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Used by Mounjaro & Wegovy patients across the UK

The UK's most complete GLP-1 guide

Every Question Answered. Every Side Effect Explained.

  • How GLP-1 medications work
  • Mounjaro vs Wegovy compared
  • Injection instructions
  • Side effects & solutions
  • What to eat on treatment
  • FAQs answered
Get the guide + free tracker — £1.99 →

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GLP-1 Medication Guide — 11 chapters, 100+ pages, NHS-aligned with free 52-week weight loss tracker calendar
Free · Instant · No sign-up required

How Much Weight Loss Per Week With Orlistat?

Orlistat is a prescription weight loss medication available on the NHS, but realistic expectations matter. Most people lose 2–3 kg (4–6 lbs) per month on orlistat, which equals roughly 0.5–0.75 kg per week — similar to weight loss from diet and exercise alone. The NHS recommends losing no more than 0.5–1 kg per week for sustainable results. Individual weight loss varies significantly depending on your starting weight, diet adherence, physical activity, and metabolism. Orlistat works best as part of a structured weight loss programme alongside dietary changes and increased activity, not as a standalone solution.

10,000+ calculations today · NHS-aligned thresholds · 100% free

26%of UK adults are living with obesityNHS Digital, 2023
64%of adults in England are overweight or obeseHealth Survey for England
£6.5bnannual cost of obesity to the NHSPublic Health England
4.7Mpeople in England eligible for weight loss drugsNICE estimates, 2024

Calculate Your BMI Instantly

Enter your height and weight below. Supports both imperial (stone & lbs) and metric (kg). Results include NHS category, healthy weight range, and ethnicity adjustments.

What Is BMI and Why Does It Matter?

Body Mass Index (BMI) is the most widely used screening tool for assessing whether your weight falls within a healthy range. Used by the NHS, GPs, and weight management services across the UK, BMI provides a quick snapshot of your weight relative to your height. The formula is simple: your weight in kilograms divided by your height in metres squared (kg/m²).

While BMI isn't a perfect measure — it doesn't account for muscle mass, bone density, or fat distribution — it remains the standard first step in identifying potential weight-related health risks including type 2 diabetes, cardiovascular disease, high blood pressure, and certain cancers.

Below 18.5Underweight
18.5 – 24.9Healthy
25 – 29.9Overweight
30+Obese

The NHS also recommends adjusted thresholds for people of South Asian, Chinese, or Black African heritage — a BMI of 23 or above is classified as overweight, and 27.5 as obese. Our calculator includes this adjustment as a one-click toggle.

Safe Weight Loss Rates and NHS Guidance

The NHS recommends losing weight at a rate of 0.5 to 1 kg per week for sustainable, healthy results. This typically requires a calorie deficit of around 500 kcal per day. Orlistat supports this by reducing fat absorption in the digestive system — approximately 30% of dietary fat is not absorbed — but it does not create weight loss on its own without dietary change.

Clinical studies show that people taking orlistat lose an average of 2–3 kg more than with diet and exercise alone over 6 months, though individual results vary considerably. Faster weight loss — over 1.5 kg per week — is not recommended without medical supervision, as it increases the risk of muscle loss, gallstones, and nutritional deficiencies. Use our free BMI calculator to understand your current weight status and set realistic healthy weight goals for your height.

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How It Works

Three simple steps to understand your weight and take action.

1Check Your BMI

Enter your height and weight in our free calculator. Get your BMI, NHS category, healthy weight range, and ethnicity-adjusted thresholds instantly.

2Explore Your Options

If your BMI suggests you're overweight or obese, explore our GLP-1 calculators to project potential weight loss on Mounjaro or Wegovy.

3Track Your Progress

Use our progress tracker to log your weight weekly, visualise your journey with charts, and stay motivated — all stored privately in your browser.

Free Weight Loss Tools & Guides

Everything you need to understand your weight, explore medication options, and track your progress — completely free.

Realistic Orlistat Results and Individual Factors

Weight loss on orlistat depends on multiple factors beyond the medication itself. Your starting weight, age, metabolism, diet quality, and physical activity level all significantly influence results. Someone losing weight from a higher starting point may see faster initial loss than someone already close to a healthy weight. Orlistat is typically prescribed as part of an NHS weight management programme, which includes dietitian support and behaviour change counselling — these additional components are often more important than the medication alone.

If you're prescribed orlistat, your GP will monitor your progress and adjust your approach if needed. Track your weight loss journey using our free progress tracker to identify patterns and stay motivated over weeks and months, rather than focusing on single-week results.

Mounjaro (Tirzepatide)
  • Dual GIP/GLP-1 receptor agonist
  • Up to 22.5% body weight loss (SURMOUNT-1)
  • Weekly injection, dose escalation over 20+ weeks
  • Available via private prescription in the UK
  • Doses: 2.5mg → 5mg → 7.5mg → 10mg → 12.5mg → 15mg
Read our full Mounjaro guide →
Wegovy (Semaglutide)
  • GLP-1 receptor agonist
  • Up to 15–17% body weight loss (STEP trials)
  • Weekly injection, 5-step dose escalation
  • NHS & private prescription available
  • Doses: 0.25mg → 0.5mg → 1mg → 1.7mg → 2.4mg
Read our full Wegovy guide →

Mounjaro vs Wegovy: Head-to-Head

A side-by-side comparison of the two most popular GLP-1 weight loss medications available in the UK.

FeatureMounjaroWegovy
Drug classDual GIP/GLP-1 agonistGLP-1 agonist
Active ingredientTirzepatideSemaglutide
Avg. weight loss15–22.5%12–17%
Key trialSURMOUNT-1 (2022)STEP 1 (2021)
Max dose15 mg weekly2.4 mg weekly
Escalation period20–32 weeks16–20 weeks
AdministrationWeekly injection (pen)Weekly injection (pen)
NHS availabilityPrivate prescription onlyNHS & private
Approx. private cost£150–£250/month£150–£300/month
Common side effectsNausea, diarrhoea, constipationNausea, vomiting, diarrhoea

Data sourced from SURMOUNT-1 and STEP 1 clinical trials. Costs are approximate and vary by provider. Always consult a prescriber.

Am I Eligible for Weight Loss Medication?

In the UK, eligibility for GLP-1 weight loss medications like Mounjaro and Wegovy is based on your BMI and overall health profile.

Standard eligibility
  • BMI of 30 or above (obese)
  • Age 18 or over
  • No contraindicated conditions
  • Committed to lifestyle changes
With comorbidities
  • BMI of 27 or above
  • Plus type 2 diabetes
  • Or high blood pressure
  • Or obstructive sleep apnoea

Use our BMI calculator to check whether your BMI falls within the eligible range.

How We Built These Tools

Every calculator and guide on myweightcheck is built with accuracy and transparency in mind. Our BMI calculator uses the standard WHO formula with NHS-aligned category thresholds. Our GLP-1 projections are modelled on published clinical trial data from SURMOUNT and STEP studies.

All data stays on your device. We don't require sign-ups, and we don't store your health information on any server. Your progress tracker saves data locally in your browser using localStorage, so only you can see it.

We're based in the UK and our tools are designed specifically for UK users — supporting stone & lbs by default, referencing NHS guidelines, using NICE-approved medication data, and linking to GPhC-registered pharmacies.

Frequently Asked Questions

Common questions about BMI, weight loss medications, and our free UK tools.

Can I lose 1 kg per week on orlistat?

It's possible but not assured. Orlistat helps reduce fat absorption, but weight loss depends primarily on creating a calorie deficit through diet and exercise. The NHS recommends a sustainable rate of 0.5–1 kg per week. Faster loss is possible but increases health risks. Your GP can advise on realistic targets based on your individual circumstances.

How long does orlistat take to work?

Orlistat begins working immediately by reducing fat absorption, but weight loss typically becomes noticeable within 2–4 weeks as your dietary changes take effect. Most people see meaningful results over months, not weeks. Consistency with diet and activity matters more than the medication alone. It's not a quick-fix solution.

Is orlistat more effective than diet and exercise alone?

Studies show orlistat helps people lose about 2–3 kg more than diet and exercise alone over 6 months. However, the difference is modest. Without dietary changes and increased physical activity, orlistat is ineffective. It's a support tool, not a replacement for lifestyle change.

What if I'm not losing weight on orlistat?

If you're not seeing results after 4–8 weeks, discuss this with your GP. Common reasons include insufficient calorie deficit, not adhering to dietary changes, or medical factors like an underactive thyroid. Your GP may adjust your approach or prescribe a different medication. Use the BMI calculator on this page to track your starting point.

Can I expect to lose weight every single week on orlistat?

No — weight naturally fluctuates week to week due to water retention, hormones, and food timing. It's normal to have weeks with no loss or even small gains despite sticking to your plan. Focus on the trend over 4–8 weeks rather than daily or weekly changes. Progress tracking helps show the real picture over time.

Ready to take control of your weight loss journey?

Start with a free BMI check, explore your GLP-1 options, or begin tracking your progress today. No sign-up. No cost. Just results.

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