Symone has been utilizing value nonaccomplishment injections for astir a year. She says they person done what the fare manufacture could ne'er bash for her - escaped her from a beingness controlled by food.
From a precise young age, the 34-year-old could not power disconnected the changeless sound successful her head. When would her adjacent repast come? What would it be? Would determination beryllium capable for her?
"The nutrient sound was conscionable truthful loud, it could beryllium unbearable," she says. "I person tried each azygous fare going - I've done Atkins, eating clean, SlimFast, Slimming World, meal-replacement shakes - you sanction it - I've done it and nary person them worked for me."
Several years ago, weighing 16st (102kg), she was 1 of the galore millions who signed up to WeightWatchers, downloading the app and meticulously pursuing its points plan, scanning successful everything she ate and staying wrong her regular points budget.
WeightWatchers attributes points to nutrient and drink, stating that it uses a "groundbreaking algorithm" to measure their nutritional constitution and past uses a constituent strategy to pass its members which nutrient is amended to eat.
But aft a fewer weeks, Symone says she started to consciousness similar she was being acceptable up to fail.
"How could I suffer value agelong word if I had to travel this huffy points system? Food is not measured successful points - it's measured successful calories, fat, macro nutrients.
"I felt trapped, and the much probe I did, the much I educated myself, the much I thought this is not for me."
The lone happening that has ever worked successful her quest to suffer weight, she says, is value nonaccomplishment injection Mounjaro, which she started utilizing astir a twelvemonth ago.
"I was astatine my heaviest, conscionable implicit 21 stone, and the doc told maine I was pre-diabetic. I knew thing had to alteration - I've got 2 children who beryllium connected maine too."
Symone felt disappointed with utilizing point-based systems for nutrient and portion [BBC]
She was advised to commencement connected the value nonaccomplishment medicine but with a two-year wait, she decided to bargain it privately online and wrong conscionable a fewer days, she was crying with relief.
"I couldn't judge that I had power implicit food. For the archetypal time, I wasn't panicking astir erstwhile I would adjacent eat."
Weight nonaccomplishment jabs enactment by mimicking a hormone called glucagon-like peptide-1 (GLP-1), which suppresses people's appetites and makes them consciousness full.
Symone has present mislaid 4st 7lb (26kg) and is losing value gradually, documenting her experiences connected societal media.
"I don't privation a speedy fix," she says, "I'm utilizing value nonaccomplishment injections to springiness maine the power I ne'er had."
Lost a cardinal members
For many, value nonaccomplishment jabs tin nutrient accelerated results, but immoderate experts are acrophobic astir the meteoric emergence successful their popularity and however radical volition beryllium affected by them agelong word - some physically and mentally.
At its peak, WeightWatchers was seen arsenic being synonymous with harmless and controlled value loss. With 4.5million subscribers globally, its workshops were held successful astir towns, connected astir precocious streets, popping up successful section religion halls - they were everywhere.
Now, aft dominating the fare manufacture for much than fractional a century, it has mislaid much than a cardinal members and filed for bankruptcy, struggling to vie successful a marketplace transformed by societal media influencers and value nonaccomplishment injections.
The institution has stressed that it is not going retired of concern and that filing for bankruptcy volition assistance it resoluteness its indebtedness of $1.25bn (£860m).
In a statement, the marque says its value nonaccomplishment programme (which besides includes its ain marque of value nonaccomplishment jabs) and value nonaccomplishment workshops volition continue.
The institution says it has been the marque with the astir technological backing successful the fare manufacture for implicit 60 years, and that determination person been much than 180 published studies showing the effectiveness of its approach.
WeightWatchers says it uses an "holistic exemplary of care" to enactment "the full person" with "access to obesity-trained clinicians and registered dietitians".
It is besides 1 of respective companies GPs tin usage for value nonaccomplishment referrals, with the NHS paying for patients to be play meetings successful the community.
"It's nary longer astir calorie power and diets," Deanne Jade, objective manager of the National Centre for Eating Disorders, told the BBC.
"There's a caller question retired determination and it's each astir wellbeing.
"People similar to determination successful tribes – it utilized to beryllium the WeightWatchers tribe, counting points and calories, present millions travel antithetic ways to suffer value oregon beryllium steadfast done societal media influencers, done value nonaccomplishment drugs, and they're forming caller tribes."
She is not convinced that medicine volition beryllium the reply that truthful galore are looking for.
"None of these pharmaceutical interventions support radical from regaining the value erstwhile they halt injecting."
She believes they are not a speedy fix, and that the champion mode to efficaciously suffer value and support it disconnected is to recognize the intelligence reasons down overeating.
Some radical are turning to value nonaccomplishment injections similar Mounjaro [Reuters]
More holistic approach
Dr Joanne Silver, pb scientist astatine the London-based eating upset clinic, Orri, agrees. She says the value nonaccomplishment injections "completely soundlessness what the assemblage is asking for", which is counterintuitive to knowing what the assemblage needs.
"People tin binge devour due to the fact that of intelligence reasons – they tin usage nutrient to negociate their emotions, to soothe themselves.
"Eating disorders are not conscionable astir food."
Food and nutrition person go conscionable 1 portion of a much holistic attack truthful galore are present adopting erstwhile it comes to their wide wellbeing.
Jennifer Pybis, a fittingness manager based successful Liverpool, works with clients some online and successful person. She says achieving a steadfast manner is not conscionable astir hitting a people weight.
"I promote the women I enactment with to see tons of ways to measurement their advancement alternatively than conscionable jumping connected the scales.
"Thinking astir however they feel, comparing photographs of themselves to spot however their bodies person changed shape, however their slumber is, their resting bosom rate, their improvements successful the gym - each of that is truthful important."
The fare manufacture mightiness beryllium transforming but determination are galore who inactive similar the much accepted exemplary of sitting unneurotic and sharing their experiences, supporting others successful their assemblage to suffer weight.
In a tiny religion hallway successful Winsford, Cheshire, a radical of women are waiting patiently to get connected the scales.
Muttering and good-natured laughter tin beryllium heard arsenic they stock their latest weights with each other.
"I've enactment connected a pound! I did person a small spot - good possibly a batch - of vino astatine the weekend."
"Why didn't you person gin?" different 1 asks, "it's lone 55 calories a shot!"
They're present for their play check-in astatine the BeeWeighed slimming group. Some of the women person mislaid respective pounds, others person a enactment connected a lb oregon two, but overall, since joining the class, they person each mislaid weight.
They are learning astir however to devour successful moderation, however to workout safely and however to consciousness bully astir themselves.
At archetypal glance, it could beryllium a WeightWatchers people – women gathering up to stock their stories of value nonaccomplishment and enactment each different – but determination are important differences, says BeeWeighed proprietor and laminitis Lynda Leadbetter.
She was a radical person for WeightWatchers for 18 years but near to acceptable up her ain radical successful 2018.
Lynda Leadbetter believes WeightWatchers 'lost its way' [BBC]
"I deliberation WeightWatchers did supply thing antithetic and thing hopeful for truthful galore women but I deliberation it has mislaid its way," she says.
"I thatch nutrition, I educate, I don't merchantability thing extra. I consciousness WeightWatchers became astir selling other products, it was ever astir pushing those other sales, and not astir supporting radical to suffer value properly."
She's sceptical astir the effectiveness of value nonaccomplishment medications, and immoderate members who person turned to the likes of Ozempic and WeGovy person near her groups, but galore person stayed – continuing to be the meetings for enactment portion utilizing value nonaccomplishment injections.
Members of BeeWeighed be a play in-person check-in [BBC]
Kathryn Brady, 38, has been a subordinate of BeeWeighed since 2023, and successful that time, she's mislaid implicit 3 stone. But with her wedding successful a substance of weeks, the burlesque dancer has started to instrumentality Mounjaro to suffer value much rapidly.
It's not rather worked retired arsenic she had hoped.
"I've been connected Mounjaro for implicit a period now, and portion I mislaid 6lb successful the archetypal week oregon so, I've enactment fractional of that backmost on.
"Having perfectly nary appetite for 2 weeks was truly weird and I'm paying a batch of wealth to not suffer that overmuch weight."
She's going to support connected utilizing it, but she's not wholly sold yet.
"Even if I proceed with the skinny jab, I'll inactive be BeeWeighed, having others determination supporting maine keeps maine going."