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Off-Label Use: Some medications are prescribed off-label for weight loss: Semaglutide (Ozempic): FDA-approved for type 2 diabetes (not weight loss) Identical to Wegovy but different indication Commonly prescribed off-label for weight loss Same effectiveness as Wegovy Tirzepatide (Mounjaro): FDA-approved for type 2 diabetes (not weight loss) Identical to Zepbound but different indication Prescribed off-label for weight loss before Zepbound approval Same effectiveness as Zepbound Metformin: Diabetes medication sometimes used for weight loss Produces only 1-3% weight loss Not FDA-approved for weight loss Generally not recommended as primary weight loss medication The Current State of Weight Loss Medication: Clear Winners: GLP-1 receptor agonists (especially tirzepatide and semaglutide) have become the gold standard for medical weight loss, producing results previously unattainable with medication alone
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What the Phase 2 Trial Arms Looked Like The table below records what was administered in that trial and the least-squares mean changes reported at 48 weeks a record of past research, not a protocol
Pharmacol Ther 100:235255 Hayes MR, Schmidt HD (2016) GLP-1 influences food and drug reward
Researchers are also exploring its application in treating obesity independently of diabetes, pointing toward broader therapeutic implications