Weight Loss Shots In Stomach: how they work, risks and who they’re for


Searches for “weight loss shot”“weight loss jab”“weight loss shots in stomach” and even “slimming injections Boots / Superdrug” have exploded in the UK.

People are tired of diets that don’t last, and they’ve heard that “the weight loss injection” can finally move the needle.

The reality is more nuanced:

  • These injections are powerful prescription medicines, not beauty treatments

  • They don’t work for everyone, and they’re not risk-free

  • They’re only safe when used under medical supervision, never as “weight loss injections without prescription”

In this guide, you’ll learn how weight loss injections work, who they’re for, the risks to know about – and why a structured, doctor-led programme like Piko is one of the safest and most effective ways to use them.


First, what is Piko – and why are we different?

Piko is a digital medical weight-management clinic for people in the UK who are considering evidence-based treatment, including GLP-1–based weight loss injections where appropriate.

We focus on three things:

1. Life-changing, evidence-based results

Clinical trials of modern GLP-1–based weight management medicines show average weight loss of about 10–15% of body weight over ~1 year when combined with lifestyle support.

In real programmes, many patients reach around 10% body-weight reduction over the first 3–6+ months, depending on dose, adherence and starting point. Results vary, but this level of loss can:

  • Improve blood pressure, blood sugar and cholesterol

  • Reduce sleep apnoea risk

  • Boost confidence, mobility and day-to-day energy

Piko’s protocols are built around this clinical evidence – always combined with nutrition, movement and habit coaching so weight loss is healthier and more sustainable, not just a quick drop on the scale.

Important: No provider can guarantee a specific result. Your outcome depends on your body, your health and how you use the programme. We’ll be honest about what’s realistic for you.

2. Affordable, flexible access

Traditional weight loss clinics often charge £300–£500+ per month for programmes that combine consultations, labs and medication.

At Piko, we’ve designed our pathway so that full medical support + app + ongoing follow-up can start from under ~£3 per day (roughly equivalent to 3€), in monthly plans you can cancel if circumstances change.

You get:

  • A clear, all-inclusive price (no surprise “admin fees”)

  • A digital journey that cuts overheads – and passes savings to you

  • Options to adjust your plan as your needs change

3. Guided by expert doctors, 24/7 support

Weight loss injections are not DIY treatments.

With Piko you get:

  • Initial medical assessment with a UK-registered doctor

  • Eligibility check against current NICE/NHS guidance and product licences

  • Monthly medical follow-ups while you’re on treatment

  • 24/7 in-app chat so you can ask questions, report side effects and get timely adjustments

  • Integrated coaching, tracking and education in the same app

If medication isn’t appropriate or safe for you, we’ll say so – and help you explore non-medication options instead.


What people actually mean by “the weight loss jab”

When people talk about “the weight loss jab”, they’re usually referring to injectable medicines for obesity that were originally developed for type 2 diabetes and later licensed for weight management.

Most of the current “weight loss shots” used in the UK fall into these categories:

  • GLP-1 receptor agonists – medicines that mimic a gut hormone called GLP-1

  • Dual or multi-hormone agents that act on GLP-1 plus other pathways (for example GIP)

You might see them described as:

  • Weekly weight loss injections

  • Daily weight loss injections (older formulations)

  • Weight loss shots in the stomach (because they’re injected into the abdomen or thigh)

They are prescription-only medicines (POMs). That means:

  • You must have a prescription from a qualified prescriber

  • They should only be dispensed by a registered pharmacy

  • They’re not allowed to be promoted directly to the public as products by name under UK advertising rules


How weight loss injections work in the body (in plain English)

Most modern weight-management injections work by acting on hormones that control appetite and blood sugar.

They:

  • Slow stomach emptying → you feel fuller for longer after eating

  • Act on appetite centres in the brain → many people feel less driven to snack or overeat

  • Can improve insulin sensitivity and blood sugar control, especially if you have pre-diabetes or type 2 diabetes

The result for many patients is:

  • Smaller portions feel satisfying

  • Fewer cravings and less “food noise”

  • A realistic path to 10%+ weight loss when combined with diet and movement changes

But they don’t:

  • Magically burn fat while you keep the exact same habits

  • Work equally well for everyone

  • Replace the need for healthy eating, movement and sleep

That’s why Piko combines any medication with a structured lifestyle programme instead of just shipping pens to your door.


Who are weight loss injections for?

Eligibility is based on BMI plus health conditions, as well as a proper medical assessment.

Exact criteria depend on the specific medicine and on whether you’re going through the NHS or a private clinic, but broadly:

NHS criteria (high-level overview)

NHS access is targeted at people with the highest medical need and usually includes:

  • Obesity with weight-related conditions, typically after trying other options

  • BMI cut-offs (for example, NICE guidance for some GLP-1 treatments has used thresholds like BMI ≥35 with at least one comorbidity, or BMI 30–34.9 with comorbidities in specialist services).

  • For some newer injections (such as dual-hormone agents), NHS England has stated that early rollout is for people with BMI ≥40 plus several serious weight-related conditions, with adjusted thresholds for certain ethnic groups.

Criteria are tightening and evolving as demand and supply change, so you always need up-to-date advice from your own doctor.

Private clinics (including digital services like Piko)

Private providers must still follow:

  • Product licences

  • NICE guidance

  • Professional standards for safe prescribing

Many will consider adults with:

  • BMI in the obesity range (for example ≥30), or

  • BMI in the high-overweight range (for example ≥27) plus weight-related health problems, such as high blood pressure, high cholesterol, sleep apnoea or pre-diabetes

At Piko, our clinicians:

  • Use current national guidance as a starting point

  • Do a full risk–benefit assessment with you

  • Consider other medicines you’re on and your medical history

  • May recommend no injection, or a different approach, if they believe it’s safer


Common side effects and safety considerations

Like all powerful medicines, weight loss jabs come with side effects and risks.

The most common side effects in clinical trials of GLP-1–based medicines include:

  • Nausea

  • Vomiting

  • Diarrhoea or constipation

  • Abdominal discomfort or bloating

  • Loss of appetite

These are usually mild to moderate and often improve as your body adapts, especially if the dose is increased slowly.

More serious, less common risks can include:

  • Gallbladder problems (e.g. gallstones)

  • Pancreatitis (inflammation of the pancreas)

  • Possible effects on certain eye conditions in people with diabetes

  • Very rare severe allergic reactions

You shouldn’t use many of these medicines if you:

  • Have certain types of severe gastrointestinal disease

  • Have a history of certain rare endocrine tumours

  • Are pregnant, planning pregnancy soon, or breastfeeding

This is exactly why self-injecting a “skinny jab” bought online is dangerous – you have no proper medical screening, no checking of interactions, and no follow-up.

In Piko programmes:

  • Every patient has their medication choice, dose and escalation tailored by a doctor

  • You have monthly medical reviews plus in-app chat to flag side effects early

  • We adjust dosage or pause treatment if needed – safety before speed


NHS vs private access: what’s the difference?

On the NHS

  • Access is free at the point of care, but limited to strictly defined high-risk groups

  • Medicines are usually prescribed through specialist weight management services or specific GP programmes

  • Capacity is limited and waiting lists can be long

Privately (including Piko)

  • You pay out of pocket, but:

    • There is more flexibility in how quickly you can be seen

    • You can sometimes start treatment sooner if you’re eligible

  • You should still only use regulated providers with:

    • UK-registered prescribers

    • UK or EU registered partner pharmacies

    • Clear medical criteria and follow-up

With Piko specifically, the private pathway looks like this:

  1. Online eligibility quiz → helps you understand whether medical treatment might be suitable

  2. Doctor video consultation → full medical history, medications and goals

  3. Shared decision on whether to use a weight loss injection, another option, or lifestyle-only support

  4. Medication prescribed (if appropriate) through partner pharmacies

  5. Ongoing monthly reviews + app tracking + coaching

This gives you NHS-style clinical governance with digital convenience and flexibility.


A serious warning on “weight loss injections without prescription” and “skinny jabs”

Because demand is huge, the UK has seen a wave of:

  • Counterfeit pens containing unknown substances

  • Unlicensed products being made in illegal factories

  • “Clinics” and influencers advertising “the skinny jab” with no proper medical oversight

The MHRA has issued multiple warnings about fake weight-loss pens, including falsified GLP-1 products discovered in UK supply chains and on social media.

The ASA (Advertising Standards Authority) has:

  • Banned “skinny jab” influencer posts for illegally promoting prescription-only medicines

  • Issued enforcement notices to online pharmacies that were advertising “weight loss injections” directly to the public, in breach of rules on POM promotion.

If someone offers you a “weight loss jab” or “slimming injection” without a prescription, run – don’t walk – in the other direction.

Red flags include:

  • “Deals” via Instagram DMs, WhatsApp, TikTok, Snapchat

  • Sellers who can’t show they’re a UK-registered prescriber or pharmacy

  • Products in unbranded pens, vials or powders

  • Claims like “no side effects” or “no medical history needed”

  • “Bootleg” or “research” versions of branded medicines

These products can:

  • Contain wrong doses or completely different drugs

  • Be contaminated or made with zero quality control

  • Lead to severe side effects, hospitalisation, or worse

Piko only prescribes licensed medicines from regulated pharmacies, and only after a proper medical consultation.


Why choose Piko for medical weight loss in the UK?

Pulling it all together:

1. Evidence-based results (not hype)

  • Programmes built around GLP-1 and related clinical trial data showing ~10–15%+ average weight loss over time when combined with lifestyle changes

  • Realistic targets; we never promise “drop 2 stone in 4 weeks” or other crash claims

  • Focus on health markers and quality of life, not just the scale

2. Affordable, flexible pricing

  • Full medical programme from under ~£3/day

  • Monthly plans instead of huge upfront fees

  • Ability to pause or adapt as your situation changes

3. Proper medical oversight – every step

  • UK-registered doctors making all prescribing decisions

  • Eligibility checked against current NICE/NHS and product guidance

  • Monthly follow-ups plus 24/7 in-app chat for questions or side effects

  • A team whose job is to keep you safe and supported, not just to push prescriptions

4. Integrated lifestyle coaching

  • Nutrition guidance that works with your medication, not against it

  • Habit and mindset support to avoid all-or-nothing cycles

  • Tracking for weight, symptoms and goals in one place

5. Zero tolerance for unsafe shortcuts

  • No “off-licence cocktails”, no unverified overseas suppliers

  • Clear alignment with MHRA and ASA expectations around safe, ethical weight-management services


Thinking about weight loss injections? Do this first.

If you’re considering a monthly weight loss injection, a daily injection, or you’ve been tempted by “the skinny jab” on social media, the safest move is simple:

Speak to a regulated doctor or weight-management service before you take any medical treatment.

They can help you:

  • Understand whether your BMI and health profile make injections appropriate

  • Compare injections vs pills vs lifestyle-only options

  • Weigh up benefits, side effects and long-term commitments

  • Access treatment only through licensed, supervised channels

If you like the idea of a digital, doctor-led programme with proven tools, honest expectations and constant support, a service like Piko is designed for you – but whoever you choose, make sure they put your safety and long-term health first.

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Dr. Amelia Shah, MBBS, MRCGP, PgCert Obesity Medicine

Dr. Amelia Shah, MBBS, MRCGP, PgCert Obesity Medicine
Dr. Amelia Shah is a UK-based GP with a special interest in obesity medicine, metabolic health and preventive care. She completed her medical degree at King’s College London and went on to train in General Practice in London, gaining membership of the Royal College of General Practitioners (MRCGP).

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