There 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.

So, 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)

Since 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?

We’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

There 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
 

Saxenda Weight Loss Injections

Saxenda weight loss injections, 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 weight loss injections, 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 weight loss injections are 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 weight loss injections arn’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.

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”

Check out more about Saxenda

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

How Saxenda weight loss pens aid weight loss

Here we talk through appetite suppressant Saxenda and how long you can expect to wait before you see weight loss results.

Using Saxenda weight loss pens as part of a weight loss management plan that includes a calorie-controlled diet and exercise can help in the long term if you struggle to keep weight off. 

It works in the same way as the hormone glucagon-like-peptide (GLP-1) to regulate your appetite. This way you’ll feel fuller for longer and be able to resist snacking between meals or overeating - a contributing factor to obesity.[1] 

Saxenda dose – getting it right

Taking Saxenda can help you lose weight and keep it off, but this does require long-term commitment.

You begin by increasing the Saxenda dose by 0.6mg over the first four weeks so that from week five you’ll take the full 3mg dose (but no more). The pens are all pre-filled too, making it easier to use the correct dose.

For example:

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 onwards: 3.0mg once daily

It’s important to follow this escalated Saxenda dosage to minimise any side effects and allow your body to adjust. The most common side effect is nausea affecting more than 1 out of 10 people, however, this should go away after a few days or weeks.[2]

Once you reach the full 3mg dose, you should keep going with this until your treatment ends.

Then, by week 16 you should have lost at least 5% of your total body weight – if you have, you can continue taking it. If not, it’s advised you discontinue as it may not be the right solution for you.[3]

Frustrated by slow progress?

Many people who take Saxenda give up before 16 weeks as they don’t see fast results, but it’s important to be aware that it takes time and your full commitment.[4]

Obesity is a complicated condition with over 100 different contributing factors of which many are out of your control.[5] It may be a frustrating and slow journey to embark on, but by keeping up your diet, exercise and Saxenda treatment you’ll see long-term benefits.

Why you should keep going (and when to stop)

Obesity can reduce your life expectancy by between 3 and 10 years, depending on the severity.[6] It can also cause serious complications like type 2 diabetes, asthma and high blood pressure.

But, by losing even a small amount of weight (for example 3%) you can significantly reduce the risk of these complications.[7]

Taking Saxenda for the full 16-week duration (or more) will increase your chances of losing weight and keeping it off…

In a study of people taking Saxenda, 3/5 achieved weight loss of 5% or more and 1/3 achieved more than 10% weight loss.[8]

However, it’s worth noting that you should stop treatment if you can’t stand the side effects as you increase the dose.

1. https://www.saxenda.com/about-saxenda/how-it-works.html
2. pil.2313.pdf (medicines.org.uk)
3. Saxenda® (liraglutide) dosing information | Novo Nordisk
4. https://www.nhs.uk/conditions/obesity/
5. https://www.obesityuk.org.uk/what-is-obesity
6. https://www.nhs.uk/conditions/obesity/
7. https://www.nhs.uk/conditions/obesity/
8. https://www.saxenda.com/about-saxenda/benefits-of-saxenda.html

Author: Gemma Boak

Medically reviewed by: Superintendent pharmacist Margaret Hudson BSc(Hons)MRPharmS 30/05/21

Saxenda side effects before and after?

Like all medicines, Saxenda can cause side effects, although not everybody gets them.

The most common adverse events experienced with Saxenda are gastrointestinal (GI) disorders.

The 4-week dose-escalation schedule was designed to minimise GI symptoms and most GI symptoms are mild to moderate and transient . (1)

What if I feel sick?

If you experience any nausea, it is advisable to eat smaller meals, stop eating when full and to make sure that you follow the dose escalation schedule.

What if I have diarrhoea or an upset stomach?

You may experience diarrhoea or constipation. In both cases it is very important to stay well hydrated. You can drink lots of fluids, such as water or squash – take small sips if you feel sick but do not have fruit juice or fizzy drinks as they can make diarrhoea worse.

If the diarrhoea persists then you can buy either oral rehydration sachets you mix with water to make a drink or medicine to stop diarrhoea for a few hours (like loperamide) from your local pharmacy. (2)

What if I am constipated?

To relieve constipation drink plenty of fluids and avoid alcohol, increase the fibre in your diet or add some wheat bran, oats or linseed to your diet. A daily walk or run can help you too as well as contributing to your weight loss! (3)

How do I prevent indigestion?

Indigestion can be remedied by cutting down on tea, coffee, cola or alcohol. Also, propping your head and shoulders up in bed can stop stomach acid coming up while you sleep.

Try to eat 3 to 4 hours before going to bed and avoid rich, spicy or fatty foods.

Avoid taking ibuprofen or aspirin as this can make indigestion worse. If you smoke, cutting down can help too.

If you are still suffering, then your local pharmacy can help with medicines that help reduce acid in your stomach, such as antacids and proton pump inhibitors (like Omeprazole 10mg). (4)

Some indigestion medicines are best taken after eating as their effects last longer. Check the information leaflet that comes with the medicines for more information.

What if I can’t sleep?

If you experience insomnia, then you can try changing your bedtime routine.

Try going to bed and waking up at the same time every day and only go to bed when you feel tired. Relax at least 1 hour before bed by taking a bath or reading a book. Make sure your bedroom is dark and quiet by using thick curtains, black out blinds, wearing an eye mask or ear plugs.

Exercising regularly during the day will help and make sure that you are comfortable in bed. (5)

What if I’m showing signs of low blood sugar (hypoglycaemia)?

Early signs of a low blood sugar level include:

• sweating
• feeling tired
• dizziness
• feeling hungry
• tingling lips
• feeling shaky or trembling
• a fast or pounding heartbeat (palpitations)
• becoming easily irritated, tearful, anxious or moody
• turning pale

If you experience any of the above then have a snack that contains a slow-release carbohydrate, such as a slice of bread or toast, a banana or a glass of cows' milk.

For a full range of potential side-effects visit https://www.medicines.org.uk/emc/files/pil.2313.pdf

However, most people only experience very mild side-effects that last only a short time as your body gets used to Saxenda and some people don’t have any at all.

Other Saxenda side effects

Common: may affect up to 1 in 10 people

Problems affecting the stomach and intestines, such as indigestion (dyspepsia), inflammation in the lining of the stomach (gastritis), stomach discomfort, upper stomach pain, heartburn, feeling bloated, wind (flatulence), belching and dry mouth

• Feeling weak or tired
• Changed sense of taste
• Dizziness
• Difficulty sleeping (insomnia). This usually occurs the first 3 months of treatment
• Gallstones
• Injection site reactions (such as bruising, pain, irritation, itching and rash)
• Low blood sugar (hypoglycaemia). - The warning signs of low blood sugar may come on suddenly and can include: cold sweat, cool pale skin, headache, fast heartbeat, feeling sick, feeling very hungry, changes in vision, feeling sleepy, feeling weak, being nervous, being anxious, confusion, difficulty concentrating and shaking (tremor). Your doctor will tell you how to treat low blood sugar and what to do if you notice these warning signs. increase of pancreatic enzymes, such as lipase and amylase which may lead to pancreatitis (Uncommon: may affect up to 1 in 100 people) .
• Loss of fluids (dehydration). This is more likely to occur at the start of treatment and may be due to being sick (vomiting), feeling sick (nausea) and diarrhoea
• Inflamed gall bladder
• Allergic reactions including skin rash
• Feeling generally unwell
• Faster pulse - Rare: may affect up to 1 in 1,000 people.
• Reduced kidney function - Acute kidney failure. Signs may include reduction in urine volume, metallic taste in mouth and easily bruising.

Worried about Saxenda side effects before and after?

To ensure Saxenda is suitable for you, we offer a free online consultation which is reviewed by our Doctors. Call Phone 0161 491 1899 if you have concerns or want to discuss Saxenda side effects with our pharmacy team.

1. Novo Nordisk Limited. Saxenda Summary of Product Characteristics [cited 2nd March 2021] https://www.medicines.org.uk/emc/product/2313#gref

1. NHS diarrhoea and vomiting [cited 2nd March 2021] https://www.nhs.uk/conditions/diarrhoea-and-vomiting/

1. NHS Constipation [cited 2nd March 2021] https://www.nhs.uk/conditions/constipation/

1. NHS Indigestion [cited 2nd March 2021] https://www.nhs.uk/conditions/indigestion/

1. NHS. Insomnia [cited 2nd March 2021] https://www.nhs.uk/conditions/insomnia/

1. NHS. Hypoglycaemia [cited 2nd March 2021] https://www.nhs.uk/conditions/low-blood-sugar-hypoglycaemia/

Author: Gemma Boak

Medically reviewed by: Superintendent pharmacist Margaret Hudson BSc(Hons)MRPharmS 02/03/21

What is Ozempic?

Recently, the media have been promoting a product called Ozempic and have quoted many success stories from people who have achieved dramatic weight loss by using it.

However, Ozempic is not licensed for weight loss and is actually licenced for use in the UK, to control type 2 diabetes.

Is there an alternative to Ozempic?

Yes, there is a very effective product called Saxenda, this is licenced in the UK for weight loss by the MHRA which is available now, to help make your weight loss journey much more successful.

Saxenda dramatically reduces your appetite and combined with a healthy diet and lifestyle can help you to achieve your weight loss goal.

What is the main difference between  Ozempic and Saxenda?

On reading the media articles it would appear, that the main difference between Saxenda and Ozempic, is that Saxenda is a daily injection and Ozempic is a weekly injection.

However, the most important difference between the two is, that Saxenda is licenced for use as weight loss medication in the UK and Ozempic is not.

Unfortunately, there are a few unscrupulous websites and weight loss clinics, that are selling Ozempic, putting profit before safety.

Is Ozempic safe and legal for weight loss?

Before a medicine can be widely used in the UK, it must first be granted a license.

Licences are only granted if strict safety and quality standards are met. In the UK, licences are granted by the Medicines and Healthcare products Regulatory Agency (MHRA). For more detail see the "MHRA Licence" section below.

In other words, Ozempic has not undergone clinical trials to see if it is effective and safe in treating weight loss, so does not have a product license in the UK for treating obesity.

Ozempic  has a product licence for controlling Type 2 diabetes, not for weight loss.

It contains the active substance Liraglutide which helps aid adults with excess weight ( BMI ≥28 ), who also have weight-related medical problems or those with obesity (BMI ≥30), to lose weight and keep the weight off. 

Will Ozempic be available in the future for weight loss?

In fact, Ozempic will never be granted a product licence for weight loss, as it is a brand name. It is the active ingredient in Ozempic called Semaglutide, that is currently undergoing clinical trials for the treatment of weight loss.

Semaglutide has now been granted a product licence for weight loss under the brand name of Wegovy and will be a different dosage to that used for diabetic control. We understand from the latest information that Wegovy will become available in the UK during the Spring of 2023.

In the meantime, it is safer to use the licenced product Saxenda.

Medically reviewed by
Superintendent pharmacist Margaret Hudson BSc(Hons) MRPharmS
16 February 2021 and updated 21 September 2022 and updated 21 November 2022

The failure rate for New Year’s resolutions is 80%…but don’t worry, it’s not your fault (1).

There are many reasons why New Year’s resolutions fall by the wayside before Valentine’s day.

Some people blame the word ‘resolution’ and when you stop and think about it...it’s not very inspiring is it?

Especially when it comes to losing weight…do you feel resolute?

Or do you feel anxious because you’ve tried to lose weight (many times) before and failed? Deep down are you afraid this will be yet another disappointment? Another failure in the bag alongside Slimming World and the crossfit membership card.

That’s why we wanted to give you a few pointers to help you achieve your New Year’s goal and lose 5% of your body weight (goals are more successful if you have a clear outcome...of course you don’t have to choose this as your number!).

The natural approach to weight loss

We know you’ve tried this. You’ve already been told sooooo many times to eat less and move more. We understand that losing weight is much more complicated than that.

But learning how to give your body the nutrition it needs and the movement it needs is critical for long-term health, so it’s worth investing time and energy into getting it right. The NHS have a great guide here if you need one.

Bariatric surgery

Surgery should be a last resort. You shouldn’t consider this unless your BMI is above 40 or you have a BMI over 35 and a serious medical condition that could be improved with weight loss (2). If lifestyle changes aren’t working for you, it’s better to try something less invasive first, if it’s safe for you to do so.

Medication

The medication route is not for everyone and it should not replace a low calorie diet and exercise. In fact, the best results are seen when people combine both.

Saxenda -  a UK licenced appetite suppressant

Saxenda came about when scientists noticed that a new drug for Type 2 Diabetes was causing significant weight loss.

Clinical trials followed and Liraglutide was licenced for weight loss under the brand name Saxenda. (3)

Saxenda is licenced as an appetite suppressant, which means you don’t feel as hungry.

Interestingly, in a set of experiments where scientists measured brain activity, overweight people who were given Saxenda were less excited by food images than they were before (3).

If you get excited when looking at food then this could also help manage your calorie intake.

Saxenda might also be a good option if you start to feel really hungry when you’re losing weight on a calorie restricted diet, preventing you from regaining the weight you lose.

Let’s talk numbers…

Does Saxenda really work?

Saxenda won’t work for everyone as we are all different, but clinical studies have shown significant results.

Liraglutide (Saxenda) was given to a group of overweight people taking part in a lifestyle counselling programme, and their weight loss was compared to other people in the programme who did not take Saxenda.

The group taking Saxenda lost more weight in total. More than half (63%) of the participants lost more than 5% of their original body weight and 25-33% of participants achieved a 10% loss (approximately 10kg).(4)

While Saxenda is not a miracle drug, it is another tool in the box when it comes to tackling excess weight.

Plus the folks at Saxenda know what you need to get your excess weight off.

This is why they offer a free lifestyle app when you start your weight loss journey with them to help you track and monitor your health and lifestyle goals.

They also offer health coaching at no extra cost - simply submit your question through the app and a Liva health coach will get back to you within 48 hours. (5)

If you think Saxenda might be something you want to learn more about, then it’s worth reading our diary of a yo-yo dieter series where you can follow a Weight Watchers Coach and her experiences trying Saxenda.

You can also add these to your reading list: Is sugar the new enemy and Saxenda: the newest recruit into the battle against obesity.

Looking for a review of Saxenda? You’ll enjoy our diary of a yo-yo dieter series.

References

1. Forbes The top 3 reasons new years resolutions fail and how yours can succeed [cited 26/11/20] Available at: https://www.forbes.com/sites/kathycaprino/2019/12/21/the-top-3-reasons-new-years-resolutions-fail-and-how-yours-can-succeed/?sh=4fbb3b656992
2. NHS. Treatment : Obesity. [cited 26/11/20] Available at: https://www.nhs.uk/conditions/obesity/treatment/
3. Ladenheim, E. Liraglutide and obesity: a review of the data so far Drug Design, Development and Therapy. 2015. [cited 26/11/20] Available at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4386791/pdf/dddt-9-1867.pdf
4. Whitten, S et al Liraglutide (Saxenda) for Weight Loss STEPS New Drug Reviews. 2016. [cited 26/11/20] Available at: https://www.aafp.org/afp/2016/0715/afp20160715p161.pdf
5. Saxenda [cited 26/11/20] Available at: https://www.saxenda.com/home.html

We are still very much in the grip of the Covid-19 pandemic, with more restrictions coming into effect across the country to try to stem the spread of the virus.

Many of us are doing what we can to stay safe – reducing social contacts, wearing masks when shopping and working from home, if possible - but what else can we do to minimise our risk?

While most people who develop Covid-19 will be either asymptomatic (no symptoms) or have a mild form of the disease, some will go on to develop serious symptoms and will need hospital treatment.

While there remain many unknowns about coronavirus, we know there are myriad factors that affect an individual’s risk.(1) These include age, comorbidities (having other illnesses, such as heart disease, some cancers, and respiratory conditions), and being overweight or obese.

Although there is no evidence to suggest that being overweight or obese increases the risk of actually catching the virus, scientists know that having too much body fat increases the risk of developing a more severe type of Covid-19.(2)

In fact, a review of 75 international studies showed that obesity is a significant risk factor for illness and death due to Covid-19(3): compared to those who are a “normal” weight or even overweight, people who were obese were twice as likely to need hospital treatment.

Once in hospital, obese patients were 75% more likely to have to need intensive care treatment. They were also nearly 50% more likely to die from the virus.

When you consider that almost two-thirds of adults in England are classed as being overweight or obese(4) – when measured as Body Mass Index (BMI) over 25 – these are sobering statistics.

It’s important to understand that the risks vary from person to person and it doesn’t mean that if you are obese and test positive for Covid-19 that you will definitely develop a severe form of the illness. But you might decide that now is a good time to start thinking more about your health and your weight.

Why is obesity a significant risk factor?

Public Health England has estimated that if you have a BMI of 35 to 40, it could increase your risk of dying from Covid-19 by 40%. If you have a BMI over 40 that risk increases by 90%.(5)

When the body stores excess fat, it is stored in the liver and in the skeletal muscle, as well as in the lungs. It means that the additional fat can affect the respiratory system and the body’s immune response to fighting infection. Research(6) has shown that obesity could cause what’s called a “hyperactive immune system response” to Covid-19, which makes it far more difficult for the body to fight the virus.

This overactive immune response can lead to a cytokine storm. Cytokines are small proteins that stop viruses from reproducing, but if the body’s immune response goes into overdrive it releases too many of them. It’s not a complication unique to Covid-19, though; it’s common in other respiratory diseases, too.

Other health problems linked to obesity, such as type 2 diabetes, coronary heart disease and high blood pressure, can also lead to complications if you have Covid-19.

It is why the Government launched its campaign(7) in the summer to try to encourage us to manage our weight better.

We know it’s not always easy to lose weight – even when we know it’s the right thing to do. While we understand that it’s about eating less and moving more, there are other issues that could impact on our desire to lose a few pounds, including lifestyle and lack of motivation.

And how many of us have started to shed the pounds, only to put it back on (and sometimes more) when we’ve stopped paying attention to what we put in our mouths?

Helping you to lose weight

If you’ve tried to diet, or you have a medical condition, such as type 2 diabetes, polycystic ovarian syndrome (PCOS) or hypothyroidism,  or you’re on a medication that makes it difficult to lose weight, you may need medical intervention to help you lose weight.

Saxenda is the UK’s only licensed appetite suppressant and it is only available on private prescription.

How does it work?

The body produces glucagon-like-peptide (GLP-1) - a hormone that helps to regulate appetite - and Saxenda, which was originally developed as a therapy for diabetics and approved for use in Europe in 2009, works like GLP-1. It acts on brain receptors, which in turn helps to control your appetite, which can help you to reduce how much you eat.

Used in conjunction with a calorie-controlled diet and an exercise plan, Saxenda can help you lose weight and keep it off.

How do I take it?

Saxenda is a pre-filled pen containing 18mg of liraglutide in a 3ml of solution and you simply inject it just under the skin - usually upper arm, thigh, or stomach once a day. The dose gradually increases from just 0.6mg in the first week up to 3mg by week five; this enables your body to gradually get used to the treatment, helping to minimise any side effects that often occurs with weight-loss products.

You can read more about how Saxenda can help you to lose weight sensibly and how you can get an assessment from our doctors to see if it is right for you.

References

1. https://www.nhs.uk/conditions/coronavirus-covid-19/people-at-higher-risk/whos-at-higher-risk-from-coronavirus/
2. https://www.gov.uk/government/news/excess-weight-can-increase-risk-of-serious-illness-and-death-from-covid-19 (accessed October 27 2020)
3. https://www.health.harvard.edu/diseases-and-conditions/if-you-are-at-higher-risk
4. https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/907966/PHE_insight_Excess_weight_and_COVID-19__FINAL.pdf(page 6)
5. https://www.bmj.com/content/370/bmj.m2994?ijkey=d98bd364f7235c526a81ab8db02cf7b1485eb639&keytype2=tf_ipsecsha (accessed October 30 2020)
6. https://academic.oup.com/endo/article/161/11/bqaa154/5900580?searchresult=1 The Collision of Meta-Inflammation and SARS-CoV-2 Pandemic Infection. Endocrinology. September 2020. DOI:https://doi.org/10.1210/endocr/bqaa154
7. https://www.gov.uk/government/news/new-obesity-strategy-unveiled-as-country-urged-to-lose-weight-to-beat-coronavirus-covid-19-and-protect-the-nhs

Written by: Jayne Howarth, October 30th 2020.

Remember me? 

Let's recap a bit...

Like so many people I reacted to the Covid-19 pandemic badly (was there any other way?) by eating and drinking myself into a 21lb weight gain from March 2020. I've been a Coach for WW ( formerly Weight Watchers) so I know a bit about losing weight and keeping it off. I know my default reaction to any signs of stress is to reach for the good stuff like Sauvignon Blanc, gin cocktails and shed loads of calorie filled sugary rubbish but I thought I was over it.

WRONG. I reverted to type and did everything I had been advising myself and everyone else in my WW workshop against for the past umpteen years. Who can blame me, it's a global pandemic and poor me needs to find comfort...

I just could not get out of my self pity to get a grip and manage myself out of the vicious cycle I had created.

I switched on the TV and watched Joe Wicks for inspiration because exercise is the answer. It will help my mental health and will cure my eating addiction. It didn't work so I turned over to YouTube and found some lively dance class which nearly killed me. I even joined an online Gym ( you know where this one is going to go).

Nothing worked as well as I wanted it to so I needed to find the answer which was not in my toolbox. I found Saxenda (an appetite suppressant) which I ordered online and when it arrived I hoped that all my worries and ghastly eating habits were about to end.

I read the instructions carefully and stored the simple to use pens in the fridge which were to be used to inject a little dose of magic into myself everyday to cure me.

Buy Saxenda from Webmed from only £50 Find out more The first week was a breeze as I mastered the technique and gradually could feel my mighty appetite actually reducing! Am I thin yet I kept asking myself-nope not yet! so inject again and maybe tomorrow.

Week 2 saw my portion sizes reduce by half and I had little desire to snack in between meals so I was hopeful.

Ok so heading to week 3 and it was time to step on the scales..

I had lost weight! Hurrah at last my body was behaving and doing what I knew it was capable of all along. I just needed a little help to get me kick started, see some progress and then I would add in the healthy habits I know are needed to continue the journey.

So, while all along you knew that there is no miracle cure for weight loss, what we do need for success is to use all the tools we can get and Saxenda is exactly that! Alongside a healthy eating and exercise programme you can achieve your goals. 

I’m glad to report that I’ve lost 30lbs and feeling better than I’ve done for a long time 😊

Good luck on your journey and remember to be successful you need to use all of the tools available to you and Saxenda is the best tool in your toolbox!

xx

Does Saxenda reduce your appetite?

It's been a good start to the weight loss journey using Saxenda. Lost a couple of pounds and managed to reduce my appetite from gargantuan to semi reasonable at meal times.

There is just one little thing which is more of a challenge... I eat when I'm not hungry. All the usual things which will be familiar to some. Here's just a few:

• It's 11am & I need something with my coffee.
• I've had a really busy afternoon & I need something to make me feel better.
• I'm driving home & it will be ages until dinner.
• I was 'good' at dinner time so I can have something now.
• Can you add to my list?
  

Get the picture? This has to be a discussion with my brain to tell it food is not a therapy and I need to manage the emotions which cause me to turn to food for comfort. No appetite suppressant can do this for me but I can do it.

Does the jab help with cravings?

Here's the question my brain has to answer 'Are you really hungry or is it something else?'

I also have a cunning plan to help me to overcome the habits which led me to become overweight in the first place. One step at a time and all that. Replacements. These emotions don't go away overnight so in these moments of madness I need to have a replacement which does not amount to 500-1000 calories.

OK so emotional eating plan in place. Check.

How do I use the pen?

What about Saxenda I hear you ask. It's a doddle and really explicit directions in written form and in video format help enormously. A little daily jab in the soft tissue area and it's all done and you really don't feel a thing.

Buy Saxenda from Webmed from only £75 Find out more I didn't feel too much of a difference through this first week but as of yesterday I increased my dose as per the instructions and I can feel a change in my appetite for the better. Who knew I could eat a normal portion and leave a little?

Parting thoughts are that food really isn't a therapy and if you're having some challenging emotions you need to learn to deal with them and until you do- find some lower calorie replacements!

Until next week, take good care x

Some helpful links :-

1. NHS weight loss plan https://www.nhs.uk/live-well/healthy-weight/start-the-nhs-weight-loss-plan/

2. Saxenda food diary [Adobe PDF,  2MB]