Both are legal, but they operate under different regulatory frameworks
Importantly, semaglutide is not indicated for patients with type 1 diabetes or diabetic ketoacidosis
once-daily insulin glargine as add-on to metformin (with or without sulfonylureas) in insulin-naive patients with type 2 diabetes (SUSTAIN 4): a randomised, open-label, parallel-group, multicentre, multinational, phase 3a trial
Evidence-based alternatives For those seeking effective weight management, several proven approaches offer better value than unproven GLP-1 supplements: NHS weight management services: Free, evidence-based support through GP referral Focused on sustainable lifestyle changes Access to qualified healthcare professionals Potential pathway to prescription medications if appropriate Structured lifestyle programmes: Services like Second Nature combine behavioural psychology with nutrition support Evidence shows 19.1% weight loss at 12 months when combined with medication Address the psychological aspects of eating behaviour Build sustainable habits rather than quick fixes Whole foods approach: Instead of spending 40 monthly on supplements, invest in nutrient-dense foods Focus on protein (100-120g daily), fibre-rich vegetables, and healthy fats Create naturally satisfying meals that support metabolism Practice portion awareness and mindful eating For those requiring medical intervention: Speak with your GP about whether prescription weight loss medications are appropriate If eligible, medications like Saxenda, Wegovy or Mounjaro have robust clinical evidence These should always be combined with lifestyle changes for sustainable results Proper medical supervision ensures safety and effectiveness At Second Nature, we focus on evidence-based approaches that combine behavioural psychology with nutritional support, helping you build sustainable habits for long-term weight management without relying on unproven supplements
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