The unseen risk of Ozempic: NAION and vision damage.
Saleem. Noor Ul Ain NUA; Khan. Mishaim M; Tague. Christian C; Akilimali. Aymar A
Key Findings
- Semaglutide is widely used off‑label for weight loss due to its appetite‑suppressing effects.
- Clinical data report NAION in 6.7% of overweight participants and 8.9% of diabetic participants taking semaglutide.
- The FDA has warned about counterfeit/compounded versions and highlighted concerns about unsupervised use.
Practical Outcomes
- If you’re using semaglutide for weight loss or metabolic health, watch for sudden vision changes and get regular eye exams. Consider discussing the eye‑risk with a healthcare professional before starting, especially if you have existing vascular or eye issues. Stick to FDA‑approved products and avoid unverified compounding pharmacies.
Summary
A recent look at semaglutide (Ozempic/Wegovy) shows that while it helps lower blood sugar and cut weight, it may also raise the chance of a serious eye problem called non‑arteritic anterior ischemic optic neuropathy (NAION), with about 6‑9% of users experiencing it in studies.
Abstract
Ozempic (semaglutide) was first authorized to treat type 2 diabetes, but because of its appetite-suppressing properties, it has become popular off-label for weight loss. According to clinical investigations, GLP-1 significantly decreases blood sugar and helps people lose weight. Approximately 15 million persons in the United States are currently taking GLP-1 drugs. Off-label use is becoming more common, which raises worries about potential health hazards and significant side effects such as non-arteritic anterior ischemic optic neuropathy (NAION). According to a study, 6.7% of people who were overweight and 8.9% of those with diabetes who took semaglutide had NAION. The FDA issued a warning regarding counterfeit and compounded products while approving semaglutide for weight loss under the Wegovy<sup>®</sup> brand. Unsupervised usage and problems with diabetes accessibility raise ethical questions.
Study Information
pubmed
2025
2025-10-20T00:00:00.000Z
10.1097/ms9.0000000000004149