Health
Ozempic ‘microdosing’ is the new weight-loss trend: Should you try it?
A new trend gaining popularity among people trying to lose weight is microdosing the diabetes medication Ozempic.
With approximately 70% of American adults meeting the criteria for being obese or overweight, more people are turning to weight loss medications to help them shed pounds.
Ozempic is approved for type 2 diabetes, while its counterpart, Wegovy, is approved for treating obesity. Both are made by Novo Nordisk.
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Eli Lilly also offers a diabetes medication, Mounjaro, as well as a version for weight loss, Zepbound.
In a new trend, some people are using smaller daily “microdoses” of Ozempic, doctors report. (iStock)
“Ozempic is the only version among the weekly injectables — Ozempic, Wegovy, Zepbound and Mounjaro — that has the option to ‘hack’ the pen for a smaller dose,” Dr. Alexandra Sowa, an obesity medicine specialist and founder of SoWell in New York, told Fox News Digital.
She is also the author of the book “The Ozempic Revolution” that is set to be released on Jan. 7.
Fox News Digital spoke to the experts to get the skinny on this latest trend.
What is microdosing?
Microdosing Ozempic refers to using smaller amounts compared to the standard therapeutic doses that are traditionally prescribed for managing type 2 diabetes and aiding weight loss, experts say.
This practice is not approved by the U.S. Food and Drug Administration (FDA).
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“Health care clinicians do not typically recommend this approach, as the standard dosing regimen is based on clinical trials determining the most effective and safe amount for these conditions,” noted Dr. Fatima Cody Stanford, obesity medicine physician at Massachusetts General Hospital and Harvard Medical School.
There are no established guidelines for microdosing – although there are reports on social media of using 10 to 100 times lower than standard prescriptions, added Dr. Christopher McGowan, a gastroenterologist and obesity specialist who runs True You Weight Loss in Cary, North Carolina.
“Health care clinicians do not typically recommend this approach.”
Some people get confused by the terminology, the doctors noted.
“I think there’s a little bit of a misconception, as some people say ‘I’m microdosing’ when they’re just on the starting doses or don’t go all the way up in the escalation titration dosing of the medication,” Sowa said.
Benefits of microdosing
The primary reason for microdosing is to reduce costs, according to McGowan.
For example, he said, a patient might think that if a full prescription costs over $250 per week, they may be able to achieve some benefit with just $25 worth of the medication.
With approximately 70% of American adults meeting the criteria for being obese or overweight, more people are turning to weight loss medications to help them shed pounds. (iStock)
The average monthly retail price of Ozempic ranges from $1,000 or more without insurance, per GoodRx.
People may also pursue microdosing to reduce the incidence or severity of side effects such as nausea, vomiting or stomach discomfort, according to Stanford.
“Some individuals might start with microdoses to gradually acclimate their body to the medication, potentially easing into the full therapeutic dose over time,” she said.
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Any potential benefit of the medication, however, will likely wane proportionally with lower doses, experts noted.
Individuals may also microdose due to supply challenges, according to Dr. Amy Rothberg, clinical professor of medicine in the Division of Metabolism, Endocrinology & Diabetes at the University of Michigan.
“Some individuals might start with microdoses to gradually acclimate their body to the medication, potentially easing into the full therapeutic dose over time.” (iStock)
“Some feel they may derive a benefit from microdosing by being able to extend their supply and may perceive an effect,” Rothberg, who is also the medical director of Rewind, a lifestyle program for type 2 diabetes patients, told Fox News Digital. “As we know, the placebo effect may have a strong impact.”
Potential risks of the practice
The most likely risk of microdosing is a lack of effectiveness, McGowan noted.
“Microdosing Ozempic or other [weight-loss] medications is entirely off-label and unproven, with no supporting clinical studies,” he cautioned.
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Stanford also warned that smaller doses may not provide adequate blood sugar management, leading to uncontrolled diabetes and associated complications.
It can also lead to suboptimal weight loss and unpredictable results, as well as the potential for misuse, she added.
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People who microdose often use a “compounded” version of the medication, which the FDA does not regulate.
“This introduces risks such as contamination, inconsistent formulations and uncertainty about the actual strength of the product being injected,” McGowan stated.
Without changes to diet and physical activity patterns, the long-term benefits will disappear once the drug is stopped, one doctor noted. (iStock)
Additionally, these compounded versions are usually dispensed in vials, which requires a syringe to draw it up, in contrast to the FDA-approved versions that are simpler to use.
Using the compounded versions through vials runs the risk of drawing up too much medication — so instead of microdosing, it’s possible to macrodose, Sowa warned.
Medical supervision is key
Some providers are still comfortable offering microdosing for select patients with one caveat — that people should always consult a health care clinician before altering their medication regimen.
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“As long as it is being dispensed and monitored by a physician, I don’t see how anybody is going to overdose, especially when we are giving such small amounts,” Dr. Suzanne A. Trott, a double board-certified plastic and general surgeon in Beverly Hills, told Fox News Digital.
“I have seen a lot of patients who are given metformin for weight loss — I don’t see how this is any different,” said Trott, who runs her own microdosing clinic.
Trott pointed out that there are many “off-label” practices offered to patients.
“Botox and fillers are not even FDA-approved for most of the places we use them,” she noted.
“Some individuals might start with microdoses to gradually acclimate their body to the medication.”
Experts agree that sustained weight loss will not occur with medication alone.
“I think people find that it’s easier to take a drug, but neglect concomitant behavioral changes,” Rothberg said.
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In the absence of changes to diet and physical activity patterns, the long-term benefits will disappear once the drug is stopped, she noted.
Trott also recommends maintaining consistent exercise, strength training, hydration and high protein intake to maintain muscle mass.
Fox News Digital reached out to Novo Nordisk, the maker of Ozempic, for comment.
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Health
Parasitic infection causing ‘explosive’ stomach illness exceeds 1,000 cases in northern state
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Cases of cyclosporiasis infections are rising across America, with more than 1,000 people diagnosed in Michigan and more than 500 in Ohio.
This is the largest outbreak of its kind in Michigan’s history and one of the country’s largest in years, according to the Associated Press.
The parasitic infection can cause weeks of watery diarrhea. The source of the infections has not been identified and no deaths have been reported.
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Michigan officials announced the outbreak last week following the identification of more than 170 cases since June 22 in the southeastern part of the state. Typically, only about 50 cases are identified in Michigan each year, according to AP.
A cyclospora infection often causes watery, “explosive” diarrhea that can last for weeks or even months if left untreated, the CDC says. (iStock)
Similar illnesses have been reported in 28 other states, including neighboring Ohio, where diagnoses have popped up across the Michigan border.
Cases have been climbing since the CDC identified an uptick in infections in mid-June, with illnesses now reported in dozens of states.
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Michigan has now reported more than 1,200 cases and at least 40 hospitalizations. In Ohio, northwest counties have identified more than 500 cases, including at least 306 in Lucas County, according to the latest available local figures.
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Texas has reported at least 48 cases, and illnesses have been identified in numerous other states as health officials investigate the source.
The hallmark symptom of a cyclospora infection is watery, often “explosive” diarrhea that can last for weeks or even months if left untreated, the CDC says.
Other symptoms of cyclosporiasis include severe abdominal cramping, bloating, nausea, fatigue and significant weight loss. (iStock)
Other symptoms include severe abdominal cramping, bloating, nausea, fatigue and significant weight loss.
The official outbreak season for the parasite runs from May 1 through Aug. 31, a window where warmer temperatures historically coincide with a spike in infections, according to the CDC.
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While the infection can sometimes clear up on its own, it frequently requires antibiotics. The CDC advises anyone experiencing symptoms of cyclosporiasis to contact a healthcare provider for testing and treatment.
The CDC, alongside the Food and Drug Administration and state health officials, is actively investigating several multistate clusters, but they have yet to find a cause behind the spread.
Fresh produce should be washed thoroughly before eating, although this may not eliminate the risk of infection, the AP noted. (iStock)
Past infections have reportedly been linked to consuming contamined fruits or vegetables, or being exposed to contaminated irrigation water.
Fresh produce should be washed thoroughly before being eaten, although this may not eliminate the risk of infection, the AP noted.
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Michigan officials recommend purchasing salad mixes or whole heads of lettuce instead of pre-washed, bagged lettuce. Remove two to three leaves from the outer layer of the lettuce head before washing and cook vegetables when possible.
Fox News Digital’s Khloe Quill contributed to this report.
Health
Dr Oz links obesity to chronic disease surge, says GLP-1s can ‘jumpstart’ better health
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Washington, DC – GLP-1 weight-loss drugs have become a prevalent part of American healthcare, and the current administration is getting behind the movement.
In an exclusive interview with Fox News Digital at the Great American State Fair in the nation’s capital on July 6, CMS Administrator Dr. Mehmet Oz voiced his support for the use of GLP-1 (glucagon-like peptide-1) medications, such as Ozempic, for appropriate uses.
“I’m a fan of GLP-1 drugs when used correctly,” he said. “They do help people who are overweight lose weight quite effectively. They’re not a replacement for diet and exercise, but they might jumpstart the system so it’s easier for you to use healthier tactics.”
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This is especially helpful for those who may have trouble moving due to joint pain or are experiencing internal dysfunction, Oz said.
Certain GLP-1 drugs are covered by Medicare for overweight candidates with certain conditions, such as high blood pressure and diabetes, and Oz projected the benefits will continue to benefit taxpayers.
Dr. Mehmet Oz is pictured in Washington, D.C., at the Great American State Fair, where he spoke about federal health policy. (Angelica Stabile/Fox News Digital)
“We believe these are so effective in reducing conditions like high blood pressure and diabetes that they’ll actually save money for the federal taxpayer, because [they’re] going to make you healthy enough that you don’t have to consume health services,” Oz said.
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“We think about 70% of all the money we spend on healthcare is caused by chronic conditions, and obesity is the No. 1 driver of all that, so it’s a smart decision.”
Oz recently announced the launch of the Medicare GLP-1 Bridge program, which will allow more seniors to access GLP-1 drugs for only $50 a month if they meet qualifying health criteria and receive prior authorization from a doctor.
The doctor expressed support for broadening affordable access to GLP-1 medications for Americans. (iStock)
“There are a lot of overweight people who don’t have high blood pressure, diabetes or other conditions, so they don’t get access to the drug normally,” he said. “We want them to have the ability to use it as well.”
Although these access shifts could boost Americans’ overall health — and in some cases could be lifesaving — Oz noted that there is “no silver bullet” when it comes to these medications.
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“I love the fact that the innovation that’s coming out of pharmaceutical companies is allowing us to save lives and make lives better,” he said. “But the real secret to longevity is eating right, exercising, sleeping, dealing with the stress of your life, finding some purpose in your existence [and] realizing you have agency over the future.”
“These are things that your mom would have told you [and that] you don’t need a doctor to be emphasizing.”
Medicating appropriately, combined with eating right, exercising and staying connected with others, can help make health goals attainable, the doctor said. (iStock)
While GLP-1s may not be a fix-all, combining these medications with foundational health practices “makes a lot of sense,” Oz said.
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“I don’t want people being fat-shamed … I don’t want you feeling guilty that you’re gaining weight even though everyone else around you seems to have figured it out,” he said. “It’s not that simple — our set points for hunger are different. We have different things going on in our lives.”
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“But if you realize how precious you are — the temple of the soul is so valuable. It’s the greatest gift your parents ever gave you, and you take advantage of every tool out there to make it work … which includes using medications when appropriate. That, to me, is MAHA.”
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