A shadow market for unlicensed slimming medications is being driven by TikTok fitness influencers and sellers on messaging platforms, according to new investigations.
Retatrutide, which remains in clinical trials, is being promoted by social media influencers for its alleged fat-burning properties. Viewers are encouraged to contact these profiles directly for source information, while also receiving promotional offers.
Separately, a robust market exists on Telegram, where communities with numerous of members share “before and after” photos, administration instructions and claims of next-day British shipping. Sellers market the substance there before redirecting customers to WhatsApp for purchases.
This medication is an investigational injectable developed by American pharmaceutical company Eli Lilly. The drug affects three gut hormones – glucagon-like peptide-1, GIP and glucagon. Preliminary studies suggest it could help individuals reduce up to 25% of their total weight. Nicknamed the “triple G”, the drug is being promoted digitally as the successor to Ozempic.
However, physicians and chemists have cautions that the distribution of what is still an unlicensed medication in the UK is worrisome and could result in users injecting substances of uncertain source.
Several professionals stated the popularity for retatrutide could be connected to the increasing cost of approved slimming products such as Mounjaro.
Marketing retatrutide on social media or Telegram is illegal in the United Kingdom, as it is an unapproved medication that must not be marketed or distributed for human use under the British medical regulations.
Several content creators try to circumvent the rules by calling to the substance as a “research chemical” or describing it as “not for human consumption”. Retatrutide is not a restricted substance, but promotion and supply can still breach pharmaceutical, marketing, and consumer regulations, potentially leading to fines, prosecution or prison.
Based on the social media company, the platform has taken down violative content and banned associated keywords and query recommendations. The company stated it was dedicated to maintaining the service secure and allocating resources in strengthening enforcement strategies.
Research also found groups with up to nine thousand members marketing retatrutide using the platform's built-in search feature, which functions like a public directory. Typing “retatrutide” immediately brings up groups with thousands of members, populated with images of slimming results, positive reviews and detailed guides for preparing or injecting at home.
Within moments of joining one community, a vendor posted contact information, where the majority of transactions occur. The vendor sent an guidebook and guaranteed delivery within 48 hours. When asked whether the substance was genuine, one vendor said: “You can’t be sure.” Another provided a image of a supposed laboratory certificate. None asked about body mass, medical conditions or previous experience.
Inside these groups, messages display dark colored parcels with Royal Mail stickers, stating to include fresh supplies. One message stated: “It took eight of us to load them this morning.”
Buyers can choose between powder vials, prepared at home with purified liquid, or pre-filled injectors usually priced at £160 for 20 milligrams. When asked how much time a injector should be used, vendors give contradictory responses varying between a several days to “depends on your body”.
A representative for Telegram said it actively monitored harmful material on its platform including content that promoted the “misuse of controlled medications”. The company added that it removed “millions of pieces of harmful content each day”.
“People are administering substances they can’t verify. Although the research behind retatrutide is sound, these digital products may not contain what they claim,” said a pharmacy expert, the director of pharmacy at a pharmacy service.
A medical professional of Asda Online Doctor linked the increase in interest to current price rises for approved weight-loss medications such as Mounjaro. “With prices rising, patients are turning to online platforms. But counterfeit treatments are highly dangerous. You cannot know what’s inside or whether the conditions they were made in was sterile,” she said.
Her staff has already seen patients injured by self-injection from unconfirmed sources. “We understand the disappointment, but purchasing from messaging apps or communication platforms is gambling with your well-being,” stated Wyllie. “These materials could be impure or incorrectly dosed.”
A representative from the pharmaceutical company stated retatrutide was in phase 3 clinical trials and had not been evaluated or authorized by any government authority globally. “Therefore at this point no one can sell [it] for human use,” they said, noting that any product “misleadingly claiming itself as a company investigational substance not yet approved … may subject patients to potentially significant health risks”.
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