The growing trend of “microdosing” Ozempic has gained traction among individuals looking to shed weight with smaller doses of the popular weight-loss drug. According to medical professionals, this trend is increasingly common—but not without risks, especially when done without medical supervision.

“Microdosing is essentially a tailored approach to dosing Ozempic to meet the needs of the individual,” explains Dr. Britta Reierson, a board-certified family physician and obesity medicine specialist. She notes that while it can be effective, “we get concerned when this is happening without any guidance from a medical professional.”

Ozempic, a medication primarily used to manage type 2 diabetes, has become a favorite in Hollywood and beyond due to its weight-loss effects. However, shortages of the drug and demand for its off-brand alternatives have surged due to its popularity. As a result, some people are turning to smaller, self-regulated doses to maintain their weight loss after using a standard prescription.

Neurosurgeon and longevity expert Dr. Brett Osborn also supports microdosing in some cases. “For those who have lost significant weight on the standard dose and want to maintain their results, the medication shouldn’t just be stopped. You can keep the weight off with smaller amounts,” he explains. However, Osborn warns that altering doses without a doctor’s oversight can lead to complications.

Dr. Aria Vazirnia, a surgeon with the Advanced Lipedema Treatment Program, believes social media has played a significant role in popularizing Ozempic and other weight-loss medications. “People are talking about it on podcasts and social media, driving more interest,” he says.

The pressure to use Ozempic in smaller doses may also be influenced by a sense of “Ozempic shame,” a term obesity medicine specialist Dr. Alexandra Sowa says refers to the stigma surrounding the drug. “Many people feel better taking a smaller dose due to the stigma, but we need to remind patients that there’s nothing wrong with using the medication,” says Sowa.

Besides social pressure, the cost of the medication could be leading users to ration their supply. With the high price tag of drugs like Ozempic, some individuals may be tempted to stretch their doses without the proper guidance, a move that experts warn could be dangerous.

As the trend grows, doctors are urging patients to consult with them before making any changes to their dosage. “The medication isn’t to blame,” Dr. Osborn says. “It’s up to us as physicians to help patients find the right dose.”

As microdosing becomes a widespread practice, it’s clear that medical oversight is critical to ensure safety and effectiveness in achieving weight loss goals.

What do you think of the Ozempic microdosing trend? Would you consider it for weight management?