The Irish Mail on Sunday

Thanks to the jab my weight’s stable – and my doctor is happy

- By Sarah Vine

AS SOMEONE who has been taking semaglutid­e for two years now, I can attest to its benefits.

Having been diagnosed with an underactiv­e thyroid in my 20s, I managed to control my weight though diet and lots of exercise. But after I had children and then experience­d early menopause, I always tipped the scales at about 30 lb over my ideal weight.

I would attempt ever more draconian regimes to get the excess off, but as soon as I resumed any sort of normal eating pattern it would creep back on again.

And stress didn’t help, as I do turn to food for comfort when I’m sad.

As I hated being overweight (it makes me feel depressed and worthless), and also on the advice of my doctor, who warned me I was prediabeti­c, I decided to look into having a gastric sleeve fitted.

I went to see a specialist bariatric surgeon, Mr Marcus Reddy, and he suggested I try first a daily injection (liraglutid­e) and then the weekly one, semaglutid­e.

Both, he explained, work like a chemical gastric band, inhibiting hunger hormones in the stomach and stabilisin­g blood sugar levels so you don’t get those lows that have you reaching for that 4pm KitKat. The net result is that I eat about a third less than I used to, which is enough to keep my weight within a healthy range. But what’s also fascinatin­g is that, over time, the injection has rewired my relationsh­ip with food. I eat much less of the bad stuff — sugar, high-fat processed foods — simply because they don’t trigger the same response in me. Indeed, if anything they make me feel slightly nauseous.

Food has ceased to be a pleasure and become simply a fuel. It’s functional, not recreation­al. It’s like drinking non-alcoholic wine or beer: tastes the same but without the high. I now have a much healthier diet, my weight is stable — and, most importantl­y, my doctor is happy.

I am aware that some people will see this as a giant cop-out. All I would say is that we used to judge people with depression as weak or somehow morally deficient, and now we give them the help they need. I feel the same about obesity.

Some people really struggle with their weight, not helped by the fact that we live in a highly obesogenic society fuelled by an industry intent on stuffing us full of low-value, highprofit processed food.

Are fat people morally deficient? Do they deserve to be punished and mocked for their condition? I don’t believe so. If there are methods available, let’s give them the help they need — and not only save them a lot of misery, but also the millions spent treating the side effects of obesity.

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