What started as a promising medical breakthrough is fast turning into a public health dilemma. Weight loss injections like Wegovy and Mounjaro have exploded in popularity, hailed for their effectiveness in reducing obesity and improving metabolic health. But the current demand for these drugs has escalated to a point that pharmacists across the UK and the US are calling it unsustainable.Far more people want the jabs than are clinically eligible to receive them. And the gap between public perception and medical reality is only growing wider.According to a poll commissioned by the National Pharmacy Association (NPA), around 21% of adults said they had tried to access weight-loss injections in the past year. Among younger adults aged 16 to 34, that number shot up to 35%. Yet the actual number of people who meet the clinical criteria for these drugs—based on BMI and comorbidities—is significantly smaller.As pressure mounts on both private and public healthcare systems, experts are urging restraint, better education, and tighter regulations to prevent a brewing crisis: drug shortages, black-market sales, and patients using powerful medications without proper oversight.What These Drugs Are And Who They’re Really For?Wegovy and Mounjaro belong to a class of medications known as GLP-1 receptor agonists. Originally developed for type 2 diabetes, they’ve since been found to trigger weight loss by reducing appetite and slowing digestion. Clinical trials show patients can lose between 15% to 20% of their body weight over time with these injections—far outperforming older diet drugs.However, these are not designed for casual use or cosmetic weight loss. Under current UK guidelines—mirroring those in the US—these drugs are only approved for people with a BMI over 30, or over 27 with weight-related conditions like type 2 diabetes, hypertension, or sleep apnea. The NHS has even stricter criteria for its limited rollout: patients must have a BMI over 40 and at least four weight-related comorbidities.Despite this, the NPA survey shows that public interest is surging. 41% of all adults said they’d opt for these jabs if they were available for free through the NHS. Among those aged 25 to 34, interest jumps to 64%—even though many in this group are unlikely to qualify.The Supply Chain Is StrugglingThe spike in interest isn’t just a theoretical concern. Supply chains are already under strain.According to the NPA, 1.6 million packs of Wegovy and Mounjaro were purchased in the UK in April alone—a number believed to reflect the actual user base. Meanwhile, some pharmacies have begun limiting access due to shortages, especially for higher dosages of Mounjaro.This isn’t just a UK problem. In the US, Wegovy shortages have been ongoing since late 2023, leading to months-long waitlists in some areas. Healthcare providers have had to triage who gets treatment, often prioritizing patients with severe obesity or life-threatening complications.“The demand is spiralling far beyond what is clinically deliverable,” said Olivier Picard, Chair of the National Pharmacy Association. “Weight loss jabs are one of the biggest drug innovations this century—but they need to be reserved for those who truly need them.”How The Black Market Is Also A BIG Problem?The concern now is not just about meeting demand—but managing it safely. As access becomes more limited, more people are turning to unregulated online sellers, beauty clinics, or even social media to obtain the injections. The UK’s Medicines and Healthcare products Regulatory Agency (MHRA) and the US FDA have both issued warnings about the risks of sourcing these drugs without medical supervision.Buying Wegovy or Mounjaro online or from non-clinical settings raises the chances of getting counterfeit or improperly stored medication, not to mention bypassing essential medical checks. These drugs are meant to be taken as part of a structured weight management plan, including dietary guidance, lifestyle support, and regular health monitoring.Without that ecosystem, even legitimate medications can become dangerous. Despite the chaos, pharmacists see an opportunity to play a larger, more regulated role.Currently, 85% of all weight loss drug prescriptions are issued by community pharmacies. The NPA is now pushing for pharmacies to become more formally integrated into the NHS weight management rollout and to be equipped with clearer protocols, funding, and legal support.“Pharmacists are experts in medication, and many already have experience delivering these jabs as part of a complete care package,” Picard explained. “If we’re going to scale up access, pharmacies are in the best position to do it safely.”But he also emphasizes the need for new national regulations—especially for the private market and online prescribing. These should include mandatory two-way consultations and access to comprehensive medical histories before prescriptions are given.The “Worried Well” vs. Clinical NeedOne of the most pressing ethical dilemmas is who gets priority when supply is short.“There’s a big difference between someone whose life is at risk from obesity-related disease and someone who’s hoping to lose ten pounds before vacation,” said Picard.This distinction has led to the growing use of the term “the worried well”—people who may have a normal or near-normal BMI, but want to use these drugs for aesthetic reasons or as a quick fix. While everyone has the right to pursue their health goals, many experts argue that this group should not be taking up limited medical resources, especially when there’s no clinical indication.Health agencies and professional bodies are calling for public education campaigns to clarify the appropriate use of GLP-1 drugs, to manage expectations, and to reduce pressure on already overstretched supply chains.The UK’s Department of Health has said that up to 220,000 people in England will be offered tirzepatide (the drug in Mounjaro) over the next three years as part of its long-term obesity strategy. In the US, insurers are still grappling with coverage decisions, but pressure is mounting to expand access—particularly for patients in medically underserved communities.Meanwhile, the pharmaceutical industry is racing to increase production, and new weight loss drugs are on the horizon. But none of this solves the immediate issue: demand already outstrips supply, and most of the people seeking these drugs may not even qualify.Weight loss injections are not a silver bullet. They’re a tool, not a miracle cure and like any tool, their effectiveness depends on proper use, oversight, and the right person wielding them.For now, healthcare systems must walk a tightrope expanding access to those in clinical need while holding the line against misuse, misinformation, and unsafe practices. Because when it comes to powerful medicines that affect your metabolism, more isn’t always better.