This section will tell you more about the medicines we may use to help you lose weight and keep it off.
Update on GLP-1 Type Medications in NHS Forth Valley
Trizepatide (Mounjaro), Semaglutide (Wegovy) and Liraglutide (Saxenda) are types of medication known as glucagon-like peptide receptor agonists (Commonly known as GLP-1 medicines). They work by helping people to feel fuller and may help reduce appetite or hunger.
NHS Forth Valley has been testing a new service (from February 2026) to support people living with obesity who may benefit from GLP-1 medicines. These medicines can help people manage their weight and improve their overall health.
As this was a test of a new pathway, only a limited number of patients could be included. This allowed us to safely trial the service and understand how best to deliver this type of care. The service has now reached its planned capacity, and we are not currently accepting new referrals.
We are continuing to evaluate the service and use what we learn to help plan how patients may be able to access this type of treatment safely in the future. Further updates will be shared when available.
Guidance on the use of these medications has been produced the UK Government
If you are purchasing these medicines via a private prescriber, you can find out more about how they work and possible side effects here: Diabetes and weight loss medication | NHS inform
Orlistat
This is a capsule that is taken 3 times per day with meals. It works by stopping some of the fat in your food being taken in (absorbed) by the body during digestion. Any fat that has not been absorbed is then removed from the body through your poo (faeces).
We may recommend this medication after you have completed your programme as part of the weight loss maintenance phase. It can help you to keep your weight off for longer. You will need to make some lifestyle changes while taking this medicine. A low-fat diet is needed to prevent any side effects.
If we feel this would be beneficial. We can ask your doctor to prescribe Orlistat for you. We can also ask your doctor to stop this medication if you have side effects or it is not working for you.
For more information on this medication see: Orlistat | NHS inform