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GLP-1s

Can you get retatrutide on the NHS?

Robbie Puddick
Written by

Robbie Puddick

Medically reviewed by

Fiona Moncrieff

5 min read
Last updated December 2024
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Jump to: What is retatrutide? | How much weight can you lose on retatrutide? | How can you get a retatrutide prescription? | When will retatrutide be available? | Second Nature’s medication programmes

You can’t get retatrutide on the NHS in the UK as it’s not yet approved for weight loss. Retatrutide is currently undergoing later-stage human trials to showcase its effectiveness for weight loss.

It’s not confirmed whether it will be available on the NHS when approved, as other weight-loss injections are already available. The NHS budget may not cover newer generation GLP-1 medications.

However, there are currently two weight-loss injections approved in the UK to be used in the NHS:

  1. Mounjaro (tirzepatide)
  2. Wegovy (semaglutide, the same drug in Ozempic)

However, very little Wegovy is being prescribed in the NHS as it’s being reserved for people living with severe obesity as part of tier 3 weight management services. The NHS hasn’t confirmed when Mounjaro will be available on prescription.

If you meet our strict eligibility criteria, you can buy Wegovy and Mounjaro privately with Second Nature as part of our weight-loss programmes.

The first step to understand whether you’re eligible is to take your health quiz.

Medication-assisted weight loss with a future focus

Start with Wegovy or Mounjaro, transition to habit-based health with our support

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What is retatrutide?

Retatrutide is a triple-action weight-loss injection manufactured by Eli Lilly. It’s undergoing later-stage human clinical trials to determine its effectiveness across a broader population.

Retatrutide is known as a ‘triple hormone receptor agonist’. This means it mimics the actions of three hormones in the body that directly affect our ability to control hunger and our blood sugar levels.

Retatrutide is likely going to be approved for individuals living with obesity and type 2 diabetes, should it receive approval from the MHRA in the UK and the FDA in the U.S.

The three hormones that retatrutide mimic are:

  1. GLP-1: Lowers appetite and blood sugar levels
  2. GIP: Lowers appetite and blood sugar levels and helps our fat cells absorb more excess energy
  3. Glucagon: Promotes fat breakdown for energy use and prevents low blood sugar levels

The triple action of retatrutide means it has a profound effect on appetite and the management of blood sugar levels and is expected to be more effective than semaglutide (Ozempic/Wegovy) and tirzepatide (Mounjaro) for weight loss.

How much weight can you lose on retatrutide?

In 2023, a randomised controlled trial on 338 participants showed that retatrutide supported an average weight loss of 24% after 48 weeks. If you weighed 100 kg, this would be a weight loss of 24kg.

Additionally, 100% of participants on the higher doses of the drug lost more than 5% of their weight, 93% lost more than 10%, and 15% lost more than 15%.

Strikingly, 26% of participants on the highest dose of retatrutide (12 mg) lost more than 30% of their body weight.

Losing and maintaining weight loss of more than 10% is associated with significantly reducing complications related to obesity, including hypertension, type 2 diabetes, and heart disease.

A recent paper published in The Lancet showed that nearly 20% of participants in lifestyle interventions without medications gain weight, around 40% lose between 1-10% of their body weight, and just 13% lose more than 10%.

So, combining retatrutide with a lifestyle intervention leads to significantly greater weight loss than lifestyle interventions without medication.

How can you get a prescription for retatrutide?

Retatrutide isn’t available via prescription in the UK as of July 2024 and isn’t likely to be available for prescription until 2026/2027.

If retatrutide does become available for prescription in the UK via the NHS, it’s likely to be reserved for people living with very complex obesity via tier 3 weight management programmes.

Tier 3 weight management programmes are reserved for people:

  • With a BMI over 35
  • Living with at least one other obesity-related comorbidity like high blood pressure or type 2 diabetes
  • Who have made several failed attempts to lose weight by changing their diet and lifestyle

If you’re unsure whether you qualify for a place on a tier 3 weight management programme, it’s worth speaking with your doctor.

When will retatrutide be available?

It’s unclear when retatrutide will be available in the UK or the U.S. It’s likely it won’t be available for several years, with 2026 being the earliest possible date. This assumes that the drug passes later-stage human trials now underway.

Eli Lilly is currently expanding its TRIUMPH programmes to investigate the impact of retatrutide on patients living with obesity in broader populations.

These later-stage trials are known as phase 3 trials. Phase 3 trials are larger human trials that aim to investigate a medication’s effectiveness in a larger, more diverse population.

Retatrutide has already passed earlier trials, known as phase 1 and 2 trials, which primarily investigate the drug’s safety, dosing schedule, and effectiveness over a shorter time frame in smaller groups of participants.

If retatrutide is shown to be safe and effective, Second Nature may add the drug as an option alongside its medication-supported programmes using Wegovy and Mounjaro.

Weight-loss injections aren’t a magic pill

Weight-loss injections are most effective when combined with a healthier lifestyle. They can help kickstart weight loss while you commit to developing healthier habits.

Mounjaro and other weight loss injections, like Ozempic and Wegovy, can allow you to make lifestyle changes to support long-term weight loss.

These medications can help silence food-related thoughts and give you a boost of confidence with more immediate weight-loss results.

They can also buy you the time and headspace to understand why your body may have struggled to lose weight and build new long-term healthy habits.

The core focus of our medication programmes is to calm down the feeling of food noise, lower your cravings, and allow you to build healthier habits to keep the weight off for good.

The ultimate goal is to make losing weight feel second nature.

Second Nature’s medication programmes

Second Nature has two medication-supported programmes: a Wegovy weight-loss programme and a Mounjaro weight-loss programme.

If you’ve decided to try Wegovy or Mounjaro (assuming you’re eligible), why should you choose Second Nature over other medication providers?

For peace of mind.

Second Nature has worked with the NHS for over 6 years providing weight-loss programmes across the UK.

Whilst our Wegovy and Mounjaro weight-loss programmes are private and not currently used by the NHS, we’ve built the programmes with a focus on scientific evidence, patient safety, and data security.

We hope that our 6+ years of working with the NHS and building a track record of effective weight-loss results will give you peace of mind to give us a try.

Medication-assisted weight loss with a future focus

Start with Wegovy or Mounjaro, transition to habit-based health with our support

Mounjaro pen
Wegovy pen
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