Can GLP-1 medications be prescribed for cosmetic weight loss?

GLP-1 medications are FDA-approved for chronic weight management in patients with obesity or overweight with comorbidities, not for cosmetic weight loss in normal-weight individuals. Prescribing for purely cosmetic purposes in patients with BMI <27 is considered off-label use. Most ethical providers won't prescribe GLP-1s for cosmetic reasons due to medication shortages affecting patients with medical need, potential side effects, and cost considerations. Additionally, insurance won't cover off-label cosmetic use, requiring cash payment of $800-1,600 monthly. The risks of GLP-1s (pancreatitis, gallbladder disease, thyroid concerns) generally outweigh cosmetic benefits for normal-weight individuals. Some patients with BMIs in the 25-27 range and metabolic abnormalities may qualify, but those with normal metabolic health and lower BMIs should focus on nutrition and exercise rather than medications.