Sex‐specific changes in GLP1RA trends (2019–2024): Impact of FDA approval of semaglutide (Wegovy) for chronic weight management in the United States

Feb 11, 2026Diabetes, obesity & metabolism

Sex differences in GLP-1RA use from 2019 to 2024 after FDA approval of semaglutide (Wegovy) for long-term weight management in the US

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Abstract

In January 2024, the rate ratio (RR) for GLP-1RA utilization was 2.68 for adults and 2.74 for adolescents, indicating substantial differences between females and males.

  • Prior to FDA approval of semaglutide, utilization trends were similar between males and females.
  • Post-approval, the increase in GLP-1RA utilization was greater among females than males.
  • This led to widened sex gaps in GLP-1RA utilization rates following the intervention.
  • In nondiabetic patients, the RR was 2.86, while diabetic patients had an RR of 2.2.
  • Wegovy was the leading contributor to the sex difference, with an RR of 4.03.

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