As more people seek solutions for weight loss and health management, some doctors are now advocating for seniors aged 65 and older to consider medications like Ozempic, Wegovy, and Mounjaro. These GLP-1 receptor agonists, typically used to manage diabetes, are showing potential benefits for overall health and longevity in older adults.
GLP-1 Drugs: A New Hope for Seniors
According to recent data from KFF Health, just 9% of adults aged 65 and older have used GLP-1 drugs, and only 1% are using them for weight loss purposes. However, some medical professionals believe that more seniors should take advantage of these medications to improve their health.
“As our bodies age, we have an increased likelihood of developing medical problems,” said Dr. Jennie Stanford, an obesity medicine physician in Pennsylvania and medical contributor for Drugwatch.
Stanford noted that seniors commonly suffer from diabetes, cardiovascular disease, and metabolic syndrome, as well as cancers and dementia.
“GLP-1 receptor agonists (like Ozempic) have been shown to not only be effective in treating diabetes, reducing cardiovascular disease risk, and promoting weight loss, but also in potentially reducing the risks of dementia and obesity-associated cancers,” Stanford added.
Obesity as a ‘Gateway Disease’ in Older Adults
Dr. Brett Osborn, a Florida neurosurgeon and longevity doctor, emphasized that obesity is particularly dangerous for seniors, referring to it as a “gateway disease” that leads to serious health conditions.
“Obesity can lead to numerous serious health conditions, including cancer, diabetes, coronary artery disease, and even neurodegenerative diseases like Alzheimer’s,” Osborn explained.
He stressed that weight management is about more than appearance—it’s about reducing the risk of age-related diseases and improving overall quality of life.
Benefits Beyond Weight Loss
For older adults, GLP-1 medications offer benefits beyond shedding pounds. According to Osborn, weight loss can lead to increased mobility, better balance, and a reduced risk of falls. These are all major concerns for seniors as they age.
“By losing weight, older adults can regain the ability to move more freely, which can mean the difference between walking independently, needing a cane or wheelchair, or suffering a fatal head injury from a fall,” he said.
Osborn highlighted that weight loss can boost mood, improve social interactions, and even alleviate joint pain, reducing the need for risky joint replacement surgeries in elderly individuals.
“Managing obesity can also significantly lower the risk of developing or worsening conditions like type 2 diabetes, heart disease, and Alzheimer’s,” Osborn added.
Challenges Seniors Face with Accessing GLP-1 Drugs
Despite the benefits, many seniors face barriers to accessing GLP-1 medications. One major challenge is the cost, as insurance plans like Medicare often do not cover these drugs for weight loss purposes. Instead, patients must have a diagnosis of type 2 diabetes to qualify for coverage.
“Medicare and similar insurances often don’t cover them for the indication of weight loss,” Stanford noted. “This financial barrier can prevent many seniors from starting or continuing treatment, especially after they turn 65 and lose other forms of insurance coverage.”
Health Risks and Considerations for Seniors on GLP-1 Medications
While GLP-1 drugs show promise, they may also present risks for older adults, especially those with existing health conditions.
“Kidney dysfunction, risk of hypoglycemia, medication interactions, and other side effects may occur more frequently and require close monitoring,” Stanford explained.
Osborn also warned that while these drugs can help reduce fat, they can lead to muscle loss, known as sarcopenia. “Maintaining muscle mass is crucial as we age because it helps prevent frailty and reduces the risk of falls and fractures.”
A Holistic Approach to Weight Management
Experts agree that while GLP-1 medications can be effective, seniors should take a holistic approach to their health. Osborn emphasized the importance of combining the medications with strength training, proper protein intake, and a balanced diet.
“Working closely with a health care team, including a dietitian and possibly a physical therapist, can ensure that weight loss is achieved safely and sustainably,” he said.
Despite the risks, Osborn believes the benefits of GLP-1 agonists far outweigh the downsides. “They are the ‘holy grail’ of modern-day medicine and will likely prove to have a similar impact on global health as the advent of antibiotics.”
