Doctors are raising alarms about the potential risks associated with popular weight-loss drugs like Ozempic and Wegovy, warning of serious side effects that could impact users’ health. While these medications have shown promise in aiding weight loss and managing type 2 diabetes, emerging concerns highlight potential dangers that warrant careful consideration.
The “Skinny Fat” Phenomenon

Experts are observing a trend where individuals using these drugs for weight loss, particularly off-label, may develop a condition known as “skinny fat.” This refers to having a low body mass index (BMI) but lacking muscle density. Doctors explain that the drugs’ appetite-suppressing effects can lead to nutritional deficiencies and significant muscle loss if not managed carefully with adequate protein intake and exercise. This loss of lean muscle mass can have long-term implications for bone health and overall physical well-being.
Anesthesia Risks and Delayed Gastric Emptying

A significant concern for medical professionals is the impact of these drugs on patients undergoing anesthesia. The medications are known to slow down gastric emptying, meaning food remains in the stomach for longer periods. This can increase the risk of pulmonary aspiration—inhaling stomach contents into the lungs—during sedation, a potentially life-threatening complication. Anesthesiologists are advising patients to halt these medications for a longer period before surgery than previously recommended, with some suggesting up to three weeks, to mitigate this risk.
Vision Loss and Other Serious Side Effects

Recent reports have linked drugs like Ozempic and Wegovy to severe vision problems, including blindness. Studies suggest that the rapid lowering of blood sugar levels by these medications might damage blood vessels in the eyes, leading to conditions like nonarteritic ischemic anterior optic neuropathy (NAION). While the exact causal link is still under investigation, several patients have experienced vision loss shortly after starting these drugs. Other reported side effects include intestinal obstructions, pancreatitis, and even cardiac events in some cases.
Regulatory and Expert Warnings
Health authorities and medical organizations are closely monitoring the widespread use of these drugs. While some medications, like Wegovy, have received FDA approval for cardiovascular risk reduction in certain patient groups, the broader implications of their use are still being studied. Doctors emphasize the importance of informed consent and thorough patient screening, advising that these medications should only be used under the guidance of a healthcare professional who can assess individual risks and benefits. Concerns also exist about counterfeit versions of these drugs circulating, posing additional dangers to unsuspecting users.
Key Takeaways
- “Skinny Fat” Risk: Users may lose muscle mass, leading to potential health issues.
- Anesthesia Complications: Delayed gastric emptying increases the risk of pulmonary aspiration during procedures.
- Vision Impairment: Emerging evidence suggests a link between these drugs and vision loss.
- Intestinal Issues: Potential for intestinal obstructions due to slowed digestion.
- Medical Supervision Crucial: Emphasized need for professional guidance and screening before use.
- Counterfeit Concerns: Risk of dangerous fake versions entering the market.
Sources
- Doctors Warn Drugs Like Ozempic Are Making You “Skinny Fat”, Best Life.
- Popular weight-loss drugs like Ozempic raise risk of complications under anesthesia – Health, Ahram Online.
- More Americans on Ozempic go BLIND as doctors sound alarm over potentially startling side effect, Daily Mail.
- Wegovy has potentially deadly side effect, scientists warn, Daily Mail.
- Wegovy weight-loss medication gets FDA approval for use as heart disease prevention drug, FOX 10 Phoenix.