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“Have you ever thought about going on ‘the pen’?” My friend texts me.

I’m in bed, doomscrolling and my social media feed is full of hot takes about Ozempic. Insanely beautiful and glossy people are telling me why I should or shouldn’t take weight loss drugs.

Warning: This article contains details of body image and weight loss that some people might find distressing

Normally in January, everyone is talking about who’s going sober or trying (and failing) the latest viral health challenge.

But this year the hot topic is “who’s going on the pen?” – the weekly injection that is now widely used for weight loss.

There’s no denying that 2024 was a breakthrough year for weight loss drugs. Boris Johnson and Elon Musk are just a few of the celebrities who have announced they have taken it.

Elon Musk
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Elon Musk says he has taken weight loss drugs

Robbie Williams even made headlines joking he’d lost his “arse” due to Ozempic. “Now it just looks like the place where you put a credit card,” he quipped.

It’s not just celebrities and TikTok creators jumping on the weight loss drug hype. According to Simple Online Pharmacy, more than 500,000 people in the UK are now taking one of the few weight loss drugs, with experts predicting a nationwide fall in obesity rates as a result.

Even friends who didn’t seem like they would meet the medical criteria for the drugs were tempted. And I can’t lie, so was I. What happened to body positivity, I wondered, as I typed ‘How to buy weight loss drugs’ into my phone.

‘Ozempic changed my life’

Marketed as Ozempic, Wegovy or Saxenda, these drugs are administered via a weekly injection that mimics GLP-1 – a hormone that helps regulate hunger and slow digestion. It is only available with a prescription and online pharmacies have certain checks to ensure you meet the criteria.

Depending on your weight, some weight loss drugs can be approved for use alongside exercise and diet to manage weight loss – if your Body Mass Index is 30, or you have a BMI of 27 and above but have pre-existing medical conditions.

For people who medically qualify for this drug, it can be life-changing. Helping with weight loss and reducing the risk of heart attacks, strokes, and heart failure. The UK government is even proposing to use weight loss drugs to help tackle obesity and get people back to work.

Meranda
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Meranda said the medication changed her life

Meranda, a law firm administrator, lives in New York. After seeing celebrities using Ozempic, she went to her doctor and asked for the drug. Now, she has lost over eight stone and counting.

She was always an “active fat person”, she explained, but “never considered weight loss before”. “Ozempic totally changed my life,” she said, her smile radiating through the video chat.

But what happens when a drug that can be transformative for the people who need it, ends up in the hands of someone that doesn’t?

‘I started going in and out of fainting’

A simple internet search revealed a raft of online pharmacies advertising the drugs, including Superdrug and Simple Online Pharmacy.

I filled in some personal details and my health history. Then it asked for some pictures to verify my weight. I didn’t meet the BMI criteria, so I increased my weight on the form. Then I uploaded my pictures and pressed submit.

A couple of days later, I was approved by both online pharmacies.

I was genuinely surprised. It seemed pretty quick, considering I only submitted my application a couple of days ago.

If I could get my hands on it that easily, I wondered how many other people were taking it under the radar without the right supervision.

If you take the drug without being prescribed it, the side effects can be brutal.

Dr Vicky Price
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Dr Vicky Price is seeing the effects of the drugs in A&E

Consultant Vicky Price has seen it first-hand.

A consultant in Liverpool A&E, she has dealt with patients who’ve got the drug from online pharmacies after “not being truthful about their weight because they’re so desperate”.

At first, Dr Price said these cases were rare but then as the year progressed, numbers started rising, until it felt like she was seeing someone in that position almost every shift.

The symptoms they exhibited ranged from vomiting and diarrhoea to feeling lethargic and being dehydrated. Some even appear to have gone into a “starvation process”.

Many were put on IV fluids for days.

What did all of them have in common? Dr Price said none of them were obese.

Laura* knows what it’s like to have an adverse reaction to weight loss drugs.

Getting weight loss drugs online is easier than it should be
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Getting weight loss drugs online is easier than it should be

After hearing about celebrities and friends using them with success, she decided to try it. At first, she experienced no side effects but then one night at work on a night shift, she started to feel “dizzy, clammy and shaky”.

After trying to eat something she started “vomiting and going in and out of fainting”. She ended up in A&E, on a drip and felt “terrified”.

Changing the rules

I spoke to Superdrug and Simple Online Pharmacy and asked them why I was able to lie about my weight and be approved for Wegovy.

Superdrug said: “The safety and well-being of patients remain our top priority… all medical consultations between a patient and healthcare professionals relies on the integrity and honesty of patients.”

Prescribing protocols are “regularly reviewed and new measures are implemented where required to continue to strengthen the integrity of these services”, the firm added.

Since my prescription was approved Superdrug has introduced “enhanced assessments” and will require new patients to submit three date-verified photographs.

Simple Online Pharmacy said: “We take clinical care very seriously and have numerous checks and protocols in place for prescribing.”

The pharmacy is carrying out a full review into my case and says it “constantly” seeks to enhance its ability to “identify falsified patient information”.

After taking these findings to the pharmacy regulator, the General Pharmaceutical Council (GPhC), it confirmed it is following up with the pharmacies involved.

The GPhC publishes guidance “specifically for the safe and effective provision of pharmacy services at a distance which we expect online pharmacies to follow”.

“We are issuing an updated version of our guidance shortly, which will set out additional safeguards around medicines used for weight management,” it added.

Novo Nordisk, the company behind Ozempic, Wegovy and Saxenda, made it clear it does not “promote, suggest or encourage the use of any of our medications outside of their approved labels”.

It can be so overwhelming, for anyone, but particularly young women, growing up in the age of Ozempic and TikTok. But there is so much more to life than what you weigh.

“The number on the scale is not going to change how you feel on the inside,” Meranda said as we wrapped up our chat.

Dr Price echoed her view and added that, if abused, weight-loss drugs can create more problems than they solve.

“There is a lot of social pressure to look a certain way but your health is worth so much more,” she said.

If you’re struggling, someone you love is struggling or just needs some support, the NHS recommends Beat, a charity focused on eating disorders. which has many resources that can help.

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UK to push peace plan at UN summit after recognising Palestinian state – but Netanyahu says Palestine ‘will not happen’

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UK to push peace plan at UN summit after recognising Palestinian state - but Netanyahu says Palestine 'will not happen'

The UK is set to push for a peace plan for the Middle East at the UN General Assembly after recognising the state of Palestine.

Foreign Secretary Yvette Cooper is expected to use the summit to address civilian suffering in war-torn Gaza and aim to strengthen “the international consensus on our pathway for peace in the Middle East”.

She will hold bilateral meetings to advance elements of the peace plan, including security measures to ensure Hamas has no role in the future governance of Gaza, according to the Foreign Office.

Prime Minister Sir Keir Starmer, who won’t attend the summit, announced on Sunday that the UK recognises Palestine as an independent state, to “revive the hope of peace for the Palestinians and Israelis, and a two-state solution”.

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‘Ordinary people deserve to live in peace’

It is a significant moment in the history of Britain’s involvement in the region, and comes as the number of people killed during the Gaza conflict continues to rise and conditions for the people trapped become even more desperate.

Australia, Canada and Portugal made similar announcements, with France expected to follow suit at the UN on Monday.

The move was met with fierce backlash by Israel, with Prime Minister Benjamin Netanyahu saying it was “absurd” and a “huge reward to terrorism”. He also vowed that a Palestinian state “will not happen”.

More on War In Gaza

Read more: What recognising a Palestinian state actually means

Flags of Palestine and Israel are projected onto the Eiffel Tower. Pic: AP/Christophe Ena
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Flags of Palestine and Israel are projected onto the Eiffel Tower. Pic: AP/Christophe Ena

Separately, an Israeli official said the “full or partial annexation of the West Bank” is now “an option under consideration in response” to the move.

US President Donald Trump also addressed the coordinated recognition of the state of Palestine by the UK, Australia, Canada and Portugal, saying “I’m not in that camp” because recognising a Palestinian state was “rewarding Hamas”.

The families of hostages held in Gaza called it a “betrayal of humanity and a move that rewards Hamas while 48 hostages remain in captivity”.

A tent camp for displaced Palestinians stretches along the Muwasi, in southern Gaza. Pic: AP/Jehad Alshrafi
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A tent camp for displaced Palestinians stretches along the Muwasi, in southern Gaza. Pic: AP/Jehad Alshrafi

Palestinian President Mahmoud Abbas said the recognition of the state of Palestine would allow it to “live side by side with the State of Israel in security, peace, and good neighbourliness”.

Senior Hamas official Mahmoud Mardawi reportedly celebrated the move as a victory for “the justice of our cause”.

But Sir Keir was clear to emphasise that recognition of Palestine was “not a reward for Hamas”, saying the terror group “can have no future, no role in government, no role in security” in a future state and confirming plans to ratchet up sanctions on Hamas “in the coming weeks”.

“Our call for a genuine two-state solution is the exact opposite of their hateful vision,” he added.

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Gazans react after Starmer recognises Palestinian statehood

The prime minister also repeated his criticism of Israel, which for nearly two years has waged war on the densely populated Gaza Strip.

“The Israeli government’s relentless and increasing bombardment of Gaza, the offensive of recent weeks, the starvation and devastation are utterly intolerable,” he said.

Read more from Sky News:
Why Palestine move matters in the Middle East
Palestinian minister hails ‘courageous step’
Gaza City doctors say hospital at breaking point

Destroyed buildings in Gaza, as seen from Israeli side of the border. Pic: Reuters
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Destroyed buildings in Gaza, as seen from Israeli side of the border. Pic: Reuters

The number of people killed in Gaza since the IDF launched its offensive following the 7 October attacks has now risen above 65,000, according to Hamas-run health authorities.

“This death and destruction horrifies all of us. It must end,” Sir Keir said.

An updated map of Israel and Palestine on the Foreign, Commonwealth & Development Office website
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An updated map of Israel and Palestine on the Foreign, Commonwealth & Development Office website

In recognising Palestine as a state, the UK does so based on 1967 borders to be finalised as part of future negotiations. It would be led by a “reformed Palestinian Authority”.

The UK also acknowledges “all legal rights and obligations of statehood” for Palestine.

An updated map on the UK’s Foreign, Commonwealth & Development Office website now has the West Bank and Gaza labelled as ‘Palestine’ rather than the ‘Occupied Palestinian Territories’. This change has been rolled out across the website.

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UK officially recognises Palestine as a state

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UK officially recognises Palestine as a state

Sir Keir Starmer has announced the UK has officially recognised Palestine as a state.

“Today, to revive the hope of peace for the Palestinians and Israelis, and a two state solution, the United Kingdom formally recognises the State of Palestine,” the prime minister said on X, alongside a longer video statement.

“In the face of the growing horror in the Middle East, we are acting to keep alive the possibility of peace and a two-state solution.

“That means a safe and secure Israel alongside a viable Palestinian state. At the moment, we have neither.”

Follow latest: Palestine recognised as a state by three countries

Canada and Australia also officially recognised Palestinian statehood on Sunday, ahead of a conference of the UN General Assembly in New York this week.

It is a significant moment in the history of Britain’s involvement in the region, and comes as the death toll from the Israeli war on Gaza continues to rise and conditions for the people trapped become even more desperate.

An updated map of the region the Foreign, Commonwealth & Development Office website
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An updated map of the region the Foreign, Commonwealth & Development Office website

Sir Keir said in July that the government would recognise Palestine unless Israel met certain conditions, including agreeing to a ceasefire and allowing the UN to restart the supply of aid.

In recognising Palestine as a state, the UK does so based on 1967 borders to be finalised as part of future negotiations. It would be led by a “reformed Palestinian Authority”.

The UK also acknowledges “all legal rights and obligations of statehood” for Palestine.

An updated map on the UK’s Foreign, Commonwealth & Development Office website now has the West Bank and Gaza labelled as ‘Palestine’ rather than the ‘Occupied Palestinian Territories’. This change has been rolled out across the website.

Protesters in Tel Aviv calling for the release of hostages. Pic: AP
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Protesters in Tel Aviv calling for the release of hostages. Pic: AP

Sir Keir calls on Hamas to release the hostages

The prime minister repeated his calls for the the Israeli hostages – held in captivity since the brutal attacks on Israel on 7 October, 2023 – to be released by Hamas.

“I have met British families of the hostages. I see the torture that they endure each and every day. Pain that strikes deep in people’s hearts across Israel and here in the United Kingdom.

“The hostages must be released immediately and we will keep fighting to bring them home.”

Sir Keir was also clear to emphasise that recognition of Palestine was “not a reward for Hamas”, saying that the terror group “can have no future, no role in government, no role in security” in a future state.

“I have directed work to sanction other Hamas figures in the coming weeks,” he added.

Read more:
Gaza City doctors say hospital at breaking point
Why Starmer’s move to recognise Palestine is a major shift

Huge amounts of Gaza have been razed to the ground. Pic: Reuters
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Huge amounts of Gaza have been razed to the ground. Pic: Reuters


Starmer calls on Israel to end Gaza offensives

Sir Keir also repeated his criticism of Israel, which for nearly two years has waged a brutal war on the densely-populated Gaza Strip.

“The Israeli government’s relentless and increasing bombardment of Gaza, the offensive of recent weeks, the starvation and devastation are utterly intolerable.”

The death toll in Gaza since the IDF launched its offensive following the 7 October attacks has now risen above 65,000 people, according to Hamas-run health authorities.

“This death and destruction horrifies all of us. It must end,” he said.

A pro-Palestinian march in London earlier this year. Pic: PA
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A pro-Palestinian march in London earlier this year. Pic: PA

British people ‘desperately want to see’ peace

Sir Keir also said: “Ordinary people, Israeli and Palestinian, deserve to live in peace. To try to rebuild their lives free from violence and suffering.

“That’s what the British people desperately want to see.”

But he warned that the possibility of a Palestinian state was in danger of vanishing forever.

“With the actions of Hamas, the Israeli government escalating the conflict, and settlement building being accelerated in the West Bank, the hope of a two-state solution is fading, but we cannot let that light go out.

“That is why we are building consensus with leaders in the region and beyond, around our framework for peace.”

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What changed in UK’s Gaza policy?

Sir Keir said this is a “practical plan” to bring people together behind a “common vision” that moves from a ceasefire in Gaza to negotiations on a two-state solution.

“We will keep driving this forward,” he pledged.

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What will the UK’s recognition of Palestine achieve?

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What will the UK's recognition of Palestine achieve?

Today, Sir Keir Starmer will deliver on his pledge to recognise a Palestinian state – after setting out a series of conditions in July which there was little prospect Israel could meet, including agreeing a ceasefire with Hamas. 

The prime minister will say it recognises the “inalienable right” of the Palestinian people and what he feels is a moral responsibility to keep a two-state solution alive, amid the devastation of the war and concern about settlement expansion in the West Bank.

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This will be formally put forward by the British government at a conference of the UN General Assembly in New York this week, after a diplomatic push led by Emmanuel Macron. Canada and Australia are also expected to recognise it, although may call for Hamas to disarm.

But Labour has always said it’s a move they would make as part of a peace process, which looks further away than ever.

What does it mean?

The move has been heavily criticised and leaves a number of questions not only about what it will achieve – but about whether it will have the opposite effect on the conflict.

David Lammy as foreign secretary conceded when the pledge was announced that “it will not change the position on the ground” which can only come through negotiations.

After all, 147 of the 193 member states of the United Nations recognise it already. Palestine has permanent observer status at the UN – speaking rights, but not voting rights – where it’s represented by the Palestinian Authority. Any move to full status would have to be agreed by the Security Council where the US has a veto.

Sir Keir has made clear he doesn’t accept Hamas – which he calls a “brutal terrorist organisation” – as a government in Gaza. The borders of such a state, wrangled over for decades during multiple rounds of negotiations between Israel and the Palestinians, are also not agreed.

Read more about what the decision means

Criticism

Recognition is opposed by the Trump administration, as the US president made clear in London last week. US secretary of state Marco Rubio has said it would “embolden Hamas” and be symbolic only.

In Britain there is cynicism too. Kemi Badenoch, the Conservative leader, has accused the prime minister of a “desperate and insincere attempt to placate his backbenchers”. He heads to the party’s conference in Liverpool next week with a further slump in his approval ratings to -42%, around where Rishi Sunak’s was after his D-Day blunder.

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Could recognition of Palestine change the West Bank?

Over a third of Labour MPs wrote to Sir Keir before his pledge in July, calling for recognition of a Palestinian state. It is not clear this symbolic move will placate them, with some already calling for tougher measures including on arms sales to Israel – especially after a UN Commission of Inquiry claimed Israel had committed genocide.

Other Labour MPs oppose the recognition move. The Labour Friends of Israel group has said: “It is important to recognise that Israel is not the only party to this conflict… Hamas could end this conflict tomorrow by releasing the hostages and laying down its arms.”

The move is also opposed by the families of the hostages in Gaza, of which 20 are believed to be alive – for not imposing their release as a condition on Hamas.

Ilay David, the brother of Evyatar David, who recently appeared emaciated in a Hamas video, said: “We want to meet with Starmer but he refuses to meet with us… Giving this recognition is like saying to Hamas: ‘It is OK you can keep starving the hostages, you can keep using them as human shields’. This kind of recognition gives Hamas power to be stubborn in negotiations. That is the last thing we need right now.”

Sir Ephraim Mirvis, the UK’s Chief Rabbi has said the “unconditional” recognition of the state “is not contingent upon a functioning or democratic Palestinian government, nor even upon the most basic commitment to a peaceful future”.

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Sir Keir Starmer welcomed Mahmoud Abbas, president of the Palestinian Authority, to 10 Downing Street earlier this month
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Sir Keir Starmer welcomed Mahmoud Abbas, president of the Palestinian Authority, to 10 Downing Street earlier this month

What happens next?

Sir Keir met 89-year-old Mahmoud Abbas, the president of the Palestinian Authority, in London this month and they agreed Hamas should not be involved in the governance of Gaza.

Efforts to set up a transitional government have been discussed between the US and Gulf states. But Mike Huckabee, the US ambassador to Israel, said last week there was nothing “ready for signature”.

The UK government is expected to announce further sanctions on Hamas figures this week. But the Israeli government has already responded with fury to the prospect of recognition and it’s reported that retaliation could include further annexations in the West Bank.

The UK government sees this as an important diplomatic move with allies, when nothing else is moving the dial. But it can only be made once, and even supporters in government acknowledge that on the ground in Gaza it won’t immediately change very much.

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