Strategies To Overcome and Prevent (STOP) Obesity Alliance

Over ten years ago, the STOP Obesity Alliance convened experts in conversation with the FDA to discuss why development and approval of anti-obesity medications were proving so difficult. At the time, the FDA was stuck in a cycle of denying the approval of new medications for people with obesity because they were largely viewed as "vanity drugs" that served a cosmetic, rather than medical, purpose. Our message then was simple: obesity is a disease and, just as with any other disease such as cancer or heart disease, medications should be made available to those for whom they are medically appropriate. The FDA responded, and since then we have seen substantial progress, not only in the development of newer and safer anti-obesity medications, but also an increased recognition that obesity is a disease.
 
That is why the recent social media frenzy over the cosmetic use of Wegovy and Ozempic is so concerning and a step backwards. Worse yet, the worldwide shortage of these medications has serious, life-threatening consequences for those who need access to these drugs to treat their obesity and diabetes. The use of these highly effective anti-obesity medications by those without either obesity or diabetes reflects an important inequity: those who can afford Wegovy and Ozempic will be more likely to use these drugs than others who do not, regardless of need.

Because these drugs require a prescription, inappropriate practice by medical providers may have also contributed to the shortage of these drugs. Any prescription for Wegovy or Ozempic for a diagnosis other than obesity or diabetes respectively constitutes off-label use. Celebrity status or weight loss for cosmetic purposes are not indications for the use of these medications. It is essential for providers to become educated on the use of these medications for the treatment of obesity and diabetes and prescribe them only when appropriate.

Now is the time for physicians, physician assistants, and nurse practitioners to understand how to use these medications appropriately, even if that means not writing a prescription at all.

For more background, please see WebMD and the New York Times.