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What is the difference between Saxenda, Ozempic and Wegovy?

Posted 24 March 2022 in Weight Loss

A confused ladyThose of us who are living with obesity could all do with a little help in the battle against it.

In the last few years Novo Nordisk have introduced some very effective tools to help win that battle.

These medications make you feel full and less hungry, which can help you to eat less and reduce your body weight. They can help you to not only lose weight but keep it off as well.

The first one to be introduced was Liraglutide that was originally developed as an anti-diabetic drug and is licensed for this purpose under the name Victoza. When it was discovered that it could be a very effective weight loss aid it was developed for that purpose under the name Saxenda.

The same thing happened with Semaglutide as it was developed as an anti-diabetic drug too and called Ozempic.

Some websites have already been selling Ozempic as a weight loss medication but it has only been approved by the Medicines and Healthcare products Regulatory Agency (MHRA), as an anti-diabetic medication and is not licenced for weight loss.

However, a new formulation of Semaglutide called Wegovy has been approved in the UK for weight loss and will soon be available.

What is Wegovy?

Wegovy™ is for adults with obesity (BMI ≥30) or overweight (excess weight) (BMI ≥27) who also have weight-related medical problems to help them lose weight and keep it off. Problems like high blood pressure, high cholesterol and type 2 diabetes. Wegovy™ should be used with a reduced-calorie meal plan and increased physical activity.

How does Wegovy work?

Wegovy™ works by mimicking a hormone that targets areas of the brain involved in regulating appetite and food intake. It also delays gastric emptying which helps you to feel fuller for longer. This can help you eat less, which can lead to WEIGHT LOSS.

How do I take Wegovy?

Wegovy™ is the first and only prescription weight-management medicine taken once weekly. It’s taken on the same day each week, any time of day, with or without food.

Wegovy™ is available in 5 doses ranging from 0.25 mg to 2.4 mg, each of which is taken once a week for 4 weeks. Each dose comes in a different colour pen.

You should follow a 5-week dose escalation to reach the fully effective 2.4mg dose.

What is the difference between Wegovy and Saxenda?

Both medications involve an escalating dosage schedule but Saxenda is injected on a daily basis while Wegovy is only injected on a weekly basis.

This is not the only difference however, as Wegovy produces much better weight loss and better cardiovascular outcomes.

In a 68-week medical study of 1,961 adults living with obesity or excess weight with a related medical problems:

ADULTS LOST ON AVERAGE 35 POUNDS (16KG) OR ABOUT 15% OF THEIR BODY WEIGHT!

What support do you offer?

We will not only supply you with medication to control your appetite but offer you lots of vital support to help you reach your weight loss goal and live your best life.

We will provide 5 pillars of support to enable you to be successful on your weight loss journey and to give you the best possible outcome. These pillars will help you change to adopting healthy habits that will enable lifelong success.

We will offer you lots of delicious healthy recipes with advice on eating out. There will be tips and advice on how to achieve restful sleep along with the recommended daily water consumption.

There will be a fitness coach who will provide you with easy effective exercise routines that can be done in the comfort of your own home.

Most importantly we will introduce you to our lifestyle coach who will offer you weekly interactive group coaching sessions to inspire you and help you overcome any obstacles that are holding you back from achieving your goal.

This will all be offered at no extra charge!

Send us your email address, to team@webmedpharmacy.co.uk, to be notified when our new holistic weight management service will begin.

Get more information on https://webmedpharmacy.co.uk/buy/wegovy

Medically reviewed by: Superintendent pharmacist Margaret Hudson BSc(Hons)MRPharmS 23/03/22

How to get your erection online for date night tomorrow (without leaving home or talking to anyone)

Posted 17 February 2022 in Erectile Dysfunction, Men's Health

Blue pills with the male gender symbolErectile Dysfunction (or ED) is a challenge faced by many men at some point in their lives, and shouldn’t get in the way of you having fun with your partner.

You don’t need to miss out on the joy of sex because you don’t relish the idea of discussing your erections with your doctor. There is now a safe way to get treatment for erectile dysfunction from a fully registered online pharmacy in the U.K which employs its own in house doctors.

Get your prescription from a registered doctor based in the U.K without leaving home.

Here at Webmed Pharmacy, we specialise in helping people with conditions they may feel embarrassed talking about. We designed our family business to offer discreet support you can access remotely. Most of the time, you’ll simply complete a medical consultation questionnaire that will be reviewed by our U.K registered doctors (to make sure you’re getting the right treatment) before we dispatch your medication for next day delivery.

Get discreet next day delivery to a location of your choice

You don’t want to advertise you've just received a delivery from a pharmacy, especially if you're receiving your parcel at work. This is why discreet delivery is really important to us. We deliver in plain DPD delivery bags to a place of your choice (including pick up locations) using the reliable DPD delivery service at no extra cost.

Our delivery is next working day, as long as you order before 4pm (with the exception of weekend orders, which will be processed as if they were ordered on a Monday for Tuesday delivery). You can upgrade on a Friday to a Saturday or Sunday delivery for a small charge.

You can even track your delivery with a one-hour delivery window, that counts down to a 15-minute window as your delivery time approaches.

Now you know how easy it is to order, let’s answer your next question…

Which tablets do I need for a date tomorrow?

The best prescription for you likely depends on what you need, although when you complete the medical consultation questionnaire, our doctor may recommend a different medication for you, so use this as rough guidance.

You’re going out for dinner and you’re hoping you’ll make it to the bedroom afterwards (and enjoy the morning after too).

If you’re eating out, you’ll want to look at Tadalafil (also known by the brand name Cialis).

Tadalafil is one of our customer’s favourites because it is still effective when taken with food and the duration of action is up to 36 hours. This means you can take this on Friday and enjoy your weekend without worrying about having to take it ‘at the right time’.

Buying notes
Cialis is a brand name and is more expensive than buying similar tablets containing the same active ingredient, Tadalafil.

Both Cialis and Tadalafil require a prescription (which we can provide for free)

You’re dating regularly and can predict roughly when you’ll be having sex

Sildenafil (known by the brand name Viagra) starts to work after around 30-60 minutes and lasts roughly 4-6 hours.

It’s a good option if you know you're going to need it, and can take it early enough for it to work.

Just be aware that Sildenafil (Viagra) works best on an empty stomach so you may want to factor that into date night planning.

Buying notes
Viagra is a brand name and is more expensive than buying similar tablets containing the same active ingredient, Sildenafil. Both require a prescription which we can provide online for free.

Viagra Connect works in the same way as Viagra, but does not require a prescription and can be bought over the counter at most pharmacies.

You’re not sure when you’ll be having sex, but you need a fast-acting solution for when you do.

The most recently introduced treatment for ED may be a good fit for you. Spedra has the quickest onset of action and can have the desired effect just 15 mins after taking it.

Spedra contains the active ingredient Avanafil.

You’re anticipating frequent sex (twice a week or more)

There are daily options if you’re frequently sexually active. Tadalafil Daily (and Cialis Daily).

Both of these options have the same active ingredient and work in the same way as the other options, increasing blood flow to the penis.

Take these at the same time each day (but not with grapefruit juice) and you’ll find the low dose builds up over the first five days. After the first five days, you should be able to get a spontaneous erection without prior planning.

If I take ED medication will I have an erection the whole time?

You should only get an erection if you take these tablets as prescribed and you’re sexually aroused. If you find you have an erection and are not sexually aroused, you should call your doctor.

Can I ask your doctor or pharmacist a question?

Absolutely, If you have any questions or doubts about what treatment to take, or what’s best for you, our pharmacists are here to help. You can call us Monday to Friday 9am to 5pm on 0161 491 1899.


Start your online medical consultant questionnaire for ED tablets here

References

  1. Viagra Patient Information Leaflet  [cited 20/11/20]
    Available at: https://www.medicines.org.uk/emc/files/pil.1072.pdf
  2. Tadalafil Patient Information leaflet  [cited 20/11/20]
    Available at: https://www.medicines.org.uk/emc/files/pil.8637.pdf

Author: Gemma Boak

Medically reviewed by: Superintendent pharmacist Margaret Hudson BSc(Hons)MRPharmS 17/02/22 

Saxenda: Coming soon- our new Holistic Medicated Weight Management Solution using the best tool available in the battle against obesity.

Posted 25 January 2022 in Weight Loss

Feet on weighing scales. Source: medicalimages.com

Obesity is a growing problem in the UK. A quarter of UK adults are obese, and this proportion has risen due to the restrictions of lockdown. Before the current pandemic, our increasingly sedentary lifestyles and readily available cheap, unhealthy food were resulting in us, as a nation, gaining weight. (1)

Previously, due to us being recommended to work from home, it has left us with ready access to the biscuit jar and unhealthy snacks that has resulted in an exacerbated obesity problem.

It has been reported that there is an increased risk in persons with obesity developing the Covid-19 disease. The obese tend to require hospitalisation and are more likely to be admitted to the Intensive Care Unit (ICU), to have invasive mechanical ventilation, suffering an increase in mortality. (6)

You can read our previous blog for more information about how Covid-19 affects those with obesity.

Buy Saxenda from Webmed from only £75 Find out more

Most of us know that on a basic level, the key to losing weight is simply eating less and moving more; so that on a daily basis, calories taken in amount to less than calories burnt. But, many factors can stand in the way of this change in lifestyle; including time constraints and lack of motivation. In addition, several medical conditions such as Type II diabetes mellitus, pre-diabetes, polycystic ovarian syndrome (PCOS) and hypothyroidism, as well as certain medications, can make weight loss harder to achieve. That is why medical intervention may sometimes be needed. (1)

Until relatively recently, there was only one medication – orlistat – licensed to treat obesity in this country. Orlistat stops around a third of the fat in your diet being absorbed, helping to prevent weight gain. However, unpleasant side effects related to this mode of action include oily, loose stools, flatulence, urgency to pass stools more frequently than is normal for you, and an oily rectal discharge. (1)

What is Saxenda and how does it work?

The best tool to be used in the battle against obesity is Saxenda, a brand of the medication liraglutide. Liraglutide was originally developed as an anti-diabetic drug and is licensed for this purpose under the name Victoza, at a different strength to Saxenda. Saxenda is available as a pre-filled pen for subcutaneous (under the skin) injection containing 18mg of liraglutide in 3ml of solution. (2)

Liraglutide is a glucagon-like peptide-1 (GLP-1) receptor agonist, meaning it acts at the receptor for GLP-1, an appetite-regulating substance naturally produced in the body. The way in which liraglutide interacts with the receptor is currently unclear. (2)

Saxenda is different from weight management products that you may have taken in the past.

Saxenda makes you feel full and less hungry, which can help you eat less and reduce your body weight.  It can help you to not only lose weight but keep it off as well.

We realise that losing weight is a complex issue and is not as simple as “eating less and moving more”. If only it were that simple!

That is why we have developed a holistic medicated solution to weight loss that will be available very soon.

We will offer 5 pillars of support to get you to your target weight and maintain it.

We will have a fitness coach and a wellness coach.

Our fitness coach has designed a series of simple easy exercises to do to boost your metabolism and our wellness coach will be hosting Saturday morning sessions where she will discuss all aspects of weight loss and be interested to hear how you are progressing and any topics you would like her to cover.

We’ll have advice on how to achieve restful sleep and the recommended daily water consumption.

There will be a Wellness App to help you when you feel stressed or anxious and this will be particularly helpful if, at moments like these, you are tempted to comfort eat.

With all the support that we will provide we aim to help to get you to your goal weight and stay there.

WATCH THIS SPACE!

Use the  Saxenda pen at home or on the go

You can inject your dose in your stomach area (abdomen), upper leg (thigh), or upper arm. However, we would recommend the stomach area as you're less likely to feel it and you have a bigger area to vary where you inject.

Saxenda - self-injectable pen can be used in the upper arm, abdomen or thigh

Who can use  Saxenda?

Saxenda is licensed to treat obesity in people with a body mass index (BMI) of 30kg/m2 or higher, or those with a BMI of 27kg/m2 to 30kg/m2 who have one or more of a number of weight-linked health conditions including Type II diabetes mellitus, hyperlipidaemia (raised fat or cholesterol levels in the blood), high blood pressure and obstructive sleep apnoea. It should be used in combination with a reduced-calorie diet and regular exercise. (2)

Children and young people under the age of 18 should not use Saxenda, as it is not yet known how the drug affects this age group. Furthermore, Saxenda should not be used by pregnant or breastfeeding women due to unknown effects on the foetus or baby. (3)

What is the dose for Saxenda?

When starting Saxenda, the initial dose is 0.6mg daily, injected into the abdomen, front of the thigh or upper arm, but not into a vein or muscle. The dose is increased on a weekly basis by a further 0.6mg until the daily dose is 3mg, the maximum recommended daily dose. The reason for this gradual increase in dose is that gastrointestinal side effects, such as nausea, vomiting, diarrhoea and constipation are minimised. These side-effects are very common, especially at the beginning of treatment, so lower doses at the start of treatment improve tolerability and make it more likely that the patient will continue treatment. If Saxenda is still intolerable two weeks after stepping up to the next dose, treatment should be stopped. (2)

How long before Saxenda starts to work?

Patients using Saxenda can expect to have lost at least 5% of their starting weight once they have been on 3mg daily for twelve weeks, given they have also been consuming fewer calories and increasing exercise. If this hasn’t been achieved, treatment with Saxenda should no longer be continued. (2)

What results have been seen with Saxenda?

Medical studies with more than 3,000 people taking Saxenda were conducted to understand the benefits and risks of Saxenda. The results from the study showed significant weight loss.

Along with a low-calorie meal plan and increased physical activity, some people lost nearly 2.5 times more weight with Saxenda versus placebo (17.3 lb vs 7 lb). Study participants had an average starting weight of 234 lb and an average BMI of 38. (3)

In a different 1-year study, most people who stayed on Saxenda kept the weight off. (3)

Can I use Saxenda alongside other medication?

If you take a type of medication for diabetes known as a sulfonylurea (such as gliclazide or glimepiride), the dose may need to be adjusted while you use Saxenda to reduce the risk of hypoglycaemia (low blood sugar). (4)

If you use Victoza for diabetes you should not use Saxenda at the same time. This is because they both contain liraglutide, so using them together will lead to overdose.

Patients taking warfarin or other anticoagulants may need to have more frequent tests to monitor how long it takes their blood to clot. (4)

If you are on medication for diabetes then we will not be able to supply you with Saxenda as you need to be monitored by your healthcare provider. If your diabetes is managed by diet alone then we can supply it to you.

Where can I find Saxenda?

Saxenda is not usually prescribed by your GP and is only offered on the NHS through specialist multidisciplinary weight management (tier 3) services. Access to these services in variable throughout the UK and most people have to resort to buying it privately. (5)

It is available to purchase from Webmed Pharmacy following a simple online assessment by our Doctors - click here to see your options to buy Saxenda and find out if it is suitable for you.

What is Ozempic?

There have been recent posts in the media about some people who have lost a lot of weight using an unlicenced product for weight loss called Ozempic. (7)

The most important difference between Ozempic and Saxenda, is that Saxenda is licenced for use as a weight loss medication in the UK and Ozempic is not. Also, there is very little data available for the use of Ozempic in weight management.

Furthermore, it's unethical to routinely offer Ozempic in a weight management service but some websites and clinics will supply it routinely as they are only interested in making money and not concerned about your safety. You can read more about it here.

References

1.       NHS. Obesity – Overview [cited 1st March 2021]. Available at: https://www.nhs.uk/conditions/obesity/

2.       NICE. Obese, overweight with risk factors: liraglutide (Saxenda) – Product overview [cited 1st March 2021]. Available at: https://www.nice.org.uk/guidance/ta664

3.   Novo Nordisk. Saxenda [cited March 2021] https://www.saxenda.com/learn-about-saxenda/what-results-have-been-seen-with-saxenda.html

4.   emc. Saxenda 6 mg/mL solution for injection in pre-filled pen [cited 1st March 2021]. Available at: https://www.medicines.org.uk/emc/product/2313/pil

5.       NICE. Obese, overweight with risk factors: liraglutide (Saxenda) – Estimated impact for the NHS [cited 1st March 2021]

Available at: https://www.nice.org.uk/guidance/ta664

6.   World Obesity Organisation. [cited March 2021] https://www.worldobesity.org/resources/policy-dossiers/obesity-covid-19

7.    BBC NEWS. [cited March 2021]   Obesity: Appetite drug could mark 'new era' in tackling condition. Available at   https://www.bbc.co.uk/news/health-56011979

Author
Margaret Hudson
Superintendent pharmacist Margaret Hudson BSc(Hons) MRPharmS
Originally posted 27th December 2019, Saxenda: the newest recruit into the battle against obesity.

Updated: 1st March 2021

Updated 25th January 2022

Busting 2 epic obesity myths to help you achieve your weight loss goals in 2022

Posted 14 January 2022 in Weight Loss, Womens health

Diet confusionThe world has an opinion on obesity, and this creates problems for those of us who are living with the challenge of losing excess weight. Contradictory information is given to us regularly whether we asked for it or not.

  • “You need to eat less carbs…
  • “You need to eat more carbs…
  • “You need to eat nothing!”

It’s a minefield.

Your situation is definitely NOT helped by the fact that the U.K diet industry is worth £2 billion (and globally in 2019 the loss and weight management industry was valued at $192.2 billion). This means there are a lot of people with a vested interest in what you decide to do next.

We believe in tailoring a weight loss program to each individual, not the other way around. In this blog post, we’ll share some truths to help clear the murky waters surrounding healthy weight loss so you can make decisions that benefit you.

Myth 1: You’re LAZY… Put down the crisps and go for a run!

The truth: Obesity is a complex disease and has nothing to do with your willpower, or how ‘lazy’ you are.

There are a number of reasons this advice is potentially dangerous:

You may avoid seeking medical help

Obesity is a medical condition, and you should be talking with a medical professional to make sure you have the support you need to safely lose weight. You may have an underlying medical condition that is making you retain weight, or you may need additional support from a mental health professional or a health coach to help you transition unhealthy habits that have been embedded since childhood. Working alongside your doctor can help you lose weight safely.

Sudden changes in your exercise regime can be dangerous

If you are not particularly active, suddenly embarking on an intense exercise regime without consulting a professional first is dangerous.

It’s not only the risk of damaging a muscle or a tendon, which will further slow down your progress, but you may trigger a medical emergency.

Start slowly, start walking to strengthen your joints, and listen to your body instead of the internet gurus (and maybe your nan). And go chat to your doctor.

A calorie is not a calorie

You know that 10 calories worth of carrots are better for you than a pint of zero-calorie cola… and yet when it comes to weight loss - we often obsess over how many calories eaten in a day, regardless of the nutrient density of our food, and the other health benefits that they give.

If you have decided a calorie-controlled diet is best for you, try to focus more on nutrient density, than on the number of calories. Your longer-term health will thank you for it. Plus, eating fibre rich foods like fruit, vegetables and whole grains can help you feel fuller.

Myth 2: Weight loss should be measured by the number of Kg (or Ilbs) you ‘lose’

Daily measurements can lead to frequent moments of despair (and can trigger unhelpful behaviour to get things “back on track”).

Truth: You should measure your success with a health focussed goal stick.

Consider changing your success parameters to something that makes you feel good. Things like:

  • Blood pressure
  • Diet quality
  • Physical activity
  • How you feel about yourself
  • Which clothes fit
  • How close you are to proudly marching outside in a swim suit

Rephrase weight loss

The way you talk about weight can affect the way you feel about losing weight.

If you tell people you’re losing weight, instead of working towards lowering your blood pressure - the conversation is all about your numbers.

And weight LOST… is weight that can be GAINED, which isn't motivating.

So if you need to talk about weight consider a reframe- try talking about weight that you have deleted. It’s a small change that has a profoundly different feel, and can really help you move towards sustainable weight loss.

Supporting weight loss with Saxenda

Moving to a calorie controlled diet can be hard. If you find you need help managing feelings of hunger, you may be interested in trying an appetite suppressant. Saxenda (some call it “the skinny pen”) is an injection that helps regulate your hunger hormone GLP-1 which can lead to eating fewer calories and losing weight.

The prescription can be signed off by our in house team of doctors, so you can try Saxenda from the convenience of your home if you live in the U.K.

Get more information about trying Saxenda here
(and how to get free access to a health coach)

In summary

Obesity is a hot topic, and with that, you’re likely bombarded with contradictory information. Debunking these popular myths should help you develop a more tailored approach to a weight loss program that suits you.

If you feel you need our help with this, click here to learn more about our weight support products.


https://www.bhf.org.uk/informationsupport/heart-matters-magazine/news/food-trends-2016/do-not-follow-food-trends
[accessed January 7th 2022]

https://www.saxenda.com/about-saxenda/how-it-works.html
[accessed January 9th 2022]

Author: Gemma Boak

Medically reviewed by: Superintendent pharmacist Margaret Hudson BSc(Hons)MRPharmS 14/01/22

What type of exercise is best for skin?

Posted 12 December 2021 in Weight Loss, Womens health

A woman exercising at the gymThere is enough evidence to suggest that how active we are and the exercise we do, can show on our faces.

Our activity levels and lifestyle choices have a direct relationship with how healthy our skin looks and feels - but is there a connection between the types of exercise we choose and ageing of the skin?

Sagging skin is a natural part of the ageing process. As we age, our collagen starts to break down and is not replenished so the skin gradually starts to lose its elasticity and firmness and coupled with a loss of volume and gravity – the skin will begin to sag.

A group of women exercising with big ballsSo, is it possible that some forms of exercise will cause or even worsen sagging skin? Anecdotal evidence suggests that the repetitive impact of pounding the pavement or other unforgiving surfaces can result in sagging facial muscles. A long-term disadvantage of intense athletic training is that the skin’s collagen and fibrous tissues (along with fatty cells) are thinned, and the skin is less supported. While this could also be due to fat loss, low intensity workouts or more gentle yoga sessions can also be beneficial, so it’s important to take on a mixture of high and low intensity workouts. This is backed up by other studies which show that swapping intense, repetitive motion for slower more gradual movement can also help your skin in the long run. (Womens Health)

Resistance training can further boost your skin’s youthful appearance since it increases the production of growth hormone. This handy hormone is produced by the pituitary gland in your brain, and some studies show that it can aid cell repair as well as influencing fibroblast cells to create more collagen. (Womens Health)

A focussed-looking woman exercising with resistance bandsSince exercise reduces the production of stress hormones, which cause blood vessels to constrict and impair healing, when you work out, you’re minimising the damage stress does to your face. This, as well as increasing the flow of those good nutrients your skin loves, (women’s health) has got to be a good argument to pop on your gym leggings, right?

The science behind how exercise impacts our body

Frequent aerobic training can reduce inflammation and improve immunity by helping the blood carry oxygen and nutrients to working cells throughout the body, including the skin. This means it can help relieve major skin conditions such as acne and eczema which are often triggered by inflammation.

In addition to providing oxygen, blood flow also helps carry away waste products, including free radicals, from working cells. Getting your heart pumping improves mitochondrial function which allows your bloodstream to release more energy. As well as helping you to feel good and look better, increased blood flow to the skin can also decrease signs of ageing by clearing cellular debris out of the system. Think of it as cleansing the skin from the inside.

Despite its many clear benefits, however, exercising sadly isn’t a preventative measure for skin ageing on its own (iiaa). Some people believe that exercise will tighten skin and reduce wrinkles through increases in collagen or from muscles toning and pulling the skin taut. On the other hand, others think that exercise, particularly weight lifting, could instead generate more wrinkles from the act of straining and muscles pulling on the skin (webmd).

How does exercise promote collagen?

Rather than spending a bomb on cosmetics, is it now time to consider spending a couple of hours a week working up a sweat to look younger for longer?

A sweaty looking womanWe’ve already mentioned that workouts can increase the function of mitochondria, the power centres of every cell. The more powerful mitochondria are, the better the metabolism of your skin cells and the more elastic they become. In other words, better cell function ensures proper collagen production which helps you look and feel younger. So, it’s not only the gorgeous post-treadmill flush that makes you look glowing.

A recent study from Victoria University in Australia found that the key to maximising the body’s mitochondria levels is practicing cardio. Endurance exercises have been proven to increase mitochondria levels in muscles up to almost double. The research showed that cycling for 30-45 minutes twice a week along with weekly walks boosts the collagen-filled layer of the skin to make it appear more youthful. (doctor.ndfu.com)

Facial Exercises

Your face contains over 50 different muscles and unlike most of the rest of the body, a lot of these facial muscles are rarely used. By carrying out regular facial exercises you promote the circulation of blood to different areas of the face, replenishing the oxygen supply in the muscles and the skin. This will result in a bright, plumper complexion and a beautiful healthy glow.

Performing facial toning exercises frequently will keep your face looking fit in the long run. Furthermore, regular facial muscle exercises improve blood flow, supplying your skin cells with nutrients leading to a stimulation of skin cell regeneration and prevention of wrinkles.

When to be careful

If you have rosacea, acne, eczema, or psoriasis you may need to take special care to keep your skin protected while exercising. For acne-prone skin, keep gentle, fragrance-free cleansing wipes in your gym bag. Be sure to cleanse your face and other areas that tend to break out immediately after exercising.

For eczema-prone skin wear fabrics that keep perspiration away from the skin, since the wet-dry-wet-dry cycle will dry out your skin and provoke flare-ups. Above all, avoid exercising with makeup on your face (Everydayhealth.com)

Article by Holly Mason of The Skin Investment Clinic with contributions from Personal Trainer, Belinda Andrews
www.theskininvestmentclinic.com
holly@theskininvestmentclinic.com
T: 07887855539

Prepared for party season? Don't leave these off your list...

Posted 9 December 2021 in Sexual Health

A young couple kissing at a celebrationIt’s a much-anticipated time of year with parties, gatherings and festivities taking place throughout the month. And while you’re ready to make up for lost time, don’t miss out by letting your sexual health fall to the wayside. There’s an easy – and discreet - way to access STI testing and treatment plus emergency contraception.

Discreet STI testing

Make sure you’re in the clear with testing kits that screen you for a full range of sexually transmitted infections. There are single test packs or ones that test you for seven of the most common infections, including:

And to be on the safe side, there’s also testing for HIV and Syphilis plus sexual health screening that works as a full MOT for complete peace of mind, including kits that are especially for men who have sex with men.

You can do the tests in the privacy of your own home and once the lab receives your kit, you’ll be sent the results within two to three working days.

Order an STI testing kit

STI treatment at home

If you find out you’re positive for one of the most common STIs listed above, then you can order a treatment pack to be sent to your home for the next working day.

You’ll complete a medical consultation questionnaire that will be reviewed by our doctor  to make sure you’re getting the right treatment, and your  medication   will be delivered the next working day if ordered by 4pm Monday to Friday.

This is a discreet and quick way to get the treatment you need at home. However, it’s worth noting that you may need to visit your GP for certain treatments, depending on the infection.

Order an STI treatment pack

Need emergency contraception now?

Whether we’re in or out of party season, it’s always good to know where you can get emergency contraception when you need it.

The morning after pill can be taken up to five days after unprotected sex, depending on the type you take. But the sooner you take it, the better.

What’s more, you can order the morning after pill online and it will be sent to you confidentially the next working day, so you don’t have to worry about anyone seeing the package.

It works by stopping ovulation, so if you’re in the second half of your cycle where you have already ovulated, you should seek other types of emergency contraception from your GP or sexual health clinic, such as the emergency coil.

Order the morning after pill

If you have any questions or doubts about what treatment to take, or what’s best for you, our pharmacists are here to help. You can call us Monday to Friday 9am to 5pm on 0161 491 1899.

Author: Gemma Boak

Medically reviewed by: Superintendent pharmacist Margaret Hudson BSc(Hons)MRPharmS 09/12/21

Why exercising is good for your skin

Posted 2 December 2021 in Men's Health, Womens health

Running up stairs for exerciseWe all know exercise is good for our bodies. But did you know that regular workouts can be anti-ageing too? Read on to explore the many benefits that keeping fit can have on our skin.

Exercising often, whether it’s aerobic, strength, flexibility or balance training has been proven by scientists to reduce the chances of falling ill as well as delaying the signs of ageing. While no lotion or potion can increase longevity and make you look younger at the same time, regular effort and a little sweat can work wonders for your skin’s appearance.

Skin Tone Improvement

A girl pouting in a mirrorExercise can even out skin tone by flushing toxins and calming puffiness. After your liver, the skin is the biggest detoxifying agent in the body. Sweating removes toxins which not only makes you feel better, it rejuvenates your skin. However, be aware that there is some evidence that Bikram yoga and infra-red saunas may actually worsen pigmentation. (www.vogue.com.au)

Skin Glow Improvement

We have learnt that exercise promotes healthy circulation which helps clear your skin and keep it vibrant. When we push ourselves to the point of perspiration and looking red in the face – a result of increased blood flow to the dermis - our skin is being sent essential nutrients, hormones and increased oxygen. My clients who exercise regularly have more glow to their skin. Freshly exercised skin has an obvious rosy glow, however, it’s the day following exercise where we see the real benefits that oxygen-rich blood has on our skin.

Acne Improvement

You may have heard the old rumour that acne can be caused by sweat sitting on your skin. The science behind this disagrees: sweat is just a toxin secretion which doesn’t actually clog your pores. Exercise reduces inflammation which is one of the main causes of acne, plus it levels our stress hormone, cortisol, which can also trigger acne flare ups.  So perhaps sweat, or the way we create sweat, has more benefits to our skin than we think.

Exercise has also shown to ease stress: a key trigger of acne and eczema. Although researchers are still investigating the link between stress and skin studies show that sebaceous glands, which produce oil in the skin, are influenced by stress hormones.

When we sweat our pores open and release the build-up inside of them. Sweat purges the body of toxins that would otherwise clog up pores and cause blemishes (healthy human life.com), making it helpful in clearing acne.

Skin Ageing Improvement

We all know our skin changes as the years advance, resulting in wrinkles, crow’s feet and sagging. After about 40, most of us begin to experience a thickening of our stratum corneum, the outer layer of epidermis, the top layer of the skin. This is the portion of the skin that you see and feel. Composed mostly of dead skin cells and some collagen, it gets drier, flakier and denser with age. At the same time the dermis, which sits below the epidermis, begins to thin. It loses cells and elasticity, giving the skin a more translucent and often saggier appearance (NYTimes.com)

Scientists have found that men and women who exercise frequently had markedly thinner, healthier strata cornea and thicker dermis layers to their skin. Of course, diet, genes and lifestyle also contribute to the outcomes.

Keeping the skin hydrated

A girl drinking from a water bottle in a gymIt is important to add the unbelievable difference drinking water has to the skin – especially when exercising. It is essential to hydrate before and after exercising, to keep the skin looking smooth and to get rid of the under-eye bags (which are a sure sign of dehydration). After all, our bodies are made up of 75% water so staying hydrated is extremely important.
 
Article by Holly Mason of The Skin Investment Clinic with contributions from Personal Trainer, Belinda Andrews

www.theskininvestmentclinic.com
holly@theskininvestmentclinic.com
T: 07887855539

1 in every 4 adults lives with this disease. What can you do to prevent and treat obesity?

Posted 2 November 2021 in Weight Loss

Three ladiesThere are rising obesity levels across the world with an estimated 2.7 billion adults who will be living with it by 2025. Yet, many suffer from its effects in silence. 

Obesity is a chronic disease

The effects of obesity, both physical and mental, can be devastating.

It can affect anyone and at any age, from any background and any ethnicity, and its causes are complex.

Modern-day, high-energy diets packed with unhealthy fats and sugars, such as processed and fast food, coupled with our increasingly sedentary lives are often blamed. But genetics and the environment around us can also play a role.

Either way, obesity IS a complex disease. And it can lead to health issues if left untreated.

The risks of obesity

If your BMI is over 30 then you’re classed as being obese, (though it’s worth noting this is not an exact science- Arnold Schwarzenegger in the prime of his bodybuilding career had a BMI of 31- because muscle weighs more than fat). If you don’t know yours you can calculate your BMI here.

https://www.nhs.uk/live-well/healthy-weight/bmi-calculator/

Living with obesity puts you at a higher risk of early-onset type 2 diabetes, stroke, heart disease, liver disorders, certain types of cancers and orthopaedic problems as well as back pain.

But these are just the physical issues...

Living with the stigma

Obesity can also cause mental health issues due to the stigma and discrimination around the disease.

It is often assumed in Western cultures that obese people are ‘lazy’ and should ‘eat less and exercise more’ but this oversimplifies a deeply complex condition that often presents alongside other health challenges which further muddy the water, such as metabolic syndrome and type 2 diabetes.

It also overlooks the challenges that people who have struggled with weight for a long time have experienced. The repeated failures with diets and injuries acquired from starting intense exercise regimes before they have strengthened their joints.

Low self-esteem and wanting to isolate yourself from the rest of the world are common feelings, which can amplify the challenges you face if you’re prone to overeating when you feel depressed or stressed.

The lack of healthy dialogue and prevalence of flawed outdated approaches propagated in our communities further hinders its prevention and treatment.

So how can you treat obesity?

The main thing to consider is that it takes time to become obese - and it will take time to effectively treat it. There’s no quick fix, but there is a solution that can be customised to your needs.

By taking a holistic approach to treatment, where you look at lifestyle, dietary and environmental changes, you’re more likely to form and maintain healthy, good habits that last for life.

For example, a good weight loss management programme will help you form a balanced, calorie-controlled diet that you’re likely to stick to, especially if you have realistic goals to work towards.

These don’t include so-called ‘fad’ diets, which restrict certain food groups or include fasting – you may lose weight quickly but you’re not forming sustainable healthy habits that will last long-term.

What’s more, adding more active time into your week, whether it’s walking, swimming or jogging, all helps. The recommended time spent on activities is between 2.5 and 5 hours a week.

Webmed weight management service

We can provide a medicated weight loss service that will reduce your appetite considerably enabling you to make healthy food choices leading to a sustainable reduction in your weight.

To help you on your weight loss journey we provide some very useful NHS links that provide lots of tips and support on healthy eating and lifestyle habits. We also give you access to our app where you can record your success and ask for advice from a healthcare professional.

Find out how we can help

References

Saying Goodbye to BMI | In Body USA [accessed 18/11/21]

Causes of Obesity | World Obesity Federation [accessed 18/11/21]

Obesity - Treatment - NHS (www.nhs.uk) [accessed 18/11/21]

Author: Gemma Boak

Medically reviewed by: Superintendent pharmacist Margaret Hudson BSc(Hons)MRPharmS 02/11/21
 

Why does erectile dysfunction happen?

Posted 13 October 2021 in Erectile Dysfunction, Men's Health

An unhappy couple in bed suffering from erectile dysfunctionBefore you skip straight to wanting a cure for erectile dysfunction, you might be wondering why it’s happening to you. Here we’ll talk through the most common causes.

First thing’s first, you’re not the first and by no means the last to have problems getting or maintaining an erection. Most men will experience it at some point in their lives and it’s nothing to be embarrassed or ashamed about.

A lot of men put off getting help or treatment (some for around two years), when there are simple and effective erectile dysfunction treatments out there that can help straight away, without you needing a prescription.
Here are some of the causes…

Age

It’s extremely common in men aged between 40 and 70 (though that’s not to say it can’t happen at any age). In fact, just over half of men in this age bracket will suffer from erectile dysfunction to some extent, and 26% of men under the age of 40.

That doesn’t mean you should accept it as a way of life – there are treatments suitable for any age, which we’ll go through later on.

Lifestyle

A few simple changes to your lifestyle, for example being more active and changing your diet can all have an effect. It’s also recommended you drink no more than 14 units of alcohol a week and stop smoking or using recreational drugs. It’s worth checking your BMI and losing weight if needed.

Psychological causes

When erectile dysfunction happens suddenly (and/or only with your partner), it’s often thought to be due to psychological causes.

Stress (could be work, financial or personal issues) can be a trigger, as well as anxiety, depression or an after-effect of sexual abuse in the past or present. If it’s happened once, then you may feel a fear of failure for it happening again.

Physical causes

If erectile dysfunction comes on slowly over time, then there may be an underlying health condition that’s causing it, which your GP can help diagnose.

They will check hormone levels for reduced testosterone and thyroid disorder, and for signs of vasculogenic conditions, for example high blood pressure, high cholesterol and diabetes, which can affect blood flow.

It’s worth mentioning that erectile dysfunction can be an early warning sign (up to 3 to 5 years) of heart problems.

Other neurogenic conditions such as Parkinson’s disease, a stroke or multiple sclerosis can also cause ED.

Side effects from medications/surgery

Certain medications for depression and heart disease are known to cause erectile dysfunction. What’s more, surgery and/or treatment for bladder, prostate and rectal cancers can also have an effect.

Treatment for erectile dysfunction

If you identify with any of the above causes, then you may be able to make some simple adjustments to your lifestyle or it may be worth seeking additional advice from a healthcare provider to get to the bottom of it. Bear in mind it can also be a combination of factors.

Buy erectile dysfunction treatment online There are erectile dysfunction tablets available without a prescription. We offer a discreet service with next day delivery – our friendly pharmacist Margaret can help you decide which is best for you.

Or if you prefer to read more about your options first, these may help you decide:

What are the best value erectile dysfunction pills in the U.K?

What’s the best erectile dysfunction treatment: Sildenafil or Tadalafil?

Stay safe when buying medicines online

References

Erectile Dysfunction - Sexual Advice Association [accessed 16/09/21]

Erectile dysfunction (impotence) - NHS (www.nhs.uk) [accessed 16/12/21]

One Patient Out of Four with Newly Diagnosed Erectile Dysfunction Is a Young Man - The Journal of Sexual Medicine [accessed 20/09/21]

Author: Gemma Boak

Medically reviewed by: Superintendent pharmacist Margaret Hudson BSc(Hons)MRPharmS 13/10/21

Weight loss injections - Are they worth the cost?

Posted 4 October 2021 in Weight Loss

Self-injecting with SaxendaSaxenda, also known as ‘the skinny pen’ burst onto the U.K market back in 2017, with exciting results for people who need help with weight loss. In one study of 3,731 people, 3 out of 5 achieved significant weight loss of 5% or more, and 1 in 3 achieved weight loss of 10% or more (1).

But how much does the weight loss pen Saxenda cost in the U.K? and is it worth it?

The truth is… it depends where you are in your weight loss journey right now.

If you need to lose a little weight and you’ve read about ‘the skinny pen’ then you may have been sucked into hype and need to be very, very careful. Saxenda is unlikely the best option for you if your Body Mass Index (BMI) is less than 27. Speak to your doctor.

If your BMI is over 27 and you have a weight related medical condition OR you’re living with obesity (have a BMI over 30) and have tried and failed at calorie controlled diets before… then this weight loss supporting injection may be the right next step for you (2).

How Saxenda works (and why we only recommend it if hunger is holding back your weight loss dreams).

Saxenda is the brand name for the active ingredient, Liraglutide. Liraglutide is an appetite suppressant that mimics the hormones in your brain that regulate hunger (3).

There is no guarantee that reducing hunger will delete extra weight, but reducing hunger pangs should help avoid the urge to overeat and to snacking in between meals.

Saxenda isn’t a miracle cure (though we wish it was). It’s a tool which should be used alongside a calorie deficit diet and a doctor approved exercise program. This is why we’ll send you an access code to the Liva Healthcare app when you buy from us so you can track and monitor your health and lifestyle goals. You’ll also have access to a Liva health coach to ask questions within the app.

How much does Saxenda cost in the U.K?

To get the best results from Saxenda, you need to slowly increase your dose until you reach 3mg per day.

It’s easy to change the dose, you can see a simple dial mechanism at the top of the pen.

Saxenda pen

This means when you start, your pen will last much longer, because you are using less each time you inject than you will be when you are up to the full dose.

Here at our family owned pharmacy, we keep our prices as low as possible, and we help you with discounts to enable you to successfully continue on your weight loss journey..

So let’s look at a typical example.

The recommended dosage for Saxenda when you start is 0.6mg once a day, which increases by 0.6mg each week (2).

A typical dosing schedule works like this:

Week 1: 0.6mg once daily for 7 days
Week 2: 1.2mg once daily for 7 days
Week 3: 1.8mg once daily for 7 days
Week 4: 2.4mg once daily for 7 days
Week 5: 3.0mg  once daily ← this is the full dose and you will stay at this dose for as long as you need to.


How does the dosage schedule affect the cost?

When you’re starting out, a single pen will last you 17 days.

If you buy a pack of 5 then they’ll last you 44 days…

...so a 5 pack will take you through to week 6.

Once you are at the optimum dosage (3mg/day), the 5 pen pack should last you 30 days.

In terms of investment… it depends how many pens you buy at a time. One pen works out at £75, but if you buy the 5 pen multipack, this is reduced to £60/pen (2).


How long do I need to take this for?

You’ll know pretty soon if this solution is working for you.

You should lose 5% of your starting body weight by week 12. If you have not achieved this using Saxenda, then you should stop the regime (always talk to your doctor or qualified pharmacist first). (2)

In terms of when you’ll stop, it depends on you and your progress. Some people stop when they hit their target weight, and some people continue to help them maintain their weight loss (1).

Here at Webmed Pharmacy, our lead pharmacist Margaret is available during office hours to chat about your progress and answer any questions you have.

In fact, the manufacturer of Saxenda, Novo Nordisk, said this about us:

“Webmed's service is so supportive and ethical it definitely stands out from the others”

Click below to check out our up to date pricing information

https://webmedpharmacy.co.uk/buy/saxenda
10% discount for NHS staff
Free needles & sharps box

References

1. Benefits of Saxenda [cited 12/08/21] Available at: https://www.saxenda.com/about-saxenda/benefits-of-saxenda.html

2. Saxenda  [cited 12/08/21] Available at: https://webmedpharmacy.co.uk/buy/saxenda

3. How Saxenda Works  [cited 12/08/21] Available at:  https://www.saxenda.com/about-saxenda/how-it-works.html

Author: Gemma Boak

Medically reviewed by: Superintendent pharmacist Margaret Hudson BSc(Hons)MRPharmS 04/10/21

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