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Telehealth booms as demand for GLP-1s surges and questions mount about safety, oversight

KFF Health News found medication-error reports jumped from just over 2,000 in 2020 to more than 25,000 in 2025 as telehealth prescribing expanded.

  • Reports of medication errors involving popular weight loss drugs exploded from over 2,000 in 2020 to over 25,000 in 2025, according to a KFF Health News analysis of the FDA's Adverse Event Monitoring System.
  • Karleigh McClain, a 31-year-old compliance consultant from Hendersonville, Tennessee, was hospitalized within 24 hours after a telehealth provider allegedly instructed her to inject nearly nine times the recommended starting dose of a compounded GLP-1.
  • The FDA sent warning letters to online companies including Hims & Hers and SkinnyRx citing misleading claims about compounded drugs, while Eli Lilly and Novo Nordisk filed 130 lawsuits against entities marketing "knockoff" semaglutide drugs.
  • Physician Amanda Banks noted in The New England Journal of Medicine that GLP-1 prescriptions for non-diabetic or non-obese individuals rose to 17% in 2023, calling it "troubling" how easily patients obtain these drugs online.
  • David Pilip, a spokesperson for Mochi Health, stated the company investigates adverse events with "extreme precision," though critics warn that one-stop shopping bypassing in-person pharmacy visits leaves patients vulnerable to dosing errors and limited follow-up care.
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Telehealth booms as demand for GLP-1s surges and questions mount about safety, oversight

Within 24 hours of injecting the first dose of a weight loss medication she received following a visit with a telehealth doctor, Karleigh McClain was admitted to the hospital, she said. The 31-year-old compliance consultant from Hendersonville, Tennessee, said she couldn't stop vomiting.

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KPVI broke the news on Tuesday, June 2, 2026.
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