Wegovy pricing comparison: Second Nature vs other providers
When comparing Wegovy costs across UK providers, it’s important to understand what’s included beyond just the medication. Here’s how the pricing compares:
| Provider |
Starting Dose (0.25mg) |
Maintenance Dose (2.4mg) |
Support Included |
Additional Benefits |
| Second Nature |
£149 (£99 first month) |
£249 |
Registered dietitian 5 days/week |
App, recipes, group support, NHS-developed curriculum |
| High Street Pharmacies |
£130-£145 |
£195-£220 |
Basic pharmacist check-ins |
Varies by provider |
| Online Pharmacies |
£125-£145 |
£195-£215 |
Varies (typically minimal) |
Some offer free delivery |
Complete Wegovy dose pricing at Second Nature:
- 0.25 mg: £149 (first month discount: £99)
- 0.5 mg: £179
- 1 mg: £199
- 1.7 mg: £229
- 2.4 mg: £249
Important: Most people progress through multiple doses over 5-6 months before reaching their maintenance dose of 2.4 mg. This gradual titration helps minimize side effects while maximizing weight loss results.
What’s included in Second Nature’s Wegovy programme?
Unlike standalone pharmacy providers that only supply medication, Second Nature’s Wegovy programme includes comprehensive support proven to enhance your results:
- Registered dietitian or nutritionist support (available 5 days/week)
- Small group support with others on the same medication journey
- Award-winning app with meal planning and progress tracking
- NHS-developed curriculum based on behavioural psychology
- Regular medical check-ins and side effect management
- Post-medication transition planning to maintain results long-term
Our approach addresses the issue that 86% of people who stop weight loss medication without behavioural support regain significant weight within a year.
By combining medication with habit change, we help you maintain results even after medication ends.
Research-backed: Why support matters alongside medication
Our peer-reviewed research published in JMIR Formative Research demonstrates the significant benefit of combining behavioural support with GLP-1 medications:
- Participants receiving Second Nature support alongside medication lost ~40% more weight than participants taking Wegovy in clinical trials
- 82% of supported participants achieved clinically significant weight loss (>5% body weight)
- Side effect management improved by 37%, resulting in fewer discontinuations
This research underscores why investing in comprehensive support alongside medication provides better value than medication alone, despite the slightly higher initial cost.
NHS vs private Wegovy treatment: Understanding your options
NHS Wegovy eligibility criteria:
- BMI ≥35 kg/m² (or ≥30 kg/m² with weight-related health conditions)
- Previous participation in a supervised weight management programme
- No current pregnancy or plans to become pregnant
- No personal history of medullary thyroid cancer or MEN2
While Wegovy is technically available on the NHS, significant supply constraints mean most eligible patients face waiting lists of 12+ months.
Private treatment considerations:
- Immediate access without waiting lists
- More flexible eligibility criteria (typically BMI ≥27 with weight-related conditions or BMI ≥30)
- Choice of support options from basic prescriptions to comprehensive programmes
- Higher costs than NHS treatment (£9.95 per prescription vs £149-249 monthly)
How much weight will I lose on Wegovy?
Wegovy produces significant weight loss results, particularly when combined with lifestyle support:
| Approach |
Average Weight Loss (68 weeks) |
Participants Losing >15% |
Maintenance After Stopping |
| Wegovy with Second Nature |
19.1% |
71% |
87% maintained >80% of loss at 6 months |
| Wegovy alone |
13-16% |
~55% |
23% maintained >80% of loss at 6 months |
| Lifestyle changes alone |
~5-10% |
<20% |
Varies widely |
Our research shows that combining Wegovy with Second Nature’s behavioural support leads to:
- Greater total weight loss than medication alone
- Faster results with fewer plateaus
- Better side effect management and fewer discontinuations
- Superior weight maintenance after medication is stopped
Wegovy compared to other weight loss medications:
A head-to-head trial compared semaglutide (Wegovy) with liraglutide (Saxenda), showing:
- Wegovy users lost 15.8% body weight vs 6.4% with Saxenda
- Wegovy had lower discontinuation rates due to side effects (13.5% vs 27.6%)
- Both medications caused similar side effects, but Wegovy’s were generally less severe
Managing ongoing costs: What to expect
When budgeting for Wegovy treatment, consider these factors:
1. Titration schedule costs
Most people follow this typical schedule, with costs increasing gradually:
- Month 1: 0.25 mg (£149, first month £99)
- Month 2: 0.5 mg (£179)
- Month 3: 1 mg (£199)
- Month 4: 1.7 mg (£229)
- Months 5+: 2.4 mg (£249)
First 6 months average: £205/month (including first month discount)
Maintaining at a lower dose
Some people achieve their weight loss goals at lower doses. For example, maintaining at 1mg instead of progressing to 2.4mg:
- Month 1: 0.25 mg (£99 with first month discount)
- Month 2: 0.5 mg (£179)
- Month 3 onwards: 1 mg (£199/month)
6-month cost with 1 mg maintenance: £1,074 (£179/month average) This approach could save approximately £420 over six months compared to the standard titration schedule, while still providing effective weight management for those who respond well to lower doses.
2. Treatment duration considerations
- Typical treatment period: 12-24 months
- Some patients may need ongoing treatment for maintenance
- NHS guidelines recommend reassessment after 2 years
3. Total investment comparison
| Provider |
First Year Cost |
Two Year Cost |
Support Level |
| Second Nature |
£2,670 |
£5,370 |
Comprehensive |
| Pharmacy-only |
£2,340 |
£4,680 |
Minimal |
| NHS (if eligible) |
£119.40 (£9.95/month) |
£238.80 |
Variable |
Frequently asked questions
Can I get Wegovy cheaper anywhere?
While some online pharmacies advertise slightly lower prices, be cautious of unusually low pricing that may indicate counterfeit products.
The lowest legitimate price for Wegovy 2.4 mg in the UK is around £195 per pen, but this doesn’t include any professional support.
Will my insurance cover Wegovy?
Some UK private health insurance plans now offer partial coverage for weight loss medications.
Vitality Health covers up to 50% of medication costs for eligible members with Second Nature. Check with your insurance provider for specific coverage details.
How long will I need to take Wegovy?
Clinical guidelines recommend Wegovy treatment for at least 12 months to achieve maximum results, with most patients continuing for 18-24 months.
The exact duration depends on your weight loss goals, side effect tolerance, and how well you develop sustainable habits alongside the medication.
What happens if I can’t afford to continue treatment?
If cost becomes an issue, we work with you to:
- Maintain at a lower dose
- Develop a tapering schedule to minimise weight regain
- Intensify habit formation before stopping
- Explore NHS options if eligible
Can I switch between Wegovy and cheaper alternatives?
While semaglutide is available under other brand names (Ozempic, Rybelsus), these formulations are not licensed for weight management in the UK and are typically only prescribed for diabetes. Switching between formulations should only be done under medical supervision.
How does the Wegovy tiered pricing work?
Second Nature’s Wegovy pricing is based on your current dose. As you titrate up through the doses, your monthly cost will increase accordingly. The titration schedule is:
- Week 1-4: 0.25 mg (£149, first month £99)
- Week 5-8: 0.5 mg (£179)
- Week 9-12: 1 mg (£199)
- Week 13-16: 1.7 mg (£229)
- Week 17 onwards: 2.4 mg (£249)
This progression helps minimize side effects while gradually increasing effectiveness.
Take home message
Wegovy costs between £149-£249 monthly at Second Nature, with pricing based on your dose. While standalone pharmacies offer slightly lower medication-only prices, research shows combining Wegovy with behavioural support significantly improves both weight loss results and long-term maintenance.
Second Nature’s comprehensive programme includes registered dietitian support, helping you build sustainable habits that maintain results even after medication.
Our peer-reviewed research demonstrates that this approach leads to 43% greater weight loss and dramatically better maintenance compared to medication alone.
When considering the cost of Wegovy, look beyond the monthly medication price to evaluate the complete value proposition, including support quality, expected outcomes, and long-term sustainability.
Second Nature's Mounjaro and Wegovy programmes
Second Nature provides Mounjaro or Wegovy as part of our Mounjaro and Wegovy weight-loss programmes.
Why choose Second Nature over other medication providers, assuming you're eligible?
Because peace of mind matters.
We've had the privilege of working with the NHS for over eight years, helping people across the UK take meaningful steps toward a healthier, happier life.
Our programmes are designed to meet people where they are, whether that means support with weight loss through compassionate one-to-one health coaching, or access to the latest weight-loss medications (like Mounjaro and Wegovy) delivered alongside expert care from a multidisciplinary team of doctors, psychologists, dietitians, and personal trainers.
At the heart of everything we do is a simple belief: real, lasting change comes from building better habits, not relying on quick fixes. We're here to support that change every step of the way.
With over a decade of experience, thousands of lives changed, and a long-standing record of delivering programmes used by the NHS, we believe we're the UK's most trusted weight-loss programme.
We hope to offer you something invaluable: peace of mind, and the support you need to take that first step.
