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Gen Z Is Leading a New Weight Loss Trend: Ozempic Microdosing

Gen Z Is Leading a New Weight Loss Trend: Ozempic Microdosing

Newsweek28-04-2025
Based on facts, either observed and verified firsthand by the reporter, or reported and verified from knowledgeable sources.
Newsweek AI is in beta. Translations may contain inaccuracies—please refer to the original content.
As Ozempic use skyrockets across America, Generation Z is fueling a new weight loss trend, according to a new survey from healthcare software company Tebra.
Many Americans are taking GLP-1 medications, which include weight loss and diabetes medications Ozempic and Wegovy. However, Gen Z specifically appears to be driving a microdosing trend for the medications, with nearly 9 in 10 Gen Z users saying they are or have microdosed, according to Tebra's survey.
Why It Matters
Ozempic is a prescription drug developed to manage blood sugar levels in patients with Type 2 diabetes. But it can also cause weight loss as a side effect due to its impact on appetite.
Ozempic is one drug of many based on the naturally occurring human hormone GLP-1, which contains semaglutide and can significantly reduce appetite amongst users.
Microdosing on GLP-1 medications may be done as a way for patients to save money while still losing weight or looking to avoid some of the side effects that could come along with taking larger doses of the drug.
What To Know
The number of people using GLP-1 mimic medications like Ozempic has skyrocketed in recent years. Between the start of 2020 and end of 2022, prescriptions rose by 300 percent across the U.S., according to healthcare analytics firm Trilliant Health.
The younger generation is using these drugs slightly differently, Tebra's survey suggests.
In the survey of 640 GLP-1 users, 36 percent said they have microdosed with the drug. Gen Z was leading the trend, with 89 percent of Gen Z users saying they had microdosed in the past or currently do so.
Tebra said that was significantly higher than other age groups.
Across all respondents who microdosed, 24 percent said they had been microdosing for six months or more, showing it may be a more sustainable way to tackle weight loss goals.
It can save a significant amount of money as well. With one monthly dose of Ozempic ranging from $1,000 to $1,200, 38 percent of GLP-1 users said they were microdosing to save money.
However, some users who admitted to microdosing said they later regretted it—roughly one in five.
As for why people opted to microdose, avoiding side effects was the main reason for 66 percent of microdosers, while 38 percent said they did it to save money.
Weight loss satisfaction did not differ between those who microdosed and those who didn't, according to Tebra. However, microdosers were 16 percent more likely to feel confident about maintaining their weight loss over time.
In this photo illustration, boxes of the diabetes drug Ozempic rest on a pharmacy counter on April 17, 2023, in Los Angeles.
In this photo illustration, boxes of the diabetes drug Ozempic rest on a pharmacy counter on April 17, 2023, in Los Angeles.What People Are Saying
Tom Holland, an exercise physiologist and weight-loss expert and author of Beat the Gym & The Micro Workout Plan, previously told Newsweek: "Unfortunately the human condition is such that, when it comes to diet and exercise, we are constantly seeking the quickest fix with the least amount of effort, regardless of the costs, both monetarily as well as physically."
Dr. Sharon Giese, plastic surgeon, weight loss expert and creator of the Elective Weight Loss program previously told Newsweek: "Many of these patients have tried 'everything' and have not been able to lose weight without some assistance. This is exactly the time when trying an appetite suppressant, like Ozempic or semaglutide, may work."
What Happens Next?
While the number of Americans using GLP-1 medications continues to be high, the side effects and the weight gain many report after stopping the drug have some questioning the drug's long-term effects.
In one 2022 study, patients who stopped taking semaglutide had regained two-thirds of the weight they initially lost one year out.
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Scientists May Have Identified a Natural Alternative to Ozempic
Scientists May Have Identified a Natural Alternative to Ozempic

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Scientists May Have Identified a Natural Alternative to Ozempic

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How do you find health insurance when you're turning 26? Here's some advice
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How do you find health insurance when you're turning 26? Here's some advice

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Does This Side Effect Spell Doom for the GLP-1's?
Does This Side Effect Spell Doom for the GLP-1's?

Medscape

time2 hours ago

  • Medscape

Does This Side Effect Spell Doom for the GLP-1's?

This transcript has been edited for clarity. Welcome to Impact Factor , your weekly dose of commentary on a new medical study. I'm Dr F. Perry Wilson from the Yale School of Medicine. About a year ago, I was talking to one of my friends about the slew of studies showing very broad benefits of the GLP-1 receptor agonists, such as semaglutide (Ozempic) and tirzepatide (Mounjaro). including weight loss and improved diabetes control. But studies also showed improved heart and kidney health, as well as lower overall mortality. Some analyses found reductions in problem drinking, smoking, and even compulsive shopping among people taking these drugs. I told my friend that I thought these drugs were complete game changers, fundamentally 'anticonsumption' agents that are the cure for society's primary ill of overconsumption. 'Yeah, but what about the side effects?' he said. I said, 'Sure, some gastrointestinal issues can come up, but usually it's not that bad.' 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They were on the lookout for conditions that some smaller studies had suggested might be associated with the weight-loss drugs: disorders of the optic nerve — in particular, a rather rare condition that can occur even outside diabetes, known as non-arteritic anterior ischemic optic neuropathy (NAION). This is a syndrome caused by a decline in blood supply to the optic nerve and is characterized by the sudden and painless loss of eyesight in one eye, which can lead to permanent blindness. It seems straightforward to ask which group — those who got the GLP-1 drugs or those who took other diabetes drugs — had more eye problems. But you probably suspect that these two groups weren't exactly comparable even before they started the drug. People who took weight-loss drugs were younger, more likely to be female, more likely to be on antihypertensive drugs, more likely to have a history of sleep apnea, and much more likely to have obesity. This is a classic apples-vs-oranges problem in observational research, one that was overcome, in this case, through a form of statistical wizardry called propensity score matching. In this process, each patient is assigned a likelihood of being prescribed the weight-loss drug, and then they are matched with someone with similar propensities. Thus, only one of each pair actually received the drug. Naturally, not everyone was matched; the apples and oranges that were just too appley or orangey were dropped from further analysis. After matching, the two groups were much more similar. Now that we have two similar groups — one of orangish apples and the other of appley oranges — we can compare the rates of NAION between them. Of 79,699 individuals started on either Ozempic or Mounjaro, 35 developed NAION within 2 years of follow-up. Of 79,699 started on non-GLP-1 diabetes drugs, 19 developed NAION over a similar duration of follow-up. That's 0.04% compared with 0.02%. There are a couple of ways to look at the data. On the relative scale, we see nearly a doubling of the risk for this eyesight-threatening disorder among people taking GLP-1 drugs. But on the absolute scale, any given individual's chance of actually getting this disorder is vanishingly small; the rate in the GLP-1 group was 462 per million individuals, compared with a baseline rate of about 238 per million individuals. Identifying rare risks like this is still important, especially for drugs that are as widely prescribed as the GLP-1's. Patients and providers need to have this in the back of their minds so that, if an unusual eye symptom does develop, everyone can react quickly. It's still not clear how these drugs could lead to NAION. It's true that the optic nerve has GLP-1 receptors on it, so this could be a direct drug effect. But the researchers suggest other possibilities as well, including the idea that sudden metabolic changes associated with weight loss or glucose effects from the drugs may change the microenvironment of the eye. I hate to fall back on 'more research is necessary,' but the truth is, more research is necessary to figure out how this works and, importantly, who is most at risk. I should remind you that this study shows us correlation, not causation. Even with propensity score matching, there will still be differences between the comparison groups that aren't fully accounted for. Beyond that, the very fact that people may be on alert for eye disorders among those taking GLP-1's may become something of a self-fulfilling prophecy in a study like this. If physicians are primed to think of a rare diagnosis like NAION when they see a patient on a GLP-1 drug, they might be more likely to make the diagnosis than they would if presented with exactly the same symptoms in someone not taking the drug. When the outcome is rare like this, minor biases can drive the results. So, I'm not ready to go back on my statement that these drugs are game changers. They clearly are. But we'd be naive to assume that there wouldn't be some risk. I'm encouraged that this particular risk is not nearly of a magnitude and frequency to counteract the obvious benefits of the drugs. In the end, this is one of those knowledge-is-power things. I don't think we'll see enthusiasm dampen for the GLP-1 drugs because of NAION, but it doesn't hurt for any of us — patients or providers — to be aware of it.

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