The world of weight management is changing fast, and employers are likely fielding questions and concerns about a topic that’s dominating headlines: weight loss medications. By 2030, it’s estimated that 30 million Americans will be taking these medications, with the market exceeding $100 billion. The implications for your workforce are significant and knowing how to support employees—whether or not your company covers these medications—is more critical than ever.

Here's what companies need to know about this evolving landscape—and how to support your employees who are using weight loss medications.

At HealthFitness our team includes experts in nutrition, lifestyle coaches, and fitness leaders who use behavioral psychology and exercise physiology to develop comprehensive support programs for employees. Here’s what we’re seeing at our client sites and recommendations of how benefits leaders and employers can navigate this space.

Understanding employer approaches

According to a 2023 Mercer study, 44% of large employers are opting to cover weight loss medications for obesity, often with specific criteria such as a BMI of 30+ and a related chronic condition like diabetes or hypertension. However, that leaves many employers still weighing the decision due to cost concerns and uncertainty about long-term outcomes.

Some companies are adopting a structured approach, requiring employees to complete a six-month lifestyle management program before becoming eligible for medication coverage. This ensures that employees receive foundational support in nutrition, portion control, and exercise before introducing medication as an additional tool. Employers implementing this model are also monitoring long-term outcomes, ensuring their investment leads to sustained health improvements.

What employees are experiencing

Your employees are hearing about these medications everywhere—on social media, in news reports, and advertisements. Some may already be on them, while others are considering their options. Employees at our HealthFitness client sites who use weight loss medications are reporting a range of experiences:

• Fatigue and weakness: HealthFitness trainers and staff are noticing some participants struggling with low energy levels, requiring careful monitoring and referrals when needed.
• Severe side effects: Employees dealing with nausea or gastrointestinal issues often need guidance on managing symptoms and knowing when to consult their doctor.
• Mental and emotional impact: Weight loss is more than physical—employees undergoing major changes in appetite and body image may require additional mental health support.

How employers can offer meaningful support

Whether or not your company covers weight loss medications, there are ways to support employees navigating this journey:

1. Education and awareness
Offer unbiased, science-based information so employees can make informed decisions. HealthFitness offers a 10-minute educational Meet Up session to cover the topic of weight loss medications, providing employees with a credible space to learn and ask questions. Nearly 800 people registered for a recent webinar on the topic, showing just how much interest exists.

2. Training for fitness and wellness staff
Employees may turn to personal trainers and lifestyle coaches for advice, so it’s crucial to equip staff with accurate information. Training should focus on understanding the medications, knowing the limits of their role, and making proper referrals when needed.

3. Addressing lean muscle loss
Rapid weight loss can lead to muscle loss, which is why strength training and adequate protein intake should be emphasized. Providing access to fitness programs that prioritize muscle preservation is key.

4. Ensuring safe access to medications
With high demand leading to shortages, some employees may seek compounded versions of these medications. However, non-FDA-regulated sources pose risks such as incorrect dosing and stronger-than-expected side effects. Employees should be encouraged to consult medical professionals and use reputable pharmacies.

Navigating weight loss medications in the workplace

Weight loss medications aren’t going anywhere, and their applications continue to expand. Research is exploring their potential benefits for heart disease, kidney disease, and more, meaning employer considerations will only grow. Even Medicare is evaluating coverage, signaling a shift in how these drugs are viewed in health care.

Benefits leaders can create an environment where employees feel supported, informed, and empowered in their health journeys. By providing education, structured wellness programs, and expert-backed resources, you can help employees navigate these changes with confidence.

The key takeaway? Weight loss medications are a tool—but they work best when combined with long-term lifestyle support. Your benefits strategy should reflect that balance, ensuring employees have the resources they need to succeed, both on and off the medication.

Interested in learning more? Check out The HealthFitness Podcast and learn how to navigate weight loss medications in the workplace.