Brazil Weight-Loss Drug Boom Fuels Black Market

Surging demand for weight-loss drugs in Brazil has fueled a thriving black market involving smuggled and unapproved injections. Authorities are investigating dozens of deaths and thousands of complications linked to the illicit products.

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Vials of tirzepatide concealed inside dulce de leche containers after being seized by Brazilian customs officials, from a bus arriving from Paraguay in Foz do Iguacu, Parana state, Brazil April 30, 2026.

A booming weight-loss drug black market in Brazil has driven nationwide seizures to 60,787 units, fueled by surging demand for treatments like Eli Lilly & Co's Mounjaro. High prices and beauty-conscious culture push consumers toward unverified smuggling routes from Paraguay and custom-compounded alternatives. Health authorities recorded 83 deaths and over 3,600 complications linked to weight-loss treatments between 2018 and mid-August 2026.

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