GLP-1 drug prescriptions for children under 12 surge 300-fold
New study reveals significant increase in off-label use of weight-loss medications among American children aged 8-11
Quick Look
- A new study reveals that GLP-1 weight-loss drug prescriptions for American children under 12 have increased 300-fold since 2017.
- While the FDA has not approved these drugs for this age group, doctors are using clinical discretion to treat severe obesity.
AI-generated summary
Why It Matters
The FDA currently only approves GLP-1 drugs for children aged 12-17. Doctors are using clinical discretion to prescribe these medications to children under 12 for severe obesity.
American kids under-12 are now taking GLP-1 drugs to fight obesity at 300 times the rate of seven years ago, according to major new study released today.
More than 20,000 children, aged 8-11, have taken the drugs since 2019 - a 9 percent rise, according to analysis of 300 million electronic medical records.
One in five children, aged two to 17, is obese in the U.S., leaving them at higher risk of cancer and heart disease.
Some 260 million Americans are expected to be obese or overweight by 2050, although doctors say the widespread uptake of weight loss drugs could lower those projections.
“The careful use of GLP-1s remains a valuable tool in confronting the obesity epidemic among young Americans,” obesity medicine specialist Dr, Babak Orandi, an associate professor at NYU Grossman School of Medicine, said in a statement.
At present, the U.S. Food and Drug Administration does not approve any GLP-1s for children under 12. The FDA approves two GLP-1s - Novo Nordisk’s Saxenda and Eli Lilly’s Wegovy - for children aged 12 to 17 years old.
However doctors have been using their discretion to prescribe GLP-1s to under-12s, which is not illegal. General medical clinical guidelines allow the use of the GLP-1s in children as young as 8.
Most kids who were prescribed the drugs had severe obesity and experienced at least one illness tied to the disease, such as high blood pressure or high cholesterol, according to the NYU study. Girls, who experience higher obesity rates, are more likely to be prescribed the drugs.
“We’re really tailoring it to the individual person and the family, but this is not a mainstream practice,” NYU Langone Health endocrinologist Dr. Rachel Pessah-Pollack, who was not involved in the research, told CBS Mornings in June. “This is for somebody that’s really significantly affected by their weight.”
Experts also say that the benefits of the drugs may outweigh current risks, stopping children from developing conditions like diabetes, high blood pressure and liver disease.
Opinions have been split about prescribing the drugs to young kids. Doctors don’t yet have long-term data to better understand how the drugs impact young kids and teens, which the NYU Langone researchers acknowledge.
Clinical trials are underway to test GLP-1 use in children with obesity as young as six, Orandi said. A separate 2024 study from the University of Minnesota showed the medication Saxenda was safe and effective for use at that young age.
Doctors have a responsibility to ensure all young children with obesity who need the drugs have access to them, study co-senior author Dr. Allan Massie, an associate professor at NYU Grossman School of Medicine, said.
What to Watch
AI outlook — possibilities, not facts
Clinical trials for GLP-1 use in children as young as six will continue.
Very likely · Within months
Open Questions
- What are the long-term developmental impacts of GLP-1s on children?
- Will the FDA eventually lower the age limit for official approval?




