Umeed Sanjesh, MPharm

UK pharmacist on the honest way to lose weight and keep it off. Systems over willpower. No fads, no fear-just what actually works.

[Umeed Sanjesh, MPharm @Umeed8o]

@NHSMillion Free healthcare is a basic pillar of a civilised society. You get treated because you are human, not because you are wealthy. The NHS is imperfect, but the principle is priceless. No family should have to choose between cancer treatment, a child’s inhaler, or paying the rent.

[Umeed Sanjesh, MPharm @Umeed8o]

One thing I’ve learnt as a pharmacist is that medicines rarely change lives on their own. The biggest difference comes when patients understand why they’re taking them, believe they can succeed, and build habits they can stick to. The prescription starts the journey. The daily choices finish it.

[Umeed Sanjesh, MPharm @Umeed8o]

@RoyLilley The debate isn’t whether we pay. We already do. The real question is whether we pay enough, fairly enough and in a way that’s sustainable for an ageing population.

[Umeed Sanjesh, MPharm @Umeed8o]

@NHSMillion Healthcare has always crossed borders. Diseases don’t recognise nationality, and neither should gratitude. The NHS is stronger because it attracts talent from around the world.

[Umeed Sanjesh, MPharm @Umeed8o]

@BioLayne Exactly. Losing lean mass is a feature of weight loss itself, not unique to GLP-1s. The goal isn’t just losing weight. It’s improving body composition with adequate protein, resistance training and staying physically active.

[Umeed Sanjesh, MPharm @Umeed8o]

@EricTopol This is why advertising prescription only medicine in the UK is banned.

[Umeed Sanjesh, MPharm @Umeed8o]

For a child, delayed hearing support isn’t just a waiting list. It’s lost language, lost learning and lost opportunity during the years when the brain is developing fastest. Every month matters. Prevention isn’t only about stopping disease. It’s about acting before delay becomes lifelong disadvantage.

[Umeed Sanjesh, MPharm @Umeed8o]

@RoyLilley We spend billions treating preventable disease, yet underinvest in the things that prevent it. The healthiest intervention isn’t always another medicine. Sometimes it’s a decent home, good food and a safe childhood.

[Umeed Sanjesh, MPharm @Umeed8o]

With the Wegovy pill launch, counterfeit weight-loss medicines will become an even bigger risk.

Please don’t buy from random websites, DMs or “cheap stock” sellers. GLP-1 medicines need proper checks, counselling and follow-up.

Before you buy, check the pharmacy is on the GPhC register.

Convenience is good. Safety comes first.

[Umeed Sanjesh, MPharm @Umeed8o]

This is where sleep tracking becomes far more interesting. Most wearables estimate sleep from movement and heart rate, but this looks closer to what sleep is actually doing inside the brain.

If validated at scale, tracking brain water dynamics could shift sleep tech from sleep score to early brain health insight.

The key is using it to improve habits, not create more anxiety. Regular sleep, less alcohol, less late caffeine, better metabolic health and protecting deep sleep.

[Umeed Sanjesh, MPharm @Umeed8o]

@NHSMillion Free healthcare is a basic pillar of a civilised society. You get treated because you are human, not because you are wealthy. The NHS is imperfect, but the principle is priceless. No family should have to choose between cancer treatment, a child’s inhaler, or paying the rent.

[Umeed Sanjesh, MPharm @Umeed8o]

Completely agree. More care in the community is the right direction, but it only works if the services already in the community are properly resourced.
General practice needs investment, people and premises. Community pharmacy is facing the same issue. Pharmacies are accessible and trusted, but you can’t keep adding clinical responsibility without the workforce, funding, IT access and space to deliver it safely.
Care closer to home needs capacity closer to home.

[Umeed Sanjesh, MPharm @Umeed8o]

@PeterAttiaMD A genuinely useful medicine, badly served by the hype around it. If you're thinking about it, talk to your pharmacist or GP first — that's the safe route.

Honest question: is it your appetite you're fighting, or your habits? They're not always the same thing

[Umeed Sanjesh, MPharm @Umeed8o]

@BBCr4today @GilesYeo @amolrajan A genuinely useful medicine, badly served by the hype around it. If you're thinking about it, talk to your pharmacist or GP first — that's the safe route.

Honest question: is it your appetite you're fighting, or your habits? They're not always the same thing.

[Umeed Sanjesh, MPharm @Umeed8o]

So: a genuinely useful medicine, badly served by the hype around it. If you're thinking about it, talk to your pharmacist or GP first — that's the safe route.

Honest question to end on: is it your appetite you're fighting, or your habits? They're not always the same thing.

[Umeed Sanjesh, MPharm @Umeed8o]

The weight-loss "pill" is all over the timeline this week, and half of what I'm reading about it is wrong.

I'm a pharmacist. Here's the honest version — what it actually is, and the one part nobody's mentioning. 🧵

[Umeed Sanjesh, MPharm @Umeed8o]

And even the real thing isn't magic. It's licensed alongside diet and activity, not instead of them.

The drug can quieten the noise around food — but the habits underneath are still the work. Take those away and the weight tends to find its way back.

[Umeed Sanjesh, MPharm @Umeed8o]

Everyone around you is dropping weight fast, and you're still wrestling the same 15 lbs. The bit no one says out loud: you started from a different place, and yours has genuinely been harder.

That's not a character flaw. It's a harder starting line.