Johnson H, Clift AK, Reisel D, Huang D. "Digital Engagement Significantly Enhances Weight Loss Outcomes in Adults With Obesity Treated With Tirzepatide: Retrospective Cohort Study of a Digital Weight Loss Service." Journal of Medical Internet Research 28 (2026):e83718. doi:10.2196/83718. https://www.jmir.org/2026/1/e83718/
If you're comparing weight loss providers, MedExpress and Voy will both come up. They offer many of the same medications and both accept patients from a BMI of 25, so on paper they can look similar. The real differences are in how you're supported day to day, what's included beyond the medication, and what each service is built around.
Voy is a weight loss provider that has treated UK patients with GLP-1 medications since 2023. It now treats patients across the UK, Germany, Poland, Brazil and India, and is regularly one of the highest-rated weight loss providers in the UK on Trustpilot.
MedExpress is a general online pharmacy that has run since 2013. It treats a wide spread of conditions and is a well-known route to Mounjaro and Wegovy privately.
Here's how the two compare on the things that shape your experience day to day.
MedExpress vs Voy at a glance
What is Voy?
Voy launched its weight loss service in 2023, built on the Manual pharmacy platform that has run in the UK since 2019, and has since changed over 1.5 million lives. Its weight loss programme pairs medication with clinical support and a community, and the evidence points to that combination being what helps people lose more and keep it off.
To get started with Voy, you complete an online assessment, a UK-registered clinician reviews it, and if treatment is right for you your first order arrives with a rescue pack included. After that you have ongoing clinical support, an app to track your progress, and a members community for the length of your treatment.
What is MedExpress?
MedExpress is an online pharmacy that has run since 2013. Weight loss is one category among many, sitting alongside sexual health, pain relief, digestive health, skin and hair, allergies, travel health, and more.
Treatment works in three steps. You fill in a short online consultation, a UK-registered clinician reviews it and recommends treatment if it's suitable, and your medication is delivered discreetly. If a clinician needs to talk to you, that happens on a booked Audio Visual Consultation, a video call arranged through your account.
The biggest difference: support
Level of support is where the two providers differ. With Voy you can speak to a UK-registered clinician on the phone within minutes. With MedExpress you book a video call and wait.
That matters most with side effects like nausea and diarrhoea, which are common on GLP-1s. Left unmanaged, they're one of the main reasons people stop treatment early and miss out on the results.
Voy gives you:
- A side-effect hotline, 9am to 5pm Monday to Friday, that puts you through to a registered clinician within minutes
- A clinical team live chat, 8am to 8pm every day, for dosing and treatment questions
- A customer support chat, 8am to 8pm every day
- Joy, an AI coach, in the app available 24/7
- A rescue pack of anti-sickness and anti-diarrhoea medication with your first order
MedExpress:
- Customer care by chat and phone, 9am to 5pm every day
- Clinician access by booked video call, Monday to Friday
- No live clinical chat
- No side-effect hotline
So if you want to reach a clinician fast when something feels off, Voy makes that easier.
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App and tools
Both providers have an app, but they do different jobs.
The MedExpress app covers the practical side: logging your weight, tracking progress, medication and reorder reminders, delivery tracking, side-effect tips and video guides.
The Voy app gives you more to manage your treatment in one place. From the app you can:
- Track your doses and progress, and log side effects
- Log meals and get a breakdown, including a meal balance score and a craving-risk score
- Get recipes and nutrition tips
- Join live talks on nutrition, movement, mindset and plateaus
- Reach Joy, your AI coach, any time
- Message the clinical team or customer support
- Tap into the members community
In a study of 126,553 Voy patients, those who used the app, coaching and weight tracking were nearly three times more likely to lose 20% or more of their body weight than those who didn't, on the same medication.
Medications and eligibility
Both Voy and MedExpress offer Mounjaro, Wegovy injections and the Wegovy pill, and both accept patients from a BMI of 25 after a clinical assessment.
Normally these medications are licensed for a BMI of 30, or 27 and above if you have a weight-related condition. Prescribing below that, from a BMI of 25 as both providers do, is called off-label. It's a normal part of UK practice when a clinician decides the benefits outweigh the risks, and that's often the case before BMI 30, because problems like high blood pressure and type 2 diabetes can start earlier.
Reviews and reputation
Voy is rated 4.7/5 on Trustpilot, compared with 4.3/5 for MedExpress.
Voy's weight loss work has also produced 28 published papers and research partnerships with eight universities, including Imperial College London.
Who might prefer each
Voy is likely the better fit if you want:
- To reach a clinician within minutes on a side-effect hotline, not wait for a booked call
- A rescue pack sent with your first order, so you're covered from day one if side effects hit
- Live clinical chat 8am to 8pm every day
- A members community, so you're not doing it alone
- Everything in one app, from doses and meals to coaching and support
- A weight loss programme backed by published research and university partnerships
You can check your eligibility in a couple of minutes.
MedExpress might suit you if you:
- Feel confident managing any side effects yourself
- Prefer booking a scheduled video call to speak to a clinician
- Want a pharmacy that covers other health needs alongside weight loss


















