An Overview

Type of Medicine

A GLP-1 receptor agonist for weight management

Generic

No, Foundayo is a branded medication and there is no generic version of orforglipron available.

Active Ingredient

Orforglipron

Effective Within

Most patients notice changes in appetite within a few weeks. Maximum weight loss in trials was reached at the maintenance dose over 36–72 weeks.

Works By

Active substance: orforglipron. Each tablet contains orforglipron as the active substance. Excipients: microcrystalline cellulose, mannitol, crospovidone, magnesium stearate.

Side Effects

Nausea, diarrhoea, vomiting, constipation, abdominal discomfort, indigestion, headache, fatigue, and hair loss.

Product details

Description

Foundayo (orforglipron) is a once-daily oral GLP-1 receptor agonist developed by Eli Lilly, and the UK's MHRA approved Foundayo on 10 August 2026, making the UK the first country in Europe to license it. Unlike injectable GLP-1 medications or oral semaglutide, Foundayo can be taken at any time of day as a simple tablet, with no injections, no fasting, and no food or water restrictions.

Is Foundayo right for you?
Foundayo is licensed for adults with a BMI of 30 or above, or 27 and above if you also have a weight-related condition such as type 2 diabetes, high blood pressure, or raised cholesterol, when combined with a reduced-calorie diet and increased physical activity. It is also licensed to improve blood sugar control in adults with insufficiently controlled type 2 diabetes. Our clinicians will check your eligibility as part of your consultation.

How it works
The active ingredient, orforglipron, is a non-peptide small-molecule that activates GLP-1 receptors in the brain. This reduces your appetite, slows how quickly your stomach empties, and helps you feel satisfied for longer after eating. The result is fewer cravings and a more manageable relationship with food, which makes lifestyle changes far easier to stick to.

What the clinical evidence shows
Foundayo has been studied through Eli Lilly's ATTAIN clinical trial programme. In the ATTAIN-1 trial, patients on the highest dose who stayed on treatment lost an average of 12.4% of their body weight over 72 weeks, with more than half of participants losing at least 10% of their body weight and around 4 in 10 losing at least 15%. The trials also showed improvements in several cardiovascular risk markers, including waist circumference, non-HDL cholesterol, triglycerides, and systolic blood pressure, across all doses. A separate ACHIEVE-3 study found Foundayo produced greater weight loss than oral semaglutide in adults with insufficiently controlled type 2 diabetes.

Your treatment with Rightangled
We're a regulated UK pharmacy and prescribing service, which means every prescription is reviewed by one of our GMC registered clinicians, not algorithms. Most assessments are reviewed the same day. Your medication is dispensed from our GPhC registered pharmacy and arrives in discreet packaging, and our clinical team is available throughout your treatment if you have questions or concerns.

Your dosing schedule
Treatment starts low and increases gradually so your body has time to adjust. You'll begin on 0.8 mg once daily, then move up to 2.5 mg, 5.5 mg, 9 mg, 14.5 mg, and finally 17.2 mg as your maintenance dose. Each step lasts at least one month, though your clinician may slow this down if you're experiencing side effects, or keep you on a lower dose if it's working well for you.

What to expect from side effects
The most common side effects are digestive: nausea, constipation, diarrhoea, vomiting, dyspepsia, and abdominal pain. They're usually mild, tend to settle over time, and are most noticeable just after a dose increase. Eating smaller meals more often and staying well hydrated makes a real difference for most people.

When Foundayo isn't suitable
Foundayo isn't right for everyone. As with other GLP-1 medicines, the label carries a warning about thyroid C-cell tumours seen in animal studies (not confirmed in humans). You shouldn't take it if you or a close family member has a history of medullary thyroid carcinoma (MTC) or Multiple Endocrine Neoplasia syndrome type 2 (MEN 2), or if you've had a serious allergic reaction to orforglipron. It also isn't recommended during pregnancy or breastfeeding. Discontinue Foundayo when pregnancy is recognised and speak to your GP before trying to conceive.

Getting started
Start with our short online consultation. It takes around five minutes and asks about your health, medical history, and weight loss goals. One of our clinicians will review your answers, usually within hours, and if Foundayo is suitable for you we'll dispense your prescription and send it out from our UK pharmacy with next day delivery available.

Foundayo or Mounjaro?
Both are effective weight loss treatments, but they work differently and suit different people. Mounjaro is a once-weekly injection that acts on two hormones (GLP-1 and GIP). Foundayo is a once-daily oral tablet acting on GLP-1 alone, offering greater convenience for those who prefer no injections and no timing restrictions. Your clinician will help you decide which is the better fit based on your goals, medical history, and preferences.

Foundayo is a prescription-only medicine and must be prescribed following a proper medical assessment. Foundayo is not currently available via the NHS; NHS availability would follow a separate NICE health technology appraisal.

This service is provided by Rightangled in partnership with Medetone pharmacy, regulated by the General Pharmaceutical Council and the Care Quality Commission. Foundayo™ is a registered trademark of Eli Lilly and Company.

This product page reflects the MHRA marketing authorisation granted on 10 August 2026. This page does not constitute medical advice. Foundayo must only be used under the supervision of a qualified healthcare professional, and full prescribing information should be checked against the approved UK Summary of Product Characteristics (SmPC) prior to sale.

Directions

Foundayo is a once-daily tablet taken by mouth at any time of day, with or without food. Start at 0.8 mg and increase the dose gradually under your prescriber's guidance. Swallow whole, do not break, crush, or chew.

Ingredients

The active ingredient in Foundayo is orforglipron, a non-peptide small-molecule GLP-1 receptor agonist. Excipients include microcrystalline cellulose, mannitol, crospovidone, and magnesium stearate.

Side Effects

Most people tolerate Foundayo well, especially if they follow the gradual dose escalation schedule. Side effects are most common when starting or increasing the dose and generally improve over time. The most common side effects include nausea, constipation, diarrhoea, vomiting, indigestion, abdominal pain, headache, fatigue, belching, heartburn, gas, and hair loss. Contact your prescriber if side effects are severe or persistent.

Warning

Foundayo is not suitable for everyone. Do not use if you or any family member have ever had medullary thyroid carcinoma (MTC) or Multiple Endocrine Neoplasia syndrome type 2 (MEN 2). Do not use if you have had a serious allergic reaction to orforglipron. Stop taking Foundayo and contact your prescriber immediately if you experience severe abdominal pain (possible pancreatitis), a lump or swelling in the neck, hoarseness, or trouble swallowing (possible thyroid tumour). Not recommended during pregnancy or breastfeeding. This medicine is not yet authorised by the MHRA for use in the United Kingdom.

Why choose weight loss medications?

GLP-1 receptor agonists are transforming the way we approach weight loss. Originally developed to help people with type 2 diabetes, these medications have since gained widespread approval for their effectiveness in weight management.

GLP-1 weight loss treatments work by mimicking natural hormones that help regulate appetite, slow digestion, and promote a feeling of fullness. Making it easier to reduce caloric intake and support sustainable weight loss.

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Proven results, backed by science

Weight loss medications targeting GLP-1 receptors offer clinically proven results for individuals with obesity or weight-related health issues. These treatments are not quick fixes. They are part of a long-term medical strategy designed to support a healthier lifestyle.

By reducing hunger signals and increasing feelings of fullness, GLP-1 therapies can help patients lose a significant percentage of their body weight when combined with lifestyle changes.

For those who have had limited success with diet and exercise alone, GLP-1–based products represent a modern and effective alternative, approved by regulatory authorities across the US.

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FAQs

Please read our FAQs page to find out more.

How quickly does Foundayo work for weight loss?

Most patients notice changes in appetite within the first few weeks of treatment, even on the starting 0.8 mg dose. Meaningful weight loss is typically seen within 4–8 weeks, with maximum weight loss achieved at the maintenance dose over 36–72 weeks.

Do I need a prescription for Foundayo in the UK?

Yes. Foundayo is a prescription-only medicine regulated by the MHRA in the United Kingdom. It can only be prescribed by a qualified healthcare professional following an appropriate clinical assessment.

How is Foundayo taken and is it easy to use?

Foundayo comes as a tablet you take by mouth once a day. Unlike injectable GLP-1 medications, there are no needles, no injections, and no food or water restrictions. Simply swallow the tablet whole at any time of day that suits your routine.

How should Foundayo be stored and what is the shelf life?

Store Foundayo at room temperature between 20°C and 25°C. Protect from light by keeping it in the original bottle and carton — replace the cap after each opening. Keep out of reach of children. Do not use after the expiry date printed on the packaging.

What is the difference between Foundayo and injectable GLP-1 medications like Mounjaro or Wegovy?

Foundayo, Mounjaro, and Wegovy are all effective GLP-1 weight loss treatments, but they work differently. Mounjaro and Wegovy are injectable medications given once a week. Foundayo is a once-daily oral tablet with no injections and no food or water restrictions, making it a more convenient option for those who prefer not to use injections.

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