Should you get your GLP-1 at a med spa?
You can now get weight-loss medication with a side of filler and a facial. Here’s what doctors want you to know.
Upsell items at a spa used to be an expensive face cream or even Botox — but at your next facial or massage, you may be asked if you want to add on a GLP-1. Research shows about 60% of medical spas in the U.S. now offer the meds. But while the spas offer easy access, they often lack the medical oversight, personalization, and long-term support needed for safe and sustainable results. Here’s what you should know.
How legit are med spas?
The level of medical oversight, and the depth of knowledge when it comes to metabolic health, is a wild card when it comes to med spas. It really depends on both the state you’re in and your specific provider. Each role at a med spa — doctor, nurse practitioner (NP), registered nurse, medical assistant, aesthetician — has a different scope defined by their licensing board. And while a doctor or NP may sign your prescription order, they might not be the one to actually consult with you.
What are the top risks of using a med spa instead of a medical clinic?
1. A more transactional experience that ignores risks
Med spa prescribers may focus solely on weight loss, skipping a full review of your medical history — including other medications, underlying conditions, or factors contributing to weight gain. GLP-1s can interact with other medications, impacting blood pressure, blood sugar, and more, particularly for those already managing conditions like diabetes or hypertension. Without proper medical oversight from an experienced healthcare provider, these medications may not only be less effective, but also pose significant health risks.
2. Inadequate follow-up
Obesity care is not just about weight loss, but long-term weight maintenance and overall health. Med spas often lack a clear treatment plan, defined length of treatment, and education around side effects. And because they don't closely monitor progress, they also don't initiate a change of plan or medication as the patient changes.
3. Lack of personalization
Licensed medical providers tailor GLP-1 treatment to your unique health history, goals, and needs. In contrast, many med spas take a one-size-fits-all approach, offering the same plan to everyone, regardless of individual needs.
4. Sidestepping FDA requirements
Some med spas may prescribe GLP-1s without confirming whether you meet clinical guidelines — like having a certain BMI or a related health condition. These criteria exist for a reason: They help ensure the medication is safe, appropriate, and effective for your specific needs. Skipping this step can increase the risk of side effects, misuse, or getting a treatment that’s not actually right for you.
By contrast, Weight Watchers providers who prescribe GLP-1 medications do a thorough review of your health history, use the medication as part of a comprehensive health plan, and do regular check-ins to track your side effects and progress and adjust treatment plans as necessary. The good news? You’ll be working with a provider who only treats weight. The bad news? You’ll have to look elsewhere for a deep-tissue massage. (Sorry!)
Learn whether you really need to stay on a GLP-1 forever