okay I'm gonna bend that leg even more
好的，我要进一步弯曲那条腿，
there have both hands on the hips lovely
双手放在臀部，很可爱，是
that yes perfect
的，完美，
lovely chin up a little bit
可爱，稍微抬起下巴，
keep the back straight
保持背部挺直，
hold the stomach in
收紧腹部，
looking good seems to be everything
看起来不错，
these days
这些天
for many to look good you need to be
对很多人来说，看起来不错似乎是一切，你需要 要想变
slim
苗条
and that can mean dieting calorie
，这可能意味着要节食、
counting and even fasting but the
计算卡路里，甚至禁食，但
question is how far would you go to make
问题是，为了让
yourself look thinner would you go as
自己看起来更瘦，你会走多远？你会走这么
far as this
远吗？
[Music]
[音乐]
Now GPS in England may start offering
现在，英国的 GPS 可能会开始
weight loss injections to some patients
为一些患者提供减肥注射剂
to Target obesity the injections should
为了针对肥胖症，注射应该
be a game changer
会改变现状，
there's a new weapon in the battle
against the Bulge
对抗肥胖症的战斗中出现了一种新武器，
a new generation of weight loss drugs
新一代减肥药
that can make you lose weight quickly
可以让你快速减肥，
and apparently with minimal effort
而且显然不需要付出太多努力，
these Wonder drugs have joined the front
这些神奇药物已经加入了
line in the fight against obesity
战斗的前线 对抗肥胖
and in Hollywood stars have been using
，好莱坞明星们一直用
it to get red carpet ready
它来准备走红毯，
now this potential miracle cure has
现在这种潜在的神奇疗法已经
husk and it's causing quite a stir
失效，引起了不小的轰动。
I've been presenting shows writing books
and talking about weight loss for years
多年来，我一直在主持节目、写书、谈论减肥，
but tell you what I have never seen
但告诉你什么 我从来没有见过
anything like the buzz around this drug
这种药物受到如此热捧
and if I'm perfectly honest full
，如果我完全诚实地
disclosure a little bit tempted to take
坦白的话 有点想
it myself so my blood sugars are high
自己服用，所以我的血糖很高，
I've got diabetes in the family and I'm
我家里有糖尿病患者，
now menopausal and as my hormones have
现在我正处于更年期，随着我的荷尔蒙
crashed my weight has definitely crept
崩溃，我的体重肯定也
up
上升了
it feels like these drugs have been at
，感觉这些药物已经到了
the top of the news agenda for months
顶峰 几个月来，
with everyone from scientists to social
从科学家到社交
media influencers singing their praises
媒体影响者，每个人都在新闻议程上大肆赞扬它，
so I definitely want to know what all
所以我肯定想知道屏幕上的所有
the fuss is about
喧嚣到底是什么，
on screen
so this is how sender now lots of people
所以这就是发送者现在很多人都
are asking about what it is what it does
在问它是什么，它到底有什么作用
by truly being insult tender I believe
我很温柔地相信
in what it can do for me and I know I
它能为我做什么，我知道我
can do it inject it
可以注射它，
so it will be really interesting to see
所以看看
um how this actually works for me I've
这对我有什么作用会很有趣，我又
lost another four pound I'm so happy and
减掉了四磅，我很高兴，
I'm officially two pounds point two down
我 我正式减了两磅零二磅
I'm trapped with that I'm one stone two
我被困住了我减了一英石两
pound down I'm gonna go for front of
磅我要去减
waist I won't show you don't worry ugh
腰部前面我不会给你看别担心呃
here we go but where did these drugs
我们去但是这些药物在哪里
come from and why do we need them
来自哪里，为什么我们需要它们
in the UK obesity is a bigger killer
在英国肥胖是比吸烟更大的杀手
than smoking and almost two-thirds of us
，几乎 我们当中有三分之二的人
are classed as overweight or obese all
被归类为超重或肥胖，所有
of this costs the NHS six and a half
这些每年要花费 NHS 65
billion pounds per year and that's only
亿英镑，而且这个数字只会继续
set to rise
上升，
so if these drugs are a silver bullet
所以如果这些药物是
for weight loss they could save money
减肥的灵丹妙药，那么它们可以节省金钱
and lives there is a lot of hype and
和生命
excitement in the scientific Community
科学界
around these drugs because we've had so
对这些药物大肆宣传和兴奋，因为
few Tools in our Arsenal to treat people
我们的武器库中用于治疗
who suffer from obesity or who are
肥胖或
overweight up until now these drugs were
超重患者的工具非常少，到目前为止，这些药物
initially designed to treat type 2
最初是为治疗 2 型
diabetes as the diabetic patients use
糖尿病而设计的 糖尿病患者使用
this product it was noted that a lot of
该产品时，我注意到很多
them started to lose weight in my time
患者开始减肥，在我
as a private GP
担任私人全科医生期间，
this rates as one of the top five drugs
该产品被评为
that have really had an impact certainly
真正产生影响的五大药物之一，当然，
when Viagra came out many years ago that
当伟哥多年前问世时，它就
grabbed the headlines it's on par with
抓住了 标题与
that in terms of revolutionizing the
此相当，就彻底改变
treatment of a condition
疾病的治疗方法而言，
then and
it's complicated but in the UK there are
这很复杂，但在英国，有
two of these drugs that are prescribed
两种药物可用于
on and off label for weight loss the
减肥，
first is Lira glutide branded saxender
第一种是 Lira glutide 品牌 saxender，
the other is semiglutide found in a
另一种是 semiglutide 在 zenpic 中发现的
zenpic
semiglutide is also the active
西米鲁肽也是 9 月在英国
ingredient in wegov which was launched
推出的 wegov 中的活性成分
in the UK in September
all of these Jabs work by mimicking a
所有这些疫苗都通过模仿一种
hormone called glp-1 I've come to
名为 glp-1 的激素起作用我来
Cambridge to see geneticist Professor
剑桥拜访遗传学家
Giles yo who can explain exactly what
Giles 教授，他可以准确解释
that means
这意味着什么
let me just show you if you don't mind
让我给你展示一下 你不介意
holding the liver the liver okay I think
拿着肝脏，肝脏，好的，我认为
you need the stomach as well I
你也需要胃，我
definitely need the stomach so you eat
肯定需要胃，这样你吃的
food goes into your small intestine yeah
食物就会进入你的小肠，是的，
and then hormones including glp-1 yes
然后激素包括glp-1，是的，
are then released okay now then two
就会被释放，好的，现在有两
things happen Okay the first is that
件事 好的，首先，
glp-1 signals goes to the pancreas to
glp-1 信号会传到胰腺，以
enhance insulin secretion so it keeps
增强胰岛素分泌，从而保持
our blood sugar levels stable glp-1's
我们的血糖水平稳定。glp-1 的
other role is to signal to the brain to
另一个作用是向大脑发出信号，
let you know how much you've eaten and
让你知道你吃了多少，
what you've eaten okay it makes you feel
吃了什么 吃饱了，它会让你感觉
Fuller and so they they signal to the
更饱，所以它们会向大脑发出信号，
brain they go up to the brain okay and
它们会传到大脑，
say okay you've had enough to eat I now
说好的，你已经吃饱了，我现在
feel full so it actually stops you stops
感觉饱了，所以它实际上会阻止
you eating a problem with glp-1 is that
你进食，这是 glp 的问题 -1 是
when it gets released into the blood it
当它被释放到血液中时，它
gets chopped up very quickly minutes
会很快被切碎，几分钟后
this gets it gets destroyed yeah okay
它就会被破坏，是的 好的，
the drug companies have modified the
制药公司已经修改了
hormones so that they stain their blood
激素，这样它们就可以在血液中停留更
for longer okay so signal into the brain
长时间，所以向大脑发出信号，
that I'm full that's right right that's
说我吃饱了，对，对，这就是
that's what these drugs do they fool
这些药物的作用，它们欺骗
your brain into thinking you've had more
你的大脑，让你以为你吃的
food than you've actually had you feel
食物比你吃的多 实际上，你感觉
full you eat less you eat less you lose
饱了，你吃得少了，你减肥了，
weight people think that obesity is a
人们认为肥胖是一种
choice people think it's a it's a result
选择，人们认为这是
of bad habits I think increasingly
坏习惯的结果，我认为越来越多的
people many people within the field
人，
myself included are considering obesity
包括我自己在内的许多人都认为肥胖
as a disease actually there's a huge
是一种疾病 事实上，
biological driver to why some people eat
为什么有些人吃得
more than others and if anything this
比别人多，这背后有一个很大的生物学原因，而我们谈论的这一
whole new class of weight loss drugs
类全新的减肥药
we're talking about shows you that if
表明，如果
you alter one hormone in your body one
你稍微改变你体内的一种激素，
hormone in your body just a little bit
你体内的一种激素
you eat less we're talking one hormone
你吃得少了，我们谈论的是一种激素，
we have hundreds of hormones in our body
我们体内有数百种激素，
you tweak one suddenly oh I feel Fuller
你突然调整了一种激素，哦，我觉得更饱了，
it is so fascinating to hear a
听到
geneticist describing obesity as a
遗传学家将肥胖描述为一种
disease and you can feel his excitement
疾病真是太有趣了，你可以感受到他
about these new weight loss drugs and
对这些新减肥药的兴奋 以及
their potential to transform lives it's
它们改变生活的潜力，这
clearly a breakthrough
显然是一个突破
Studies have shown that these Jabs can
研究表明，这些疫苗可以
help reduce body weight by up to 15 in
帮助减轻体重高达
just over a year and already in the UK
一年多的时间里，我减掉了 15 英石，而且在英国，
they're having a huge impact I lost just
它们的效果非常显著。12
over 10 Stone in 12 months which was
个月内，我减掉了超过 10 英石的体重，这真是太
incredible I've now been on semi-glue
不可思议了。现在，我已经使用半胶绑带
tied around about nine months and in
绑了大约 9 个月，
total I've lost just shy of three stone
总共 减掉不到三英石的体重，
people that haven't been overweight
before won't ever understand what it's
以前没有超重过的人永远不会理解
like to be overweight it's addiction it
超重是什么感觉，这是
is an addiction you're addicted to food
一种瘾，是一种瘾，你对食物上瘾，
I was cutting labels out of glasses I
我从眼镜上剪下标签，我
couldn't buy the clothes I wanted to buy
买不到 我想买的衣服，
and I was depressed and miserable and I
我感到沮丧和痛苦，我
was going to put myself into an early
打算早点
grave I've got polycystic ovaries and so
死掉，我有多囊卵巢，所以
weight gains quite normal as part of
体重增加是正常的，
that and trying to control that weight
试图控制
gain was just a nightmare I went to
体重增加只是一场噩梦，我 去
slimming clubs I did The Fad diets and
减肥俱乐部，我尝试了时尚饮食和
the fasting I've tried everything the
禁食，我尝试了所有的
jobs helped me to stop thinking about
工作，帮助我不再想着
food as much I know now
食物，我现在知道什么
when to stop I didn't have a stop
时候该停止，在
function before
it makes you feel like you can be the
它让你觉得你可以之前，我没有停止功能 成为
person that you wanted to be it was like
你想成为的人就像
running after the kids and running
追着孩子跑一样
around and doing things or going to a
到处跑，做事，或者去
theme park and not fitting in the rides
主题公园，没有时间玩游乐设施，
all these things they all impacted my
所有这些事情都影响了我的
life and I didn't want that I didn't
生活，我不想这样，我
want my weight to hold me back anymore I
不想我的体重再成为我的阻碍，我
started at approximately 18 and a half
大约在 18 岁开始 半
Stone and I've lost four and a half
英石，我已经减掉了四英石半，
Stone
yeah it's crazy
是的，这太疯狂了
clear that this new generation of drugs
显然，这种新一代药物
is potentially life-changing for the 25
可能会改变 25
of Brits who are classed as obese
名被归类为肥胖的英国人的生活，
why is there so much hype around these
为什么这些药物会被如此大肆宣传
Jabs
and what could they do for someone like
他们能为我这样的人做些什么呢？
me
I'm over a stone and a half down in
我在近七周内减掉了超过一英石半的体重，
almost seven weeks I feel lighter I feel
我感觉轻松多了，
like things are a lot baggier or a bit
感觉衣服宽松多了，或者说舒服多了，嗯，
comfy
um and yeah I do feel a lot more
是的，我确实感觉好多了
energetic a new generation of weight
精力充沛的新一代
loss drugs is sweeping the UK the
减肥药正在席卷英国
biggest Pro is that I'm seeing the
最大的优点是我看到
weight go with doctors and patients
体重下降，医生和患者
alike claiming that they could
都声称他们可以
revolutionize the treatment of obesity
彻底改变肥胖的治疗方法，
I'm very happy at the moment I've lost
我现在很高兴我已经失去了
horse time I'm like oh look at the
马的时候我就像哦
scales look at my clothes but what could
看看秤 我的衣服，但
this drug do for someone like me or
这种药物能为像我这样的人或
anyone else that isn't obese but just
其他任何不肥胖但
wants to lose a bit of weight fast
只想快速减肥的人做些什么呢？
I've come to meet Steph a lifestyle
我来见见斯蒂芬，一位生活方式
influencer who tried out the skinny jab
影响者，他尝试了瘦身针，
for just a few months in a bid to drop a
只花了 几个月来一直在努力减小
dress size
衣服尺寸，
so Steph here we are two girls with
所以斯蒂芬，我们两个女孩喝着
really high fat frothy frothy coffees
高脂肪泡沫咖啡
talking about weight loss yeah talk to
谈论减肥，是的，跟
me just honestly about your body how
我说实话，你的身体有
large were you what size were you I've
多大，你以前是多大，我
always been I've always sat in between
一直都是 我一直处于
uh 14 to 18. well let's talk about that
14 到 18 岁之间。好吧，让我们来谈谈这个，
because I'm I'm like you as well right
因为我也像你一样，
so Curvy Girl very very sporty when I
所以当我在学校时，曲线女孩非常运动，
was at school but then grew really big
但后来
boobs got bigger then lost a load of
胸部变大了，然后就消失了
weight I've dieted yeah I've not dieted
体重减轻了很多，我节食了，是的，我没有节食，
you know Etc so I've really struggled
你知道等等，所以我真的
like you and I've gone you know up to a
像你一样挣扎，你知道我已经从
sort of size 16 down to a size 10. yeah
16码减到了10码。是的，
you know and yeah yeah don't wait when
你知道，是的 是的，别等了，你什么时候
did you hear about the new weight loss
听说新的体重 减肥
drugs then my friend she said I can't
药然后我的朋友说我不能
manage any more in my meals what's
再吃更多的饭了你怎么了天哪
what's wrong with you for goodness sake
you normally eat loads you know we
你通常吃很多你知道我们
always eat together and um she said I'm
总是一起吃饭嗯她说我正在
taking this weight loss injection which
服用这种减肥针剂这
added about it and then you know a few
增加了 然后你知道几个
weeks later I thought
星期后我想
yeah and I and she she said oh I've lost
是的，我和她说哦，到目前为止我已经输了
this much so far a couple of weeks later
这么多，几个星期后
I've lost this match did you notice it
我输了这场比赛
when you saw it yeah so the first few
你看到它时注意到了吗是的，所以第一个 有几次
times I saw her I was like oh be a good
我见到她，我就像哦，
little kick up the bum wouldn't it so
踢她屁股一下，不是吗，那么
how much weight did you lose 12 pounds
你减了多少体重，12磅，
nearly a stone over how long three
差不多一英石，多长时间，
months three months so who did you go to
三个月，三个月，那么你去找谁了，
did you go to your GP did you go to a
你去找谁了 你的全科医生，你去过
private doctor so I ordered a weight
私人医生那里吗，所以我从药店网站订购了
loss injection
减肥针剂，
um like starter pack from a chemist
比如入门包，
website you have a consultation with a
你咨询了
pharmacist
药剂师，
age weight High why you want to do it
年龄，体重，高，你为什么要这样做，
have you know tick boxes what have you
你知道吗，勾选方框，你
tried before have you tried natural
以前尝试过什么 您是否尝试过自然
weight loss diet and exercise has this
减肥饮食和运动，这
not work for you and then it asks you
对您不起作用，然后它会询问您
about your past medical history so this
的过去病史 所以这
is reviewed by
是由某个
a pharmacist somewhere and dispensed by
地方的药剂师审查并由药房配药的，
a pharmacy so you don't actually speak
所以你实际上并没有
to someone you don't speak to anyone you
和任何人说话，你没有和任何人说话，你
don't have a video call you don't have
没有视频通话，你没有
back and forth so they can't even see
来回通话，所以他们不能 甚至看到
you apps I could be and this is the part
你的应用程序我可能是，这是让
that worries me I could be a 15 year old
我担心的部分我可能是一个 15 岁的孩子，
with my mum's credit card with an eating
用我妈妈的信用卡，患有饮食
disorder do you know it really worried
失调症，你知道我真的很担心
me to order a medication that's going to
订购一种会
significantly change my life I could
显著改变我生活的药物我 可以在
just type it online yes yes yes
网上输入是的，是的，是的，
smart
很聪明，
wow
哇，
so if you've just got a stubborn few
所以如果你只是顽固地想
pounds to lose there's no point going to
减掉几磅，那就没有必要去
the NHS where you need a referral to an
NHS 了，你需要转介到
obesity clinic to get the jab you've got
肥胖诊所才能接种你
to go down another route
必须接种的疫苗 另一条路线
I'm going to try and find some of these
我将尝试
weight loss drugs myself online so quick
自己在网上找到一些减肥药，因此通过快速
search
搜索，
I found some online pharmacies
我找到了一些在线药店，
as a pharmacist I have seen an increase
作为一名药剂师，我发现
in the use of these slimming Jabs
这些减肥药的使用量有所增加，
especially over the last three months
尤其是在过去的三个月里
we've seen a dramatic increase in
我们看到私人处方数量急剧增加
private prescriptions coming through
there is a cohort of the population who
一群
really want to take it who are otherwise
真正想要服用它的人，他们
Fit and Well who just wants to shed a
身体健康，只想减掉
few pounds so they'll see something on
几磅体重，所以他们会看到一些东西，
say tick tock and they'll want it and
比如滴答声，他们会想要它，
they'll want to go to an online pharmacy
他们会想去一个 网上药店
and just be able to get it through the
，只能通过邮寄获得，
post it shouldn't be so accessible just
它不应该如此容易被
to anybody the scary issue is that if
任何人获得，可怕的是，如果
this falls into the wrong hands we have
这东西落入坏人之手，我们就会
got a major crisis on our hands
面临重大危机，
so I've come through to my health
所以我来到这里 我的健康
assessment form
评估表，
so it's asking me for my weight
它要求我提供体重
assessment and my health so I'm just
评估和健康状况，所以我
going to make it up and see what I can
要弥补一下，看看我能
get here which is allowing me to do so
在这里得到什么，这允许我这样做，所以
I'm five foot five yes I'm going to
我身高五英尺五英寸，是的，我要去 为了
exaggerate my weight I'm putting in 15
夸大我的体重，我增加了 15
英石
15 Stone which actually gives me a BMI
15 英石，实际上我的 BMI
of nearly 35
接近 35
34.9
34.9，
now let's talk body mass index or BMI
现在让我们来谈谈体重指数或
for short it's not perfect but it is
简称 BMI，它并不完美，但它
regarded as one of the easiest ways for
被认为是
doctors to determine whether or not
医生确定
someone is overweight taking in factors
such as age and ethnicity
for most people if you want a
对于大多数人来说，一个人是否超重取决于年龄和种族等因素 如果你想要一个
prescription for a skinny jab the
减肥针的处方，
Department of Health recommends that you
卫生部建议你的
must have a BMI of at least 30. mine is
BMI必须至少为30。我的BMI
definitely less than that and some of
肯定低于这个数字，而且
the people I've seen taking these drugs
我看到一些服用这些药物的人一
started skinnier than me
开始比我还瘦，
it's recommended that your diet is rich
建议 你的饮食
in fruit and veg okay well I'm just
富含水果和蔬菜，好吧，我只是
going to tick yes but how many people
要勾选是，但实际上有多少人
are actually going to take any notice of
会注意到
that do you agree with the following
这一点，你同意以下内容吗？
that's just do you know what I'm not
你知道我甚
even reading it let's just put yes
至没有读过它 我们只需输入是
submit consultation form
提交咨询表格
it says consultation completed
它说咨询已成功完成，
successfully
and I can now select my products oh wow
我现在可以选择我的产品哦哇
it's taken me straight through to select
它直接带我选择
medication
药物
and there there we've got it there we've
然后我们就在那里我们
got it saxenda pen one sax underpin that
得到了它saxenda pen one sax 支撑
they'll let me have
他们 给我
49.99 okay let's get that into the
49.99 英镑，好吧，让我们把它放进篮子里，
basket
yeah
是的，
proceed to check out here we go
继续看看，我们开始吧，
I find that really really concerning
我发现
everything's fake on here
这里的一切都是假的，
and boom within three minutes I've got a
三分钟之内，我就得到了一支
weight loss pen a saxenda pen for 50
减肥笔，一支 50 英镑的 saxenda 笔
Quid I could be anybody I could be any
我可以 任何人，无论
age this potentially is life-altering
年龄大小，这都可能是改变生活的
medication this is prescription
药物，这是处方
medication I can get it like that that's
药，我可以得到它，这令人
worrying
担忧
well it's fair to say this has got my
好吧，可以说这得到了我的
backup the wave of Hysteria around this
支持，围绕这种药物的歇斯底里浪潮
drug means people who don't really need
意味着那些不' 我真的不需要
it are getting their hands on it I can
它，我可以
lie about my weight at an online
在网上药店谎报我的体重
pharmacy and get hold of it but would a
，然后拿到它，但
doctor really give it to me if they saw
如果医生亲自见到我，他们真的会给我吗？
me in person
I've managed to get three weight loss
我已经设法得到了三次减肥
consultations at private clinics in
咨询 现在在伦敦的私人诊所，
London now to see if they'll give me the
看看他们是否会给我商品，
goods
so Graham yeah have you heard anything
所以格雷厄姆，是的，你听说
about these new weight loss drugs yeah I
过这些新的减肥药吗？是的，我
have would you be tempted
有，你会受到诱惑吗？
well if you want to get back into your
如果你想回到你的
Speedos would you be tempted I'm never
Speedos，你会受到诱惑吗？ 我
going back into my Speedos that's that's
再也不会穿 Speedo 泳裤了，
not happening
all three clinics I'm visiting claim to
我去过的三家诊所都声称
provide a zenpic a drug that's only
提供 zenpic，这是一种
available for type 2 diabetes on the NHS
NHS 上仅用于治疗 2 型糖尿病的药物，
but is being prescribed privately for
但私下里却被开处方用于
weight loss
I have spoken to some private doctors
我和一些人谈过 一些私人医生
off the Record who have voiced their
私下表达了他们
concerns about these drugs and talked
对 这些药物，并谈到
about the fact that there are other
其他
doctors who are clearly prescribing
医生明显给
these drugs to people that don't need it
不需要这些药物的人开这些药，
so there is an ethical question and a
因此，对于那些准备给需要这些药物的患者开处方的人来说，存在着伦理问题和
moral question at stake around people
道德问题。
who are prepared to write prescriptions
for patients who do not need these drugs
不需要为了额外的现金而服用这些药物
for the sake of extra cash
Clinic number one a 150 pound booking
诊所一号 150 英镑的预约
fee and a consultation with a private
费和与
doctor with over 30 years experience
拥有 30 多年经验的私人医生的咨询
thanks Graham no problem okay see you in
谢谢 Graham 没问题好的一会儿见祝你
a bit good luck thank you
好运谢谢
I am so angry about this so I was
我对此非常生气，所以
promised to zenpick and I was told that
Zenpick 答应给我注射，并告诉我
he would show me how to inject it and
他会教我如何注射，而且
that it's perfect for somebody like me
这对我这样的人来说很合适，
he said the pharmacy won't give it to
他说药房不会给
you because I asked for a prescription
你注射，因为我要求开处方
and he said but it's okay I will order
他说没关系我
it for you now and it will be in in
现在就帮你订货，
about a week's time you come and pick it
大约一个星期后你来我这里
up from me and I'll make sure that it's
取货，我会确保它是
in a sealed unmarked back
密封的，没有标记，
on to the next one
下次再寄回
at the second Clinic I've been promised
第二家诊所承诺给我提供
a quick no fuss consultation for 185
快速、无忧的咨询 185
pounds
磅
foreign
外国
wow doctor number two
哇医生二号
bingo
宾果
extraordinary absolutely extraordinary
非凡绝对非凡
the said asempic is absolutely right for
说asempic绝对适合
you
你
took out the pens showed me the needle
拿出笔给我看针头
and he said you can start now
他说你现在就可以开始了
why don't you want to start now I'll I
为什么你不想现在就开始我会 我
can inject you now and I said at which
现在可以给你注射了，我说，当时
point I freaked out absolutely no
我吓坏了，完全没有
weigh-in no measuring no nothing
称重，没有测量，什么都没有，
just a chat
只是聊了聊，
然后就
off to the next one
和下一个人聊了聊，
I have never ever experienced in my 27
我27年的药剂师生涯中从来没有经历过
years being a pharmacist this sort of
这种
Hysteria about any any medication I
歇斯底里 关于任何药物，我
think people are marketing it as skinny
认为人们都在把它当作瘦身针来营销，
jab don't understand what this
根本不明白这种
medication is for at all it hasn't made
药物是干什么用的，它并没有让
me skinny I will never be skinny and I
我变瘦，我永远不会瘦，我
don't want to be skinny I just want to
也不想瘦，我只想
be healthy it's obesity management
瘦 健康，这是肥胖管理
medication and I wish I could get that
药物，我希望我能让人们真正理解这一点，
through to people I really really do
我真的真的这样做，
it's a lifestyle change it's a tool that
这是一种生活方式的改变，是一种
you use and it should be used to help
你使用的工具，它应该帮助
not just physically change the way you
不仅在身体上改变你的饮食方式，
are but mentally how you eat and
而且在心理上改变你的饮食方式 以及
relationships with food so I do think
与食物的关系，所以我确实认为
that it should be something that's for
应该 这是为了
life-changing rather than a quick fix
改变生活，而不是为了快速解决问题，
there is always someone that isn't
总有人不
working in the best interests of their
为病人或客户的最佳利益而工作，
patients or their clients and sadly I
不幸的是，我
think this has been happening in the
认为目前医疗界正在发生这种情况，
medical profession at the moment with
these obesity injections money talks and
这些减肥注射药物只讲究金钱
there is a lot of money in these
这些注射需要很多钱，
injections
the doctor at the third Clinic unlike
第三家诊所的医生不像
her colleagues didn't promise me the jab
她的同事那样承诺给我注射，
stating that my BMI wasn't high enough
说我的BMI不够高，
she did though suggest where I might be
但她建议我在哪里
able to get hold of it it has been way
可以得到它
easier than I thought it would be to get
获得这些药物比我想象的要容易得多，
hold of these drugs I had a suspicion
this morning that it might be a little
今天早上我怀疑这可能有点
bit tricky because of the ethical
棘手，因为给不需要的人
complications around prescribing for
开药存在伦理问题，
somebody that doesn't need it
um it was so easy so easy I went in
嗯，这很容易 很简单，我去了
there I had a chat with a couple of
那里，和几个医生聊了聊，
doctors no blood's taken no measurements
没有抽血，没有
taken no weight taken I could have said
测量，没有称体重，我可以说出
anything about my medical history and
我的病史，就
managed to get two prescriptions easily
like that and yeah I paid for it if
这样轻松地拿到了两张处方，是的，我付了钱，如果
you're willing to go private it is so
你 '愿意私下接种
simple to get hold of these Jabs be it
疫苗，无论是
online or in person it doesn't seem to
在线还是亲自接种，都很简单 似乎与
matter what weight you are and reports
你的体重无关，据报道，
are that this misuse of the drug is
这种药物的滥用正在
having serious consequences
产生严重后果，
oh
by giving the Jabs to people who don't
really need them private clinics and
私人诊所和
pharmacies have helped to create a
药房通过给不需要的人注射疫苗，造成了
global shortage
全球短缺，
and for people living with type 2
患有 2 型
diabetes who rely on drugs like a
糖尿病的人依靠 zenpick 等药物
zenpick to survive that's a problem
生存，这是一个问题，
hi there week three are trying to get
你好，第三周正在尝试
hold of us and pick for Diabetes Type 2.
联系我们，选择 2 型糖尿病。
still can't get hold of love no money in
仍然无法在英国获得爱，没有钱
the UK still National shortage it was
全国短缺，这是
without the injection for a short period
短时间内没有注射，以
of time which to have a break in the
打破
mess with my blood sugar control
我的血糖控制混乱，
I have patients that are annoyed where I
我有病人很生气，因为我
can't get their prescription fulfilled
不能得到他们的处方，
they don't really understand why people
他们真的不明白为什么人们
are taking their diabetic medication and
服用糖尿病药物并将
using it for something else
其用于其他用途
there's now such an extreme shortage of
现在
semi-glutide and lyriclotide that the
半谷肽和利瑞克洛肽极度短缺，
government has now issued and I've never
政府已经发布了我
seen this before a national patient
从未见过的国家患者
safety alert and here's just some of the
安全警报，以下是其中一些
things they're saying actions required
他们说的事情需要采取的行动
only prescribe this medication for their
只规定了这一点 药物的
licensed indications do not initiate new
许可适应症在短缺期间，不要让新
patients on this medication for the
患者服用这种药物；
duration of the shortage
the off-label use of these agents for
the management of obesity is strongly
强烈反对将这些药物用于肥胖症管理的标签外使用；
discouraged existing stock must be
必须保留现有
conserved for use in patients with
库存供糖尿病患者使用；
diabetes so what this effectively says
因此，这实际上 说
is it's telling private clinics to stop
是它告诉私人诊所停止
selling semiglutide in particular for
销售特别是用于减肥的西米鲁肽
weight loss makes me really angry I'm
让我非常生气我很
frustrated because we know it's so easy
沮丧因为我们知道很容易
to get hold of
得到
good morning I just wanted to give you
早上好我只是想今晚给你们
all another Saxon update tonight I
所有人另一个撒克逊更新我
increased my dose to 0.25 social media
增加了我的剂量 到 0.25 社交媒体上
is overflowing with stories of people
充斥着人们
transforming the way they look using
使用减肥针改变外貌的故事，其中
weight loss Jabs many through private
许多是通过私人
prescriptions long short of it is I've
处方，总而言之，我
lost seven pounds this week so it's been
这周减掉了 7 磅，所以已经
six weeks and I have weighed myself and
六周了，我已经称过体重了，而且
I've lost 20 pounds which is just
我已经 减掉了 20 磅，这真是
amazing people have reported losing as
太神奇了，有人报告说，服用
much as 10 Stone on these Jabs but at
这些疫苗后，他们减掉了多达 10 英石的体重，但
what price
代价是什么呢？
thank you
谢谢，
up to 45 of people report experiencing
多达 45 人报告说，
unpleasant side effects on these drugs
服用这些药物后，他们经历了不愉快的副作用，
for most these are temporary but I want
大多数情况下，这些副作用都是暂时的，但我想
to find out for myself just how bad they
自己去发现
can be
when I first started taking the slimming
我第一次开始服用减肥针时，
jab nausea was probably the biggest side
恶心可能是最大的
effect I then started to get quite
副作用，然后我开始出现相当
severe headaches I've been struggling
严重的头痛，这周我一直在挣扎，
this week I can't lie I really have been
我不能撒谎，我真的一直很痛苦，
I just feel
我只是觉得
so sick this week I did get um diarrhea
很不舒服 这周我晚上确实腹泻了，
during the night I also was constipated
我还便秘了
and so people get heavy thickness and
，所以
some people get diarrhea for me
有些人会腹泻，就我
personally I had sickness
个人而言，我感到恶心，
uh constipation fatigue I was so tired
呃便秘，疲劳，我很累，
like sleeping napping a lot
喜欢睡觉，打盹，
now every drug has side effects but some
现在每种药物都有副作用，但是
of the stories about these weight loss
关于这些减肥
Jabs sound pretty severe lifestyle
注射的一些故事听起来相当严重生活方式
influencer and NHS nurse Steph decided
影响者和 NHS 护士 Steph 决定
to stop taking the jab after three
在三个月后停止注射，
months due to the side effects where did
因为副作用
you inject yourself right I did tummy
你在哪里注射的，对吗我
mostly and oddly still have like a
主要是在肚子上注射的，奇怪的是，仍然感觉
tender stomach three months later so
胃很痛 三个月后，
that's another from the regular Jazz
这是另一个常规的爵士乐，
yeah I had to do legs sometimes but then
是的，我有时必须做腿，但然后
I'd be covered in bruises
我会被瘀伤覆盖，
looks like I've walked into everything
看起来我走进了
the first day
第一天的一切，
it was the nausea so you wanna you you
这是恶心，所以你想你
build up your Doses and the nausea was
建立你的剂量 恶心的感觉
almost like instant that kind of you're
就像 那种感觉，你
not going to be sick but there's that
不会生病，但
feeling not nice
感觉不太好，
so then I thought my friend had warned
所以我想我的朋友警告过
me oh you will feel sick and you know
我哦，你会感到不舒服，你知道，
and you you know you will be constipated
你知道你会便秘
and yeah so how long did you not have a
，是的，那么你多久了 不
poo for it could be like I could be
大便，因为这可能就像我
going like once a week but I'd have to
每周去一次一样，但
take laxatives once I know and you're
一旦我知道，我就必须服用泻药，而且你会
bloated and you're horrible aren't you
腹胀，你很糟糕，不是吗，
the worst side effect was the acid
最糟糕的副作用是胃酸
reflux it just feels like there's a
反流 感觉就像
little Fireball in your throat all the
喉咙里一直有个小火球，太
time it's awful yeah and I thought this
可怕了，是的，我觉得这
is not worth it yeah and when you look
不值得，是的，当你看到
at what you've put your body through to
shift 12 pounds as a nurse how does that
作为一名护士为了转移 12 磅的体重而付出的努力时，你会觉得
make you feel I look at I look at myself
你觉得我看着我看着我自己，
and I think if I was my patient what
我想如果我是我的病人
would I say to myself I would have said
我会对自己说什么我会说
that was dangerous do you think you put
那很危险你认为你把
yourself in danger
自己置于危险之中吗
there were certain risks that I put
我把
myself under that I that I wouldn't have
自己置于某些风险之中我那样
needed to if I wasn't taking this
如果我不服用这种
medication and if I was just relying on
药物，而只是依靠
diet and exercise you could achieve
饮食和运动，我就不需要这样做了 你可以实现
everything that I achieved in those 12
我在那 12 周内实现的所有目标，
weeks
you know far more positive way and be in
你知道，以更积极的方式，
a better mood not have horrible reflux
心情会更好，不会有可怕的反流，
not be no fun on a social event actually
在社交活动中也不会没有乐趣，实际上
looking back on it I would give myself
回想起来，我会给自己一个
the advice that you you shouldn't do
建议，你不应该 '不
that Steph like no silly
要这样做，Steph 不会像傻乎乎的
vomiting constipation and nausea all
呕吐、便秘和恶心一样，这些
sound bad enough but the deeper you dig
听起来已经够糟糕了，但你越深入研究
into the potential long-term side
effects of these drugs the more alarming
这些药物的潜在长期副作用，就越令人担忧，
it becomes so I'm just having a look on
所以我只是在 saccenter.com 上看看
the saccenter.com website serious side
网站
effects may happen including possible
可能会出现严重的副作用，包括可能的
thyroid tumors including cancer
甲状腺肿瘤，包括癌症，
pancreatitis which is inflammation of
胰腺炎，即
the pancreas gallbladder problems
胰腺炎症，胆囊问题，
increased heart rate kidney failure and
心率加快，肾衰竭，
then at the end the side effects may be
最后副作用可能是
depression or thoughts of suicide all of
抑郁或自杀的想法，所有
this is a whole lot more than just
这些都远远不止这些 只是
feeling a bit
觉得
there are risks in taking this type of
服用这种药物是有风险的，
medication that people should be aware
人们应该意识到
of all of these risks should be taken
所有这些风险都应该
into account when a patient actually
在病人真正
decides whether they want to take the
决定是否服用这种
drug this is very new and we don't know
药物时考虑到，这是一种非常新的药物，我们不知道
the full long-term consequences quite of
what it's doing to our body
它对我们的长期影响
for some the side effects that come with
对于一些人来说，
these drugs are risks that are worth
这些药物带来的副作用是值得承担的风险，一位
taking
sort of an expert on avocados living in
生活在炎热国家的鳄梨专家，
hot countries
originally from South Africa Jill now
来自南非的吉尔现在
lives in Exeter
住在埃克塞特，
suffers from lipedema a condition that
患有脂肪水肿，这是一种
leads to abnormal buildup of fat in the
导致脂肪在身体内异常堆积的疾病
lower body it's got to do with the
下半身与
lymphatic system and it can create
淋巴系统有关，它可以
disease fat cells in your body so if you
在你的身体里产生疾病脂肪细胞，所以如果你
do try and lose weight you'll lose
真的尝试减肥，你会
weight in the places where you have
在有
healthy fat so your Healthy fat will go
健康脂肪的地方减掉体重，所以你的健康脂肪会
down but your lipedema fats which almost
下降，但你的 脂肪水肿脂肪
looks a bit like cellulite will stay
看起来有点像橘皮组织，
after years of struggling on countless
经过多年的无数
diets Jill is hoping that weight loss
节食努力，Jill 希望减肥
injections will help improve her overall
注射能帮助改善她的整体
health she's on the waitlist to get
健康状况，她正在等待
saxenda from an NHS obesity clinic but
从 NHS 肥胖诊所获得 saxenda，但
in the meantime she sourced it privately
与此同时，她找到了它 私下里，
so basically I can either take it in the
基本上我可以把它放在
front of my thigh my stomach or my upper
我的大腿前面、肚子上或上
arm but I'll do my upper arm today
臂上，但我今天会放在上臂上，
basically just pop it in
基本上只要把它放进去，
you hold it for six seconds one one two
保持六秒钟，一一二
three four five six
三四五六，
and then you're done
然后你 完成了
I want to catch up with Jill in a few
我想赶上 吉尔几周后
weeks to see how she's getting on with
会去医院看看她的
the medication but while she knows the
用药情况，但她知道
dangers that she's facing with her drugs
自己用药的危险，而
others are dicing with far more serious
其他人则在冒着更严重的
consequences
后果
with the demand for these weight loss
这些减肥工作的需求
jobs far surpassing supplies and
远远超过了供应和
shortages in the UK expected to continue
短缺 英国的
into 2024 Black Market dealers have been
黑市交易商
quick to capitalize
很快就抓住了这个机会
and someone who's noticed this worrying
，注意到这一令人担忧的
trend is Colleen if you've got any
趋势的人是 Colleen，如果你
questions about sex Fender drop them
对性 Fender 有任何疑问，请
below and I will answer them she's lost
在下面提问，我会回答她
over 10 Stone through an NHS
通过一次 NHS
prescription for saxender and now runs a
处方药 saxender，现在经营一家
social media website to support others
社交媒体网站，为其他人的
on their weight loss Journeys I'm
减肥之旅提供支持我正
getting ready to go to work and thought
准备去上班，想
I'd answer some questions I'm going to
回答一些问题我也会
go live as well so come and join me but
去直播，所以快来加入我吧 但
it's recently been overrun by Black
最近它被黑市经销商占领了，
Market dealers
hello
你好，
nice to see you the last three to four
很高兴见到你，自从出现短缺以来，过去三到
months has been chaotic since the
四个月一直很混乱，
shortage the platform has completely
这个平台已经完全
changed from a really nice community of
从一个我们试图互相支持的非常好的社区变成了一个
people that we're trying to support each
other to can I sell you this can you buy
卖给你这个你能买这个吗
this
um so today already I've had 16
嗯，今天我已经收到了 16 条
potential scam messages this example is
潜在的诈骗信息，这个例子就是
one of them they're advertising three
其中之一，他们在宣传三种
different types of weight loss
不同类型的减肥
medications it sends new to send them a
药，它会
message on Facebook so I mean if I went
在 Facebook 上向他们发送消息，所以如果我去
and messaged one of these people or I
给其中一个发消息 人们或者我
jumped onto a link to try and get hold
跳转到一个链接试图得到
of some weight loss medication what am I
一些减肥药我
going to get do you think Colleen we're
会得到什么你认为科琳我们的
circumstance I suppose is you'd get
情况我想你什么
nothing
也得不到
um I suppose in second circumstance you
嗯我想在第二种情况下你
probably end up with some of these
可能最终会得到 有些
medications that they don't want and
药物是他们不想要的，
then thirdly sort of getting something
第三种是，
in a pen that you're not actually you
在笔里装上某种你实际上
don't know what it is so are people
并不知道是什么的东西，所以人们会
buying this yes and people are also
买这种东西，是的，人们也会
getting scams I had somebody messaged me
被骗，有人给我发信息 我，
because she'd ordered 10 pens from
因为她从某人那里订购了 10 支笔，
somebody and they never showed up
但他们从未出现过，
I need to see this this person which we
我需要见这个人，我们
can message okay hello are you selling
可以发信息，好的，你好，你在卖
weight loss medication
减肥药吗，
um who will probably get back to us
嗯，谁可能很快就会回复我们，
pretty quickly no so you've put in hello
不，所以你已经把 你好，
are you selling weight loss medication
你卖减肥药吗，
message back yes how many milligrams do
回复是的，有多少 你需要多少毫克，
you need
so we'll find out the price and how much
所以我们会找出价格，
they'll sell it for so you're saying how
他们会卖多少钱，所以你说
many are you able to give me in the
你能给我多少
price oh my God she's typing oh my God
价格哦天哪她正在打字哦天哪
this is honestly blowing my mind because
这真是让我大吃一惊 介意因为
it is just drug dealing oh she's got
这只是毒品交易哦她有
eight bucks an eight box eight pens in a
八块钱一盒八支笔
box there's normally five pens in a box
一盒通常有五支笔一盒
that's the first red flag okay
这是第一个危险信号好的
you've just written back how much
你刚刚回信
this is 50 pounds dollars oh dollars
这是多少钱50英镑哦美元
yeah okay yeah so we're thinking this is
是的好的 是的，所以我们认为这是
from the Americas so you've just said
从美洲来的，所以你刚才说了
how to ship to the UK because it needs
如何运到英国，因为它需要
to be kept cold and so it has to come in
保持低温，所以它必须
like a refrigerated pack so this the
像冷藏包装一样进来，所以这是
likelihood of that surviving from the
从美国存活下来的可能性
USA to here is is Slim to them so I'll
美国对他们来说很困难，所以我会
ask them how to pay
问他们如何支付
PayPal
PayPal，
so it'd be PayPal friends and family so
所以这将是 PayPal 的朋友和家人，所以
I'll ask what's the difference with
我会问
PayPal friends and family so if it's a
PayPal 的朋友和家人有什么区别，所以如果这是
business transaction you can ask for
商业交易，你可以要求
that money back if you don't get the
如果你没有收到产品，这笔钱就会退还
product however friends and family you
朋友和家人你
can't so yes PayPal friends and family
不能所以是的 PayPal 朋友和家人
you pay me 350 I mail my next send you
你付给我 350 我邮寄我的下一个给你发送
any old rubbish
任何旧垃圾
so this is just a scam yeah but it just
所以这只是一个骗局是的但它只是
goes to show doesn't it the supply and
表明这不是供应和
demand of this that people want the drug
需求 人们想要这种药物，
they'll do anything to get the drug
他们会不惜一切代价得到这种药物，
they'll pay for that drug yeah and then
他们会为这种药物付钱，是的，然后
you've got
你会看到
other people clearly making a huge
其他人显然赚了很多
amount of money yeah
钱，是的，
I'm absolutely stunned by what she's
我对
revealed to me about The Not So secret
她向我透露的事情感到非常震惊 不那么秘密的
Black Market of basically
黑市基本上是
drug selling
on social media and that no one seems to
在社交媒体上销售毒品，而且似乎没有人
be talking about this I'm genuinely
谈论这个，我真的很
shocked by that genuinely shot
震惊，
social media is Rife with ads for cheap
社交媒体上充斥着我们都听说过的廉价
versions of the skinny Jab
版本的瘦身疫苗的广告
we've all heard
ingredients they cost an absolute
成分 它们的
Fortune I saved myself some money I've
价格绝对昂贵，我为自己节省了一些钱，我
got myself all these less than half the
得到了所有这些不到一半的
price exactly the same thing it's
价格完全一样的东西，它
effective and worse
有效，更糟糕的是
it's weak I highly suggest it
它很弱，我强烈建议使用它，
I want to know just what it is that
我想知道人们卖的到底是什么，
people are selling
so I've been shopping
所以我 我一直在购物，
well this is a special delivery from the
这是一个特别的交付，来自一个
slightly dodgy looking website that I
看起来有点狡猾的网站，我
was trying to get some summer glue time
试图得到 一些夏季胶水时间
from it's got a really sweet
从它有一个非常甜
it's a vial it's got a white powder in
这是一个小瓶它有一个白色的粉末在
the bottom and water okay 10
底部和水好吧10个
pre-injection swabs
注射前拭子
what else if we got wow and a load of
还有什么如果我们得到哇和一堆
syringes
注射器
let's check in there's no there is no
让我们检查一下那里没有那里没有
instruction
whatsoever that's insane
任何说明 这太疯狂了，
I think that's a bigger needle
我认为这
than you see on the asempic pens
比你在 asempic 笔上看到的针头更大，
this is a legitimate a zenpick pen and
这是一支真正的 zenpick 笔，
look at the difference of the needles
看看针头的区别，
that is really really scary that's scary
这真的真的很可怕，这太可怕了，
stuff
I guess I'm just mixing the water with
我想我只是把水和
whatever the hell that is
任何东西混合在一起 那是地狱，
and then using a syringe to draw it up I
然后用注射器抽取，我
have no idea how much I meant to draw up
不知道我要抽多少，
I don't know how to do that safely and
我不知道如何安全地做到这一点，
then
然后
inject myself somewhere I mean this
给自己注射到某个地方，我的意思是，
could cause serious harm when you pick
当你
up a medicine from your Pharmacy it has
拿起一个 药房出售的药品
past quality control all the active
经过了质量控制，所有活性
ingredients are standardized why would
成分都是标准化的，如果
you take that risk of putting something
你不能 100% 确定药品的成分，为什么还要冒险将药品放入
into your body when you are not 100 sure
体内，
what what's gone into making it
sometimes these these black market
有时这些黑市
counterfeit drugs are laced with other
假药 与其他
active ingredients sometimes they're
活性成分混合，有时它们是
completely different drugs people do
完全不同的药物，人们确实
need to be careful in the past
需要小心，过去
counterfeit medications have been mixed
假药曾
with fentanyl and even lead leading to
与芬太尼混合，甚至铅，导致
Mass poisonings
大规模中毒，
the website I bought my little vial of
我购买小瓶粉末的网站
powder from claims that it contains the
声称它含有
same active ingredient as an asempic pen
与 asempic 笔有相同的活性成分，
but is it anything like the real thing
但它与真品有什么相似之处吗？
professor kamchana and his team at
Oxford University have been testing
牛津大学的 kamchana 教授和他的团队一直在测试
Black Market samples to help me find out
黑市样品，以帮助我找出答案，
hi Anna we've tested the two black
嗨安娜，我们已经对两个
market samples against three legitimate
黑市样品与三个合法
samples that you sent us
样品进行了测试， 您发送给我们的
and what we found is that the two black
信息，我们发现两个
market samples are very different to the
黑市样品与
three legitimate samples and in
三个合法样品有很大不同，
particular one of the samples is rather
特别是其中一个样品非常
worrying in that it contains something
令人担忧，因为它含有
else in it which we don't quite know at
我们目前还不太清楚的其他物质
this stage that in itself could be
这本身就可能是
harmful what
有害的，
哇哦，
I mean it doesn't surprise me that those
我的意思是，这些样品不同并不让我感到惊讶，
samples are different we're talking
我们谈论的是
black market stuff here I mean this
黑市的东西，我的意思是，这
looks who knows what that is could be
看起来谁知道那是什么，可能是
talc I mean that's worrying it could be
滑石粉，我的意思是，这令人担忧，它可能是
anything who knows
任何东西 我们
what we do know
知道的
is these are very very different
是，这些
substances from the legitimate
物质与
semiglutide that you get inside the
你得到的合法的赛米鲁肽非常不同 在
skinny jams what are we thinking what
瘦身果酱里面我们在想什么
are we thinking trying to buy
我们在想什么试图
semi-glutide online from various social
从各种社交媒体平台在线购买半谷肽
media platforms where
we have no idea what this is coming
我们不知道这是
through the post and that people are
通过邮件发送的，人们
prepared to inject themselves with it
准备给自己注射
this is this is utter stupidity and also
这就是这就是 完全愚蠢，而且非常
just deeply deeply concerning and
令人担忧和
Criminal
犯罪
good morning I just thought I'd make a
早上好，我只是想制作一个
quick video so it's been nine weeks and
简短的视频，所以已经九周了，
I have lost 25 pounds the hysteria and
我已经减掉了 25 磅，
debate around these weight loss Jabs
围绕这些减肥针的歇斯底里和争论
shows no sign of waning
没有减弱的迹象
really did work for me this is how I got
对我来说确实有效，这就是我如何开始
into eating healthier eating far far
吃得更健康，吃得
less you don't have the Cravings or
少得多，你不会有渴望或
anything like that but I feel like when
类似的东西，但我觉得当
I came off it they didn't only come back
我停止它时，它们不仅回来了，而且
they came back like 100 times over
回来了 100 次
tens of thousands of people struggling
with obesity in the UK are waiting to
英国有数万名肥胖患者正在等待
get the drugs through the NHS
通过 NHS 获得药物，
but in some cases you can still get the
但在某些情况下，你仍然可以
medication privately and in Exeter Jill
私下获得药物，在埃克塞特，吉尔
is coming to the end of her second month
即将结束她第二个月
of daily injections of saxender
的每日注射 saxender
put it into your arm
把它放到你的手臂上
count for six seconds one two three four
数六秒一二三 四
five six until the dog goes back to zero
五六，直到狗的体重回到零，
I'm on my way to meet Jill I know that
我正在去见吉尔的路上，我知道
she's been on a weight loss jab for
她已经打了
around eight weeks now so I just want to
八周的减肥针了，所以我只是想
check in with her really to see how it's
和她确认一下
going whether she's lost weight how the
情况 她瘦了，副作用怎么样
side effects are and ultimately whether
，最后
she's planning on staying on it
她是否打算继续服用，
hi hi hello Jill how are you good to
嗨，你好，吉尔，你好吗，很高兴
meet you my love you're looking
见到你，亲爱的，你看起来
incredibly well I have to say oh thank
棒极了，我不得不说，哦，
you thank you very much
谢谢你，非常感谢，
thank you thanks well look Jill fill me
谢谢你 好吧，吉尔，告诉我
in how much weight have you lost I've
你减了多少体重，我
lost seven kilograms a stone over a
减了七公斤，一石多，
stone congratulations thank you she lost
恭喜你，谢谢你，她减掉了
losing some weight yes in two months yes
一些体重，是的，两个月后，
at last losing some weight
终于减掉了一些体重，
how are you feeling amazing I can you do
你感觉怎么样，我能做到吗
silly things like bend down walk up and
弯腰、上下楼梯之类的傻事，
down stairs you know talk to me about
你知道，跟我谈谈
the side effects feeling nauseous when I
副作用，上床睡觉时感觉恶心，
went to bed bad heartburn um the one
胃灼热，嗯，有一天
night I just almost just felt like I was
晚上，我几乎感觉自己像
in a deep dark hole I felt so down and
在一个深不见底的黑洞里，我感到非常沮丧和
I've just never felt that way before I
我以前从来没有过这种感觉，我的
mean Jill that sounds scary it was it
意思是吉尔，这听起来很可怕 这
was extremely scary because when you're
是非常可怕的，因为当你
in it it's I don't know it just feels
身处其中时，我不知道它只是感觉
like it just comes over you it's like a
它突然降临到你身上，就像一种
chemical reaction and then all of a
化学反应，然后
sudden you just feel so low like you
突然间你就感觉很低落，好像你
can't push yourself out of it again that
无法推动自己 再次走出它，这
sounds horribly distressing have you
听起来非常令人痛苦，你是否
reached a point you thought do you know
已经到了你认为的地步，你知道
what this just isn't it isn't worth it
这是什么吗，这不值得，
that the the darkness that I'm feeling
我所感受到的黑暗
just isn't worth it you've got to kind
不值得，你必须
of balance it out and just think okay
平衡一下，然后想想，好吧，
I've never lost this amount of weight in
我从来没有在这么长的时间内减掉这么多的体重，
this amount of time before and it's
而且它
actually working for me something's
actually working for me how long do you
确实对我有用，你
think that you're gonna have to be on
认为你需要坚持多久
the job for because at some point you're
因为在某个时候你
gonna have to stop taking the jam yeah I
必须停止服用果酱，是的，我
know I do worry about that do you yeah
知道我确实担心这个，是的，
because I've heard people have said that
因为我听说人们说过，
um when they've come off they've said
嗯，当他们停止服用果酱时，他们说
the appetites come back again so that is
食欲就会下降 又回来了，所以这有点令人
a bit worrying
担心，
um if you can go because I thought your
嗯，如果你可以去，因为我以为你的
stomach would shrink and then you'd you
胃会缩小，然后你就会
know you wouldn't want to eat so much
知道 不想吃那么多
sort of thing but uh it's it's yeah it's
东西，但呃，是的，
I'm not sure what's going to happen
我不确定之后会发生什么
after that
Studies have shown that when people come
研究表明，当人们
off this drug their weight tends to go
停止服用这种药物时，他们的体重往往会
back on again so pretty much everyone
再次反弹，所以几乎每个人
who was on the trial that showed them
参加试验的人发现，
losing weight when they came off the
当他们停止服用该药物时，体重减轻了，
drug they regained most of the weight
他们恢复了大部分
that they had lost time will tell
减掉的体重，时间会告诉我们
whether this drug can be prescribed long
这种药物是否可以长期服用，
term but at the moment if you stop and
但目前如果你停止服用并且
you haven't
你没有
utilized weight loss techniques in terms
使用 如果你没有减肥技巧，
of a weight loss regime such as exercise
比如运动
and diets then I think there is a high
和饮食，那么我认为
probability you may slip back into bad
你很有可能会重新陷入坏
habits
习惯。
It Feels So Jill is paying a lot of
感觉吉尔花了很多
money to get hold of medication that she
钱去买她
desperately wants and needs but she's
非常想要的药物， 但她
cutting no support at all while she's on
在服药期间没有减少任何支持，
it
current Department of Health guidance
目前卫生部的指导
recommends that people are on these
建议人们服用这些
drugs for no more than two years
药物的时间不超过两年，
but what happens after that without any
但如果不改变生活方式，那么之后的情况
lifestyle changes the Jabs could be
可能就和
little better than a yo-yo diet
溜溜球一样 饮食
currently the sky
目前天空
Jabs means that people who are eligible
疫苗接种意味着有资格
for treatment through NHS obesity
通过治疗的人 NHS 肥胖
clinics are having to go private often
诊所不得不私有化，通常
with little or no support but that is
得不到任何支持，但这种情况
set to change GPS in England may start
即将改变。英格兰的 GPS 可能会开始
offering weight loss injections to some
向一些患者提供减肥注射剂，
patients to Target obesity to improve
以针对肥胖症，改善
access to Weight Management
体重管理的可及性，
the government has announced a 40
政府宣布了一项 4000
million pound pilot scheme proposing
万英镑的试点项目 该计划建议
that GPS could prescribe wegov with
GPS 可以
wider support given in the community to
在社区中提供更广泛的支持，
help patients with diet exercise and
帮助患者解决饮食、运动和
behavioral issues it's not a drug that
行为问题，这不是一种
you can take and that it will cause you
你可以服用的药物，它可以帮助你
to lose weight without making any other
减肥，而无需
changes to your lifestyle advice from
对你的生活方式做出任何其他改变。
dietitians nutritionists check-ins so
营养师营养学家检查，所以
counseling sessions we need to make sure
咨询会议，我们需要确保
that that's available and that that
这是可用的，并且这种
level of care is is available to people
级别的护理是提供给服用
who are on this drug as well it needs to
这种药物的人，也需要
be with small
与小，
that's what people need to understand
这就是人们需要明白的，
that it's not just a quick fix
这不仅仅是 快速解决方案，
so the Frontline NHS GPS think they have
因此前线 NHS GPS 认为他们有
the capacity to support people looking
能力支持那些希望
to lose weight with these injections
通过这些注射减肥的人，
have agrawal has been a GP for 12 years
阿格拉沃尔已经当了 12 年的全科医生，
how concerned are you about the fact
你有多担心
that potentially you're going to get an
你可能会收到
influx of patients coming into your
大量 来你
surgery and demanding semi-glutide I'm
手术室并要求使用半谷肽的患者 我
actually really quite concerned I was
其实非常担心，我在
thinking about what we do have to do for
想我们该为病人做些什么，
a patient I think the pre-assessment you
我认为在进行预评估时，你
would have to take a full medical
必须进行完整的
history you'd have to get them to do a
病史检查，你必须让他们做
set of Bloods which would have to be
一系列血液检查，这将 必须进行
reviewed you'd have to do a full
复查，你必须进行全面
examination which would include
检查，包括
blood pressure weight abdominal
血压体重腹部
examination we don't have enough
检查，我们没有足够的
resources really to do the jobs that
资源来完成
we're meant to be doing now if I was to
我们现在应该做的工作，如果我
have an influx of even five patients a
有大量的 甚至每周有五名患者向
week were to ask me for it and it was
我咨询，我也能
available for them I just simply don't
为他们提供，我只是不
know how the practice would cope with a
知道诊所如何应对
initiating it monitoring them following
启动监测并跟踪
them up oh that is really interesting so
他们，哦，这真的很有趣，所以
you're saying that actually this
你是说实际上 这
requires a great deal of monitoring of
需要对患者进行大量的监测，
of patients absolutely the government is
政府绝对
recommending the semi-glutide they are
推荐使用半谷肽，他们
saying that it should be a coherent
说应该是一个连贯的
multi-disciplinary team that initiates
多学科团队，
it for a beast team and they are saying
为一个野兽团队启动它，他们说
that this team needs to not only have a
这个团队不仅需要 有一个
primary care position it should have a
初级保健职位，应该有
pharmacist a nurse a psychologist a
药剂师、护士、心理学家、
nutritionist so all of these people
营养师，所有这些人都
looking after that one person how
照顾着 一个人，
realistic is it that as and when this
这个
pilot scheme is being rolled out there
试点计划实施后，
is going to be that whole Hall of
会有一整群
healthcare professionals looking after
医疗专业人员照顾
individual patients that just doesn't
个别患者，这有多现实，这似乎不太
seem realistic I have 10 minutes for
现实，我有 10 分钟时间给
people with heart failure diabetes and a
心力衰竭糖尿病患者和
broken toenail Plastering the medication
脚趾甲断裂 涂抹药物
review it's like there's too much this
评论 好像太多了 这太
is crazy honestly
疯狂了 老实说
puff do you think that these drugs have
噗 你认为这些药物
a role long term in terms of the
在长期
management of the nation's weight I
管理国家体重方面有作用吗 我
believe there are always some patients
相信总有一些病人
that absolutely will benefit from its
绝对会从中受益
use but I think in order for the whole
但我认为，为了让
population to be healthy and well and to
全民健康，
understand how to look after themselves
懂得如何照顾自己，
and not become obese in the first place
避免肥胖，最重要的
it's all about education it's all about
是教育，最重要的是
controlling food prices it's all about
控制食品价格，最重要的是
exercise and it has to start now
锻炼，这一切都必须从现在开始 现在
there's no doubt that these weight loss
毫无疑问，这些减肥
jobs can transform the lives of people
工作可以改变肥胖患者的生活，
struggling with obesity but that can
但这
only be done with the right care and
只有在正确的护理和
support and most importantly it's
支持下才能实现，最重要的是，
crucial that they're not used and abused
这些工作不能被
by those who don't need them when I
那些不 当我
first started out on this program really
刚开始这个项目的时候，我并不需要它们，事实上，
all I knew about the skinny jab was the
我所知道的 瘦身针是
hype around it the buzz everybody seemed
炒作的话题，似乎每个人都
to be losing weight left right in center
在减肥，
including mates of mine
包括我的朋友们，
but if you think about it taking this
但如果你想一想，服用这种
drug is a step into the unknown but
药物是迈向未知的一步，但
really the most worrying truth around
真正令人担忧的事实
the skinny jab is the lack of Regulation
是瘦身针 缺乏监管，
counterfeit medication
假药，
off-label prescribing a burgeoning
标签外处方，
booming Black Market people are putting
黑市蓬勃发展，人们为了减掉几磅体重，将
their health and potentially their lives
自己的健康甚至生命
at risk just for the sake of losing a
置于危险之中，
few pounds and there doesn't seem to be
而且似乎没有
any system in place at all to stop them
任何系统可以阻止 他们
哦
谢谢