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An underground economy for unapproved weight-loss medications is being driven by TikTok fitness influencers and vendors on messaging platforms, based on recent findings.
The experimental drug, which remains in research studies, is being promoted by online personalities for its alleged weight-reducing effects. Followers are encouraged to message these accounts privately for supplier links, while also receiving promotional offers.
Separately, a robust trade exists on Telegram, where communities with thousands of members share “before and after” images, injection guides and claims of next-day British shipping. Vendors promote the substance there before directing buyers to WhatsApp for transactions.
Retatrutide is an experimental injection created by American pharmaceutical company Eli Lilly. The treatment targets three gut hormones – GLP-1, GIP and glucagon. Preliminary studies indicate it could help patients reduce up to a quarter of their body weight. Nicknamed the “triple G”, the substance is being promoted digitally as the next Ozempic.
However, physicians and chemists have cautions that the sale of what is still an unlicensed medication in the UK is worrisome and could result in individuals injecting substances of unknown origin.
Some experts stated the popularity for retatrutide could be connected to the rising price of licensed slimming products such as Mounjaro.
Marketing retatrutide on social media or Telegram is prohibited in the United Kingdom, as it is an unlicensed medication that must not be marketed or distributed for human use under the Human Medicines Regulations 2012.
Some content creators try to circumvent the rules by calling to the drug as a “research chemical” or citing it as “not for human consumption”. The substance is not a restricted drug, but advertising and distribution can still violate pharmaceutical, advertising, and customer laws, potentially leading to fines, prosecution or prison.
Based on the social media company, the service has taken down violative content and banned related hashtags and search suggestions. The organization said it was dedicated to maintaining the service secure and allocating resources in strengthening enforcement strategies.
Research also discovered communities with up to nine thousand participants marketing retatrutide using Telegram's built-in discovery tool, which operates like a online catalog. Typing “retatrutide” instantly brings up groups with numerous of users, populated with images of slimming results, glowing reviews and detailed instructions for preparing or injecting at residence.
After minutes of joining one community, a vendor posted contact information, where the majority of transactions occur. The vendor sent an guidebook and guaranteed delivery within two days. When asked whether the substance was genuine, one vendor said: “You can’t be sure.” Another provided a image of a alleged testing documentation. Not one asked about body mass, health issues or past usage.
Within these communities, messages show dark colored packages with postal service stickers, claiming to include fresh supplies. One communication stated: “It took eight of us to load them this morning.”
Customers can select between dry substance containers, mixed at home with purified liquid, or pre-filled pens typically priced at 160 pounds for 20mg. When questioned how long a pen should be used, sellers give contradictory responses varying between a few weeks to “depends on your body”.
A representative for Telegram stated it regularly monitored dangerous content on its service including material that promoted the “misuse of controlled medications”. The company noted that it removed “millions of pieces of harmful content each day”.
“People are administering substances they cannot confirm. Even if the research behind this drug is sound, these digital products may not contain what they claim,” stated a pharmacy expert, the director of pharmacy at Chemist4U.
Dr Crystal Wyllie of Asda Online Doctor connected the surge in demand to recent price rises for approved slimming drugs such as Mounjaro. “With costs rising, individuals are turning to social media. But counterfeit treatments are extremely risky. You cannot know what’s inside or whether the conditions they were produced in was sterile,” she said.
Her team has already seen individuals injured by self-injection from unverified sources. “We understand the frustration, but purchasing from messaging apps or WhatsApp is gambling with your well-being,” stated the doctor. “These substances could be contaminated or improperly measured.”
A spokesperson from Eli Lilly stated the substance was in third stage clinical trials and had not been reviewed or approved by any regulatory agency globally. “Consequently at this time no one can sell [it] for personal consumption,” they said, adding that any product “falsely representing itself as a company experimental product not yet approved … may expose patients to potentially significant medical dangers”.
Elara Voss is a cultural anthropologist and freelance writer, passionate about uncovering human stories that bridge divides.