May bring relationship changes

As prescriptions for GLP-1 medications such as Ozempic, Wegovy, Mounjaro and Zepbound continue to increase, some experts say major weight loss may bring unexpected changes in personal relationships.

KCTV reported that about 15% of Kansas adults have filled prescriptions for GLP-1 drugs. The station said that rate tracks closely with the state’s obesity statistics and reflects a broader national trend, with about 1 in 8 American adults reporting they have taken the medications for diabetes, heart disease or weight management.

The medications have been widely discussed for their role in weight loss and diabetes management, but a recent report noted that relationship changes may follow significant weight loss for some patients. The report cited Per-Arne Svensson, a Swedish professor who studies the connection between weight loss and relationship status.

Svensson said the effect may develop over time. First, a person loses a substantial amount of weight. Then, changes in confidence, lifestyle and social behavior may affect a relationship. In some cases, those changes may be followed by separation or divorce.

The concern is based partly on earlier research involving bariatric surgery patients. Those studies found that some patients who experienced major weight loss were more likely to divorce than the general population. Experts said the same pattern could appear among some GLP-1 users, particularly as newer medications produce greater weight-loss results.

The issue is not necessarily the medication itself, but the changes that may come with weight loss. A person may become more socially active, more confident or more willing to leave an unhealthy relationship. At the same time, the other partner may struggle with insecurity, criticism or difficulty adjusting to the change.

Experts said weight loss does not have to harm relationships. Couples may be more likely to adjust well when they approach health changes together, including changes in diet, exercise and lifestyle.

For couples where both partners have a clinical need, pursuing health goals together may help make the change a shared effort rather than a source of tension.

With GLP-1 use already affecting a significant share of Kansas adults, the conversation around the medications is expanding beyond weight loss alone. For some families, the changes may include not only physical health, but also emotional and relationship adjustments.

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