
Diet pills are a highly controversial topic, especially when it comes to their use by 13-year-olds. While obesity is a significant concern among teenagers, with nearly 1 in 5 teens aged 2 to 19 years affected in the U.S., the use of diet pills in this age group has sparked debates about their safety and potential impact on eating disorders. The American Academy of Pediatrics (AAP) has recently included anti-obesity medications in its guidelines for treating obesity in children aged 12 and up, but this decision has been met with criticism from groups concerned about the potential harm to children's health and well-being. Diet pills can have unpleasant side effects, and their long-term effects on young individuals are still unknown. As a result, experts recommend that lifestyle and dietary changes, along with exercise, should be the first line of treatment for teenagers struggling with weight issues.
| Characteristics | Values |
|---|---|
| Diet pills prescribed for 13-year-olds | Wegovy, Saxenda, Orlistat, Qsymia, Mounjaro, Ozempic |
| Diet pill side effects | Nausea, vomiting, dizziness, dehydration, blood clots, congenital malformations, interference with contraceptives, thyroid issues, kidney stones, glaucoma |
| Diet pill usage among teens | 35-57% of adolescent girls use diet pills |
| Diet pill usage among teens with obesity | 1 in 3 children and adolescents |
| Diet pill usage among teens with eating disorders | 12 times more likely to binge |
| Effectiveness of diet pills | 5-10 lbs in 6 months, 8 lbs in 2 weeks, 15 lbs in 3 months, 58 lbs, 25 lbs |
| Recommended treatment plan | Lifestyle and dietary changes, exercise, weight-loss medications, surgery |
| Risks of diet pills | May increase eating disorders, unhealthy habits, unknown long-term effects |
| Benefits of diet pills | Reduces heart-health risks, improves cholesterol and HbA1c levels |
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What You'll Learn

Potential side effects of diet pills
Diet pills and supplements can be dangerous, leading to as many as 23,000 emergency room visits a year, according to a 2015 study. Diet pills are not recommended for 13-year-olds. In general, weight-loss medication is prescribed for older teens and adults with a body mass index (BMI) of 30 or greater or a BMI of 27 or greater with comorbidities such as high blood pressure, diabetes, or high cholesterol.
- Gastrointestinal symptoms like nausea, vomiting, acid reflux, and diarrhea. These symptoms are generally mild and temporary but can make it difficult to stick to the treatment.
- Oily discharge from the rectum, flatus with discharge, increased defecation, and fecal incontinence.
- Constipation, upset stomach, and bloating.
- More severe side effects may include stomach problems, kidney problems or failure, gallbladder issues, pancreatitis, or hypoglycemia.
- One weight-loss drug, tirzepatide, has been linked to thyroid tumors or thyroid cancer.
- Phentermine, a stimulant that reduces appetite, carries a risk of serious side effects affecting the heart and is only recommended for short-term use in teens 16 years and older.
- Some people may also experience dizziness, dehydration, and stomach pain.
It is important to prioritize adequate nutrition while taking weight-loss medications. Even if you are not feeling hungry, consuming healthy nutrients helps preserve muscle mass and lean body mass. Protein drinks can be a good alternative when you are unable to eat a full meal.
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The safety of over-the-counter diet pills
However, in some cases, healthcare providers may suggest weight-loss medications or surgery for older teens. Several weight-loss drugs are approved for use in adolescents, including Wegovy, Saxenda, orlistat, and Qsymia. These medications can be effective in reducing BMI and improving metabolic risk factors. For instance, orlistat blocks the absorption of fat, while phentermine/topiramate (Qsymia) suppresses appetite.
Despite their effectiveness, over-the-counter diet pills come with risks and side effects. Common side effects include gastrointestinal issues like nausea, vomiting, and diarrhea. More seriously, a third of emergency room visits among girls and women are due to weight-loss supplements. There are concerns about the unknown long-term effects of starting these medications at a young age. Additionally, there is a risk that diet pills may contribute to the development of eating disorders in teens.
To address these concerns, some experts propose taxation on diet pills as a public health strategy to reduce their purchasing and use among teens. A study suggests that a 20% tax on diet pills could reduce purchases by 18% in households with teens. This strategy aims to make these products less accessible and discourage their use among young people.
Overall, while over-the-counter diet pills may be an option for older teens struggling with obesity, it is crucial to carefully consider the risks and benefits. Healthcare providers should monitor their use, and they should not replace healthy lifestyle habits as the primary treatment for obesity in this age group.
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The rise in teens using weight loss drugs
Obesity is one of the most common chronic conditions during adolescence, with nearly 1 in 5 children and teens in the US affected by obesity. The American Academy of Pediatrics (AAP) has included anti-obesity medications in their recommended guidelines for treating childhood obesity. This has resulted in a rise in the prescription of weight-loss drugs to teenagers.
Types of Weight Loss Drugs
Several weight loss drugs have been approved for use in adolescents, including:
- Wegovy: A weekly injection that decreases appetite and slows stomach emptying, leading to a feeling of fullness.
- Saxenda (liraglutide): A daily injection from the same class of drugs as Wegovy.
- Orlistat: A fat blocker that prevents fat absorption and exits the body through waste.
- Qsymia (phentermine/topiramate): A combination medication that reduces appetite.
- Ozempic: An oral medication for weight loss.
- Mounjaro: A medication that mimics GLP-1 and GIP hormones and is approved to treat Type 2 diabetes and induce weight loss.
Concerns and Criticism
The rise in the prescription of weight loss drugs to teenagers has sparked concerns and criticism from various groups. The main concerns revolve around the unknown long-term effects of these drugs on children's growth and development. Additionally, groups focused on treating and preventing eating disorders have criticized the AAP's decision, arguing that the use of weight loss drugs in young populations will contribute to an increase in eating disorders.
Side Effects and Risks
Weight loss drugs come with several side effects and risks. Common side effects include nausea, vomiting, diarrhea, headache, abdominal pain, and low blood sugar. More serious but less common side effects include the development of gallstones and pancreatitis. Additionally, weight loss drugs can be expensive and may need to be taken long-term. There are also concerns about the potential for weight regain after stopping treatment.
Alternative Approaches
It is important to note that the most effective way to treat obesity in teens without medication is through a balanced and consistent approach that includes nutrition, exercise, hydration, and sleep. Lifestyle and dietary changes are usually the first step in treating obesity, and weight-loss medications may be considered for some older teens if necessary.
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The effectiveness of diet pills
Diet pills are not recommended for 13-year-olds. Dietary supplements can be dangerous, leading to emergency room visits, and are not medically recommended. A study found that a tax on diet pills could reduce purchases by households with teens.
Diet pills, or appetite suppressants, can be effective in reducing weight in people with obesity. Prescription appetite suppressants can help with weight loss by lessening the appetite or making an individual feel full faster. Phentermine-topiramate and GLP-1 receptor agonists like liraglutide and semaglutide are among the most effective medications for reducing weight in people with obesity. The typical body weight reduction with these medications is 6% to 11%.
However, it is important to note that each type of appetite suppressant works differently and has different side effects. Some common side effects include constipation, abdominal pain, indigestion, rapid or irregular heartbeat, mood changes, cognitive changes, nausea, vomiting, and diarrhoea. These medications are also controlled substances with addiction potential and can be dangerous if not used as intended or prescribed.
It is always recommended to discuss the risks and benefits with a healthcare provider before starting any medication, especially for teenagers. Lifestyle and dietary changes are usually the first step in treating obesity in teenagers, and medication or surgery may be considered for older teens after evaluating various factors.
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The potential for diet pills to cause eating disorders
Diet pills are not recommended for 13-year-olds or any teenagers. Obesity is a common chronic condition during teenage years, and weight gain is a complex issue influenced by various factors, including developmental, environmental, behavioural, and genetic factors. Healthcare providers typically recommend lifestyle and dietary changes as the first step in addressing weight concerns. While certain weight-loss medications or surgeries may be suggested for older teens, these decisions are made on a case-by-case basis, considering the individual's specific circumstances.
The abuse of diet pills among individuals with eating disorders is well-documented, with prevalence estimates as high as 50%. Diet pills are associated with multiple weight control behaviours, higher body mass index (BMI), higher novelty-seeking tendencies, and the presence of anxiety disorders, alcohol abuse, or borderline personality disorder. The use of diet pills can also lead to a high dependency on these drugs, especially for those with eating disorders. This dependency may result in severe health consequences, including high blood pressure and liver and kidney damage.
Additionally, diet pills can have adverse side effects, such as dry mouth, constipation, headaches, nausea, vomiting, and fatigue. In some cases, more severe side effects may occur, including insomnia, dizziness, increased blood pressure, muscle pain, tremors, or blurred vision. These side effects can be dangerous, especially for individuals with pre-existing health conditions. For example, individuals with eating disorders like anorexia nervosa or bulimia may have co-occurring high blood pressure, and taking diet pills can further elevate their risk of severe health issues, such as aneurysms, heart attacks, or heart failure.
The availability and accessibility of over-the-counter (OTC) diet pills contribute to the potential risks. These products are not medically recommended, and their harms are well-documented. However, they are widely available without any restrictions on their purchase. This easy access can lead to misuse, especially among teens, who may mistakenly believe that OTC products sold in pharmacies or grocery stores are safe and effective. Implementing taxes on these products has been proposed as a public health strategy to reduce their purchasing and potential harm to consumers, especially teens.
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Frequently asked questions
Diet pills are not recommended for 13-year-olds. Diet pills are not prescreened for safety or efficacy by the FDA and can be dangerous, leading to emergency room visits. It is recommended that 13-year-olds focus on exercising and eating a balanced diet to maintain a healthy weight.
Diet pills can have serious side effects such as stomach pain, nausea, vomiting, dizziness, and dehydration. They can also lead to congenital malformations if taken during pregnancy and may decrease the effectiveness of contraceptives. Additionally, there are concerns about the unknown long-term effects of starting these medications at such a young age.
The first step in treating weight loss in 13-year-olds usually involves lifestyle and dietary changes. Healthcare providers may recommend weight-loss medications or surgery for some older teens, typically those who are 16 years or older. However, it is important to discuss the risks and benefits with a healthcare provider.











































