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WHO Issues First Guideline Backing GLP-1 Drugs for Obesity With Conditional Use

The agency projects fewer than one in ten eligible patients will obtain GLP-1 treatment by 2030 without policy action.

Overview

  • WHO frames obesity as a chronic disease and conditionally recommends long-term GLP-1 therapy for adults, excluding use during pregnancy.
  • The guidance cites weight-loss and metabolic benefits but notes limited evidence on long-term safety, durability of effect after stopping treatment, and high costs.
  • WHO urges pairing pharmacotherapy with intensive behavioral support that includes structured nutrition counseling and physical-activity guidance.
  • Governments are pressed to expand manufacturing and pursue joint procurement, tiered pricing, voluntary licensing, and stronger health-system preparedness to ensure equitable access.
  • The guideline warns about counterfeit or substandard GLP-1 products and calls for regulated supply chains, professional prescribing, patient education, and active post-market surveillance.