Big Chalk Analytics released its Spring 2026 GLP-1 and CPG Industry Update, showing that the introduction of GLP-1 medications in pill form could expand the active U.S. GLP-1 user population by as much as 50% by 2027, significantly increasing pressure on grocery demand and food-at-home sales.GLP-1 adoption continues to rise nationwide, reaching 13.1% of U.S. adults in June 2026, up from 12% in November 2025. Those gains have come largely before oral GLP-1 medications have achieved widespread availability. Even without broad access to the pill form, Big Chalk forecasts GLP-1-related consumption changes will reduce food-at-home sales by between 1.1% and 2.7% in 2026—equivalent to at least $9 billion and potentially more than $21 billion in annual grocery spending.
The introduction of oral GLP-1 medications could significantly expand the category’s reach. Forty-four percent of former GLP-1 users say the availability of a pill makes them more likely to resume treatment, while 25.1% of prospective users cite pill format as a key factor in their decision. If those intentions translate into behavior, GLP-1 penetration could climb to approximately 20% of the U.S. adult population within two years.The findings arrive as grocery prices continue to rise, increasing approximately 3% over the past 12 months and extending a multi-year inflationary cycle that began in 2021.”For the last several years, every conversation about grocery sales has started with inflation. That’s understandable. But growing grocery industry revenues are also masking something else: GLP-1s are already decreasing how much food Americans buy. The effect is bigger than most people think, and pill formats could make it bigger still,” said Rick Miller, partner and marketing effectiveness practice lead at Big Chalk.
Other key findings from the Spring 2026 GLP-1s Industry Update:
U.S. GLP-1 penetration increased nearly 10% between November 2025 and June 2026
The share of Americans who say they will never use a GLP-1 fell from 66.9% in June 2025 to 62.3% in June 2026
Forecasted food volume impact has increased to between 1.4% and 3.4% across CPG categories
GLP-1 users continue to trade down to smaller package sizes at significantly higher rates than other consumers, including in cereal, chips, soft drinks, coffee, and granolaPack-size reductions are increasingly appearing outside traditional discretionary categories, suggesting broader effects across grocery aisles
“The industry doesn’t need to decide whether GLP-1s matter anymore. That question has been answered. The question now is how much bigger the market becomes once the pill goes mainstream,” Miller added.