Jeremy Clarkson joked about his use of the weight-loss drug Mounjaro and awkwardly omitted thanking his partner, Lisa Hogan, as he accepted a National Television Award at London’s O2 arena on Wednesday.

The 65-year-old presenter collected the award for Factual Entertainment for Clarkson’s Farm and opened his speech by quipping, “I should explain I’m on Mounjaro, my trousers are falling down.” Hogan reached for him onstage and he added, “Lisa’s going to hold my trousers up whilst I make a very short speech.” Clarkson then praised his production team, saying they had “worked way harder than anyone else in this room,” but did not verbally thank Hogan, who also appears on the show. She raised her hand alongside other cast members as he spoke.

Clarkson has previously said he lost about two stone after turning to Mounjaro, a drug used to treat type 2 diabetes that has been prescribed off-label for weight loss. He told media outlets that an earlier attempt with Ozempic left him feeling unwell and produced limited benefit, and that “microdosing” Mounjaro had been more effective for him. In recent interviews he described changes to his diet and said the regimen had been “horrific” for someone who describes himself as a renowned meat-eater.

The presenter’s comments come as the first four episodes of the latest series of Clarkson’s Farm were released on Amazon Prime. The new series also addresses a serious health episode Clarkson experienced between August and October last year, when he said he became progressively unwell while trying to open his pub, The Farmer’s Dog. He underwent an urgent two-hour surgical procedure to improve blood flow to his heart and relieve chest pain. Doctors subsequently advised that some of his current work commitments might need to be reduced.

Clarkson was joined at the NTAs by colleagues from the series, including Kaleb Cooper, Harriett Cowan and Charlie Ireland. After collecting the statuette, he posed with Hogan and members of the cast in the press room.

The National Television Awards are decided by public vote and are among Britain’s highest-profile television prizes. Clarkson’s Farm, filmed on Clarkson’s own Diddly Squat Farm, has attracted attention both for its view of contemporary farming and for the presenter’s candid discussions of his personal health and lifestyle changes. His recent remarks about prescription drugs and weight loss mirror wider public discussion about the growing use of diabetes medications as weight-management treatments, though Clarkson’s comments reflected his personal experience rather than independent medical assessment.

Representatives for Clarkson and organizers of the National Television Awards did not immediately respond to requests for additional comment.