Search for the most notable GLP-1 influencers in Europe and the first results are almost all the same thing: before-and-after accounts, weekly weigh-ins, a pharmacy discount code in the caption. Those accounts have real reach. They are also, increasingly, the ones European regulators are fining, because prescription weight-loss drugs cannot be advertised to the public anywhere in the EU, the EEA or the UK. So the honest answer to “who should I follow” is not the loudest account. It is the quieter layer of doctors, researchers, journalists and patient organisations who explain these drugs instead of selling them.
This guide maps that layer, country by country. It is a companion to our complete guide to fiber and GLP-1 medications, which covers the side effects these voices spend most of their time talking about, down to the practical question of whether you can take fiber alongside the injection. Here the subject is the people themselves: who is worth your attention in each major European market, what they actually publish, and the single legal rule that explains why the scene looks the way it does.
Two things shape everything below, so they are worth stating up front.
The law is the same everywhere, and it is strict. Article 88 of EU Directive 2001/83/EC obliges every member state to ban advertising prescription-only medicines to the general public.1 The UK keeps the identical rule after Brexit under the Human Medicines Regulations 2012.2 The prohibition is on the act of advertising, not on who does it, so a patient posting a “use my code for £40 off” video is caught exactly as a company would be. The EU’s 2023 to 2026 pharmaceutical-law reform keeps this ban unchanged.3
The biggest accounts are often the ones in trouble. In February 2026 the UK Advertising Standards Authority ruled against a set of online pharmacies and named the individual influencers whose referral-code posts promoted the drugs, directing both to stop.4 Sweden’s medicines agency issued a marketing prohibition against the digital weight clinic Yazen with a fine of 750,000 kronor per breach.5 In the Netherlands the medicines inspectorate has gone further and fined national newspapers for GLP-1 coverage a court agreed read as promotional.6 Reach and credibility are not the same signal here. Often they point in opposite directions.
With that in mind, here is who is actually worth following.
United Kingdom
The UK has the busiest GLP-1 conversation in Europe and the most aggressive enforcement, which has quietly cleared the field. The credible voices are clinicians and authors, not journey accounts.
Dr Karan Rajan is the widest-reaching medical communicator in the country, an NHS surgeon whose myth-busting shorts run across TikTok, Instagram and YouTube to an audience his own site puts above ten million.7 His GLP-1 videos are explainers, not endorsements. Dr Idrees Mughal (“Dr Idz”), a doctor with a master’s in nutritional research and a book, Saturated Facts, occupies a similar debunking lane.8 Dr Jack Mosley, a GP and son of the late Michael Mosley, wrote Food Noise specifically about weight-loss medications and smart nutrition, and works the podcast circuit around it.9
For the science rather than the social feed, Prof Naveed Sattar of the University of Glasgow is the most-quoted UK researcher on cardiometabolic GLP-1 effects, and Prof Giles Yeo of Cambridge, a broadcaster and author, gives careful public lectures on what a post-Ozempic world does and does not mean.1011 The most-read first-person UK account of the drugs is not a health creator at all but the author Johann Hari, whose book Magic Pill documents his own semaglutide use and reports the upside and the risks together.12 Hari has a contested journalistic record from over a decade ago, which is worth knowing before you treat the book as neutral.
Two patient-side voices matter. Georgie Aldous, a beauty influencer hospitalised after five months on Mounjaro bought through an online questionnaire, has become a campaigner for mandatory checks and a ban on sponsored posts, which is a more useful thing to amplify than any transformation reel.13 The charity Obesity UK is the established patient organisation.14
A note on the journey accounts. The largest UK “what I eat in a day on Mounjaro” creators are precisely the accounts the ASA named in its February 2026 rulings for carrying pharmacy referral codes.4 The regulator’s own 2026 enforcement report found that paid ads had largely fallen into line, and that influencer and affiliate content was now the residual risk.15 Follow them for a sense of the culture if you must. Do not treat a discount code as medical guidance.
Ireland
Ireland’s scene is smaller and clinician-led. Enforcement runs through the HPRA and is mostly unpublished, so there is no equivalent of the ASA’s named-and-shamed list.16
Prof Donal O’Shea, the HSE’s national clinical lead for obesity and a consultant endocrinologist, is the country’s most prominent broadcast voice and a consistent critic of celebrity-driven demand.17 Prof Carel le Roux of University College Dublin is one of Europe’s leading obesity-medicine researchers and a frequent podcast guest; he discloses pharmaceutical advisory roles, which is the right way to do it.18 Dr Michael Crotty, a GP and obesity-medicine specialist, writes and broadcasts against the “eat less, move more” myth and the social-media framing of the drugs.19
On the patient side, the Irish Coalition for People Living with Obesity is the de-facto voice, with the important caveat that it discloses funding from the HSE and Novo Nordisk.20 The one sizeable Irish journey creator, Paddy Cunningham (“A Dose of Paddy”), a former Biggest Loser contestant turned personal trainer, is candid and well-liked, but carries a clinic referral discount and Amazon affiliate links, the exact pattern the UK regulator sanctioned across the border.21
Germany, Austria and Switzerland
Germany has a mature medical-creator scene and a clear rule: the Heilmittelwerbegesetz bans advertising prescription-only medicines to the public, so the useful accounts are educators, not sellers.22
Mai Thi Nguyen-Kim, the chemist behind maiLab and the television show MAITHINK X, is Germany’s most prominent science communicator, and her 2025 explainer testing the weight-loss injections against the evidence is the single best German-language starting point.23 Among physician creators, Doc Felix publishes large-audience explainer and reaction videos across YouTube and Instagram, and the emergency physician Dr Carola Holzner (“Doc Caro”) brings a clinical, no-nonsense register to the same platforms.2425 For depth, Dr Matthias Riedl, medical director of the medicum Hamburg centre and a cast member of NDR’s long-running Die Ernährungs-Docs, has written a consumer book squarely on the after-the-injection question, Nie wieder dick nach der Abnehmspritze.26
Germany also has an instructive counter-example. Dr Eckart von Hirschhausen, the physician and broadcaster, has spent much of his GLP-1 airtime warning that his own likeness is being used in AI deepfake advertisements selling fake weight-loss injections, a reminder that a familiar doctor’s face on a promotion is now itself a red flag.27 On enforcement, a Munich court barred an online pharmacy from advertising the “Abnehmspritze” to consumers, and the German competition-standards body has issued disclosure warnings over undisclosed influencer promotion.28
Austria and Switzerland are thinner. No Austrian creator with a verifiable following stood out; the public broadcaster ORF is the de-facto explainer.29 In Switzerland, the medicines regulator Swissmedic openly worried that a “cult of thinness” on social media would drive demand when Wegovy launched, and the clearest social specimen is a cautionary journey account rather than a clinical one.30
France
France has strong clinician and journalist voices and, tellingly, almost no named patient creators with a large following. The press covers the scene as a wave of anonymous “influenceuses” rather than profiling domestic stars, which is itself the finding.31
Prof Boris Hansel, a nutrition professor at Université Paris Cité, runs the public-health YouTube channel PuMS, the most established French medical explainer platform.32 Dr Jean-Michel Cohen, France’s most media-prominent nutritionist, publishes widely viewed videos dismantling the “natural Mounjaro” scams, though he also sells his own weight-loss programme, so read him as an interested party.33 Dr Emmanuelle Lecornet-Sokol, an endocrinologist who heads the liberal endocrinologists’ federation, is the reliable press-and-radio explainer on who can actually access the drugs.34
France’s standout book is journalist Fabrice Delaye’s Ozempic, la révolution de l’obésité, a Geneva-based long-form investigation of the science, the industry and access.35 For the patient perspective, Anne-Sophie Joly of the national patient collective CNAO is the established advocate.36 France also has the most concrete regulator story: the medicines agency ANSM has referred illegal online GLP-1 sellers to prosecutors since April 2025, and a 2026 France 2 investigation obtained a Mounjaro prescription online for under thirty euros in half an hour.3738
Spain
Spain’s most significant GLP-1 voice arrived by institutional appointment. Marián García, the pharmacist and science communicator known as Boticaria García, was chosen as Spain’s creator for the European Medicines Agency’s own anti-misinformation campaign against GLP-1 hype, which makes her the rare case of reach and official endorsement pointing the same way.39
Among clinicians, Dr Víctor Bravo, an Almería endocrinologist, built a large Instagram audience on a deliberately contrarian message that daily steps beat reflexive injections.40 Dr Cristóbal Morales, a Seville endocrinologist and spokesperson for the Spanish obesity society SEEDO, is the go-to press voice, and Dr Andreea Ciudin of the same society has publicly criticised pharmaceutical disease-awareness campaigns.4142 The dietitian Aitor Sánchez (“Mi Dieta Cojea”) is the trusted independent nutrition explainer.43
Spain shows the commercial pressure clearly: the Swedish digital clinic Yazen runs an open, paid influencer-recruitment programme in Spain with no prescription-medicine disclaimer, and in 2026 the consumer group OCU had to report a fake “OzemPil” product that hijacked both Ozempic’s and OCU’s branding on Instagram.4445
Italy
Italy’s public conversation is led by senior academics and journalists more than by social creators. Prof Silvio Garattini, founder of the Mario Negri pharmacology institute, is the loudest sceptical voice, arguing against cosmetic use and calling on the medicines agency to run its own social campaigns.46 Prof Rocco Barazzoni of the University of Trieste, president of the Italian obesity society, is the measured “revolutionary moment, inside lifestyle change” voice.47
The essential Italian book is journalist Nicola Villa’s La cura miracolosa, billed as the first Italian book-length investigation of the drugs.48 Among clinicians who publish under their own names, the endocrinologist Dott.ssa Laura Molteni produces practical YouTube guidance, though as always the follow-worthy signal is explanation, not a consultation funnel.49 The patient organisation Amici Obesi, led by Iris Zani, is the established advocate and is running a national GLP-1 patient survey, with a podcast openly supported by Eli Lilly.50
Italy’s regulator, AIFA, warned as early as March 2023 that any weight-management use of Ozempic was off-label, and its 2026 consumption data showed privately bought weight-management drugs up sharply.51 The media regulator AGCOM has also brought influencers formally under its rules, with a code of conduct that explicitly forbids promoting prescription medicines.52
Netherlands and Belgium
The Low Countries produce some of Europe’s clearest clinical communicators. In the Netherlands, Prof Liesbeth van Rossum, an Erasmus MC obesity professor and co-author of the bestseller VET belangrijk, is the authoritative voice on why the drugs are a tool and not a miracle, and her co-author Dr Mariëtte Boon publishes in the same evidence-first register.5354 Academic explainers from Prof Gijs Goossens (Maastricht) and the Radboudumc “appropriate care” group separate the evidence from the hype well.5556
The Netherlands also offers the sharpest warning in Europe about where the line sits. In 2026 the medicines inspectorate IGJ fined several national newspapers and magazines for GLP-1 articles a court agreed had a promotional character, testimonials and before-and-after photos included.6 The lesson for readers is direct: in the strictest European market, even mainstream coverage that reads like a sales pitch can be unlawful, so the tone of what you follow is a signal in itself.
In Dutch-speaking Belgium, Prof Bart Van der Schueren of UZ Leuven, who chairs the Belgian obesity association, is the go-to public-broadcaster voice, alongside colleagues Prof Chantal Mathieu and the on-record sceptic Dr Patrik Vankrunkelsven.5758 The consumer organisation Testaankoop has been the most active watchdog, formally asking the regulator to act against pharmaceutical advertising for Wegovy and Mounjaro.59
The Nordics
The Nordic pattern is distinctive: the “influencer” is usually a doctor-fronted telehealth clinic, and that is exactly the layer regulators are hitting.60 The credible independent voices sit apart from it.
In Denmark, Novo Nordisk’s home market, the physicians behind the Radio Ligevægt podcast, Rasmus Køster-Rasmussen and Christian Vøhtz, publish evidence-based, anti-stigma content, and Køster-Rasmussen has publicly criticised his own home-market employer’s disease-awareness campaign.61 University of Copenhagen professors Signe Torekov and Tina Vilsbøll are the trusted research voices.62 Danish reporting has also shown Novo paying local doctors for awareness content, which is the kind of disclosure worth tracking.63
In Sweden, Prof Ylva Trolle Lagerros of Karolinska stands out partly because she states plainly that she has no industry ties, notable after Swedish radio found a small group of company-paid doctors produced half the national expert commentary.64 In Norway, Prof Jøran Hjelmesæth is the most prominent obesity expert, though he has been flagged for accepting Novo payments, and the writer Marianne Sæbø offers a thoughtful patient-adjacent perspective while explicitly not taking the drugs herself.6566 In Finland, Prof Kirsi Pietiläinen of the University of Helsinki is the clear authority, active across a personal podcast and national media.67
The pan-European voices, and what the research says
Some of the most useful voices are not tied to one country. The European Association for the Study of Obesity is the de-facto scientific voice; its 2025 framework recommending semaglutide and tirzepatide as first-line treatment when substantial weight loss is needed is the reference document for the current moment.68 The European Coalition for People living with Obesity is the patient umbrella.69 The individual researchers already named, le Roux, Yeo, Sattar, cross borders through podcasts and books more than through any single feed.
The reason this guide steers away from the biggest social accounts is not snobbery. It is the evidence on content quality. A 2026 German study analysed 250 semaglutide posts across five platforms and found that ninety-eight per cent of user posts framed the drug for weight loss rather than diabetes, that gastrointestinal side effects were not mentioned at all on Instagram, and that a majority of before-and-after images were likely AI-modified.70 A Spanish-language TikTok study scored the average video “poor” for reliability, with seventy-one per cent mentioning no risks.71 Across multiple analyses the pattern repeats: engagement and accuracy are unrelated, and the accounts with the most reach are the least likely to mention what can go wrong.72
So the filter is simple. The voices worth your time name the side effects, state the limits, disclose their ties, and never ask you to use a code.
Footnotes
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Directive 2001/83/EC, Article 88(1)(a), obliges member states to prohibit advertising to the general public of medicines available on prescription only; Article 86(1) defines advertising broadly. European Union, consolidated text at EUR-Lex, https://eur-lex.europa.eu/eli/dir/2001/83/oj ↩
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Human Medicines Regulations 2012 prohibit advertising prescription-only medicines to the public; restated by the MHRA, December 2024. legislation.gov.uk; MHRA statement via diabetes.co.uk, 17 December 2024. ↩
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The 2023 to 2026 EU pharmaceutical-package reform keeps the public-advertising ban on prescription medicines unchanged in substance and adds a power to suspend advertising during shortages. Bird & Bird, “EU Pharmaceutical Law Reform: Key Changes on Advertising,” 8 July 2025, https://biotalk.twobirds.com/post/102krpr/eu-pharma-law-reform-key-changes-on-advertising-of-medicinal-products ↩
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Advertising Standards Authority rulings of 11 February 2026 against UK Meds Direct, Health Bridge (Zava), MedExpress and Menwell (Voy), naming influencer referral-code posts and directing the posters to stop; breach of CAP Code rule 12.12. asa.org.uk rulings; summary at marketinglaw.osborneclarke.com. ↩ ↩2
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Läkemedelsverket (Swedish Medical Products Agency) marketing prohibition against Yazen, December 2024, with a penalty of 750,000 kronor per breach. Läkartidningen, 6 December 2024. ↩
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Rechtbank Amsterdam, 10 April 2026 (ECLI:NL:RBAMS:2026:5160), upheld IGJ fines against DPG Media for GLP-1 articles found to be prohibited public advertising; further IGJ media fines reported August 2026. NOS, 18 August 2026, https://nos.nl/artikel/2627340; reclameboek.nl. ↩ ↩2
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Dr Karan Rajan, NHS doctor and author of This Book May Save Your Life; audience “over 10 million followers across TikTok, YouTube, Instagram & Facebook” per drkaranrajan.com/about (accessed 10 September 2026). ↩
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Dr Idrees Mughal (“Dr Idz”), NHS doctor with a master’s in nutritional research, author of Saturated Facts (Penguin). penguin.co.uk author page. ↩
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Dr Jack Mosley, author of Food Noise: How weight loss medications & smart nutrition can silence your cravings (Octopus, 24 April 2025). books.apple.com; Dr Louise Newson podcast, 2 September 2025. ↩
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Prof Naveed Sattar, Professor of Metabolic Medicine, University of Glasgow; GLP-1 meta-analysis author. Wikipedia; PubMed 34425083. ↩
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Prof Giles Yeo MBE, Professor of Molecular Neuroendocrinology, University of Cambridge; broadcaster and author. Public lecture “In a post-Ozempic world, have we cured obesity?”, CSAR, 27 April 2026, https://csar.org.uk/lectures/2025-2026/giles_yeo_20260427/ ↩
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Johann Hari, Magic Pill: The Extraordinary Benefits and Disturbing Risks of the New Weight Loss Drugs (2024). johannhari.com; The Doctor’s Kitchen podcast #245, 30 April 2024. ↩
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Georgie Aldous, hospitalised on Mounjaro bought via an online questionnaire, now campaigning for mandatory checks and a ban on sponsored posts. LBC op-ed, 5 May 2025 (updated 10 February 2026); PinkNews, 7 May 2025. ↩
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Obesity UK, registered charity and membership organisation for people living with obesity. obesityuk.org.uk. ↩
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ASA Enforcement Report, 2 April 2026: roughly 900 likely-breaching ads identified; paid-ad breach rate fell to about 1 per cent after enforcement, with non-paid influencer and affiliate content flagged as the higher residual risk. asa.org.uk. ↩
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Health Products Regulatory Authority guidance treats influencer and affiliate content as advertising; enforcement is direct and largely unpublished. Mason Hayes & Curran, “Promoting medicines on social media,” mhc.ie; RTÉ, 29 May 2025. ↩
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Prof Donal O’Shea, HSE National Clinical Lead for Obesity, consultant endocrinologist. Irish Times, 9 December 2024; RTÉ analysis, 17 August 2026. ↩
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Prof Carel le Roux, Chair of Experimental Pathology, University College Dublin; co-led the 2025 tirzepatide-versus-semaglutide trial; declared pharmaceutical advisory roles. Irish Examiner, 1 February 2025; Sigma Nutrition podcast #395. ↩
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Dr Michael Crotty, GP and Obesity Medicine Specialist, clinical lead at My Best Weight and GP Lead for Obesity at the Irish College of GPs. mybestweight.ie; TheJournal.ie op-ed, 19 July 2026. ↩
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Irish Coalition for People Living with Obesity; discloses funding from the HSE, Novo Nordisk and ECPO. icpobesity.org; Irish Examiner, 7 December 2025. ↩
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Paddy Cunningham (“A Dose of Paddy”), personal trainer and podcaster documenting an eight-stone Mounjaro loss; his Linktree carries a myBMI referral discount and Amazon affiliate links. adoseofpaddy.com; Farmers Journal, 6 August 2025. ↩
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Heilmittelwerbegesetz (HWG) §10 prohibits advertising prescription-only medicines to the general public in Germany. gesetze-im-internet.de, https://www.gesetze-im-internet.de/heilmwerbg/__10.html ↩
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Mai Thi Nguyen-Kim, chemist and host of maiLab and MAITHINK X; explainer “Abnehmspritze wissenschaftlich geprüft | Ozempic & Co,” June 2025, https://www.youtube.com/watch?v=8TaZYY9t8IE ↩
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Doc Felix (@doc.felix), German physician-creator publishing GLP-1 explainer and reaction content on YouTube and Instagram. ↩
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Dr Carola Holzner (“Doc Caro,” @doc.caro.holzner), German emergency physician, author and broadcaster. Not to be confused with the separate fitness-medicine account @doc.caro.fitmed. ↩
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Dr Matthias Riedl, medical director of medicum Hamburg and cast member of NDR’s Die Ernährungs-Docs; author of Nie wieder dick nach der Abnehmspritze. de.wikipedia.org/wiki/Matthias_Riedl. ↩
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Dr Eckart von Hirschhausen has repeatedly warned that AI deepfake advertisements misuse his likeness to sell fake weight-loss injections. t-online and aponet.de coverage, 2024 to 2025. ↩
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Landgericht München I injunction barring an online pharmacy from advertising the “Abnehmspritze” to consumers (ruling date reported inconsistently across sources); the Wettbewerbszentrale has issued disclosure warnings over undisclosed influencer promotion since autumn 2023. wettbewerbszentrale.de. ↩
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No Austrian GLP-1 creator with a verifiable audience was identified; ORF public-broadcaster coverage is the de-facto explainer. profil and Newsflix, 2024 to 2026. ↩
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Swissmedic voiced concern that social-media thinness culture would drive Wegovy demand at its Swiss launch. watson.ch, 2023; Blick on the cautionary journey account of Manuela Leonhard (@zurich_is_beautiful). ↩
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French press has covered the GLP-1 social scene as a wave of anonymous creators rather than named domestic stars. Le Quotidien du Pharmacien, 1 December 2022; France Inter, “Les ‘Ozempic influenceurs’ envahissent TikTok,” March 2023. ↩
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Prof Boris Hansel, Professor of nutrition, Université Paris Cité, and endocrinologist at Hôpital Bichat; runs the public-health YouTube channel PuMS, https://www.youtube.com/@PUMS ↩
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Dr Jean-Michel Cohen, nutritionist physician; YouTube “Dr Jean-Michel Cohen,” including “Arnaque Mounjaro naturel.” He also sells the commercial “Savoir Maigrir” programme. youtube.com/@dr.jeanmichelcohen. ↩
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Dr Emmanuelle Lecornet-Sokol, endocrinologist and president of Fenarediam; France Culture and France 24 explainer on GLP-1 access, 2024 to 2025. ↩
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Fabrice Delaye, Ozempic, la révolution de l’obésité (Odile Jacob, 30 April 2025); science journalist at Heidi.news, author of the “Minceur sur ordonnance” series. ↩
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Anne-Sophie Joly, president of the Collectif National des Associations d’Obèses (CNAO). cnao.fr; franceinfo, 26 May 2025. ↩
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ANSM, “Lutte contre la vente et la publicité illégale de médicaments aGLP-1,” 11 September 2025 (updated 18 November 2025): illegal online offers referred to prosecutors from April 2025. https://ansm.sante.fr/actualites/lutte-contre-la-vente-et-la-publicite-illegale-de-medicaments-aglp-1-les-actions-de-lansm ↩
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France 2, “Complément d’enquête,” 21 May 2026: a journalist with a BMI of 22 obtained a Mounjaro prescription online for €29.90 in thirty minutes without a consultation. ↩
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Marián García (“Boticaria García”), pharmacist and science communicator, chosen as Spain’s creator for the European Medicines Agency’s #HealthNotHype campaign against GLP-1 misinformation. Redacción Médica, 23 October 2025, https://www.redaccionmedica.com/virico/noticias/boticaria-garcia-ficha-por-la-ema-concienciara-sobre-ozempic-y-sus-mitos-2489 ↩
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Dr Víctor Bravo, endocrinologist (Almería), whose GLP-1 content argues that daily steps and lifestyle change beat reflexive injection use. El Español, 11 March 2025; Applesfera, 18 March 2025. ↩
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Dr Cristóbal Morales, endocrinologist at Hospital Vithas Sevilla and SEEDO spokesperson. El Español, 8 February 2026; Canal Sur, 11 July 2023. ↩
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Dr Andreea Ciudin, endocrinologist and SEEDO board member; critical of a pharmaceutical obesity-awareness campaign with a self-diagnosis BMI calculator. Newtral, 19 June 2025; El País, 7 June 2026. ↩
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Aitor Sánchez García (“Mi Dieta Cojea”), dietitian-nutritionist and author. midietacojea.com; Telecinco, 16 May 2024. ↩
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Yazen runs an open, paid influencer-recruitment programme in Spain with no prescription-medicine disclaimer on the recruitment page. https://www.yazen.com/es/yazen-influencer (accessed 10 September 2026). ↩
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OCU reported an Instagram campaign selling a fake “OzemPil” product misusing Ozempic’s and OCU’s branding to the Policía Nacional, August 2026. Que.es, 29 August 2026. ↩
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Prof Silvio Garattini, founder and president of the Istituto Mario Negri, Milan; called on AIFA to run social campaigns against improper use. RIFday, 10 March 2023; Altroconsumo interview, 11 March 2025. ↩
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Prof Rocco Barazzoni, University of Trieste, president of the Società Italiana dell’Obesità (SIO). TPI interview, 24 October 2025. ↩
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Nicola Villa, La cura miracolosa. Ozempic, Wegovy e come i farmaci dimagranti stanno cambiando le nostre vite (Altreconomia, 2025). Il Fatto Quotidiano, 22 April 2025. ↩
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Dott.ssa Laura Molteni, endocrinologist and diabetologist (Como), publishing practical GLP-1 guidance on YouTube. dottlauramolteni.it. ↩
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Amici Obesi APS / FIAO, led by Iris Zani; running a national GLP-1 patient survey and a podcast produced with unconditional support from Eli Lilly. amiciobesi.it; HealthDesk. ↩
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AIFA note, 6 March 2023, reserving Ozempic for type-2 diabetes and calling any weight-management use off-label; AIFA 2026 consumption report showing privately bought weight-management drugs up sharply. Quotidiano Sanità, 6 March 2023; HelpConsumatori, 27 May 2026. ↩
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AGCOM Delibera 197/25/CONS (adopted 23 July 2025) approved a code of conduct for influencers; the guidelines prohibit promoting prescription medicines. https://www.agcom.it/provvedimenti/delibera-197-25-cons ↩
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Prof Liesbeth van Rossum, Professor of obesity and stress research, Erasmus MC Rotterdam; co-author of VET belangrijk. erasmusmc.nl; Zelfspodcast, “Is Ozempic de oplossing?”, 19 July 2026. ↩
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Dr Mariëtte Boon, obesity physician at Centrum Gezond Gewicht, Erasmus MC, and co-author of VET belangrijk 2.0. Instagram @boonmariette. ↩
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Prof Gijs Goossens, Professor of obesity, Maastricht University. Universiteit van Nederland podcast, “Ozempic; alleen voor obesitas of ook voor een paar kilootjes teveel?” ↩
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Radboudumc “appropriate care” group (Prof Tijn Kool, Dr Rick Meijer) on treating the drugs as a tool, not a miracle cure. Radboud Reflects, 17 February 2025; Radboudumc Q&A, 17 October 2024. ↩
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Prof Bart Van der Schueren, endocrinologist at UZ Leuven and chair of the Belgian Association for the Study of Obesity. VRT NWS, 10 August 2026. ↩
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Prof Chantal Mathieu, professor of endocrinology, UZ Leuven; Dr Patrik Vankrunkelsven, GP and former senator, on record as a sceptic. VRT NWS, 16 May 2025 and 21 August 2026. ↩
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Testaankoop (Test Achats) asked the Belgian regulator to act against pharmaceutical advertising for Wegovy and Mounjaro. Test-aankoop.be press release, 13 May 2026. ↩
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Across the Nordics the dominant paid GLP-1 content layer is doctor-fronted telehealth clinics, which regulators have targeted. DR, 27 November 2025; Radio4, 1 December 2025. ↩
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Radio Ligevægt podcast, hosted by physicians Rasmus Køster-Rasmussen and Christian Vøhtz; Køster-Rasmussen criticised Novo Nordisk’s disease-awareness campaign. danske-podcasts.dk; DR, 19 September 2024. ↩
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Prof Signe Torekov and Prof Tina Vilsbøll, University of Copenhagen, on time-limited use with exercise and on the paradigm shift. ku.dk, February 2024; TV2, 26 December 2022. ↩
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Danish reporting that Novo Nordisk paid local healthcare professionals for disease-awareness content. DR, 19 September 2024. ↩
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Prof Ylva Trolle Lagerros, Karolinska Institutet, who states she has no pharmaceutical-industry ties; Swedish radio (P1 Kaliber) found company-paid doctors produced much of the national expert commentary. fof.se, 21 March 2024. ↩
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Prof Jøran Hjelmesæth, University of Oslo and Sykehuset i Vestfold; flagged for accepting Novo Nordisk payments. forskning.no, 25 January 2023; Wolfgang Wee Uncut podcast #717, 17 December 2025. ↩
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Marianne Sæbø, writer and columnist who publishes a Wegovy resource while explicitly not taking the drug herself. mariannesaeboe.no; Subjekt, 13 September 2025. ↩
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Prof Kirsi Pietiläinen, Professor of clinical metabolism, University of Helsinki, and chief physician at the HUS weight-management clinic; host of the Lihavuudesta podcast. Yle, 20 March 2025. ↩
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European Association for the Study of Obesity, “2025 Framework for the Pharmacological Treatment of Obesity,” recommending semaglutide and tirzepatide as first-line when substantial weight loss is required. Nature Medicine; EASO press release, 2 October 2025. ↩
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European Coalition for People living with Obesity. eurobesity.org. ↩
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Propfe LE, Seifert R (Hannover Medical School), “Misrepresentation of semaglutide in social media,” Naunyn-Schmiedeberg’s Archives of Pharmacology 2026;399:815-832 (online 19 July 2025). 250 posts across five platforms; DOI 10.1007/s00210-025-04403-5. ↩
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Campos-Rivera PA et al., “Quality of information and social norms in Spanish-speaking TikTok videos: the case of semaglutide,” Social Science & Medicine 2025; mean DISCERN 29.8/75, 71 per cent mention no risks. DOI 10.1016/j.socscimed.2024.117646. ↩
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Günaltay MM, Kartal N, “TikTokfluence: the rise of GLP-1 receptor agonists in the age of social media health trends,” Journal of the American Pharmacists Association 2026;66(3): engagement uncorrelated with content quality; 98 per cent of posts made by individual users. PMID 41866128. ↩