The patient situation where surgery becomes superior: BMI 35 (or BMI 30 with Type 2 diabetes or other conditions) Already using Mounjaro or Zepbound Suffering from high OOP cost Worried about decades of injections ahead Desire to resolve problem, not manage forever In such cases, patients find themselves eligible for BMI for bariatric surgery e which costs less than 2-3 years of tirzepatide while providing better results
Specific foods that stimulate GLP-1 Beyond macronutrient composition, certain foods contain compounds that specifically enhance GLP-1 secretion
For eligible adults with clinically significant obesity, MHRA-approved options include semaglutide (Wegovy, assessed in NICE TA875) and tirzepatide (Mounjaro, assessed in NICE TA1026), both available through NHS pathways with appropriate clinical oversight
These protein-based drugs are incredibly effective, but theyre also incredibly sensitive to temperature, light, and time
Ask your doctor before using them
Patients with Fitzpatrick IV, V, or VI skin tones can safely have underarm laser hair removal, but the settings need to be chosen carefully