Unveiling the risks: Weight loss injections under scrutiny

 

Introduction

Weight loss injections are a medical treatment designed to aid in weight reduction. These injections work by suppressing appetite, increasing feelings of fullness, and delaying gastric emptying. By mimicking natural hormones released after eating, they can support adherence to diet plans and help decrease overall calorie consumption.

Some of these injections also lower blood sugar levels. When administered under prescription and ongoing medical supervision, they've proven clinically effective, particularly for individuals with Type 2 diabetes.

However, these treatments come with significant risks and are subject to strict regulations, particularly when it comes to advertising, prescribing and supply.

Weight loss injections are not available over the counter due to their active ingredients, which should only be prescribed by a doctor or other independent prescriber. Purchasing these injections without a prescription from illegal suppliers, particularly online or social media sources, increases the risk of receiving counterfeit or unlicensed products. This practice can be dangerous and pose significant health risks.

We have received over 50 complaints within a 12-month period regarding weight loss injections. This significant number of complaints in such a short timeframe highlights the growing concerns surrounding these treatments and underscores the need for increased scrutiny and regulation in this area of cosmetic medicine. These complaints frequently include screenshots of practitioners promoting the administration of the injections or seeking leads to acquire more of the product, such as the below.

This article explores the negative aspects of weight loss injections, the regulations surrounding their promotion, and the crucial impact these factors have on public safety.

Negative aspects of weight loss injections

- Side effects: Common side effects include nausea, vomiting, diarrhoea, and constipation.

- Potential for abuse: The injectable nature of these drugs can lead to misuse or addiction.

- Limited long-term efficacy: Studies show that weight often returns once treatment is stopped.

- High cost: These treatments can be expensive and are rarely covered by insurance.

- Masking underlying issues: May not address the root causes of obesity, such as lifestyle or psychological factors.

Warning from MHRA of dangerous counterfeit weight loss pens

Warnings from the Medicines and Healthcare products Regulatory Agency (MHRA) highlight the dangers of purchasing weight loss injections without proper medical supervision. The agency strongly advises against buying pre-filled pens purporting to contain Ozempic (similitude) or Saxenda (liraglutide) from unauthorised sources. Instead, individuals are urged to consult qualified healthcare professionals for prescriptions.

It's crucial to understand that both semaglutide and liraglutide are classified as prescription-only medicines, meaning they should only be obtained through legitimate medical channels.

The severity of this issue is underscored by recent MHRA actions. Since January 2023, the agency has confiscated 369 potentially counterfeit Ozempic pens. Additionally, they've received reports of fake Saxenda pens circulating in the UK, acquired through non-legitimate means - any method that bypasses the requirement for a prescription from a qualified healthcare professional. Notably, no such seizures were recorded prior to January 2023, indicating a worrying trend in the illegal distribution of these products.

Advertising regulations for Prescription Only Medicines (POM)

Weight loss injections, classified as Prescription Only Medicines (POM), are subject to strict advertising regulations in many countries, including the UK. These regulations aim to protect consumers and ensure that medical treatments are promoted responsibly.

- Direct-to-consumer advertising prohibited: In the UK and many other countries, direct advertising of POMs to the public is not allowed.

- Information vs. promotion: Any information provided must be factual and balanced, not promotional in nature.

- Healthcare professional focus: Advertising is typically restricted to healthcare professionals only.

- Regulatory body oversight: Bodies like the MHRA in the UK closely monitor and enforce these regulations.

Impact on public safety

The regulations surrounding weight loss injections, and their advertising have a significant impact on public safety:

- Informed decision making: Restrictions on advertising help ensure members of the public receive information from healthcare professionals rather than potentially biased marketing.

- Reduced risk of misuse: By limiting direct-to-consumer advertising, there's less chance of members of the public self-diagnosing or seeking treatments inappropriately

- Quality control: Strict regulations help maintain high standards in the production and distribution of these medicines.

- Professional oversight: Ensuring these treatments are only available through regulated healthcare professionals adds a layer of safety and monitoring.

Challenges and concerns

Despite regulations, several challenges persist:

- Social media influence: The rise of influencers and social media marketing has created new avenues for promoting these treatments, often skirting regulations.

- Cross-border advertising: Online platforms make it difficult to control advertising across different regulatory jurisdictions.

- Public perception: The allure of quick weight loss solutions can lead to unrealistic expectations and potential disappointment.

Conclusion

While weight loss injections may offer benefits for some individuals under proper medical supervision, it's crucial to understand their potential drawbacks and the strict regulations surrounding their promotion. These regulations play a vital role in protecting public safety by ensuring that decisions about using such treatments are made based on medical advice rather than marketing hype. As the landscape of advertising continues to evolve, particularly in the digital realm, ongoing vigilance and adaptation of regulations will be necessary to maintain public safety and health.

Recommendations

- If you plan to purchase weight loss injections online, you should choose a pharmacy registered in the UK. You can check the pharmacy’s registration on the GPhC website. You should expect to provide all the necessary medical information, including evidence of height and weight.

If you purchase weight loss injections from an individual, you should have a face-to-face assessment with a prescriber. You can check that they are a registered prescriber by visiting the relevant professional regulator website such as the GMC, NMC, GDC, GPhC or HCPC.

- In either case, you should ensure that you are provided with sufficient information, including all the risks as well as benefits, to make an informed decision.

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