Two-fifths of children have seen weight-loss drugs online despite ban

The results of a survey conducted by the Children’s Commissioner revealed that girls were more likely than boys to see adverts for weight-loss injections online.
A teenage girl uses a smartphone

A report from the Children’s Commissioner has revealed that two-fifths (41%; n=820) of children have seen adverts for prescription-only weight-loss drugs online — such as Ozempic (semaglutide; NovoNordisk), Mounjaro (tirzepatide; Eli Lilly) and Wegovy (semaglutide; NovoNordisk) — despite a ban on adverts for prescription-only weight-loss drugs in England.

Results of a survey, published in the Children’s Commissioner’s report on children’s exposure to appearance-changing products online on 10 February 2026, also found that girls (45%; n=900) were more likely than boys (37%; n=740) to see weight-loss injection adverts online.

Almost 1 in 10 children (8%; n=160) reported that they had bought or tried non-prescription pills that claim to help people lose weight, the survey results showed.

The Children’s Commissioner surveyed 2,000 children aged 13-17 years in December 2025.

Weight-loss drugs have been available on the NHS in England since mid-2025 and are available privately, which is subject to strict criteria.

“Despite this, young people told the office about the prevalence of weight-loss injections online,” the report said.

“Children spoke about seeing social media users discuss taking injections, or illegitimate adverts describing them as a way to rapidly lose weight. This was something which young people commented on, often aware that it was not being presented or used in a health context.”

Acknowledging the “controversy” around weight-loss drugs, the report has also referenced media reporting, which demonstrated “shortcomings” in how online pharmacies verify individuals’ age and BMI, and in how well this is regulated.

“[In a focus group], one young woman falsely believed that the drugs were available in pharmacies without a prescription, illustrating the perception that access to them was easy and widespread,” the report added.

In January 2026, the General Pharmaceutical Council published guidance on supplying weight-loss medication, as part of its updated inspection framework.

To pass inspections, pharmacies must independently verify a patient’s weight, height and/or body mass index when supplying weight-loss medication, the guidance says.

The children’s commissioner’s report also noted the impact of AI.

“Young people referred to advertisements for prescription-only weight-loss drugs believed to be created by the pharmacist and chain retailer, Boots, which was recently reported to be a widespread scam on TikTok and created using AI,” it said.

In November 2025, The Pharmaceutical Journal published a follow-up investigation into whether weight-loss drugs were still being promoted to teenagers, after an investigation in 2022 found that almost one-third (31%) of the 100 most popular TikTok videos appearing under the hashtag ‘#dietpills’ were actively promoting the use of diet pills for weight loss to an account registered as a 16-year-old female.

In the follow-up investigation, The Pharmaceutical Journal found that 15% of the top videos were actively promoting the use of weight-loss products, including Mounjaro and Wegovy — half of that in 2022. 

The investigation also found that retatrutide — a once-weekly injection for weight loss under development by Eli Lilly — was being promoted to children.

Last updated
Citation
The Pharmaceutical Journal, PJ February 2026, Vol 317, No 8006;317(8006)::DOI:10.1211/PJ.2026.1.400074

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