Some employers are choosing not to cover these medications right now due to financial constraints. Others are implementing structured criteria for coverage, such as requiring employees to have a BMI of 30 or higher along with a chronic condition like hypertension or diabetes.

There’s growing interest in exploring hybrid approaches. For example, you might require employees to complete a six-month lifestyle management or coaching program before they are eligible for medication coverage. This ensures that employees are engaging in behavioral changes that support sustainable weight loss, rather than relying solely on pharmaceuticals. Additional analysis and studies need to be done to help companies assess cost-effectiveness.

Supporting employees beyond medication

While weight loss medications can be effective tools, they are not a silver bullet. A holistic approach—incorporating fitness, nutrition, behavioral coaching, and mental health support—is essential for long-term success.

We need to think about each individual’s situation. We’ve seen employees come into our clients’ fitness centers who are on these medications, and it’s clear that some are struggling with fatigue or weakness. With dramatic decreases in appetite, some people struggle to get adequate nutrition. That’s why we’ve trained our staff to identify red flags and provide appropriate referrals back to health care providers.

In addition to staff training, you could think about the following initiatives to better support employees:

• Educational webinars and meetups: Even just a 10-minute educational session that can help employees understand how these medications work, their potential side effects, questions to ask and best practices for integrating them into a healthy lifestyle would go a long way.
• Targeted coaching and training: Fitness professionals and health coaches can be part of a comprehensive solution by providing behavior support along with exercise and nutrition guidance.
• Employer communication strategies: Many organizations are working to destigmatize weight loss efforts by creating open forums and support groups where employees can discuss their experiences and challenges.

The role of strength training and nutrition

One of the lesser-discussed consequences of rapid weight loss—whether through medication or other means—is the loss of lean body mass. Without proper intervention, employees can experience decreased strength and functionality over time.

Related: GLP-1s: The pros, cons, and my personal weight loss journey

Anytime someone loses weight quickly, they’re going to lose some lean muscle mass. That’s why it’s critical to incorporate strength training and ensure adequate protein intake.

Companies that offer personal training services, group fitness classes, or wellness coaching can help employees maintain muscular strength and overall health. Encouraging employees to engage in resistance training and consume sufficient protein can mitigate some of the risks associated with medication-induced weight loss.

Managing side effects and setting expectations

Despite their effectiveness, weight loss medications come with potential side effects, including nausea, digestive discomfort, and changes in appetite. Educating employees on how to manage these side effects—such as by eating smaller meals, avoiding highly processed or spicy foods, and staying hydrated—can improve adherence and outcomes.

It’s also important to set realistic expectations. An estimated 10%-15% of individuals don’t respond to these medications as anticipated. That means some people won’t see the results they’re hoping for, and they need to know when it’s time to talk with their doctor.

Additionally, some individuals may struggle with gaining the weight back after stopping medication. I recently read about a journalist who documented his experience taking a weight loss medication and then discontinued it. He noticed that after a few weeks, his appetite returned, and he had to be incredibly diligent to maintain his weight loss. This is exactly why ongoing support is so crucial.

The future of weight loss medications in the workplace

With ongoing research and hundreds of new drugs in development, weight loss medications are likely here to stay. Manufacturers are identifying links between these medications and other health benefits, such as improved kidney and heart health; non-injectable options are being explored, too. The potential expansion of Medicare coverage for weight loss drugs could also shift the conversation.

The bottom line for employers

For organizations navigating this important territory, the key takeaway is clear: Supporting employees around weight management and obesity requires a multifaceted approach. Whether or not you choose to cover weight loss drugs, offering holistic support—including fitness programs, nutrition guidance, behavioral coaching, and educational resources—can make a meaningful difference in employee health and productivity.

As the landscape continues to evolve, companies that take a proactive approach to weight management overall will be best positioned to enhance both employee wellbeing and organizational success.

Tanja Madsen is the senior director of product management at HealthFitness.