The Power of Two: Weight Loss Surgery and Injectable Medications Explained
13 Jul, 2024

Introduction

Injectable weight loss medications have recently arrived on the scene and changed the dynamic of weight loss interventions. A weekly injectable is now available which is more manageable and has made life easier. Wegovy works on a single hormone receptor which dampens appetite and gives a sense of fullness. A second more recent injectable, Mounjaro, works on two gut hormone receptors instead of one. A responder would expect to lose 15-20% of their total body weight if they change their diet and become more active. Indeed one must remember that these medications are adjuncts to healthy eating behaviours and calorie burning activities. It is not intended for the medication to be taken on its own without a personal commitment to healthy lifestyle modification. Which is why it should be taken within a supervised program with the guiding help of specialists.

Popularity

There are several high profile celebrities who have popularised these medications. One of the main reasons these medications are popular is that they mimic the weight loss range of more invasive procedures such as balloons. Weight loss injections can be used for up to two years continuously. This is longer than the longest available balloon at 12 months. They are also popular as people can get them easily over the internet. Most online pharmacies now offer these medications once a basic questionnaire has been filled out and checked by a healthcare professional. I would recommend having a detailed consultation including your objectives, medication history and suitability before you consider taking these medications. Current guidelines favour taking them with the help of a dietician and under supervision. Therefore a program which encompasses all these elements should be the minimum standard.

Power of Two

I have started to combine these medications with other interventions. It is not uncommon for gastric balloon patients to seek additional weight loss. In some cases the weight loss has stalled or the balloon has achieved its intended average weight loss, however this is insufficient for the individual. Addition of the injectable at that stage can achieve good results. Some people who have had previous weight loss surgery will start experiencing weight regain several years later. A difficult emotional period will cause this and can lead to previous unhealthy eating habits. Or perhaps a lack of physical activity due to overwhelming circumstances. Once the situation has improved, it is difficult to lose the excess weight gained. A course of injectable weight loss medication can reset previous healthy diet and lifestyle habits. However, it is essential to seek the help of your surgeon. Before the medication is prescribed your medical and medication history is thoroughly explored.

Written by Mr Ahmed Hamouda

Mr Ahmed Hamouda is The Director of Weight Loss Surgery Kent. He is a highly trained and experienced Consultant Bariatric and General Surgeon.