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Jon Connorton @jonconnorton.com

It’s not efficacy per pound, it’s whether or not people can afford £300 a month or can only pay half of that. Plus, ChatGPT isn’t exactly a reliable source.

sep 2, 2025, 3:43 am • 1 0

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Andrew Richards @andrewwr235.bsky.social

A surprisingly good response from ChatGPT on whether it's a good source. I suspect engineered in.

That depends on what you mean by reliable. 🔹 Strengths: ChatGPT can quickly summarise information, explain concepts, generate ideas, and point you toward useful directions. It’s good for well-established knowledge (e.g., maths, history up to 2023–25, common facts). It can help cross-check or rephrase information you already have. 🔹 Limitations: It doesn’t “know” in the way a human expert does; it predicts answers from patterns in data. It can sometimes produce errors, oversimplifications, or outdated info (especially if facts have changed after 2023 unless I fetch fresh sources). It isn’t a primary source—you should confirm important details with trusted references (peer-reviewed research, official documents, expert commentary). Best way to use it: Treat ChatGPT like an assistant or starting point, not the final word. It’s reliable for explanations and drafts, but if accuracy really matters—academic work, legal advice, medical information—you should always double-check with authoritative sources. Do you want me to compare how reliable ChatGPT is versus, say, Wikipedia or an academic source?
sep 2, 2025, 5:34 am • 0 0 • view
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Cllr Brian Wernham 🔶 C.Eng. MA History @brianwernham.bsky.social

I was using ChatGPT 5 subscription thinking mode - it took 3 minutes to analyse. Put another way: You would have to use wegovy for 18 months to lose the same weight as on mounjaro for 12 months So the total cost is 16% more with wegovy. Switching is a false economy (and it delays health benefits)

sep 2, 2025, 7:08 am • 0 0 • view
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Jon Connorton @jonconnorton.com

Again, the speed at which I lose weight is immaterial. But the 7.5mg dose of Mounjaro I’m on is now £244.99, which compares with about £128 for Wegovy 1mg. Speed of loss here is completely irrelevant when you cannot afford £250/£300 a month.

sep 2, 2025, 7:17 am • 1 0 • view
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Cllr Brian Wernham 🔶 C.Eng. MA History @brianwernham.bsky.social

Wegovy 1.7mg would be the more appropriate price comparison at £150 It is about half as effective.

sep 2, 2025, 7:28 am • 0 0 • view
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猫好きな人 @valoisdubins.bsky.social

Rather than using ChatGPT to integrate two separate studies (which is dodgy practice), why not use an actual direct comparison? www.nejm.org/doi/full/10....

sep 2, 2025, 7:49 am • 0 0 • view
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Cllr Brian Wernham 🔶 C.Eng. MA History @brianwernham.bsky.social

I am an introducing an engineering component to the science here. That is the cost effectiveness based upon the new prices announced 2 days ago.

sep 2, 2025, 8:40 am • 0 0 • view
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猫好きな人 @valoisdubins.bsky.social

But whatever comparison on effectiveness also needs to have a good measure of comparison. Separate studies in different populations with different inclusion requirements can’t simply be compared. Better to have direct comparisons.

sep 2, 2025, 8:43 am • 0 0 • view
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Cllr Brian Wernham 🔶 C.Eng. MA History @brianwernham.bsky.social

Unfortunately, I cannot read that article. It is behind a paywall. Can you provide me with a link to the whole article?

sep 2, 2025, 8:47 am • 0 0 • view
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Sheila Ritchie @europesheila.bsky.social

on.ft.com/47SKDmA Eli Lilly raises UK price of obesity drug by up to 170% after Trump ‘freeloading’ gripe

sep 2, 2025, 8:52 am • 0 0 • view
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Sheila Ritchie @europesheila.bsky.social

I can gift it.

sep 2, 2025, 8:50 am • 0 0 • view
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Sheila Ritchie @europesheila.bsky.social

I actually used “gift” as a verb. OMG!

sep 2, 2025, 8:53 am • 0 0 • view
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猫好きな人 @valoisdubins.bsky.social

Or this one: jamanetwork.com/journals/jam...

sep 2, 2025, 7:50 am • 0 0 • view
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Anonymous Don @anondon.bsky.social

Sure, if you don’t question the reliability of trials conducted by the company producing the product (see below). I think we would want to see many more independent trials before we could be confident in your projections.

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sep 2, 2025, 7:20 am • 1 0 • view
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Jon Connorton @jonconnorton.com

Also, most of us are not that fussed if we lose weight slightly faster. I’ve lost 30% of my body weight in a year and now have a BMI of 26. I’m not sure why people think I need to lose weight much more rapidly.

sep 2, 2025, 7:24 am • 0 0 • view
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Cllr Brian Wernham 🔶 C.Eng. MA History @brianwernham.bsky.social

In which case you should be most interested in titrating down your dose so as to hit your target BMI and then maintain it. You should be talking to your pharmacist about reducing your dose as you get near to your target weight. There is no clinical trial on this - a big problem.

sep 2, 2025, 7:31 am • 0 0 • view
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Cllr Brian Wernham 🔶 C.Eng. MA History @brianwernham.bsky.social

Who is going to find the hundreds of millions of pounds to carry out speculative trials on drugs that may or may not work? We work within a capitalist system which is producing amazing but expensive drugs.

sep 2, 2025, 7:33 am • 0 0 • view
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Anonymous Don @anondon.bsky.social

But that’s a different point. You’re making very concrete claims about the benefits of Mnjro over Wegovy, based on a single trial managed by the producer of your favoured drug. I would wait a bit.

sep 2, 2025, 7:51 am • 0 0 • view
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Cllr Brian Wernham 🔶 C.Eng. MA History @brianwernham.bsky.social

Wegovy is not half the price of Mounjaro. It is about 30% less cost, but about half as effective.

sep 2, 2025, 7:13 am • 0 0 • view