GLP-1 Medications for Weight Loss: Myths vs. Facts

GLP‑1 med­ica­tions are all the rage, espe­cial­ly for weight loss. There are a lot of myths cir­cu­lat­ing about GLP‑1 drugs, so let’s sep­a­rate fact from fiction.

Oprah Win­frey and Kel­ly Clark­son rave about them. Between 2019 and 2023, there was a 400% increase in pre­scrip­tions for them. The glob­al mar­ket for them is expect­ed to grow to at least $100 bil­lion by 2030.

If you’ve heard of med­ica­tions like Wegovy® or con­stant­ly get that oh, oh, Ozem­pic®!” com­mer­cial stuck in your head, you already know: the GLP‑1 med­ica­tion era is in full swing.

These med­ica­tions, called GLP‑1 anti­gens, mim­ic the nat­u­ral­ly occur­ring glucagon-like pep­tide 1 (GLP‑1) hor­mone. The hor­mone plays a crit­i­cal role in reg­u­lat­ing blood sug­ar lev­els and is involved in appetite and digestion.

Using GLP‑1 med­ica­tion, espe­cial­ly to lose weight, has been all the buzz – but not every­thing that peo­ple buzz about is true. Here’s the truth behind some of the com­mon myths about GLP‑1 med­ica­tions for weight loss.

MYTH: GLP‑1 Med­ica­tions Are Just Weight Loss Drugs.

FACT: Since GLP‑1 ago­nists also decrease hunger and food intake, they can help peo­ple lose weight. But they were first devel­oped to treat type 2 dia­betes. GLP‑1 drugs cause your body to make extra insulin after you eat, which helps low­er blood sugar.

GLP‑1 med­ica­tions have oth­er ben­e­fits, as well. They can help:

  • Improve lipid dis­or­ders and fat­ty liv­er disease
  • Low­er blood pressure
  • Reduce the risk of kid­ney and heart disease
  • Delay the pro­gres­sion of a dia­betes com­pli­ca­tion called dia­betes-relat­ed nephropathy

Most of these drugs are giv­en through injec­tions, but there is one that comes in pill form.

Also read: 5 Dia­betes Myths — Debunked

MYTH: All Pre­scrip­tion Weight Loss Med­ica­tions Are the Same.

FACT: Cur­rent­ly (as of March 2025), there are 10 GLP‑1 med­ica­tions approved by the U.S. Food and Drug Admin­is­tra­tion (FDA).

There is some over­lap, but they all affect your body a lit­tle dif­fer­ent­ly. They also don’t all have the same treat­ment goals. For exam­ple, drugs like Moun­jaro® and Ozem­pic treat type 2 dia­betes, while ones like Wegovy and Zep­bound® treat over­weight and obe­si­ty in peo­ple with comor­bid con­di­tions like high blood pressure. 

Also read: How Obe­si­ty Impacts Your Health

MYTH: Any­one Who Wants to Lose Weight Should Take a GLP‑1 Agonist.

FACT: Whether or not you should take a GLP‑1 drug depends on many fac­tors, includ­ing your cur­rent health and med­ical his­to­ry. They are not rec­om­mend­ed if you:

  • Are preg­nant or breastfeeding
  • Are try­ing to get pregnant
  • Have a per­son­al or fam­i­ly his­to­ry of medullary thy­roid can­cer or mul­ti­ple endocrine neoplasia

Also, GLP‑1 drugs are not designed for peo­ple who are just hop­ing to lose a few pounds for cos­met­ic purposes.

MYTH: Insur­ance Doesn’t Cov­er GLP‑1 Drugs.

FACT: Some insur­ance com­pa­nies do cov­er them, but nav­i­gat­ing cov­er­age can be a lit­tle tricky. In many cas­es, the drugs are only cov­ered if you have type 2 diabetes.

For weight man­age­ment, being over­weight alone isn’t always enough for insur­ance com­pa­nies to cov­er GLP‑1 drugs. They may only cov­er it if you also have an obe­si­ty-relat­ed con­di­tion, like high cho­les­terol or high blood pressure.

You might also have to jump through a few hoops. Many plans require pri­or autho­riza­tion, which is when your provider sub­mits infor­ma­tion about why you need the med­ica­tion, and the insur­er will decide if they will cov­er it. Your insur­er could also require step ther­a­py, where you try oth­er weight loss meth­ods first.

It may be a has­sle, but don’t let it stop you from con­sid­er­ing GLP‑1 drugs if you need them. If it’s right for you, it’s pos­si­ble to get cov­er­age. And if you decide to pay out of pock­et, there are coupons to make med­ica­tions a lit­tle more affordable.

MYTH: GLP‑1 Drugs Are the Easy Way Out.

FACT: No mat­ter how hard some­one tries or how many lifestyle changes they make, there are fac­tors like genet­ics or med­ical con­di­tions that can make los­ing weight very dif­fi­cult. In these cas­es, GLP‑1 med­ica­tions can be a game changer.

And remem­ber – obe­si­ty is a dis­ease. Just like bariatric surgery, GLP‑1 drugs are med­ical treat­ments rather than cos­met­ic ones.

MYTH: If You Take a GLP‑1 Med­ica­tion, That’s All You Need to Do.

FACT: GLP‑1 drugs might be key for help­ing peo­ple man­age dia­betes or lose weight, but they are not mag­i­cal. Main­tain­ing a healthy diet and get­ting plen­ty of phys­i­cal activ­i­ty is still important.

Ready to explore if GLP‑1 med­ica­tions could be right for you? These break­through treat­ments are help­ing thou­sands of peo­ple achieve their health goals, from bet­ter blood sug­ar con­trol to mean­ing­ful weight loss.

Your Duly Health and Care pri­ma­ry care provider can walk you through your options and help you under­stand if GLP-1s fit into your health jour­ney. Look­ing specif­i­cal­ly for weight man­age­ment sup­port? Our spe­cial­ized physi­cians at the Obe­si­ty Clin­ic are here to cre­ate a per­son­al­ized plan that works for your lifestyle.

Take the first step toward feel­ing your best, sched­ule your appoint­ment today, and dis­cov­er what’s pos­si­ble for your health.

Addi­tion­al­ly, get plen­ty of pro­tein and add strength train­ing or weightlift­ing to your exer­cise rou­tine. This can help pre­vent mus­cle loss, which some­times hap­pens when you lose weight.

Also read: Every­thing You Know About Start­ing a New Diet is Iffy (Well, Maybe)

MYTH: Once You Hit Your Weight Goal, You Should Stop Tak­ing Your GLP‑1 Drug.

FACT: Stop­ping a GLP‑1 med­ica­tion is like stop­ping any diet. There is a high like­li­hood of regain­ing weight. If you start one, know that it’s best to be on it for the long term.

How­ev­er, if the thought of hav­ing to be on some­thing for­ev­er scares you, rest assured that it is safe to stop a GLP‑1 drug if you don’t like it. And while regain­ing weight is like­ly, it’s not guar­an­teed. You may be able to keep the weight off or con­tin­ue los­ing weight by mak­ing cer­tain lifestyle changes or try­ing a dif­fer­ent med­ica­tion. (Just make sure you only stop tak­ing med­ica­tion under your provider’s supervision.)

MYTH: Tak­ing Com­pound­ed GLP-1s Is a Great Way to Save Money.

FACT: Com­pound­ed med­ica­tions are drugs pre­pared by spe­cial­ly trained phar­ma­cists. The phar­ma­cists mix, change, or com­bine ingre­di­ents to cre­ate a cus­tomized med­ica­tion. Recent­ly, com­pound­ed med­ica­tions have made their way to the GLP‑1 market.

The two com­mon ones are com­pound­ed semaglu­tide and tirzepatide. Phar­ma­cists pur­chase semaglu­tide (the active ingre­di­ent in Ozem­pic, Wegovy, and Rybel­sus®) or tirzepatide (the active ingre­di­ent in Zep­bound) and mix their own med­ica­tions. Some sell them at med spas or on tele­health web­sites as cheap­er alter­na­tives to peo­ple who have to pay out of pock­et, some­times at a sav­ings of $1,000 per month.

But if that old say­ing if some­thing is too good to be true, it prob­a­bly isn’t” is ring­ing in your ears, lis­ten to it. Com­pound­ed med­ica­tions are not FDA-approved, mean­ing they haven’t been rig­or­ous­ly test­ed for safe­ty or effi­ca­cy. They may also be pre­scribed at dif­fer­ent dos­es than what’s usu­al­ly prescribed.

If you’re inter­est­ed in tak­ing a GLP‑1 drug, make sure to stick with the brand-name med­ica­tions and get them through your provider rather than from a web­site. Med­ica­tions are safest and work best when your provider can super­vise and help you use them safely.

  • Medicine is an ever-evolving human science, being said, I have spent a long time practicing medicine in the academic teaching field. I teach residents and students as an assistant professor of Clinical Medicine at the University of Illinois School of Medicine and as core faculty for Internal Medicine Residency program. My mission is to strengthen the ethics of medicine for new physicians, stressing the need to have ownership in medicine and maintain long-term efficient patient care.

    Staying informed with all the changes in medicine is very critical to serve the best care for our patients and keep my patients informed and oriented with long-term plan A, what to expect and anticipate in the future. In brief, medicine should offer advocacy for patients with quality long-term up-to-date care.