Reply to Will a doctor prescribe Ozempic for weight loss?

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[quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous]No.  Ozempic is for those who are diabetics or pre-diabetics. It's only given to a certain dose, I think 1mg.  Saxenda/Wegovy is the same medication, but is approved for weight loss, and given up to 2.4mg.  Doctors are not going to prescribe Ozempic for weight loss, as that's not what it is approved for.[/quote]

You are very wrong. I and many others without diabetes are prescribed Ozempic off label for weight loss. It is approved for up to 2.0 mg. [/quote]

It is not approved for weight loss only in any dose. It's approved indication is only for management of Type 2 diabetes. Wegovy is approved for weight managment, but only for those that are clinically obese or for those struggling with weigh-related health conditions. It is not approved for vanity weight loss.

Am I an expert in drug policy? Yes. Is off-label prescribing legal? Yes. It is ethical for what amounts to cosmetic reasons when the drug is in shortage? No. Is it legal for a pharmacy to compound this? No. Compunding pharmacies by law cannot compound "copies" of FDA-approved medications. Is getting it from Canada legal? No, its not.

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Not sure about the compounding pharmacies, but a lot of them are openly offering compounded semaglutide so I don’t think it’s illegal.

It’s definitely not illegal to use a Canadian pharmacy as an American. That’s where I’ve been getting my Ozempic for 8 months now. [/quote]

I actually negotiated the legislation that made it illegal, so yes, I can assure you, its not legal to compound copies of FDA-approved drugs. I have no doubt that shady pharmacies are attempting to get around it given the demand, but its still not legal.

Here is some light reading on the topic: https://www.fda.gov/media/98964/download[/quote]

The compounded version is different - it's semaglutide with b12 and sometimes carnitine.  Does that make a difference?  I don't know ozempic's formula, but I'm guessing someone has looked into this.  You can literally find a compound pharmacy anywhere that's making it.  Google "weight loss spa/clinic semaglutide" and you'll find countless mds - so it's not like it's just a couple shady fly by night businesses.  The mounjaro version (tirepazide or something like that) is not readily available in the same way, though, maybe due to how it's formulated?[/quote]

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