Why don't men talk about using weight-loss drugs?

For decades, men have been reluctant to discuss the use of weight-loss drugs, despite many of them turning to these medications for help. The reasons behind this hesitance are varied, but they often boil down to concerns about side effects, the stigma attached to the drugs, and a perceived "cheat's way out." As one man put it, he felt weak for needing them, even though he had already lost significant weight through dieting before starting the injections.

A recent study estimates that around 1.6 million adults in England, Wales, and Scotland have used weight-loss drugs in 2024-25, with the North East of England having the highest adult obesity rates in the country. Despite this, men are less likely to discuss their use of these drugs with their GP or openly with others. This reluctance could be due to a combination of factors, including a belief that the drugs may not work, fear of side effects, and the desire to avoid being seen as "cheating" their way to a healthier lifestyle.

In many cases, men who have chosen to use weight-loss drugs do so in private, often purchasing them through private pharmacies after discussions with friends or family. They may feel embarrassed or ashamed about their decision, leading them to keep their use of the drugs a secret. However, some men have found that once they start seeing positive results, they are more willing to share their experiences with others, including work colleagues and friends.

While women are more likely to openly discuss their weight-loss journeys and the use of medication, men often approach the topic differently. They may not readily share their experiences with friends or acquaintances, and even when they do, the conversation is often limited to the workplace or among close friends. This reluctance to openly discuss weight-loss drugs could be due to a combination of societal expectations, fear of judgment, and a desire to maintain a sense of normalcy.

Medical professionals, however, stress the importance of open communication when it comes to weight-loss drug use. GPs and healthcare providers need to be aware of how men are using these medications and managing any potential side effects. Some side effects of weight-loss drugs can include nausea, vomiting, constipation, diarrhea, and more rarely, gallbladder or kidney problems and depression.

The drugs are not recommended for use during pregnancy, and NHS guidance outlines other health considerations that should be taken into account.

Despite these challenges, men who have chosen to use weight-loss drugs often report positive experiences. They find that the medications can help them lose weight when other methods, such as diet and exercise, have failed. For many, the benefits of shedding excess pounds far outweigh the potential risks and side effects. However, the stigma attached to these drugs and the reluctance to openly discuss their use continue to be significant barriers for many men seeking to improve their health and well-being.