"Can I use drugs developed for other diseases, such as diabetes, to lose weight?"

"I would like to know if it is possible to use drugs developed for other diseases, such as diabetes, to lose weight. I am concerned about my health and would like to understand if this is a safe practice."

The question is more than legitimate and intercepts a much discussed topic today, also on social media. This is precisely why it is important to provide clarity, without alarmism but with correct and reliable information.

Medicines are developed, authorised and prescribed to treat specific diseases. Their use for purposes other than those for which they have been approved - so-called off-label use - is never a choice to be made alone. Each drug may have side effects, contraindications and interactions that have to be evaluated on a case-by-case basis, based on the person's medical history. Taking a drug without careful medical evaluation can expose one to serious risks, especially if it is a therapy designed for chronic conditions such as diabetes.

In the event of difficulties in weight management, the first point of contact remains the general practitioner, who knows the person's medical history and can guide them towards the most appropriate course of action. Only a health professional is in a position to assess whether the conditions exist for a possible pharmacological treatment and, if so, with what modalities and controls. It is important to be wary of 'quick' or do-it-yourself solutions, often conveyed online, which do not take into account individual specificities and may compromise health.

Weight management cannot be reduced to taking a drug. It is part of a broader pathway, which includes: a balanced and personalised diet; physical activity appropriate to one's condition; the support of professionals such as nutritionists or dieticians; correct and evidence-based information. Intervening on lifestyle, gradually and consciously, often remains the most effective and safe strategy in the medium to long term.