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GLP-1 Decoder

Ozempic for Teens: Evidence, Eligibility, Coverage

No. Ozempic is not approved for anyone under 18. It is approved for adults only: type 2 diabetes, heart risk and kidney disease in type 2 diabetes. In STEP TEENS, BMI fell 16.1% on average for people on Wegovy, vs 0.6% on placebo.

For teens
Adults only
Active ingredient
semaglutide
How it is taken
weekly injection
Best result (STEP TEENS)
16.1% drop in BMI

Ozempic: quick facts

How long it remains in your body
100%50%25%0%07 d14 d21 d28 d35 d50%25%12.5%time after the dose

Its half-life is about 1 week: after 7 d, half is gone; five half-lives (35 d) leave about 3%.

Weight loss in the main trial
Ozempic (SUSTAIN 1)4.7 kgPlacebo1.2 kg

The 30-week SUSTAIN 1 trial found that people with type 2 diabetes lost 4.7 kg, while those on placebo lost 1.2 kg.

Costs over time
202520262027$1,027.51$0List priceSelf-pay

Monthly costs in US dollars include the list price and self-pay offers, with each figure taken from the maker's price page.

Sources: FDA label (DailyMed), healthsystemtracker.org, prnewswire.com 1 2.

Who qualifies?

Who qualifies for Ozempic
SourceWho qualifies
FDA labelIt lowers blood sugar in adults with type 2 diabetes when used with diet and exercise.
FDA labelIn adults with type 2 diabetes and heart disease, it lowers the risk of heart attack, stroke, or death related to the heart.
FDA labelIt lowers the risk of worsening kidney disease, kidney failure, or heart-related death in adults with type 2 diabetes and chronic kidney disease.

Sources: FDA label (DailyMed).

Trial results for teens

Ozempic does not have its own trial in this group. These trials test other brands that use the same ingredient.

Trials that use the same ingredient (semaglutide)
TrialMedicineWho took partLengthPeopleMain resultComparison
STEP TEENS WegovyTeens aged 12 to 17 with obesity68 weeks20116.1% drop in BMI0.6% on placebo

See STEP TEENS (PubMed) for the trial sources.

What is different for teens?

Ozempic: label points for teens
What changesWhat the label says
Acute PancreatitisCan cause inflammation of the pancreas. If severe stomach pain will not go away, stop taking it and get care. Sometimes the pain spreads to the back.
Acute Gallbladder DiseaseGallstones and gallbladder inflammation can happen. Report fever, upper right belly pain, or yellowing of the skin or eyes.

Source: FDA labels from FDA DailyMed.

These warnings come from the label: DailyMed FDA label.

Coverage for teens

Alternatives 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.

Questions to ask your prescriber

Read all Ozempic prescribing information on DailyMed.