Obesity

Joint The Obesity Society (TOS) / Obesity Medicine Association (OMA) / Obesity Action Coalition (OAC) Expert Guidance Statement on the Pharmacological Management of United States Adults With Overweight or Obesity Using the Grading of Recommendations Assessment, Development and Evaluation (GRADE) Approach

Obesity (Silver Spring)Published Expert guidance statement

Methodological detailsGRADE approach, multidisciplinary panel including patient representatives, systematic evidence synthesis via Epistemonikos, consensus workshops
  • GRADE approach
  • Multidisciplinary panel including patient representatives
  • Systematic evidence synthesis via Epistemonikos
  • Consensus workshops

Recommendations

As issued by the authors

  1. Strong; moderate-certainty evidence

    Bupropion-naltrexone, semaglutide, tirzepatide and setmelanotide

  2. Conditional

    Other agents and specific obesity complications (obstructive sleep apnea, HF with preserved ejection fraction, MASLD/MASH, osteoarthritis, MACE, T2D)

  3. Strong

    Continuing obesity medications during weight maintenance

Original publication

Joint TOS / OMA / OAC Expert Guidance Statement on the Pharmacological Management of United States Adults With Overweight or Obesity Using the GRADE Approach. Obesity (Silver Spring). Published 5 March 2026. doi:10.1002/oby.70164

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