Liraglutide Prescribed via Telemedicine: Most Patients Lose Weight and Want to Continue Despite Side Effects
Among 966 patients prescribed liraglutide through a direct-to-consumer telemedicine platform, 85.6% lost more than 2 kg in 50 days with high adherence (94.1%), though 40% reported gastrointestinal side effects.
Quick Facts
What This Study Found
Among 966 patients prescribed liraglutide via a DTC telemedicine platform:
- 85.6% reported weight loss >2 kg after 50 days, with an average loss of 4.9 kg
- 94.1% adhered to the prescribed regimen
- 39.8% reported adverse events, primarily gastrointestinal
- 86.4% expressed desire to continue treatment despite side effects
- 46.6% had a baseline BMI between 30 and 34.4 kg/m²
- 88.9% were GLP-1 RA-naive (first time using these drugs)
- 70% had long-standing obesity
Key Numbers
How They Did This
Retrospective cross-sectional study using anonymized data from 966 patients who received liraglutide prescriptions through a DTC telemedicine platform between August 2022 and April 2024. Patients completed an initial online eligibility questionnaire reviewed by a physician. A follow-up questionnaire at 50 days post-prescription assessed weight loss, adverse events, treatment adherence, and satisfaction using patient-reported outcomes.
Why This Research Matters
The explosion of GLP-1 drug demand has outpaced traditional healthcare access, driving many patients to telemedicine platforms. This study provides some of the first real-world data on whether DTC prescribing of GLP-1 agonists produces meaningful results. The high adherence and weight loss rates suggest telemedicine can be an effective channel, though the lack of in-person monitoring raises safety questions that need longer-term study.
The Bigger Picture
DTC telemedicine for GLP-1 prescriptions represents a major shift in how obesity is treated — moving from traditional clinical encounters to online platforms that can reach more patients faster. This study is part of a broader conversation about balancing accessibility with safety oversight. As GLP-1 drugs become even more widely used, understanding outcomes in real-world, non-clinical-trial populations is essential.
What This Study Doesn't Tell Us
This is a retrospective study relying entirely on patient-reported outcomes without clinical verification (no measured weights, lab tests, or physical exams). The 50-day follow-up is very short and does not capture long-term efficacy, weight regain, or late adverse events. There was no control group. Patients using DTC platforms may differ from the general obese population in motivation and health literacy. The data comes from a single telemedicine platform.
Questions This Raises
- ?Do patients who start liraglutide via telemedicine maintain their weight loss at 6 and 12 months?
- ?How do adverse event rates and discontinuation patterns compare between DTC telemedicine and traditional in-person prescribing?
- ?Are there safety concerns — such as missed contraindications or inadequate monitoring — that are more common with DTC prescribing?
Trust & Context
- Key Stat:
- 4.9 kg average weight loss In just 50 days of liraglutide prescribed through a direct-to-consumer telemedicine platform, with 94% treatment adherence
- Evidence Grade:
- This is a retrospective observational study with patient-reported outcomes and no control group. While the large sample size (966 patients) adds value, the lack of clinical verification and short follow-up period limit the evidence quality.
- Study Age:
- Published in 2025 with data from 2022–2024, this study captures the early era of DTC telemedicine prescribing for GLP-1 drugs — a rapidly evolving landscape.
- Original Title:
- GLP-1 receptor agonist therapy for obesity via direct-to-consumer telemedicine: Clinical characteristics and treatment outcomes.
- Published In:
- Digital health, 11, 20552076251382040 (2025)
- Authors:
- Gratzke, Monika, von Bueren, Johannes, Garrahy, Edward, Calewaert, Bart, Abeck, Finn, Wuelfing, Christian
- Database ID:
- RPEP-11173
Evidence Hierarchy
Frequently Asked Questions
What is direct-to-consumer telemedicine for weight loss drugs?
DTC telemedicine platforms allow patients to consult with doctors online, receive prescriptions, and have medications delivered without visiting a clinic in person. For GLP-1 drugs like liraglutide, patients typically complete an online health questionnaire, a physician reviews their eligibility remotely, and the prescription is sent to a pharmacy. This model has grown rapidly as demand for weight-loss medications has surged.
Why did so many patients want to continue treatment despite side effects?
Gastrointestinal side effects like nausea are common with GLP-1 drugs but typically decrease over time as the body adjusts. For many patients, the weight loss benefits — averaging nearly 5 kg in just 50 days — outweigh the temporary discomfort. The 86% who wanted to continue likely found the treatment effective enough to tolerate the side effects.
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Cite This Study
https://rethinkpeptides.com/research/RPEP-11173APA
Gratzke, Monika; von Bueren, Johannes; Garrahy, Edward; Calewaert, Bart; Abeck, Finn; Wuelfing, Christian. (2025). GLP-1 receptor agonist therapy for obesity via direct-to-consumer telemedicine: Clinical characteristics and treatment outcomes.. Digital health, 11, 20552076251382040. https://doi.org/10.1177/20552076251382040
MLA
Gratzke, Monika, et al. "GLP-1 receptor agonist therapy for obesity via direct-to-consumer telemedicine: Clinical characteristics and treatment outcomes.." Digital health, 2025. https://doi.org/10.1177/20552076251382040
RethinkPeptides
RethinkPeptides Research Database. "GLP-1 receptor agonist therapy for obesity via direct-to-con..." RPEP-11173. Retrieved from https://rethinkpeptides.com/research/gratzke-2025-glp1-receptor-agonist-therapy
Access the Original Study
Study data sourced from PubMed, a service of the U.S. National Library of Medicine, National Institutes of Health.
This study breakdown was produced by the RethinkPeptides research team. We analyze and report published research findings without making health recommendations. All interpretations are based solely on the published abstract and study data.