
Foundayo (orforglipron) is a once-daily GLP-1 tablet for weight management in adults. Unlike most GLP-1 medicines, orforglipron is a small-molecule, non-peptide drug that survives digestion, so it can be taken as a tablet at any time of day, with or without food.
A once-daily tablet for weight management in adults
No injections, and no food or drink timing rules
Works by mimicking GLP-1, a natural appetite hormone
Not yet licensed in the UK, currently under MHRA review
Orforglipron is a once-daily tablet for weight management in adults with obesity, or overweight with a weight-related medical condition. Foundayo is the brand name; orforglipron is the active ingredient.
It belongs to a class of medicines called GLP-1 receptor agonists, similar to semaglutide (Wegovy) and tirzepatide (Mounjaro), which mimic a natural gut hormone that helps regulate appetite, digestion and blood sugar. It is designed to be used alongside a reduced-calorie diet and increased physical activity.

Not yet. Orforglipron is not currently licensed for use in the UK. It received FDA approval in the USA on 1 April 2026, and Eli Lilly has submitted it for regulatory review in more than 40 countries, including the UK, where it is with the MHRA. Based on typical MHRA timelines, a realistic estimate is late 2026 for private availability, though this could move.
Getting a new medicine to UK patients involves two steps. First, MHRA licensing independently assesses the trial evidence to decide whether it's safe, effective and can be legally prescribed — separate from FDA approval. Second, a NICE appraisal reviews value before recommending NHS funding. In practice, a private prescription route usually becomes available first, with NHS access following later.
Orforglipron should not be taken if you have a personal or family history of medullary thyroid cancer or MEN 2, have had a serious allergic reaction to it, are pregnant, planning a pregnancy or breastfeeding, or are already taking another GLP-1 medicine. It is also not recommended with a history of pancreatitis, gallbladder disease or severe gastrointestinal problems.
Orforglipron was generally well tolerated in trials, with a safety profile in line with other GLP-1 medicines. The most common side effects are digestive and usually mild to moderate: nausea, diarrhoea, vomiting, constipation and stomach discomfort. The prescribing information also carries a boxed thyroid-tumour warning consistent with the class, based on animal studies with other GLP-1 medicines.
Eat smaller, more frequent meals; avoid rich, fatty or very large meals; stay well hydrated; and increase your dose gradually as directed by your prescriber. Seek urgent medical advice if you have severe or persistent abdominal pain, signs of dehydration, or an allergic reaction.
If orforglipron is approved in the UK, some patients on an injectable GLP-1 may consider switching to a tablet for convenience. These medicines work differently, so any switch needs medical guidance and a washout period — it should never be self-managed. Our clinical team would guide a prescriber-led transition.
Orforglipron activates GLP-1 receptors, mimicking the hormone your body naturally releases after eating. This helps you feel fuller sooner and for longer, reduces appetite and food cravings, and slows how quickly your stomach empties so you naturally eat less.
The effect is that eating less feels more manageable, because the underlying hunger signals are reduced rather than simply resisted.
*This calculator is only an example for illustrative purposes and the results are not guaranteed. Every weight loss experience is unique.
In the Phase 3 ATTAIN programme, people on the highest dose lost around 11–12% of their body weight on average over 72 weeks, compared with 1–2% on placebo, alongside a healthy diet and increased activity.
The pivotal trial enrolled 3,127 adults with obesity, or overweight with a weight-related condition, who did not have type 2 diabetes. Nearly 60% on the highest dose lost at least 10% of their starting weight.
Because orforglipron is a non-peptide small molecule, it survives digestion and can be taken as a tablet at any time of day, with or without food — no injections and no fasting window.
UK pricing has not been set, because the medicine is not yet licensed here. Pricing will depend on Eli Lilly's UK list price once approval is granted.
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FREE Royal Mail Tracked 24 delivery (temperature-controlled)
Complimentary weight loss kit
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Orforglipron is taken once a day, started at a low dose and increased gradually in steps of at least 30 days (titration) until you reach the maintenance dose your prescriber sets. In the US it comes in six strengths, from 0.8mg up to a maximum of 17.2mg. UK dosing, if approved, is likely to follow a similar structure, though this has not been confirmed.
Always follow your prescriber's instructions. Any dose schedule shown here is a general guide. Your own dose, and how quickly it increases, will be set by your prescriber based on your individual response and tolerability.
Orforglipron is sometimes called "the Mounjaro pill", but orforglipron and Mounjaro are different medicines, even though both come from the same manufacturer, Eli Lilly. Mounjaro is a weekly injection; orforglipron is a daily tablet.
Mounjaro's active ingredient is tirzepatide, which activates both GLP-1 and GIP hormone receptors. Orforglipron activates GLP-1 only. This dual action is generally why Mounjaro has shown greater average weight loss in trials than orforglipron has so far. Orforglipron's trade-off is its format: a daily tablet that removed the need for a weekly injection, which is the feature many patients are watching closely.
Orforglipron is a prescription-only medicine. Where licensed, it is intended for adults, and a prescriber will always assess whether treatment is appropriate for you individually.
During the consultation stage we’ll ask you for more specific information to ensure Wegovy is the right option for you.
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To assess your suitability and kick-start your journey, complete our questionnaire which takes approx 3 mins.
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Explore our FAQs to find out more about this safe, no-surgery weight loss solution. Make sure you also read the Patient Information Leaflet that comes with your treatment.
Yes. Orforglipron is the active ingredient; Foundayo is the brand name Eli Lilly uses to market it.
No. Even though it's approved in the US, orforglipron hasn't been approved by the MHRA, so it can't be legally prescribed or supplied in the UK. Importing it yourself isn't a safe or legal option.
Not automatically. It would first need MHRA approval, then a separate NICE appraisal recommending NHS funding. If recommended, eligibility would likely follow existing GLP-1 criteria (BMI 30+, or 27+ with a weight-related condition).
Mounjaro (tirzepatide) acts on two hormone receptors, GLP-1 and GIP. Orforglipron acts on GLP-1 only but comes as a once-daily tablet rather than a weekly injection. Which is appropriate depends on your circumstances and a prescriber's assessment.
Expected around late 2026, subject to MHRA review, with any NHS access likely to follow later.
- Wharton S, Aronne LJ, Stefanski A, et al. Orforglipron, an oral small-molecule GLP-1 receptor agonist for obesity treatment. N Engl J Med. 2025;393(19):1796-806. (ATTAIN-1)
- Wharton S, Blevins T, Connery L, et al. Daily oral GLP-1 receptor agonist orforglipron for adults with obesity. N Engl J Med. 2023;389:877-888. (Phase 2)
- Eli Lilly and Company. FDA approves Lilly's Foundayo™ (orforglipron). Investor news release, April 2026.- UK Parliament, House of Commons Library. Deciding which medicines are used in the NHS.
- MHRA / NICE — official guidance on medicines licensing and technology appraisal (gov.uk / nice.org.uk).