SHIFT Radar · UK focus
Medicines &
Peptides Watch
What’s authorised, what’s being studied, and what it means in the UK. Clear evidence. Honest limits.
How we keep this credible ↓Weight-management focus · Reference review 15 September 2026
0 of 19 monitored sources have current, unchanged checks.
Latest check attempt: 15 Sept, 22:40 BST. Refresh status
Showing 6 of 6 medicines
UK authorisedMounjaro
Tirzepatide · Weekly injection
Mounjaro
Tirzepatide · Weekly injection
Reference reviewed 15 September 2026 · Source check delayed
Some source checks are pending or delayed. Check the linked authority for the latest position.
What it does
Acts on GIP and GLP-1 receptors involved in appetite regulation.
Can support weight loss and weight maintenance in eligible adults.
UK position
UK authorised for adult weight management, alongside dietary changes and physical activity.
Trade-offs and limits
- Digestive side effects are common.
- Suitability, other medicines and treatment response need clinical review.
Access and availability
NHS — England: Eligible patients only. Access is phased; specialist services and primary care have different arrangements under NICE TA1026.
Private access: Private prescription route established. Individual pharmacy stock is not tracked here.
View evidence & source checks
- MHRA: tirzepatide weight-management authorisationReference reviewed 15 September 2026 · Source check delayedLast successful source check: 15 Sept, 22:40 BST
- Mounjaro: UK product informationReference reviewed 15 September 2026 · Source check delayedLast successful source check: Not yet recorded · Last failed check: 15 Sept, 22:40 BST
- NHS England: phased tirzepatide accessReference reviewed 15 September 2026 · Source check delayedLast successful source check: 15 Sept, 22:40 BST
- NICE TA1026: tirzepatide for weight managementReference reviewed 15 September 2026 · Source check delayedLast successful source check: 15 Sept, 22:40 BST
UK authorisedWegovy injection
Semaglutide · Weekly injection
Wegovy injection
Semaglutide · Weekly injection
Reference reviewed 15 September 2026 · Source check delayed
Some source checks are pending or delayed. Check the linked authority for the latest position.
What it does
A GLP-1 receptor agonist that acts on appetite regulation.
Can support weight loss and weight maintenance in eligible patients.
UK position
UK authorised for weight management alongside dietary changes and physical activity.
Trade-offs and limits
- Digestive side effects are common.
- Assessment and ongoing review are needed; authorised strengths do not all have identical NHS access.
Access and availability
NHS — England: Available to eligible patients under indication-specific guidance. Weight-management access follows NICE TA875; cardiovascular prevention has separate guidance.
Private access: Available through private prescription services following assessment. Supply varies.
View evidence & source checks
- Wegovy injection: UK product informationReference reviewed 15 September 2026 · Source check delayedLast successful source check: 15 Sept, 22:40 BST
- DHSC: NHS and private Wegovy accessReference reviewed 15 September 2026 · Source check delayedLast successful source check: 15 Sept, 22:40 BST
- NICE TA875: semaglutide for weight managementReference reviewed 15 September 2026 · Source check delayedLast successful source check: 15 Sept, 22:40 BST
- NICE TA1152: separate cardiovascular prevention indicationReference reviewed 15 September 2026 · Source check delayedLast successful source check: 15 Sept, 22:40 BST
UK authorisedWegovy tablet
Oral semaglutide · Daily tablet
Wegovy tablet
Oral semaglutide · Daily tablet
Reference reviewed 15 September 2026 · Source check delayed
Some source checks are pending or delayed. Check the linked authority for the latest position.
What it does
A GLP-1 receptor agonist that acts on appetite regulation.
An oral formulation for eligible adults, used with dietary changes and physical activity.
UK position
UK authorised for adult weight management on 11 June 2026.
Trade-offs and limits
- Specific fasting and administration instructions matter.
- Digestive side effects remain possible; tablets and injections are not automatically interchangeable.
Access and availability
NHS — England: No NHS access confirmed in the reviewed sources. MHRA stated at approval that the tablet was not available through the NHS.
Private access: UK private provision is listed by the linked provider. This does not guarantee individual pharmacy stock.
View evidence & source checks
- MHRA: oral Wegovy authorisationReference reviewed 15 September 2026 · Source check delayedLast successful source check: 15 Sept, 22:40 BST
- Wegovy tablets: UK product informationReference reviewed 15 September 2026 · Source check delayedLast successful source check: 15 Sept, 22:40 BST
- UK provider: oral Wegovy private availabilityReference reviewed 15 September 2026 · Source check delayedLast successful source check: 15 Sept, 22:40 BST
UK authorisedOrlistat
Orlistat · Capsules taken with meals
Orlistat
Orlistat · Capsules taken with meals
Reference reviewed 15 September 2026 · Source check delayed
Some source checks are pending or delayed. Check the linked authority for the latest position.
What it does
Reduces absorption of some dietary fat in the gut.
Can support weight loss alongside dietary changes and physical activity.
UK position
UK authorised. The prescription 120 mg and pharmacy 60 mg products have different conditions of use.
Trade-offs and limits
- Oily stools, urgency and other digestive effects are common.
- Medicine interactions and reduced absorption of some vitamins need consideration.
Access and availability
NHS — England: Prescription treatment is available for eligible patients following assessment.
Private access: 120 mg products require a prescription. Lower-dose 60 mg products can be supplied by a pharmacy when suitable.
View evidence & source checks
- NHS: orlistat uses, access and limitationsReference reviewed 15 September 2026 · Source check delayedLast successful source check: 15 Sept, 22:40 BST
- Xenical 120 mg: UK product informationReference reviewed 15 September 2026 · Source check delayedLast successful source check: 15 Sept, 22:40 BST
- alli 60 mg: UK product informationReference reviewed 15 September 2026 · Source check delayedLast successful source check: 15 Sept, 22:40 BST
UK authorisedFoundayo
Orforglipron · Daily tablet
Foundayo
Orforglipron · Daily tablet
Reference reviewed 15 September 2026 · Source check delayed
Some source checks are pending or delayed. Check the linked authority for the latest position.
What it does
A non-peptide GLP-1 receptor agonist that acts on appetite regulation.
Can support weight loss and maintenance alongside dietary changes and physical activity.
UK position
UK authorised for adult weight management on 10 August 2026; it also has a type 2 diabetes indication.
Trade-offs and limits
- Nausea, constipation, diarrhoea, vomiting and abdominal symptoms can occur.
- A prescription and individual clinical assessment are required.
Access and availability
NHS — England: No NHS access confirmed. NICE has a weight-management appraisal in development; authorisation is separate from an NHS funding decision.
Private access: Lilly confirmed UK private-prescription availability on 24 August 2026. Individual pharmacy stock is not tracked here.
View evidence & source checks
- MHRA: orforglipron authorisationReference reviewed 15 September 2026 · Source check delayedLast successful source check: 15 Sept, 22:40 BST
- Foundayo: UK product informationReference reviewed 15 September 2026 · Source check delayedLast successful source check: 15 Sept, 22:40 BST
- NICE: orforglipron weight-management appraisal in developmentReference reviewed 15 September 2026 · Source check delayedLast successful source check: 15 Sept, 22:40 BST
- Lilly UK private-launch announcement — 24 August 2026 (PDF)Reference reviewed 15 September 2026 · Additional evidence; automatic content check not available
Investigational · not UK authorisedRetatrutide
Retatrutide · Weekly injection studied in trials
Retatrutide
Retatrutide · Weekly injection studied in trials
Reference reviewed 15 September 2026 · Source check delayed
Some source checks are pending or delayed. Check the linked authority for the latest position.
What it does
Acts on GIP, GLP-1 and glucagon receptors.
Being studied for weight management. Sponsor-reported Phase 3 results do not establish an approved treatment.
UK position
Not authorised in the UK. MHRA confirmed this on 24 July 2026; later sponsor evidence still describes it as investigational.
Trade-offs and limits
- Digestive symptoms and treatment discontinuations were reported in trials.
- Longer-term outcomes and regulatory assessment remain important uncertainties.
Access and availability
NHS — England: No routine NHS weight-management access is confirmed; this remains research-stage treatment.
Private access: No approved UK retail treatment. Products marketed online are not equivalent to medicine supplied within a regulated trial.
View evidence & source checks
- MHRA: retatrutide is not authorised in the UKReference reviewed 15 September 2026 · Source check delayedLast successful source check: 15 Sept, 22:40 BST
- Lilly: retatrutide Phase 3 research updateReference reviewed 15 September 2026 · Source check delayedLast successful source check: 15 Sept, 22:40 BST
The evidence, kept honest
Checked regularly. Reviewed separately.
MHRA decisions, official product information, NHS guidance and original trial announcements. Every reference links to its evidence.
The source monitor attempts checks hourly. A changed, withdrawn, overdue or unreachable reference is flagged openly.
A successful check does not renew the review date or confirm clinical advice. Changes need an evidence review before the wording changes.
This covers six selected weight-management medicines, not every medicine or peptide. UK authorisation, NHS funding and actual supply are different decisions. NHS access shown here relates to England; arrangements elsewhere in the UK can differ. Research results do not establish authorisation or guarantee an individual outcome.
General information, not individual medical advice. A clinician or pharmacist can help you understand suitability, risks and interactions. Do not use unapproved products sold as “research peptides”.
