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Women warned against using ‘skinny jabs' whilst pregnant

Women warned against using ‘skinny jabs' whilst pregnant

Euronews3 days ago

Pregnant women should not take weight loss drugs, the UK's medicines regulator warned amid concerns that people are using the so-called 'skinny jabs' in unsafe ways.
The UK Medicines and Healthcare products Regulatory Agency (MHRA) also said women should not take weight loss drugs if they are breastfeeding or trying to get pregnant, because there isn't enough safety data to know whether the medicine could affect their baby.
'Anyone who gets pregnant while using them should speak to their healthcare professional and stop the medicine as soon as possible,' the agency said.
Meanwhile, all women taking the jabs should ensure they are using a form of contraception that works, the MHRA said.
One of the drugs, Mounjaro, may make birth control pills less effective, so the agency says women taking the jab should also use a non-oral form of contraception, like an implant or intrauterine device (IUD).
'Obesity reduces fertility in women. So, women with obesity taking GLP-1 drugs are more likely to get pregnant than before they lost weight,' Dr Channa Jayasena, a reproductive endocrinology researcher at Imperial College London, said in a statement.
'Women are advised to do all they can to prevent pregnancy while taking [these] drugs,' Jayasena added.
In the UK, women already receive these warnings when they get their prescriptions for the blockbuster jabs, which include Ozempic, Wegovy, Saxenda, and Victoza as well as Mounjaro.
The drugs, known as GLP-1 receptor agonists, work by mimicking hormones that help regulate appetites and make people feel full for longer. They have been approved to treat type 2 diabetes and obesity.
But the MHRA issued the reminder Thursday due to concerns that the drugs' growing popularity means women are buying them illegally online or at beauty salons, without seeing a doctor.
'Skinny jabs are medicines licensed to treat specific medical conditions and should not be used as aesthetic or cosmetic treatments,' Dr Alison Cave, MHRA's chief safety officer, said in a statement.
'They are not a quick fix to lose weight and have not been assessed to be safe when used in this way,' she added.
Between 'unprecedented' cocaine availability, counterfeit painkillers that contain deadly synthetic opioids, and evasive trafficking networks, Europe's drug problems are more complex than ever.
That's according to the European Union Drugs Agency (EUDA), which says illegal drugs are taking their toll across the entire bloc due to addiction, increases in gang violence, and burdened health systems.
'Today we face a fast-changing situation everywhere in Europe,' Alexis Goosdeel, the agency's executive director, told Euronews.
An estimated 7,500 people died from drug overdoses in 2023, up from about 7,100 the year before, the analysis found.
Most overdose deaths involved opioids, but the risks are changing as more people turn to synthetic drugs and use multiple substances.
EU officials called for more proactive efforts to prevent and treat addiction, rather than simply monitoring drug use, as well as increased police efforts to dismantle criminal networks that traffic drugs.
Here's what the latest data shows on illegal drug trends across the EU, Norway, and Turkey – and what health authorities are most worried about going forward.
Europe's opioid market is changing, with other substances emerging alongside long-term heroin risks.
After the Taliban took over in Afghanistan in 2021 and banned opium production the following year, European officials warned that heroin could become harder to find, prompting people to turn to dangerous fentanyl derivatives or synthetic opioids.
In 2023, authorities dismantled 14 heroin production sites in Europe, mostly in the Netherlands.
One type of synthetic opioid, called nitazenes, is already causing problems in places like Denmark and the Netherlands, where health authorities have warned that people could be buying counterfeit painkillers that actually contain nitazenes.
In 2023, the number of nitazene powders detected in Europe tripled. The drugs are so potent that even a small dose can be life-threatening.
Germany, France, Sweden, and Norway have reported clusters of overdoses linked to nitazenes, the EUDA said, while the drugs appear to be responsible for a 'significant share' of overdose deaths in Estonia and Latvia.
'What we see already is people who are buying on the internet molecules, believing that they are medicines while in fact they contain other substances,' Goosdeel said.
In the past year, about 4.6 million European adults have used cocaine, making it the bloc's most commonly used illegal stimulant.
It's also becoming more popular. In 2023, EU member states seized 419 tonnes of cocaine – marking the seventh year in a row of record seizures.
The biggest busts were in Belgium (123 tonnes), Spain (118 tonnes), and the Netherlands (59 tonnes), which are key entry points for cocaine trafficked into Europe from elsewhere in the world.
Last year, Spain seized 13 tonnes of cocaine, which were hidden in bananas from Ecuador – its largest ever haul from a single bust.
Cocaine is also developed in the EU, with authorities dismantling 34 production sites in 2023.
The competitive market is driving an uptick in cocaine-related crime and gang violence, the report found.
The EUDA expects there to be a surge of people seeking addiction treatment in the coming years, given that there tends to be a lag of about 13 years between someone's first time trying cocaine and their first time seeking treatment.
'We need to build the capacity to be prepared for treatment,' Goosdeel said, because at the moment, 'we are not ready'.
An estimated 8.4 per cent of adults – 24 million people – used cannabis in the past year, making it Europe's most commonly used illegal drug, the report found.
Cannabis seizures rose slightly in 2023 after falling the year before, the report found. The market is worth at least €12.1 billion, and is run by organised criminal groups that cultivate, traffic, and sell the drug across Europe.
Cannabis may be common, but it isn't without its health risks. It can cause or worsen chronic respiratory issues and psychotic symptoms, with long-term, regular users at higher risk.
Meanwhile, a class of drugs known as synthetic cannabinoids are a growing concern, the EUDA said.
These highly potent drugs may be added to edibles or other cannabis products without people's knowledge, raising the risk of poisoning or other health problems.
Last year, European countries detected 20 new cannabinoids, representing more than 40 per cent of the new substances identified by the EU's early warning system.
The possible health consequences of cannabinoids are 'poorly understood,' the report said. Still, they may be tied to fatal poisonings or other problems because they have such a high concentration of THC, the active ingredient in cannabis that makes people feel high.
'So yes, there is a danger,' Goosdeel said.

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Women warned against using ‘skinny jabs' whilst pregnant
Women warned against using ‘skinny jabs' whilst pregnant

Euronews

time3 days ago

  • Euronews

Women warned against using ‘skinny jabs' whilst pregnant

Pregnant women should not take weight loss drugs, the UK's medicines regulator warned amid concerns that people are using the so-called 'skinny jabs' in unsafe ways. The UK Medicines and Healthcare products Regulatory Agency (MHRA) also said women should not take weight loss drugs if they are breastfeeding or trying to get pregnant, because there isn't enough safety data to know whether the medicine could affect their baby. 'Anyone who gets pregnant while using them should speak to their healthcare professional and stop the medicine as soon as possible,' the agency said. Meanwhile, all women taking the jabs should ensure they are using a form of contraception that works, the MHRA said. One of the drugs, Mounjaro, may make birth control pills less effective, so the agency says women taking the jab should also use a non-oral form of contraception, like an implant or intrauterine device (IUD). 'Obesity reduces fertility in women. So, women with obesity taking GLP-1 drugs are more likely to get pregnant than before they lost weight,' Dr Channa Jayasena, a reproductive endocrinology researcher at Imperial College London, said in a statement. 'Women are advised to do all they can to prevent pregnancy while taking [these] drugs,' Jayasena added. In the UK, women already receive these warnings when they get their prescriptions for the blockbuster jabs, which include Ozempic, Wegovy, Saxenda, and Victoza as well as Mounjaro. The drugs, known as GLP-1 receptor agonists, work by mimicking hormones that help regulate appetites and make people feel full for longer. They have been approved to treat type 2 diabetes and obesity. But the MHRA issued the reminder Thursday due to concerns that the drugs' growing popularity means women are buying them illegally online or at beauty salons, without seeing a doctor. 'Skinny jabs are medicines licensed to treat specific medical conditions and should not be used as aesthetic or cosmetic treatments,' Dr Alison Cave, MHRA's chief safety officer, said in a statement. 'They are not a quick fix to lose weight and have not been assessed to be safe when used in this way,' she added. Between 'unprecedented' cocaine availability, counterfeit painkillers that contain deadly synthetic opioids, and evasive trafficking networks, Europe's drug problems are more complex than ever. That's according to the European Union Drugs Agency (EUDA), which says illegal drugs are taking their toll across the entire bloc due to addiction, increases in gang violence, and burdened health systems. 'Today we face a fast-changing situation everywhere in Europe,' Alexis Goosdeel, the agency's executive director, told Euronews. An estimated 7,500 people died from drug overdoses in 2023, up from about 7,100 the year before, the analysis found. Most overdose deaths involved opioids, but the risks are changing as more people turn to synthetic drugs and use multiple substances. EU officials called for more proactive efforts to prevent and treat addiction, rather than simply monitoring drug use, as well as increased police efforts to dismantle criminal networks that traffic drugs. Here's what the latest data shows on illegal drug trends across the EU, Norway, and Turkey – and what health authorities are most worried about going forward. Europe's opioid market is changing, with other substances emerging alongside long-term heroin risks. After the Taliban took over in Afghanistan in 2021 and banned opium production the following year, European officials warned that heroin could become harder to find, prompting people to turn to dangerous fentanyl derivatives or synthetic opioids. In 2023, authorities dismantled 14 heroin production sites in Europe, mostly in the Netherlands. One type of synthetic opioid, called nitazenes, is already causing problems in places like Denmark and the Netherlands, where health authorities have warned that people could be buying counterfeit painkillers that actually contain nitazenes. In 2023, the number of nitazene powders detected in Europe tripled. The drugs are so potent that even a small dose can be life-threatening. Germany, France, Sweden, and Norway have reported clusters of overdoses linked to nitazenes, the EUDA said, while the drugs appear to be responsible for a 'significant share' of overdose deaths in Estonia and Latvia. 'What we see already is people who are buying on the internet molecules, believing that they are medicines while in fact they contain other substances,' Goosdeel said. In the past year, about 4.6 million European adults have used cocaine, making it the bloc's most commonly used illegal stimulant. It's also becoming more popular. In 2023, EU member states seized 419 tonnes of cocaine – marking the seventh year in a row of record seizures. The biggest busts were in Belgium (123 tonnes), Spain (118 tonnes), and the Netherlands (59 tonnes), which are key entry points for cocaine trafficked into Europe from elsewhere in the world. Last year, Spain seized 13 tonnes of cocaine, which were hidden in bananas from Ecuador – its largest ever haul from a single bust. Cocaine is also developed in the EU, with authorities dismantling 34 production sites in 2023. The competitive market is driving an uptick in cocaine-related crime and gang violence, the report found. The EUDA expects there to be a surge of people seeking addiction treatment in the coming years, given that there tends to be a lag of about 13 years between someone's first time trying cocaine and their first time seeking treatment. 'We need to build the capacity to be prepared for treatment,' Goosdeel said, because at the moment, 'we are not ready'. An estimated 8.4 per cent of adults – 24 million people – used cannabis in the past year, making it Europe's most commonly used illegal drug, the report found. Cannabis seizures rose slightly in 2023 after falling the year before, the report found. The market is worth at least €12.1 billion, and is run by organised criminal groups that cultivate, traffic, and sell the drug across Europe. Cannabis may be common, but it isn't without its health risks. It can cause or worsen chronic respiratory issues and psychotic symptoms, with long-term, regular users at higher risk. Meanwhile, a class of drugs known as synthetic cannabinoids are a growing concern, the EUDA said. These highly potent drugs may be added to edibles or other cannabis products without people's knowledge, raising the risk of poisoning or other health problems. Last year, European countries detected 20 new cannabinoids, representing more than 40 per cent of the new substances identified by the EU's early warning system. The possible health consequences of cannabinoids are 'poorly understood,' the report said. Still, they may be tied to fatal poisonings or other problems because they have such a high concentration of THC, the active ingredient in cannabis that makes people feel high. 'So yes, there is a danger,' Goosdeel said.

Digital weight loss - how online Ozempic buyers bypass prescriptions
Digital weight loss - how online Ozempic buyers bypass prescriptions

Euronews

time3 days ago

  • Euronews

Digital weight loss - how online Ozempic buyers bypass prescriptions

Hacking the way to the prescription: digital black markets and remote consultations give an easy access to weight loss drugs In a world chasing speed—fast food, fast fashion, fast tech—it's no surprise that quick slimming is the latest obsession. But the demand for rapid weight loss has opened a controversial new chapter in global health: the widespread use of prescription-only diabetes medications like Ozempic and Mounjaro for aesthetic purposes. These drugs, part of the GLP-1 class, were developed to help manage type 2 diabetes. Yet their dramatic side effect—substantial weight loss—has made them wildly popular among people with no underlying medical need. It's a trend health experts now warn could spiral into a global crisis. More than a billion people worldwide live with obesity, and over 830 million are managing diabetes. In Europe, over half the adult population is overweight, and 17% are clinically obese. The World Obesity Federation projects that by 2050, 60% of adults globally will fall into this category. GLP-1 drugs like Ozempic, Wegovy, Mounjaro, and Saxenda were designed to address these numbers through medical treatment. They regulate insulin levels, slow digestion, and reduce appetite, helping some users shed up to 15% of their body weight. For people with obesity and related health conditions, these drugs are a breakthrough. But for others—especially the young and image-conscious—they've become a shortcut. A way to stay lean without diet or exercise. And in today's fast-paced, hyper-filtered world, many are willing to skip the medical justification entirely. Although legally restricted in most countries, Ozempic and similar drugs can often be obtained with alarming ease. A quick online search reveals dozens of websites offering 'digital consultations' where users simply fill out a questionnaire, upload an ID, and—often without ever speaking to a doctor—receive a prescription. In some countries, the process is even more relaxed. Online platforms may not require access to a user's official medical records, allowing anyone with basic Photoshop skills and a scale to potentially game the system. In others, local pharmacies bend the rules. In places like Poland, Turkey, Greece, and Kosovo, access through unofficial channels has been reported despite existing regulations. A thriving grey market fills the gaps. Private group chats on messaging apps function like digital black markets. In just minutes, users can browse listings, order, and pay for unregulated GLP-1 drugs—no questions asked, no prescription required. Users even post photos celebrating their arrivals, turning health risks into social memes. This growing off-label trend comes with serious consequences. GLP-1 medications aren't without risks—especially when misused or taken without medical supervision. Common side effects include nausea, vomiting, diarrhoea, constipation, loss of appetite and dehydration. More serious complications may include swelling of the pancreas, gallbladder disease which sometimes requires surgical removal, loss of muscle tissue, kidney injuries and hypoglycaemia, especially when combined with other medications. Thyroid tumours have been noted in some animal studies of the drugs. Then there's the risk of fakes. In 2023, authorities in Austria and the UK reported hospitalisations due to counterfeit Ozempic pens, some of which were found to contain insulin instead of semaglutide. The World Health Organization (WHO) has since issued a global alert over falsified versions of semaglutide found in the UK, US, and Brazil. 'These counterfeits can be life-threatening,' warned WHO's Dr. Yukiko Nakatani. 'We urge people to stop using suspicious products and report them immediately.' Despite growing awareness, enforcement lags behind. Messaging platforms where these drug sales take place continue to operate with minimal oversight. Closed groups named after "fitness" or "health" are often digital storefronts for illicit sales. Algorithms don't differentiate between helpful tips and harmful products—until someone gets hurt. This loophole highlights a growing regulatory blind spot. Health authorities may police pharmacies and clinics, but the world's most popular communication platforms remain largely unregulated terrain when it comes to drug trafficking. A European Commission spokesperson noted that under the EU's Digital Services Act online platforms have an obligation to protect consumers. The Act requires users to be able to quickly report illegal content and products, obliges platforms to remove illegal goods and online marketplaces have to trace their traders. "The DSA obliges platforms to address risks of illegal content and goods being disseminated on their sites," and the Commission is monitoring compliance and won't hesitate to open further proceedings, according to the spokesperson. The rise of weight-loss drugs has ushered in a new dilemma for both medicine and society. These are powerful tools with potential to transform lives—but only when used safely, and for the right reasons. As regulators struggle to keep up with demand, tech companies and messaging platforms must also step up. Health isn't just a personal issue—it's a systemic one. And without stronger protections in place, the rush for fast fixes could leave a trail of long-term damage. US President Donald Trump said that his Russian counterpart Vladimir Putin told him "very strongly" in a phone call on Wednesday that he will respond to Ukraine's weekend drone attack on Russian airfields. "We discussed the attack on Russia's docked airplanes, by Ukraine, and also various other attacks that have been taking place by both sides," Trump wrote in a post on Truth Social. "It was a good conversation, but not a conversation that will lead to immediate Peace." The call reportedly lasted for an hour and 15 minutes and was Trump's first known contact with Putin since 19 May. In a briefing with government ministers earlier on Wednesday, Putin made no mention of Ukraine's audacious operation deep inside Russia on Sunday, instead referring only to an operation carried out by Ukraine's Security Service (SBU) on Tuesday which saw the Kerch Bridge damaged. The bridge is a key piece of Russian infrastructure illegally built by Moscow after its unilateral annexation of the Ukrainian peninsula in 2014. Putin referred to that attack as "certainly a terrorist act." However, Ukraine's SBU said the first explosion was timed to take place just before 5am when there were no civilians on or near the bridge. The Russian leader also questioned the value of faltering peace talks with Ukraine, accusing Kyiv of not being interested in peace. "What is there to talk about? How can we negotiate with those who rely on terror?" he said. The second round of face-to-face talks between Ukraine and Russia took place in Istanbul on Monday, with no major breakthrough made towards a lasting ceasefire. The two sides however agreed to another prisoner of war exchange, with Ukraine's Defence Minister Rustem Umerov saying seriously ill and young soldiers would be swapped. During the talks in Istanbul, Ukraine also gave Moscow officials a list of hundreds of Ukrainian children forcefully deported by Russia. "We are talking about hundreds of children whom Russia has illegally deported, forcibly transferred or is holding in the temporarily occupied territories. We are waiting for a response. The ball is in Russia's court," the head of Ukraine's presidential office Andriy Yermak said on Telegram. Ukraine's President Volodymyr Zelenskyy said it took Kyiv "one year, six months, and nine days from the start of planning to effective execution" of the operation. Kyiv managed to smuggle FPV drones deep inside Russia and hide them inside trucks in mobile log cabins. The cabins' roofs were then opened remotely and the drones proceeded to launch their attack on Russian military bombers. Social media footage widely shared by Russian media appears to show the drones rising from inside containers, while the panels lie discarded on the road. On Wednesday, Zelenskyy said Kyiv would not have launched its drone strike on Russian strategic bombers if Moscow had accepted Kyiv's calls for a ceasefire. Zelenskyy said Ukraine has repeatedly urged Russia to accept the US-backed 30-day ceasefire proposal, which could be the first step to putting an end to Russia's all-out war against Ukraine. However during the second round of talks on Monday, Moscow rejected the proposal once again. "If there had been a ceasefire, would the operation have taken place? No," Zelenskyy explained, adding that roughly half of the planes will be impossible to repair, while others will require significant time to be put back into service. On Wednesday, Ukraine's security service (SBU) released new drone footage of Operation "Spiderweb," showing how exactly Kyiv struck 41 Russian heavy military bombers on Sunday. The footage shows Ukraine's first-person-view drones striking four Russian airfields: Dyagilevo in the Riazan region, Ivanovo in the Ivanovo region, Belaya air base in the Irkutsk region, located in south-eastern Siberia over 4,000km east of the frontline, and Olenya air base in Russia's Murmansk region, some 2,000km away from Ukraine's border. Kyiv said these were the airfields where Russian strategic aviation "had been based". The damaged aircraft include A-50, Tu-95, Tu-22, Tu-160, as well as An-12 and Il-78. Moscow uses these heavy bombers for daily attacks on Ukrainian cities. The SBU also revealed that it used a modern UAV control technology during this operation. It combined autonomous artificial intelligence algorithms and manual operator interventions. Ukraine's security service says some of the UAVs lost signal and would switch to an artificial intelligence-assisted mission following a pre-planned route. The warhead then automatically detonated as it approached and made contact with a specific target. Earlier, Ukraine's President Volodymyr Zelenskyy said that 117 drones had been used in Operation Spiderweb, each with its own pilot. The General Staff of Ukraine's Armed Forces confirmed on Tuesday that Russia lost 41 military aircraft.

EU Commission unveils 13 targets for overseas raw materials projects
EU Commission unveils 13 targets for overseas raw materials projects

Euronews

time4 days ago

  • Euronews

EU Commission unveils 13 targets for overseas raw materials projects

The European Commission announced the selection of 13 projects focused on critical raw materials in countries outside the EU on Wednesday. The move is part of the implementation of the Critical Raw Materials Act, an EU law that came into force in May 2024, aimed at diversifying the sources of raw material extraction. The projects aim to reduce dependency on single suppliers, such as China and the US. They also seek to enhance overall economic security amid geopolitical events, including commercial tensions between the EU and China and the tariffs on steel and aluminium imposed by US President Donald Trump. The Commission wants to develop 60 such projects before 2030, with the goal of strengthening the bloc's industrial competitiveness, particularly in sectors such as electric mobility, renewable energy, defence, and aerospace. "Today's list of 13 Strategic Projects across the world will help to reduce Europe's dependencies, contribute to our economic security while creating growth, jobs and export opportunities in the countries concerned," EU Commissioner for industrial strategy Stéphane Séjourné said during the announcement. These initiatives focus on both extraction and processing of key resources. Graphite supply is being advanced through projects in Ukraine, Norway, Greenland, Madagascar, and Kazakhstan, while nickel and cobalt production is being addressed in Canada, Brazil, and Zambia. The Jadar project in Serbia targets lithium and boron, and rare earth elements are being sourced from initiatives in Malawi and South Africa. Additional efforts include copper extraction in Norway, tungsten mining in the United Kingdom, and nickel processing in New Caledonia. From Italy to Greece and Portugal, off-label use of GLP-1 drugs like Ozempic and Mounjaro for weight loss is creating a booming private market—and a brewing public health dilemma. In a matter of just a few years, Europe has witnessed an unprecedented shift in how one class of medications—so-called GLP-1 receptor agonists—is perceived and used. Originally developed to treat type 2 diabetes, these injectable drugs are now fueling a multibillion-euro weight loss industry, driven by private demand, social media hype, and regulatory gaps. The new 'weight loss hysteria' started in the United States, where the prices for the drugs remain highest, but people are still willing to pay $1,300 (€1,142) each month without insurance coverage. The tendency is now exploding in Europe and is not limited to those with medical conditions and obesity, but spreading to those seeking a novel approach to getting a beach-ready body. But what price are we willing to pay for the dream body across Europe? Italy's private market for GLP-1 drugs exploded in 2024, reaching a staggering €26 billion in global anti-obesity drug spending, a more than tenfold increase compared to 2020. According to Pharma Data Factory (PDF), private spending on GLP-1 agonists doubled from €52 million in 2023 to over €115 million in 2024. This surge stems from a rising trend: off-label use of anti-diabetic drugs for weight loss. Since such use is not currently covered by Italy's national health service, most of the spending has come directly from patients' pockets. There is, however, movement at the policy level. The recent Act No 741, which officially recognises obesity as a chronic disease, may pave the way for future reimbursement under Italy's provisions for insurance Essential Levels of Care (LEA). For the time being, however, prescriptions are typically limited to specialists and often require proof of a high body mass index or conditions related to diabetes. The phenomenon is mirrored in Greece, where usage of anti-obesity drugs surged by 82.5% in 2024, with €93 million in total spending. Ozempic's popularity has skyrocketed, and the market has since expanded to include Mounjaro, introduced in November 2024. Despite consumer enthusiasm, Greek regulations remain among the strictest in Europe. Prescribing these drugs for obesity is technically forbidden, except in life-threatening cases. Physicians must prove a diagnosis of diabetes to prescribe them, making legitimate weight-loss prescriptions almost impossible through official channels. But regulatory rigidity has not slowed the underground momentum. With Mounjaro sales now hitting 12,000 units per month, price cuts—such as the 23% drop announced by Pharmaserve-Lilly in February—are expected to further accelerate the drug's spread, whether legal or otherwise. In Portugal, the weight loss drug phenomenon is newer but no less intense. In the first four months of 2025 alone, Portuguese consumers spent nearly €20 million on GLP-1-based injectables like tirzepatide (Mounjaro) and semaglutide (Wegovy)—both of which are officially approved for obesity treatment. In just two months of 2024, over 10,000 units of tirzepatide were sold, while Wegovy, introduced in April 2025, has racked up sales of 6,800 units in a single month. With each Wegovy injection costing EUR 244.80, the trend shows no signs of slowing. Ozempic, while not officially approved for weight loss, continues to be widely used off-label. Its popularity has led to pharmacy stock shortages and forced Infarmed—the national medicines authority—to initiate drug circuit audits in cooperation with the European Medicines Agency. Reimbursement remains a sticking point. Despite rising interest and usage, Portugal still doesn't subsidise anti-obesity injectables, and the entire cost is borne by individuals—many motivated by influencer culture and celebrity transformations. According to data from consulting firm IQVIA shared with El Confidencial Digital outlet, the Spanish pharmaceutical market saw turnover for weight-loss medications exceed €484 million in 2024—a 65% increase from €293 million in 2023. Units sold jumped from 3.2 million to 4.8 million, reflecting more than 50% growth in volume. Yet despite this surge, the Interministerial Commission on Prices of Medicines and Health Products does not publicly track spending specifically on anti-obesity medications. What is known: Spain's overall retail drug expenditure stands at €412 per capita, 21% below the EU average of €500, according to the 2024 Pharmaceutical Expenditure Report. In Spain, prices for publicly reimbursed drugs are set by the Ministry of Health, and anti-obesity medications must be prescribed and supervised by specialists. This regulatory barrier is meant to ensure appropriate use—but it also limits access, particularly as public demand rises faster than policy adapts. In Germany, demand for weight-loss drugs like Wegovy and Mounjaro is rising fast—yet public coverage remains limited. These GLP-1 medications can cost up to €300 a month, and for most people, the bill comes out of pocket. By law, Germany's public health insurance system excludes drugs used purely for weight loss, classifying them as lifestyle treatments. However, exceptions are emerging. In early 2024, authorities made Wegovy eligible for reimbursement—but only in cases where obesity poses a serious cardiovascular risk. Despite these restrictions, the market is booming. Sales of GLP-1 drugs in Germany are expected to more than double by 2030, reaching over €700 million. With more than half the adult population overweight, pressure is growing on policymakers to expand access. For now, the debate continues—between cost, public health, and who should benefit from these powerful new medications. While some countries restrict access, Poland offers surprisingly open availability. Ozempic is reimbursed for diabetic patients (121.25 Polish złoty or €28 with discount), but can also be obtained via telemedicine after a remote consultation—even without diabetes, depending on the doctor's assessment. The full price of Ozempic is 404 złoty (€94), and demand is high, driven by growing perceptions of the drug as a fast track to weight loss. France has started a formal review that could lead to reimbursement for Mounjaro in limited obesity cases, but for now, neither Mounjaro nor Wegovy are covered under the public system. By contrast, the UK's NHS does cover both drugs, with eligibility limited to patients referred to specialist weight management services. Wegovy became available via the NHS in 2023, and Mounjaro followed with rollout in 2024, under structured programs. Across Europe, public healthcare systems are facing a growing dilemma. Originally designed to manage chronic diseases like diabetes, these systems are now being strained by surging demand for weight-loss drugs such as Ozempic, Wegovy, and Mounjaro. While obesity is increasingly recognised as a chronic condition, regulatory and reimbursement policies have struggled to keep up. This mismatch has created a growing shadow market, where people without official diagnoses pay out of pocket. And buying some of these drugs is actually as easy as buying a detox tea. You just need to lie, click and pay. And then pray that what comes through the post is the real thing.

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