Weight loss injections

Advice for NHS Patients Interested in GLP-1 Injections for Weight Loss, Including Mounjaro

If you're considering GLP-1 injections for weight loss, it's important to understand both the potential benefits and the risks, as well as the limitations of these medications.

This guide provides you with essential information about these medications, including Mounjaro (tirzepatide), how they work, the risks and side effects, and why you should be cautious when seeking treatments online.

Please note - NHS GP services are not able to prescribe these injections for you for weight loss.

What Are GLP-1 Injections and Mounjaro?

GLP-1 (glucagon-like peptide-1) is a type of medication primarily used for managing type 2 diabetes.

Recently, GLP-1 receptor agonists, including semaglutide (brand names Ozempic, Wegovy) and liraglutide (brand name Saxenda), and Mounjaro (tirzepatide), have gained attention for their potential use in weight loss.

These medications work by mimicking the action of the GLP-1 hormone, which helps regulate blood sugar and appetite.

How GLP-1 Injections and Mounjaro Work:

• Appetite Control: GLP-1 medications help reduce hunger by affecting the brain’s appetite regulation centers, leading to a decreased desire to eat.
• Slowing Gastric Emptying: These injections slow the rate at which food leaves your stomach, making you feel fuller for longer.
• Improved Insulin Sensitivity: They also help regulate blood sugar levels, which can contribute to weight loss, especially for people with type 2 diabetes.
• Mounjaro (Tirzepatide): Mounjaro is a newer medication that acts on both GLP-1 and GIP (glucose-dependent insulinotropic polypeptide) receptors. This dual action helps regulate both blood sugar and appetite, and clinical trials have shown that it can be particularly effective for weight loss in addition to its use for managing diabetes.

Eligibility for GLP-1 and Mounjaro Weight Loss Treatment on the NHS:

Currently, GLP-1 injections and Mounjaro are not available on the NHS solely for weight loss.

These medications are primarily prescribed for type 2 diabetes management. 

These medications are available for weight loss via private clinics and some pharmacies. They can evaluate your specific situation and may recommend other weight management options that are more accessible.

The GMC guidance states that the prescribing Clinician is responsible for the medication.

Since this is not your NHS GP, we recommend providing your chosen private provider with your medical history to ensure safe prescribing.

While we’ve provided general information on this page, we cannot assess your personal risk or offer specific advice as  we remain your NHS GP  and will not be responsible for prescribing these injections.

Risks and Side Effects of GLP-1 Injections and Mounjaro:

As with any medication, GLP-1 injections and Mounjaro come with potential side effects. These can range from mild to more serious, so it's essential to be informed.

• Common Side Effects:

  • Nausea, vomiting, and diarrhea
  • Abdominal pain or bloating
  • Decreased appetite
  • Fatigue or headache
  • Constipation

• Serious Side Effects:

  • Pancreatitis: Both GLP-1 medications and Mounjaro may increase the risk of pancreatitis (inflammation of the pancreas), which can be severe and requires immediate medical attention.
  • Thyroid Cancer Risk: There are concerns about an increased risk of thyroid cancer, particularly a rare form known as medullary thyroid carcinoma. This is something to discuss with your doctor.
  • Kidney Issues: Dehydration due to vomiting or diarrhea can lead to kidney problems. Be sure to stay hydrated.
  • Hypoglycemia (Low Blood Sugar): While rare, hypoglycemia may occur, particularly if these medications are combined with other diabetes medications that increase insulin.

Cautions When Seeking Treatment Online:

While it may be tempting to look for GLP-1 injections or Mounjaro online, it's crucial to exercise caution. Many websites sell counterfeit or unregulated medications that can cause harm. Here’s how to protect yourself:

• Verify the Source: Only obtain GLP-1 injections or Mounjaro through a licensed healthcare provider or registered pharmacy. These medications should only be prescribed by professionals who can assess your health needs.
• Be Aware of Counterfeit Risks: Counterfeit products can contain harmful substances or incorrect dosages that pose serious health risks. These medications are not subject to the same quality controls as those prescribed by regulated healthcare professionals.
• Avoid Self-Diagnosis: Never self-medicate or buy weight loss medications without proper medical guidance. Taking GLP-1 injections or Mounjaro without supervision could lead to unnecessary risks.
• Check the Legitimacy of Online Pharmacies: If you choose to purchase medications online, make sure the pharmacy is properly regulated and licensed by organizations like the General Pharmaceutical Council (GPhC) in the UK.

Considerations:

1. If you're considering GLP-1 injections or Mounjaro for weight loss please find a reputable registered private clinic. They can help determine if these medications are right for you and whether you meet the criteria for prescription. 
2. You can access your medical history via the NHS app if you need to provide more information.
3. Explore Other Weight Loss Options: Your prescribing Clinician may suggest other methods of weight management, such as lifestyle changes, physical activity for example engaging with NHS weight loss opportunities.
4. Regular Monitoring: If you're prescribed any GLP-1 medication or Mounjaro, your prescribing provider should monitor your progress regularly to ensure the medication is working effectively and to manage any potential side effects. This remains the responsibility of the private clinic, please contact them with any questions you may have.

While GLP-1 injections, including semaglutide, liraglutide, and Mounjaro, have shown effectiveness in promoting weight loss, they are not currently available on the NHS solely for weight loss.

Be particularly cautious when considering online purchases of these medications.

Counterfeit products are a significant risk and can have serious health consequences.

Always prioritise professional medical guidance and obtain medications from regulated sources to protect your health.