A prominent dieting pharmacist has issued a stark warning to slimmers, urging them to distinguish between fact and fiction regarding home weight-loss treatments. Mital Thakrar, who oversees Well Pharmacy's weight-loss programme, emphasised that many common assumptions about shedding pounds can be dangerously misleading.
The Rise of Weight-Loss Jabs and Reality Check
In an era dominated by social media and 'get-thin-quick wonder cures', Mr Thakrar stated it has never been more critical to separate truth from hype. With approximately one in six Britons pledging to lose weight in 2026, he believes it is essential for slimmers to be fully informed about every aspect of their weight-loss journey.
Over the past twelve months, more than 1.5 million Brits have turned to weight-loss injections to improve their health and reduce weight. However, these treatments are not the miraculous solution some perceive them to be. Experts caution that most users regain the weight within two years of stopping treatment, a rate significantly faster than traditional dieters.
The first comprehensive analysis of its kind, examining 37 studies involving over 9,300 individuals, found that discontinuing the jabs leads to rapid weight regain, irrespective of how much was initially lost. On average, users gain around one pound per month after quitting, with many projected to regain most or all of the lost weight within 17 to 20 months.
Debunking Common Myths and Confirming Facts
Speaking to provide greater clarity on what to expect from these treatments, Mr Thakrar detailed several key areas where misconceptions abound.
1. Hair Loss - FACT
As individuals lose a substantial amount of weight, many report significant hair shedding. Data on hair loss associated with GLP-1 drugs has been inconsistent. Clinical trials by Novo Nordisk indicate that around 10% of users experience hair loss, while Eli Lilly, producer of Mounjaro, reports a figure of 5.7%.
A study presented to the European Academy of Dermatology and Venerology, involving one million people, found those on GLP-1 drugs had a 'significantly higher' risk of developing hair loss. Experts attribute this to rapid weight loss, which places the body under physiological stress, leading to telogen effluvium, a condition characterised by excessive shedding. In most instances, this hair loss is reversible.
Mr Thakrar explains: 'The hair loss occurs as the body's system is shocked with a significant change such as substantial weight reduction. This condition can also arise from severe illness, childbirth, trauma, or stress, as well as from weight-loss injections. It happens as the body sends many hairs into the resting phase, resulting in noticeable shedding, with hair thinning and falling out in clumps. It may not be immediately apparent, but after a few months, if hair loss begins while on weight-loss medication, this could be the cause. Any hair loss induced by the medication typically regrows within three to six months as the body stabilises.'
2. Hearing Loss - FICTION
Some patients on weight-loss injections have claimed to suffer hearing loss during treatment. While this may be an unrelated medical issue, there is no direct correlation between the injections and hearing impairment, making this a myth.
Mr Thakrar advises: 'If you are experiencing hearing difficulties, discuss this promptly with your pharmacist, who can recommend appropriate treatment. It might be as straightforward as needing earwax removal, which can cause distorted noise or hearing loss if clogged.'
3. Microdosing - FICTION
Mr Thakrar warns all weight-loss patients about the dangers of microdosing, asserting there is no benefit to taking smaller amounts of medication. He said: 'Microdosing has existed for some time, but there is no evidence that taking reduced doses of your GLP-1 inhibitor will have any positive effect. Treatments dispensed by pharmacies are carefully analysed, certified, and come with an appropriate product licence. Microdosing contravenes these recommendations and poses serious risks. It can trigger various medical issues, including infections from reusing needles. Taking unregistered amounts risks unpredictable side effects and inconsistent weight-loss results. Microdosing is a myth; those seeking a quick fix must understand that weight-loss programmes are meticulously tailored through face-to-face consultations with your pharmacist. Please do not disregard medical advice by administering incorrect doses.'
4. The Golden Dose - FICTION
The term 'golden dose' refers to any leftover weight-loss medication insufficient for a full injection pen. Some patients have taken this extra dose, but it is not prescribed and could lead to long-term health problems.
Mr Thakrar emphasised: 'It is not safe and not worth the risks. If you are struggling, consult your pharmacist for expert advice, but do not believe the myth of the golden dose. The remaining liquid may not constitute a full dose and could result in underdosing.'
5. Suddenly Stopping Your Weight-Loss Medication - FACT
Some individuals may decide weight-loss medication is unsuitable for them and wish to stop, which is perfectly acceptable. However, concerns about serious side effects or illness from abrupt cessation are unfounded.
Mr Thakrar clarifies: 'It is a fact that there are no serious side effects to stopping weight-loss injections suddenly. My recommendation is to speak with an expert pharmacist about discontinuing treatment and exploring other options to support your weight-loss journey. We can discuss lifestyle interventions and recommend alternative treatments. Some people may regain weight after stopping, which is why we advocate for active lifestyle changes rather than viewing medication as a quick fix. Weight-loss outcomes depend heavily on habits developed during treatment, where pharmacists play a crucial role in fostering sustainable change.'
6. Sulphur Burps - FACT
Sulphur burps, which smell of rotten eggs, are an unexpected side effect for some users of weight-loss jabs. This is caused by slow digestion and the accumulation of hydrogen sulphide gas in the body.
While not all patients experience this, those affected can find relief through various treatments. Mr Thakrar suggests taking antacids, which can neutralise stomach acid and alleviate the issue. He also recommends administering the injection in the evening after dinner to avoid potential clashes that might trigger sulphur burps.
He said: 'Antacids can be effective against various issues patients on weight-loss medication might encounter. It is always best to consult a pharmacist for further advice. They are available over the counter and can significantly help with sulphur burps, which are understandably unpleasant. Additionally, I advise spacing out dinner after the injection rather than before.'
Professional Support and Continuous Care
Well Pharmacy offers weight-loss treatment across hundreds of UK stores, starting from just £89. Patients are encouraged to visit their local store to discuss potential medications with a trained, qualified pharmacist. Continuous care and monitoring are provided throughout the weight-loss journey, which begins only after a video consultation or face-to-face meeting with a pharmacist.
GPhC registered pharmacists at Well Pharmacy can assist patients in losing up to 20% of their starting weight, emphasising a holistic approach to sustainable health improvements.
