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GLP-1 Decoder

GLP-1 for Teens: Evidence, Eligibility, Coverage

Wegovy, Mounjaro, Trulicity, Saxenda and Victoza are FDA approved for teens; the other GLP-1s are not. In STEP TEENS, BMI fell 16.1% on average for people on Wegovy, vs 0.6% on placebo.

Approved for teens
5 of 10 brands
Best result (STEP TEENS)
16.1% drop in BMI

Half-life and weight loss, briefly

How long each drug remains in the body
Wegovy7 dOzempic7 dRybelsus7 dZepbound5.5 dMounjaro5 dTrulicity5 dFoundayo1.6 dSaxenda0.5 dVictoza0.5 dByetta0.1 d

Half-life in days means how long your body takes to clear half a dose. This comes from section 12.3 in each FDA label.

The main weight trial for each medicine shows the weight lost
Zepbound20.9%Wegovy14.9%Foundayo11.1%Saxenda7.4%

Percentage of body weight. Trials, doses and lengths differ, so compare each one with its own placebo on its page.

Sources (10)

Label from FDA (DailyMed): 1 2 3 4 5 6 7 8 9 10.

Is GLP-1 approved for teens?

GLP-1 medicines and teens
MedicineFor teensHow it is takenTrial result
WegovyFrom age 12, for weight lossweekly injection or daily tablet16.1% drop in BMI
MounjaroFrom age 10, for type 2 diabetesweekly injectionNot listed
TrulicityFrom age 10, for type 2 diabetesweekly injectionNot listed
SaxendaFrom age 12, for weight lossdaily injectionNot listed
VictozaFrom age 10, for type 2 diabetesdaily injectionNot listed
OzempicAdults onlyweekly injectionNot listed
RybelsusAdults onlydaily tabletNot listed
ZepboundAdults onlyweekly injectionNot listed
FoundayoAdults onlydaily tabletNot listed
ByettaAdults onlytwice-daily injectionNot listed

Sources: FDA label (DailyMed), PubMed.

Who qualifies?

GLP-1: who qualifies
MedicineWho qualifies
OzempicUsed with diet and exercise, it lowers blood sugar in adults with type 2 diabetes.
OzempicThis medicine lowers the chance of heart attack, stroke, or heart-related death in adults who have type 2 diabetes along with heart disease.
OzempicThis medicine lowers the chance of worsening kidney disease, kidney failure, or heart-related death in adults with type 2 diabetes and chronic kidney disease.
WegovyIt lowers the risk of heart attack, stroke, or heart-related death in adults with heart disease who also have obesity or overweight (injection and tablets).
WegovyUsed with diet and activity, it supports weight loss and helps keep weight off over the long term. That applies to adults and children aged 12 and older with obesity, and to adults who have overweight along with a weight-related condition.
WegovyIn adults, it treats MASH liver disease with scarring that is moderate to advanced and no cirrhosis (injection).
WegovyIn adults, the tablets are approved for weight loss and for heart risk.
RybelsusUsed with diet and exercise, it lowers blood sugar in adults with type 2 diabetes.
RybelsusThis medicine lowers the chance of heart attack, stroke, or heart-related death in adults who have type 2 diabetes and face a high risk.
MounjaroAdults and children aged 10 and older with type 2 diabetes get lower blood sugar from it, when used with diet and exercise.
MounjaroThis medicine lowers the chance of heart attack, stroke, or heart-related death in adults who have type 2 diabetes and face a high risk.
ZepboundIt helps with weight loss and with keeping weight off long term, alongside diet and activity. It is for adults with obesity, or adults with excess weight plus a weight-related condition.
ZepboundFor adults with obesity, it treats moderate to severe obstructive sleep apnea.
FoundayoIt helps with weight loss and with keeping weight off long term, alongside diet and activity. It is for adults with obesity, or adults with excess weight plus a weight-related condition.
TrulicityAdults and children aged 10 and older with type 2 diabetes get lower blood sugar from it, when used with diet and exercise.
TrulicityThis medicine lowers the chance of heart attack, stroke, or heart-related death in adults who have type 2 diabetes along with heart disease or several heart risk factors.
SaxendaIt supports weight loss and helps keep weight off for the long term, with diet and activity. It is for children aged 12 or older (over 60 kg) with obesity, for adults with obesity, and for adults with overweight and a weight-related condition.
VictozaAdults and children aged 10 and older with type 2 diabetes get lower blood sugar from it, when used with diet and exercise.
VictozaThis medicine lowers the chance of heart attack, stroke, or heart-related death in adults who have type 2 diabetes along with heart disease.
ByettaUsed with diet and exercise, it lowers blood sugar in adults with type 2 diabetes.
Sources (10)

Label from FDA (DailyMed): 1 2 3 4 5 6 7 8 9 10.

Trial results in teens

GLP-1 trials in teens
TrialMedicineWho took partLengthPeopleMain resultComparison
STEP TEENS WegovyTeens aged 12 to 17 with obesity68 weeks20116.1% drop in BMI0.6% on placebo

Sources for this trial: STEP TEENS (PubMed).

How is it different for teens?

GLP-1: label points for teens
What changesWhat the label saysLabels
Acute PancreatitisCan cause inflammation of the pancreas. Severe stomach pain that does not go away: stop taking this medicine and get care. The pain sometimes reaches your back.All of them
Acute Gallbladder DiseaseGallstones and gallbladder inflammation can happen. Report upper right belly pain. Also report fever or yellow skin or eyes.All of them

Taken from the FDA labels: FDA label on DailyMed.

Source of warnings: FDA label (DailyMed).

Coverage for teens

Questions to ask your prescriber