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GLP-1 tablets are prescription weight-loss medicines taken by mouth instead of by injection. In the UK, there are two GLP-1 tablets, Wegovy and Foundayo.
Wegovy tablets contain oral semaglutide and Foundayo contains orforglipron. Both are taken once a day. They may be suitable for people who want a needle-free alternative to GLP-1 injections, subject to BMI, medical history, current medicines and prescriber approval.
| Feature | Wegovy tablets | Foundayo |
|---|---|---|
| Active ingredient | Semaglutide | Orforglipron |
| Type of medicine | GLP-1 receptor agonist | GLP-1 receptor agonist |
| Manufacturer | Novo Nordisk | Eli Lilly |
| UK approval | 11 June 2026 | 10 August 2026 |
| Dosing | Once daily | Once daily |
| Starting dose | 1.5mg | 0.8mg |
| Highest/maintenance dose | 25mg | Up to 17.2mg |
| Food restrictions | Yes | No |
| Fasting required | At least 8 hours before taking | No |
| Wait before eating | At least 30 minutes | No |
| Weight loss in main trials | 13.6% at 64 weeks | 12.4% at 72 weeks |
| Prescription required | Yes | Yes |
Further reading: Foundayo vs Wegovy tablets
You can buy GLP-1 tablets online from our UK registered pharmacy.
You will be required to complete a consultation online, which is checked by a pharmacist.
A supply will only be made if our prescribers deem you to be clinically suitable for a prescription.
GLP-1 tablets are oral medicines that activate the glucagon-like peptide-1 (GLP-1) receptor.
GLP-1 is a naturally occurring hormone released after eating. It plays a role in appetite, fullness, digestion and blood glucose regulation.
GLP-1 weight-loss medicines can:
Most of the first GLP-1 weight-loss medicines were injections. The arrival of Wegovy tablets and Foundayo means eligible patients can now be prescribed a GLP-1 weight-management treatment that is taken by mouth.
Yes. There are currently two GLP-1 tablets licensed for weight management in the UK: Wegovy tablets and Foundayo.
Wegovy tablets were authorised by the MHRA on 11 June 2026, becoming the first GLP-1 tablet approved for weight management in the UK.
Foundayo, containing orforglipron, was authorised on 10 August 2026, making it the second oral GLP-1 treatment licensed for weight management in the UK.
Both are prescription-only medicines and require a clinical assessment before they can be prescribed.
The two GLP-1 tablets currently licensed for weight management in the UK are:
Wegovy contains semaglutide. Semaglutide is also available as a once-weekly Wegovy injection, but the tablets and injections have different doses and administration instructions.
Foundayo contains orforglipron, a non-peptide, small-molecule GLP-1 receptor agonist developed by Eli Lilly.
It is taken once daily and does not require fasting or meal timing.
Rybelsus also contains oral semaglutide, but it is a type 2 diabetes medicine and is not licensed for weight management in the UK.
No. Mounjaro contains tirzepatide and is currently administered by injection. There is no licensed Mounjaro tablet.
No. Ozempic is an injectable semaglutide medicine licensed for type 2 diabetes. It should not be confused with oral semaglutide products.
GLP-1 tablets activate GLP-1 receptors in the body.
One of their main effects for weight management is on areas of the brain involved in controlling appetite.
This can:
Reduce hunger
You may feel less hungry between meals.
Increase fullness
You may feel satisfied after eating a smaller amount.
Reduce food cravings
GLP-1 signalling can reduce the desire to eat and make it easier to maintain a lower calorie intake.
Influence digestion
GLP-1 receptor agonists can delay gastric emptying, particularly when treatment is started.
These effects can help create the sustained reduction in calorie intake needed for weight loss.
GLP-1 tablets are licensed to be used alongside a reduced-calorie diet and increased physical activity rather than as a replacement for lifestyle changes.
Further reading:
Both licensed GLP-1 tablets have demonstrated clinically significant weight loss in phase 3 clinical trials.
In the OASIS 4 trial, adults taking oral semaglutide 25 mg lost an average of 13.6% of their starting body weight after 64 weeks, compared with 2.2% with placebo.
In the same analysis:
Further reading: Wegovy tablets results
In the ATTAIN-1 trial, people taking the highest studied orforglipron dose lost an average of 12.4% of their starting body weight after 72 weeks, compared with 0.9% with placebo.
At the highest dose:
Further reading: Foundayo results
Trial results suggest both medicines can produce substantial weight loss, but they have not been directly compared in a head-to-head clinical trial.
Wegovy’s main oral weight-management trial and Foundayo’s ATTAIN-1 trial involved different participants, ran for different lengths of time and used different study designs.
It is therefore more accurate to compare their individual evidence rather than conclude that one medicine is definitively more effective than the other.
For many patients, the most noticeable difference is how the tablets have to be taken.
Wegovy tablets should be:
Taking Wegovy too close to food, drinks or other tablets can reduce the amount of semaglutide your body absorbs.
Foundayo should be taken once daily, but it can be taken:
The tablet should be swallowed whole and should not be broken, crushed or chewed.
For someone who regularly takes several medicines first thing in the morning or finds fasting difficult, this difference may be important when a prescriber considers the most appropriate option.
Further reading: Foundayo vs Wegovy tablets
| Feature | GLP-1 tablets | GLP-1 injections |
|---|---|---|
| How they are taken | Orally | Injected |
| Dosing schedule | Once daily | Once weekly |
| Examples | Orforglipron, Wegovy tablets | Mounjaro, Wegovy injections |
| Food restrictions | Can be more restrictive depending on the product. Wegovy tablets need careful timing around food and drink, while orforglipron is more flexible | Usually fewer restrictions around meals |
| Weight loss potential | ~16% of starting weight | ~22% of starting weight |
| Appetite suppression | Can reduce hunger and help you feel fuller | Can reduce hunger and help you feel fuller |
| Side effects | Similar to injections, mainly nausea, vomiting, diarrhoea, constipation and indigestion | Mainly nausea, vomiting, diarrhoea, constipation and indigestion |
| Dose escalation | Usually started low and increased gradually to improve tolerability | Also usually started low and increased gradually |
| Best suited to | People who want to avoid injections and prefer tablets | People who want less frequent dosing and are comfortable with injections |
| UK availability | Wegovy tablets are licensed in the UK for weight management in eligible adults | Several GLP-1 and related injections are already available in the UK, depending on indication and prescribing pathway |
| Main downside | Daily dosing and, for some products, stricter instructions on how to take them | Needles put some people off |
Further reading: GLP-1 tablets vs injections
The standard dose escalation is:
| Treatment stage | Wegovy dose |
|---|---|
| Month 1 | 1.5 mg once daily |
| Month 2 | 4 mg once daily |
| Month 3 | 9 mg once daily |
| Month 4 onwards | 25 mg once daily |
The dose may sometimes be kept at the previous level for longer if required.
Further reading: Wegovy tablets dosage
Foundayo starts at 0.8 mg once daily.
The available dose steps are:
| Dose step | Foundayo dose |
|---|---|
| Starting dose | 0.8 mg |
| Dose 2 | 2.5 mg |
| Dose 3 | 5.5 mg |
| Dose 4 | 9 mg |
| Dose 5 | 14.5 mg |
| Maximum dose | 17.2 mg |
There should be at least 30 days at the current dose before a further increase.
Not everyone will necessarily require the highest dose. Treatment response, side effects, other medicines and clinical circumstances all need to be considered.
Further reading: Foundayo dosage guide
| You may be able to take GLP-1 tablets if… | GLP-1 tablets may not be suitable if… |
|---|---|
| You are an adult with obesity, usually BMI 30 or above. | You are pregnant, trying to conceive, or breastfeeding. Semaglutide should be stopped at least 2 months before a planned pregnancy. |
| You are overweight, usually BMI 27 or above, and have a weight-related health condition such as high blood pressure, high cholesterol, pre-diabetes, type 2 diabetes, sleep apnoea or heart disease. | You are under 18, unless specifically assessed by a specialist. |
| You want a prescription weight-loss treatment that is taken by mouth instead of injected. | You only want to lose a small amount of weight for cosmetic reasons. GLP-1 medicines should not be used for aesthetic weight loss. |
| You are willing to use treatment alongside a reduced-calorie diet and increased physical activity. | You have previously had a serious allergic reaction to semaglutide or any ingredient in the tablet. |
| You can take the tablet correctly: on waking, after fasting, with up to 120ml water, then wait at least 30 minutes before food, drink or other medicines. | You have a history of pancreatitis, or symptoms that could suggest pancreatitis, unless a prescriber decides treatment is appropriate. |
| Your medical history and current medicines have been reviewed by a prescriber. | You have severe gastroparesis or significant problems with delayed stomach emptying. |
| You understand the possible side effects, including nausea, vomiting, diarrhoea, constipation, reflux and abdominal discomfort. | You have type 1 diabetes or diabetic ketoacidosis. |
| You are not taking another GLP-1 medicine at the same time, such as Wegovy injections, Ozempic, Rybelsus or Mounjaro. | You are already using another GLP-1 or GIP/GLP-1 medicine, unless switching under clinical guidance. |
| You can commit to ongoing weight, side effect and safety monitoring. | You have severe kidney disease, severe liver disease, unstable diabetic eye disease, or complex medical problems that require specialist assessment. |
The most common side effects of GLP-1 tablets affect the digestive system.
These include:
Side effects are often most noticeable when treatment is first started or when the dose is increased.
Starting at a low dose and increasing gradually helps improve tolerability.
GLP-1 receptor agonists can also cause less common but potentially serious problems.
Seek medical advice urgently if you experience persistent, severe abdominal pain, particularly if it spreads towards your back, as this can be a symptom of acute pancreatitis.
Persistent vomiting or diarrhoea can also cause dehydration and may affect kidney function.
Read the Patient Information Leaflet supplied with your medicine and follow the safety advice provided by your prescriber.
There is no single GLP-1 tablet that is best for everyone.
Wegovy tablets and Foundayo are both licensed for weight management in eligible UK adults.
Wegovy contains semaglutide and has shown average weight loss of 13.6% at 64 weeks in its main oral weight-management trial.
Foundayo contains orforglipron and showed average weight loss of 12.4% at 72 weeks at the highest dose in ATTAIN-1.
However, those results came from separate trials and should not be interpreted as a direct comparison.
A major practical advantage of Foundayo is that it can be taken without fasting or food restrictions. Wegovy tablets require a specific fasting routine for reliable absorption.
The most appropriate medicine depends on factors including:
For the right patient, prescribed through the correct route, GLP-1 tablets can be appropriate and effective treatments. However, they are still prescription medicines and are not suitable for everyone. Both Wegovy tablets and orforglipron carry warnings around important risks and require clinical screening before prescribing.
As with other GLP-1 medicines, they are generally not suitable for people with a personal or family history of medullary thyroid carcinoma or MEN2, and caution is needed in people with certain gastrointestinal issues, pancreatitis concerns, gallbladder disease, or other relevant medical conditions.
Prices start from £88.99 per month.
Yes. Licensed GLP-1 weight-loss tablets can be supplied privately in the UK following a prescription and appropriate clinical assessment.
GLP-1 medicines are prescription-only medicines. They should not be purchased from sellers offering medication without appropriate prescribing checks.
A regulated provider should assess factors including your:
You should also be offered appropriate ongoing clinical support and safety monitoring during treatment.
Around 12-16% on average.
Meaningful weight loss is usually noticed after 2-3 months of consistent use.
You should start to notice a reduction in appetite within the first month. As the dose increases, so does appetite suppression.
Most people do best with smaller meals, slower eating, good hydration, and lighter foods if they feel sick. Greasy, very large or heavy meals can worsen nausea for some people.
It is likely; however, this can take some time. Even after licensing, NHS access would depend on guidance, indications, local pathways and, in many cases, broader health-system decisions rather than approval alone.
Side effects are often most noticeable when you start treatment or increase the dose. For many people they improve as the body adjusts lasting one week after the dose increases.
Better results are achieved from higher doses. Starting on a lower dose helps your body build tolerance, especially to stomach-related side effects such as nausea, vomiting and diarrhoea. Starting on the highest dose straight away would be much harder for many people to tolerate.
Yes, but in moderation. Alcohol can intensify side effects, especially stomach related side effects. Alcohol can also hinder weight loss results.
Not necessarily. Tablets may suit people who prefer not to inject, but they must be taken every day on an empty stomach. Injections are usually taken once weekly and may be easier for some people to fit into their routine.
Further reading: GLP-1 tablets vs injections
No. Mounjaro is currently supplied as an injection, not a tablet.
No. Ozempic is supplied as an injection. Some people search for Ozempic tablets because semaglutide is available in tablet form in other medicines, but Ozempic itself is not a tablet.
GLP-1 tablets are prescription-only medicines. They should only be supplied after a clinical assessment and prescription from an appropriate healthcare professional.
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