Weight loss drugs like Ozempic and Wegovy are more popular than ever, leading people to seek options that are quicker, cheaper and involve less prying questions than a traditional in-person doctor visit.

But here’s a statistic that should give you pause: Casey Zaring, RPh, PharmD, a clinical pharmacist at OSF HealthCare, says a 2023 audit by the U.S. Food and Drug Administration [FDA] found 95% of online pharmacies were not legitimate. This leads to concerns about getting bilked out of money or taking a counterfeit drug that could bring serious side effects.

“It skips a lot of checks and balances,” Zaring says of the online outlets. For one, he says, these websites typically don’t have a pharmacist check your full medical history to make sure you’re getting the right drug.

Legit or not?

Some red flags to look for when deciding to buy prescription drugs online:

• Is the website based outside the United States?
  
• Do you start on one website and get pushed to another to complete the transaction?
  
• Does the site guarantee you cost savings? Zaring says it may look like a deal up front, but the final price tag might not be so good. Or, you might unintentionally sign up for auto-renewals. Zaring recommends first checking to see if your insurance will cover a medication.
  
• Have other people or agencies flagged the outlet for possible problems? Zaring recommends the websites safe.pharmacy and BeSafeRx to check if the pharmacy is registered with the National Association of Boards of Pharmacies and complying with the law.
  
  “How we know an online pharmacy is legal is they require a prescription by a licensed practitioner. You have a pharmacist review things, and the consumer has access to a pharmacist to ask questions,” Zaring explains. “Look for the outlet to be based in the United States and have a license in your state. Some online pharmacies will provide medications for patients even though they don’t have a license in the patient's state.”

Another law pharmacies have to follow is the Drug Supply Chain Security act. Zaring says this ensures all medications are logged and accounted for as they move from the manufacturer to the distributor. This makes sure all medications in the supply chain are legitimate and safe.

“In December 2025, the Food and Drug Administration warned about fake Ozempic,” Zaring recalls, noting what can go wrong if laws aren’t followed. “It looked almost identical to real Ozempic. It had lot numbers and expiration dates. But what they had done is created a syringe that looked similar and put on fake stickers.

“What pharmacists do then is go through and scan every medication that enters the pharmacy to ensure it’s directly from the manufacturer,” Zaring adds.

Consequences

Zaring says pharmacists’ biggest fear with these websites is someone putting something non-legitimate or harmful in their bodies. Is the syringe sterile? Has the drug expired? Is the dose correct? Is it properly diluted? Is it interacting with my other medications? Ingesting fake medications could lead to infections or other serious side effects.

Speaking on weight loss drugs: “If something is off by a decimal point, it’s a tenfold error. It can cause lack of movement in your gastrointestinal tract, obstructions and gallbladder attacks,” Zaring says. “If a person isn’t aware of the risks and talking to a pharmacist, they can upgrade their dose too quickly and cause more adverse effects like dehydration. Also with some of these online websites, there’s not continuous monitoring by a health care provider. No labs, check-ins or follow ups.

“The cost saving may be up front, but at the back end there may be an overall greater cost of having to see more health care providers because of adverse reactions or infections,” Zaring also warns.

If you’ve done business with an online pharmacy and have concerns, Zaring recommends talking to your primary care provider or a pharmacist at an in-person, well-recognized business. You can even bring the medication for them to inspect. You can also report pharmacies to the FDA at the BeSafeRx website.

Learn more

Read more about how OSF HealthCare pharmacists bring medication to you safely on the OSF HealthCare website. Some OSF HealthCare locations also have retail pharmacies that can be used regardless of whether you’re an OSF patient.

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Frequently asked questions

Artificial intelligence (AI) rapidly expanded in 2023, and it’s here to stay. ChatGPT, Snapchat and altered photos and videos are just some of the AI encounters people have on their devices daily.

AI has many positives. But experts say when it comes to health advice, take it from a trained human being, not a robot. And if you’re scared of “the rise of the robots” – as they say in Hollywood – there are ways to cope.

“You’re absolutely normal to be anxious when there’s the first stirrings of big shifts in technology or other things that might change our life,” says Ari Lakritz, PsyD, a clinical psychologist at OSF HealthCare who says he sees these concerns often.

Coming to grips with technology advances

Common fears include technology making your job obsolete or providing you with misinformation. Dr. Lakritz suggests being proactive to the changes, not reactive. Learn how AI is changing your job or hobbies.

“See if you might be able to be part of that. Start integrating some of that into your day-to-day practice,” Dr. Lakritz says.

AI can be a time-saver, too.

“It has potential to streamline things we don’t like to do, giving us more time and energy to do things we want or things we feel are important,” Dr. Lakritz says.

For example, it may take you an hour to do an online search for sources for your college essay. If ChatGPT can do it in minutes, you might have time to take that afternoon walk or meet a friend for lunch, boosting your mental and physical health and spurring creativity.

It’s also not our first time dealing with digital unknowns. Remember the supposed Y2K bug around the turn of the millennium? Fears of computer clocks malfunctioning and worse didn’t materialize, and experts took away lessons for the next big technology shift, like AI. And a silver lining of the Y2K anxiety, Dr. Lakritz says, is that it got people learning about technology.

Don’t go to a robot for mental health care

Snapchat, the photo messaging application popular with young people, recently rolled out a chatbot called “My AI.” It’s a way for people to connect with someone when they have no one else.

“My AI can answer a burning trivia question, offer advice on the perfect gift for your BFF’s birthday, help plan a hiking trip for a long weekend, or suggest what to make for dinner,” Snapchat’s website says.

But the company concedes: “It’s possible My AI’s responses may include biased, incorrect, harmful, or misleading content. Because My AI is an evolving feature, you should always independently check answers provided by My AI before relying on any advice, and you should not share confidential or sensitive information.”

Some parents and mental health experts have picked up on that concern, too. They worry young people are getting inadequate mental health advice from a robot.

“That’s like Googling your symptoms when you’re sick instead of going to a real doctor,” Dr. Lakritz says with a hint of dismay. “You’ll get a great deal of information, but there will be very little guidance about how to use that information and which information is more applicable to you.”

If talking about your mental health virtually is your preferred way to go, there are more legitimate options than Snapchat, Dr. Lakritz says. First and foremost, your health care provider may offer virtual visits. Otherwise, talk to a provider or trusted adult about online, third-party counseling options.

“These are programs that have been tested and vetted. There’s oversight and accountability. There’s research behind it,” Dr. Lakritz explains. “Whereas with an AI assistant, it’s not clear the source of information. It’s not clear how to use that information best.”

Will AI and chatrooms replace in-person mental health care? Don’t count on it, Dr. Lakritz predicts. The human connection of being in a room with someone can’t be understated, he says.

When in doubt

When the content on your device is just too much to handle, turn it off, set it aside and take a break.

Look for these warning signs:

“Do you feel you’re doing too much of it? Do you find your use of technology is taking over other interests in your life? Have you tried to cut down but have not been able to? Do you find that using so much technology causes you to stress or dysfunction?” Dr. Lakritz asks.

Most devices have settings that can limit screen time. Parents should set boundaries with their children’s device use. Dr. Lakritz says you can even share your browsing or chat history with a trusted adult so they can make sure you’re using technology appropriately.

If your technology use is causing significant mental health problems, talk to your primary care provider or mental health provider. You can also call 9-8-8 to reach the Nation Suicide Prevention Lifeline.

Learn more

Learn more about behavioral and mental health on the OSF HealthCare website.

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