Weight loss can involve using a medication approved by NICE in the United Kingdom. It is approved for weight loss if the following patient descriptors are present, also known as Eligibility criteria:
1. Patient has a Body Mass Index greater than or equal to 30 Kg/m².
or
2. Patient has a Body Mass Index greater than or equal to 27 kg/m²
AND either:
a) 'Prediabetes' or Type 2 Diabetes
b) High Blood Pressure
c) High Cholesterol
d) Obstructive Sleep Apnoea
GLP1a medication works in 4 ways: it makes you feel full for longer by slowing stomach emptying after eating, through feedback mechanisms it tells your brain that you are full (so no 'hangry' feelings), it suppress glucagon secretion (lowering glucose levels) and stimulates insulin secretion from the pancreas in a more physiological fashion in response to high glucose levels in the blood. GLP1a medications are a response to a failure in the body that occurs with Type 2 Diabetes.
The medication will make you not want to eat, but you must. This will be explained more in clinic - the best advice is to have small snacks regularly through the day and to eat smaller portions at meal times coupled with drinking plenty of water. This is all explained in the patient information pack and the "real world patient guide".
I can't stress this enough, I want you to eat 3 healthy meals a day and drink plenty of water (gauge by aiming for straw coloured urine). You can become dehydrated using weight loss medication and this can make you unwell e.g. marked headaches, risk kidney stones or worse.
Contraindications to prescription use of GLP1a type medication, if you have any of these then they aren't suitable for you, however my colleagues may very well be able to help you:
1. Heart Failure
2. 🔞<18 years old or >75 years old
3. Kidney Disease
4. Liver Disease
5. Pancreatic/Pancreas disease
6. Stomach/Gut Issues
7. Pregnant or Breastfeeding
8. Diabetic on either Insulin or Sulfonylureas (e.g. Gliclazide, Tolbutamide or Glimepiride)
9. History of eating disorder or normal
In clinic I will check to ensure this is a safe sensible route to follow for you.
Please reach us at feedback@batcastlequay.com if you cannot find an answer to your question.
Via my website. Clinics start at 12noon on Fridays with last booking at 5pm
£200. Thats it. Flat fee. No repeat prescription charges. During the consultation I will assess various elements of your health including weight, past medical history, mood scores and current medication. You will have hands on practice at self administration of medication as I need to be satisfied you can inject safely. No one else does this.
I will then review you to assess progress a few months later, costing £50.
Unlike any other provider of Weight loss management in Jersey, I am at my patient's call 7 days a week. Simply use the Contact Us or WhatsApp function on the website.
Every pharmacy on Jersey charges different amounts.
Prices for prescription only medications cannot be advertised directly to the public.
What you find is that you reduce your food and alcohol intake. So the cost of the pen is covered in reduction of food/alcohol intake, effectively paying for itself
A month
You do not bring the full boxes to the clinic for disposal. There is a designated yellow bin at the Enid Quenault Centre at Quennevais (former Quennevais School site now new outpatients department) or to the Jersey General Hospital Outpatient department where there is a designated yellow bin.
I do not charge repeat fees. This is covered in your initial consultation fee, unlike other individuals/organisations. I can only prescribe for patients that I have 'onboarded' for a particular medication I need to ensure you are suitable for that prescription including BMI.
Via the website. On the Booking & Repeat Prescription Page. You must include all key data. You must already be a client of B@CastleQuay Weight Loss clinic
It is ultrafine and used by diabetics everyday. Best place to start is the thigh skin whilst sat down and slap the skin prior to 'distract' you - eventually everyone injects the abdominal wall without thinking too much about it. Avoid areas on the tummy where your elastic/clothing waistline contacts the skin.
It does nip initially but you get used to it very quickly.
As you increase the dose, you increase the volume injected and therefore its less pleasant. That being said, you get used to the discomfort rapidly and stop thinking about it.
You can choose to track your weight but only if you feel mentally strong enough and don't obsess.
Everyone loses weight in different ways and there is no hard and fast rule. I do not want you to lose weight rapidly as that can cause health risks e.g. a lot of overweight people have non-alcoholic fatty liver disease (NAFLD) and rapid weight loss can then affect the liver.
This is a 2 year plan. Not a 6 week plan.
As you lose weight you will want to exercise and try other lifestyle choices - thats where Philip Blake, Laura Foster and Vic Kelly can help you (see Working With Others page)
Both are names for Semaglutide which is a longer acting GLPa medication that you take weekly. The 'famous' version of this is Ozempic but does not have a license in the UK/GB for weight loss and only goes up to 1mg and is reserved for Diabetics only. Weygovy is the licensed preparation in the UK/GB for Semaglutide for weight loss.
This is a new product from Eli-Lilly and has only just been licensed in Jersey for weight loss. Until September 2024 it was only for diabetics due to a nuance in the MHRA rules. I am now prescribing this medication also.
We use cookies to analyze website traffic and optimize your website experience. By accepting our use of cookies, your data will be aggregated with all other user data.
I'm having surgery Monday 18th November, possibly back 13th December.