What it is
Orforglipron was approved in the United States on 1 April 2026 under the brand name Foundayo. It acts on the brain’s appetite signals so you feel full sooner and eat less — the same mechanism as the injectable GLP-1 medicines, but as a once-daily tablet.How it works
Orforglipron copies the effect of GLP-1, a natural gut hormone that tells the brain you have eaten enough, so hunger and food intake go down.What the studies reported
Every NCT identifier links to its ClinicalTrials.gov record. A readout is
not the same as peer-reviewed publication.
What has been reported
Can I get it here?
Not for this use. Orforglipron has no EU authorisation, so it cannot be prescribed or dispensed here for weight management.Available medical weight-management options
A licensed doctor decides case by case and never prescribes without evaluation. These are the options with EU authorisation that a doctor may consider instead:Semaglutide (Wegovy / Ozempic)
Weekly GLP-1 receptor agonist. A doctor may prescribe it if your BMI and
history match the indications. Requires follow-up.
Tirzepatide (Mounjaro)
Dual GLP-1/GIP agonist. Assessed by the doctor based on comorbidities
and your BMI.
Liraglutide (Saxenda)
Daily GLP-1 agonist. Indicated in selected patients with elevated BMI
after medical evaluation.
Orlistat 120mg
Fat-absorption inhibitor. A non-GLP-1 alternative a doctor may consider
based on your history. See the
Xenical (orlistat) guide.
Rybelsus (oral semaglutide)
A once-daily semaglutide tablet authorised for type 2 diabetes. Any use
in weight management is an individual medical decision and may be
off-label.
How Hi-Doctor handles it
Hi-Doctor’s doctors review your weight-loss questionnaire and propose an equivalent weight-management treatment with EU authorisation, rather than prescribing orforglipron itself. See how a consultation works, the treatment areas Hi-Doctor covers, and pricing for the consultation fee.Sources
- NEJM — ATTAIN-1 (PubMed record)
- Eli Lilly — complete ATTAIN-1 results published in NEJM
- Eli Lilly — FDA approves Foundayo (orforglipron), 1 April 2026
- FDA approval letter — Foundayo (orforglipron), NDA 220934
- ClinicalTrials.gov — ATTAIN-1 (NCT05869903)
Common questions
What is orforglipron and what is it used for?
What is orforglipron and what is it used for?
Orforglipron is a weight-management tablet made by Eli Lilly. It is a pill version of the same idea behind the GLP-1 injections: it acts on the brain’s appetite signals so you feel full sooner and eat less. It was approved in the United States on 1 April 2026 as Foundayo.
Why does Hi-Doctor not prescribe orforglipron?
Why does Hi-Doctor not prescribe orforglipron?
Orforglipron has no EU marketing authorisation for weight management, so a doctor here cannot prescribe it and you cannot get it from an EU pharmacy.
What did the ATTAIN-1 trial show?
What did the ATTAIN-1 trial show?
ATTAIN-1 compared orforglipron only against placebo over 72 weeks. There is no head-to-head trial against the medicines already authorised for weight management in the EU, and no long-term cardiovascular outcome data have been published. Nausea was reported by 28.9% to 33.7% of participants and constipation by 21.7% to 29.8%, depending on the dose.
What alternatives can I consider within weight management?
What alternatives can I consider within weight management?
Semaglutide, tirzepatide, liraglutide and orlistat are authorised in the EU. A doctor reviews your case and decides which option fits your history and goals.
What are the main side effects reported in the trial?
What are the main side effects reported in the trial?
In ATTAIN-1, nausea was the most common side effect and constipation the second most common. Both were more frequent than with placebo.
Related reading
Start a consultation
Weight-loss consultation
Answer the weight-loss questionnaire and a registered doctor reviews it.
They decide whether treatment is appropriate, which one, and at what dose —
and declining is a normal outcome. See what it costs
and how the review works.