.5mg	£227.70	£238.00	£268.00
15mg	£247.50	£254.00	£284.00

Lotus have loads of different discount offers that I find really confusing.

So I guess it's not really different to how it works for pharmacies, just that lilly are paying for dispensing and delivery.

It doesn't seem to be like wegovy where some pharmacies seem to be paying a lot less than others.

So we've had a few posts that are just shouting into the void..

So I thought I'd add one..

I've been on 10mg, 12.5 or 15mg for a year now.

I don't like the anhedonia. I thought it would go away on 10mg but nope, and I'm not losing weight.

I think I'm going to try 7.5 or 5mg.

I'm prescribed Metformin but I don't take it because I figured mounjaro was dealing with the insulin resistance.

My plan is to actually take the Metformin and 7.5 or 5mg mounjaro and see what happens.

This plan might fail spectacularly.. I hate Metformin.. but I'm also not enjoying the anhedonia.

Wish me luck!

Sometimes it feels like mounjaro isn't doing much but I went to get some cheese out the fridge and it is mouldy. Like really mouldy.

Last cheese we bought 2 months ago went mouldy too.

Last weekend we were sat down on armchairs in my in laws living room, daughter was playing outside with nan and grandad.

Husband hissed at me and as revenge I jumped on him play fighting. He stood up and fireman lifted me around the room and was spinning me round. Usually he only does that type of stuff with our daughter but I must be light enough to do it with now too.

So discussions with CQC about click counting..

CQC can't tell a GP what they can or can't do in terms of prescribing for click counting, as long as the consultation processes are ok and it's in the best interests of the patient.

I think some people have built up a stockpile due to counting clicks and there needs to be some sort of amnesty. I know swift doctor are allowing a pen to be used for 8 weeks if someone's had to count clicks eg for side effects or losing too much weight on 2.5, but I don't think they're supporting it for people that just want to save money.

Hopefully it'll mean people can be honest with their prescribers. I guess we'll have to see which clinics allow it.

I think it's just not a moneymaker for the big pharmacies. Switching people to wegovy, which is also off label the way they're doing it, seems to be more lucrative so I guess that's what they're sticking to.

Just linking to this as I think it affects you too:

https://www.reddit.com/r/mounjarouk/s/ZsgWoYOIHJ

Hello, I'm friends with u/Becky_x and I know she posts in here sometimes so I hope you won't mind if I pop in.

https://www.reddit.com/r/mounjarouk/s/CMRKo75wzQ

https://pharmaphorum.com/news/lilly-launches-lillydirect-uk

This worries me.

I think it could really affect local independent pharmacies.

We know certain pharmacies pay less than list price for wegovy. You can see it because medicine marketplace sells 2.4 wegovy for £135, but the list price is £175.

I really don't want the same to happen with mounjaro.

I don't want a few online pharmacies like pharmacy2u to get preferential rates just because they're so big.

A few different schemes have been announced across the UK. As part of the OPIP thing.

I like this one because it's using local community pharmacies instead of one big company.

Will start in October apparently.

> The eligibility criteria for this pilot programme are different from the criteria used for the national NHS rollout of weight loss medication.

> In South West London, the programme is expected to be available to people:

> aged 19 to 49 with type 2 diabetes not treated using insulin, with

> a BMI of 35 or above (reduced to 32.5 or above for people from a global majority).

> Eligibility criteria may be refined as the programme develops.

Let's talk all things outfits.

What are you wearing toda

Or outfits that you never thought you'd buy that style or size

Or something you had that you couldn't fit into before.

Or just to give people inspiration of an outfit that you really love that they might really like too.

Would love to see photos, even if it's just photos of the clothes from the listing online.