Evidence-Supported Indications Adults with BMI 35 kg/m, or BMI 27 with at least one or more weight-related comorbidity such as hypertension, type 2 diabetes, dyslipidemia, or obstructive sleep apnea Type 2 Diabetes: Adults requiring improved glycemic control this remains the foundation of the drug class and where the longest safety record exists Cardiovascular Risk Reduction: The SELECT trial demonstrated a 20% reduction in major adverse cardiovascular events with semaglutide in adults with overweight or obesity and established cardiovascular disease Metabolic Syndrome Presentations: Patients with non-alcoholic fatty liver disease, polycystic ovarian syndrome, and insulin resistance syndromes Binge Eating Disorder (BED) Emerging Data: Emerging evidence suggests GLP-1 medications may reduce binge frequency though this data remains preliminary and is discussed in detail below Why It Is Not "Cheating" The genetics of obesity are increasingly well-characterized
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Weight loss from GLP-1 therapy is sustained as long as you take the medication
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Stress eating runs through the dopamine reward circuit cortisol activates, a different pathway GLP-1 does not reach cleanly
