Can I get it?
Yes, if a doctor decides it is right for you. Rybelsus is authorised in the EU and can be prescribed after a medical review.

APPROVED IN THE EURybelsus is authorised in the EU.
Rybelsus is no longer offered by Hi Doctor. Our doctors can review your case in Antwerp and consider other weight management treatments with EU authorisation. A prescription is only issued if it is suitable for you.
IN PLAIN TERMS
Rybelsus is a tablet form of semaglutide. It is licensed in the European Union, but only for one thing: controlling blood sugar in adults with type 2 diabetes. It is not licensed in the EU as a weight-loss medicine. People taking it for diabetes often lose some weight as a side effect, and that is where its reputation as a weight-loss pill comes from, but prescribing Rybelsus purely to lose weight is off-label, meaning it is being used outside what regulators have assessed and approved. A separate, higher-dose oral semaglutide tablet was authorised in the EU for weight management in July 2026, so if you are looking for a semaglutide tablet for weight, that is a different product and a doctor should decide what is appropriate for you.
Rybelsus has been authorised for use in the EU since 3 April 2020, so an EU-licensed doctor can prescribe it when it is clinically appropriate for you.
Learn more about peptides at Peptidepedia.
Yes, if a doctor decides it is right for you. Rybelsus is authorised in the EU and can be prescribed after a medical review.
Our doctors review every Weight loss option and recommend what fits your history and goals.
See all Weight loss optionsEvery trial behind Rybelsus is listed below with its registry number, how many people took part, and whether the results are peer-reviewed or a company announcement.
Jump to the studiesLocal consultation facts
Not through Hi Doctor. Hi Doctor does not prescribe Rybelsus. People in Antwerp, Belgium, can request an online consultation for Weight loss with an EU-licensed doctor, who may recommend an available option when clinically appropriate. If approved, the EU prescription arrives as a PDF for a pharmacist in Belgium, who dispenses the locally marketed equivalent containing Oral-semaglutide.
Availability
Hi Doctor does not prescribe Rybelsus. The links below show options in Weight loss that our doctors can assess.
How the EU prescription works where you are: In Belgium, show the approved prescription PDF to a pharmacist. Each pharmacy decides whether it can dispense it; if it does, the pharmacist dispenses the locally marketed equivalent containing Oral-semaglutide.
TREATMENT OPTIONS
An EU-licensed doctor decides case by case. We never prescribe without evaluation.

Rx · GLP-1
Weekly GLP-1 receptor agonist. A doctor may prescribe it if your BMI and history match the indications. Requires follow-up.
Weekly injection pen

Rx · GLP-1 / GIP
Dual GLP-1/GIP agonist. Assessed by the doctor based on comorbidities and the patient's BMI.
Weekly injection pen

Rx · GLP-1
Daily GLP-1 agonist. Indicated in selected patients with elevated BMI after medical evaluation.
Daily injection pen

Rx · lipase inhibitor
Fat-absorption inhibitor. A non-GLP-1 alternative a doctor may consider based on your history.
Capsules
You pay for any medication separately at the pharmacy you choose. Hi Doctor does not sell medications.
VERIFIED EVIDENCE
WHAT IT IS
A daily tablet containing semaglutide, a copy of the gut hormone GLP-1, which helps the body release insulin after meals and lowers blood sugar.
DEVELOPMENT STAGE
Every NCT identifier links to its ClinicalTrials.gov record. A readout is not the same as peer-reviewed publication.
| TRIAL / NCT | POPULATION | PARTICIPANTS | STATUS | READOUT / COMPLETION |
|---|---|---|---|---|
| PIONEER 4NCT02863419 | Adults with type 2 diabetes not adequately controlled on metformin, with or without an SGLT-2 inhibitor | 711 | Read out | n/a |
Results are grouped by source and evidence grade so journal data and manufacturer announcements cannot be confused.
| DOSE OR GROUP | MEAN WEIGHT CHANGE | WEEKS |
|---|---|---|
| Oral semaglutide 14 mg daily | −4.7 kg body weight | 26 |
| Oral semaglutide 14 mg daily | −5.0 kg body weight | 52 |
| Liraglutide 1.8 mg daily by injection (comparator arm) | −3.1 kg body weight | 52 |
| Placebo | −1.2 kg body weight | 52 |
PIONEER 4 was a type 2 diabetes trial whose main purpose was to measure blood-sugar control; weight change was a secondary measurement in people with diabetes, not a test of Rybelsus as a weight-loss treatment, and Rybelsus has no EU weight-management indication.
NAMED SAFETY SIGNALS
Very common in the Rybelsus product information, reported in around 15% of people taking semaglutide; usually mild to moderate and settling over time.
Very common in the Rybelsus product information, reported in around 10% of people taking semaglutide.
Reported in around 7% of people taking semaglutide in the Rybelsus product information.
Rybelsus is authorised in the EU only for type 2 diabetes. Prescribing it purely for weight loss falls outside its authorised indication, so the EU-assessed benefit-risk balance for that use has not been established.
FREQUENTLY ASKED QUESTIONS
OTHER WEIGHT LOSS TREATMENTS