{"id":145331,"date":"2025-11-20T21:12:18","date_gmt":"2025-11-20T21:12:18","guid":{"rendered":"https:\/\/www.newsbeep.com\/nz\/145331\/"},"modified":"2025-11-20T21:12:18","modified_gmt":"2025-11-20T21:12:18","slug":"doctors-are-worried-about-prescribing-glp-1s-to-certain-patients","status":"publish","type":"post","link":"https:\/\/www.newsbeep.com\/nz\/145331\/","title":{"rendered":"Doctors are worried about prescribing GLP-1s to certain patients"},"content":{"rendered":"<p class=\"EkqkG IGXmU nlgHS yuUao lqtkC TjIXL aGjvy \">Other researchers are documenting similar concerns. A 2023 analysis of <a class=\"zZygg UbGlr iFzkS qdXbA WCDhQ DbOXS tqUtK GpWVU iJYzE \" data-testid=\"prism-linkbase\" href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/37513906\/\" target=\"_blank\" dir=\"ltr\" rel=\"nofollow noopener\">adverse-event reports<\/a> submitted to the U.S. Food and Drug Administration found that misuse reports for semaglutide were four times higher than for other GLP-1 drugs at the time. Those misuse rates were comparable to those for phentermine-topiramate (Topamax), a combination weight-loss stimulant drug.<\/p>\n<p class=\"EkqkG IGXmU nlgHS yuUao lqtkC TjIXL aGjvy \">\u201cThese medications [GLP-1\u2019s], they are extremely useful, extremely important. They are a breakthrough,\u201d says <a class=\"zZygg UbGlr iFzkS qdXbA WCDhQ DbOXS tqUtK GpWVU iJYzE \" data-testid=\"prism-linkbase\" href=\"https:\/\/duckduckgo.com\/?q=Fabrizio+Schifano%2C+a+psychiatrist+at+the+University+of+Hertfordshire+in+England&amp;ia=web\" target=\"_blank\" dir=\"ltr\" rel=\"nofollow noopener\">Fabrizio Schifano<\/a>, a psychiatrist at the University of Hertfordshire in England and co-author of the study. But \u201csome people who are the vulnerable clients, including [those with] eating disorder[s], may have side effects and consequences.\u201d<\/p>\n<p class=\"EkqkG IGXmU nlgHS yuUao lqtkC TjIXL aGjvy \">(<a class=\"zZygg UbGlr iFzkS qdXbA WCDhQ DbOXS tqUtK GpWVU iJYzE \" data-testid=\"prism-linkbase\" href=\"https:\/\/www.nationalgeographic.com\/premium\/article\/weight-loss-drugs-glp1-benefits-addiction-heart-kidney-failure-infertility\" target=\"_blank\" dir=\"ltr\" rel=\"nofollow noopener\">The unexpected health benefits of Ozempic and Moujaro<\/a>.)<\/p>\n<p class=\"EkqkG IGXmU nlgHS yuUao lqtkC TjIXL aGjvy \">Not everyone agrees that an eating-disorder history should automatically exclude a patient. Clinicians who specialize in obesity medicine, such as <a class=\"zZygg UbGlr iFzkS qdXbA WCDhQ DbOXS tqUtK GpWVU iJYzE \" data-testid=\"prism-linkbase\" href=\"https:\/\/www.ouhealth.com\/find-a-doctor\/jesse-r-richards-do\/\" target=\"_blank\" dir=\"ltr\" rel=\"nofollow noopener\">Jesse Richards<\/a> at the University of Oklahoma in Tulsa, argue that the benefits may outweigh the risks for some patients. \u201cI would say that it would be very important in patients with a history of disordered eating to monitor them, but that the potential health benefits may outweigh the risks in patients that these medications are being used on label,\u201d he says.<\/p>\n<p class=\"EkqkG IGXmU nlgHS yuUao lqtkC TjIXL aGjvy \">In a statement, Novo Nordisk, developer of semaglutide, said \u201cwe recognize that eating disorders are serious conditions and deserve specialized clinical attention from healthcare who treat them. Patient safety is our top priority at Novo Nordisk. We stand by the safety and effectiveness of our GLP-1 medicines when used as prescribed and work closely with the U.S. Food and Drug Administration to continuously monitor the safety profile of our medicines.\u201d<\/p>\n<p class=\"EkqkG IGXmU nlgHS yuUao lqtkC TjIXL aGjvy \">Eli Lilly, maker of tirzepatide, similarly stated, \u201cMounjaro and Zepbound (tirzepatide) are indicated for the treatment of serious chronic diseases. Lilly does not promote or encourage use of any Lilly medicine outside of its FDA-approved indication.\u201d<\/p>\n<p>GLP-1 drugs and binge eating<\/p>\n<p class=\"EkqkG IGXmU nlgHS yuUao lqtkC TjIXL aGjvy \">While some people with disordered eating over-restrict, others can binge to deal with stress or difficult emotions. Amanda Lightbody, founder of <a class=\"zZygg UbGlr iFzkS qdXbA WCDhQ DbOXS tqUtK GpWVU iJYzE \" data-testid=\"prism-linkbase\" href=\"https:\/\/therainbowcrosswalk.com\/about-us\" target=\"_blank\" dir=\"ltr\" rel=\"nofollow noopener\">The Rainbow Crosswalk<\/a>, a nonprofit Pride organization in New Brunswick, Canada, remembers using food as a child to calm herself down during moments of anxiety or uncertainty. Between 0.6 and 1.8 percent of women and 0.3 and 0.7 percent of men worldwide are estimated to <a class=\"zZygg UbGlr iFzkS qdXbA WCDhQ DbOXS tqUtK GpWVU iJYzE \" data-testid=\"prism-linkbase\" href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/35301358\/\" target=\"_blank\" dir=\"ltr\" rel=\"nofollow noopener\">meet the criteria for the disorder<\/a>.\u00a0<\/p>\n<p class=\"EkqkG IGXmU nlgHS yuUao lqtkC TjIXL aGjvy \">As she got older, Lightbody sought treatment after her bingeing began affecting her health. \u201cWhen my medical results started coming back with liver issues, I said, \u2018Okay, I need to stop this, and I need to find help, because I cannot do it on my own.\u2019\u201d In addition to therapy, she was also prescribed Ozempic to bring her blood sugar down.<\/p>\n<p class=\"EkqkG IGXmU nlgHS yuUao lqtkC TjIXL aGjvy \">Cognitive therapy helped identify triggers, but she says Ozempic also reduced her urge to binge. \u201cThe drug provides me a feeling of satiation, so I don\u2019t crave as much,\u201d she says.<\/p>\n<p class=\"EkqkG IGXmU nlgHS yuUao lqtkC TjIXL aGjvy \">(<a class=\"zZygg UbGlr iFzkS qdXbA WCDhQ DbOXS tqUtK GpWVU iJYzE \" data-testid=\"prism-linkbase\" href=\"https:\/\/www.nationalgeographic.com\/science\/article\/intuitive-vs-mindful-eating\" target=\"_blank\" dir=\"ltr\" rel=\"nofollow noopener\">Mindful eating vs. intuitive eating: Which one is right for you<\/a>?)<\/p>\n","protected":false},"excerpt":{"rendered":"Other researchers are documenting similar concerns. A 2023 analysis of adverse-event reports submitted to the U.S. Food and&hellip;\n","protected":false},"author":2,"featured_media":145332,"comment_status":"","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[33],"tags":[97732,82898,97729,14336,97727,97733,134,524,111,139,69,97730,97731,97724,97728,64560,97726,97725],"class_list":{"0":"post-145331","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-medication","8":"tag-atypical-anorexia","9":"tag-food-noise","10":"tag-glp-1-appetite-suppression","11":"tag-glp-1-drugs","12":"tag-glp-1-safety","13":"tag-glp-1-weight-loss-risks","14":"tag-health","15":"tag-medication","16":"tag-new-zealand","17":"tag-newzealand","18":"tag-nz","19":"tag-ozempic-and-anorexia","20":"tag-ozempic-and-binge-eating","21":"tag-ozempic-eating-disorders","22":"tag-ozempic-risks","23":"tag-ozempic-side-effects","24":"tag-tirzepatide-eating-disorders","25":"tag-wegovy-eating-disorders"},"_links":{"self":[{"href":"https:\/\/www.newsbeep.com\/nz\/wp-json\/wp\/v2\/posts\/145331","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.newsbeep.com\/nz\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.newsbeep.com\/nz\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/nz\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/nz\/wp-json\/wp\/v2\/comments?post=145331"}],"version-history":[{"count":0,"href":"https:\/\/www.newsbeep.com\/nz\/wp-json\/wp\/v2\/posts\/145331\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/nz\/wp-json\/wp\/v2\/media\/145332"}],"wp:attachment":[{"href":"https:\/\/www.newsbeep.com\/nz\/wp-json\/wp\/v2\/media?parent=145331"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.newsbeep.com\/nz\/wp-json\/wp\/v2\/categories?post=145331"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.newsbeep.com\/nz\/wp-json\/wp\/v2\/tags?post=145331"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}