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Semaglutide — the active ingredient in Ozempic® — causes thyroid tumors in rodents. But it’s unclear if this happens in humans.
Currently, research hasn’t found a link between Ozempic® and any type of cancer.
Ozempic® may reduce the risk of obesity-related cancers by supporting weight loss.
You might have heard about Ozempic® (semaglutide) and its link to thyroid tumors. So, does Ozempic® cause cancer? It doesn’t look like it.
It can cause thyroid tumors in rats and mice, but more research is needed to know if that can happen in humans. Currently, there isn’t any research linking Ozempic® to any type of cancer in humans.
Read on for what we know about Ozempic® and cancer, including why the health benefits may outweigh the risks.
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We need more research to know whether Ozempic® causes cancer. Currently, research hasn’t found a link between Ozempic® and cancer.
So, why have you heard about a link?
Well, Ozempic® comes with a boxed warning from the Food and Drug Administration (FDA) stating that semaglutide (the active ingredient) causes thyroid C-cell tumors in rodents. This happened in animal studies after lifetime exposure to the medication.
It’s unknown if semaglutide can increase the risk of thyroid tumors in humans, but research so far suggests it doesn’t.
A 2023 systematic review and meta-analysis looked at 37 randomized controlled trials (RCTs) and 19 real-world studies. It found that people taking semaglutide and participants in control groups had a similar occurrence of:
Thyroid cancer
Pancreatic cancer
All types of abnormal tissue growth
The research concluded: “Semaglutide use in RCTs and real-world studies was not associated with an increased risk of any types of cancer, and this conclusion is supported by a high grade of evidence.”
Beyond this, there were no cancer reports in Ozempic® clinical trials. So there’s no Ozempic® cancer risk percentage.
Also, research shows GLP-1s like Ozempic® specifically don’t increase breast cancer risk.
GLP-1s are glucagon-like peptide-1 receptor agonists, a class of prescription drugs that includes:
Semaglutide (Ozempic®, Wegovy®)
Liraglutide (Victoza®, Saxenda®)
Tirzepatide (Mounjaro®, Zepbound®)
→ Learn more: Long-Term Effects of Ozempic®
There’s concern that Ozempic® may increase the risk of thyroid cancer in particular. But current research suggests that may not be the case.
A 2024 review of studies looked at 10 randomized controlled trials. It found that less than 1 percent of those taking semaglutide developed thyroid cancer, “suggesting no significant risk.”
A 2025 study looked at people taking GLP-1 medications and three other diabetes drugs.
Overall, the risk of thyroid cancer wasn’t higher in those taking GLP-1s compared to the other drugs. But the risk of a new diagnosis was higher in the first year after starting a GLP-1 compared to the other diabetes medications.
Researchers said this finding might come down to “enhanced early detection.” This means healthcare providers may educate their patients on the potential symptoms to look out for when taking GLP-1s. Patients may then find signs of thyroid cancer that they might not have noticed otherwise.
Btw, it may not be a risk you need to worry about, but it’s good to know the symptoms. Symptoms of thyroid tumors include:
Difficulty swallowing
Shortness of breath
Persistent hoarseness
A lump in the neck
While we wait for more research, people with a personal or family history of medullary thyroid carcinoma (MTC) — a rare type of thyroid cancer — and those with multiple endocrine neoplasia syndrome type 2 (MEN 2) — an endocrine cancer — shouldn’t take Ozempic®.
We might not know the full link between Ozempic® and cancer, but we do know that obesity is linked to a higher risk of at least 13 types of cancer, including breast, liver, and thyroid cancer.
Ozempic® is approved by the FDA to help people with type 2 diabetes manage their blood sugar levels (glucose). It’s sometimes used off-label as a weight loss drug for those with overweight or obesity.
Ozempic® can help you lose weight and achieve a healthy body weight. So the health benefits of taking the medication may outweigh any potential risks.
GLP-1 drugs may lower your risk of certain cancers.
One study found that GLP-1s are associated with a lower risk of obesity-related cancers than bariatric surgery in those with a body mass index (BMI) of 35 or more.
Research from 2024 looking at 1.1 million participants found that GLP-1s, especially semaglutide, may reduce cancer risk for people with obesity. Specifically, it might lower the risk of these types of cancers:
Gastrointestinal
Breast
Uterine
Blood
Prostate
It’s not just those with obesity. Compared to insulin, taking a GLP-1 is associated with lower risks of obesity-related cancers in people with type 2 diabetes.
Some of those cancers include:
Kidney
Gallbladder
Pancreatic
Ovarian
This may be because GLP-1s can better control type 2 diabetes and weight than insulin. But, once again, we need more research.
Beyond lowering the risk of cancer, losing weight can improve your health in many ways. This includes lowering the risk of:
Type 2 diabetes
Stroke
Kidney disease
Mental health problems
Fertility issues
→ Read: Does Ozempic® Affect Fertility?
It can feel scary looking into the potential side effects of weight loss medications, especially when there’s a boxed warning. But the research we have so far doesn’t show an increased cancer risk when taking Ozempic®.
Here’s the tl;dr:
Ozempic® isn’t linked to thyroid cancer in humans. Semaglutide causes thyroid tumors in rodents. However, current research hasn’t found a link between semaglutide and medullary thyroid cancer in humans.
Ozempic® isn’t linked with other cancers. Besides thyroid cancer, Ozempic® isn’t associated with a higher risk of pancreatic cancer, breast cancer, or any abnormal cell growth.
Obesity is linked with cancer. Obesity increases the risk for at least 13 types of cancer. Ozempic® can help you lose weight and achieve a healthy weight, lowering the risk of these conditions and other weight-related health issues.
Your best bet? Let your prescribing healthcare provider know about any personal or family history of cancer. They can help you weigh the benefits vs. the potential risks of taking GLP-1 medication.
If you’re considering Ozempic® or any other weight loss medication, take our free online assessment. A licensed healthcare professional can look at your medical history to make sure you’re eligible and, if you are, recommend the best treatment plan.
See answers to frequently asked questions about Ozempic®, obesity, and cancer risk below.
Research found that Ozempic® can cause thyroid tumors in rodents, but current research hasn’t found a link between Ozempic® and thyroid cancer in humans.
There’s currently no research showing that Ozempic® causes breast cancer. More research is needed to know for sure. And losing weight on Ozempic® may actually lower the risk of breast cancer.
There’s currently no research showing that Ozempic® causes pancreatic cancer. We need more research on the topic, but losing weight on Ozempic® may reduce the risk of pancreatic cancer.
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This article is for informational purposes only and does not constitute medical advice. The information contained herein is not a substitute for and should never be relied upon for professional medical advice. Always talk to your doctor about the risks and benefits of any treatment. Learn more about our editorial standards here.
Full Name: Lynn Marie Morski, MD, JD
Current Role at Hims & Hers: Medical Advisor
Education:
Juris Doctor - Thomas Jefferson School of Law, 2014
Doctor of Medicine - Saint Louis University School of Medicine, 2005
Training:
Primary Care Sports Medicine Fellowship - University of Arizona, 2009
Family Medicine Residency - Mayo Clinic - 2008
Medical Licenses:
California, 2010
Board Certifications:
Affiliations & Memberships:
Specialties & Areas of Focus:
Mental Health, Primary Care, Psychedelic Medicine
Years of Experience: 11
Previous Work Experience:
Physician & Subinvestigator/Clinician Rater - Kadima Neuropsychiatry Institute, January 2025–
Investigator - Elite Clinical Network, June 2024–
Physician - Veterans Administration, 2010–2019
Publications & Research:
Morski LM. Invited Commentary on Psychedelic Therapy: A Primer for Primary Care Clinicians. Am J Ther. 2024;31(2):e183-e185. https://journals.lww.com/americantherapeutics/citation/2024/04000/invited_commentary_on_psychedelic_therapy__a.9.aspx
Grover, M., Anderson, M., Gupta, R., Haden, M., Hartmark-Hill, J., Morski, L.M., Sarmiento, Dueck, A. Increased osteoporosis screening rates associated with the provision of a Periodic Health Examination. J Am Board Fam Med November-December 2009 vol. 22 no. 6 655-662. https://www.jabfm.org/content/22/6/655.long
Morski, L.M., Bratton,R.L. and DeBrino, G. Older Man With Fever and Tender Rash. Consultant, 2009, May 49(5). https://www.consultant360.com/content/older-man-fever-and-tender-rash
Medical Content Reviewed & Approved:
List pages or topics the expert has reviewed for accuracy
Quotes or Expert Insights:
Mental health care isn’t a luxury, it’s a fundamental part of overall well-being. We all deserve mental health support that’s evidence-based, accessible, and affordable.
Media Mentions & Features:
A User’s Guide to Therapeutic Psychedelics: From magic mushrooms to MDMA and ayahuasca to ibogaine—everything you need to know before (and after) taking the leap - Oprah Daily, May 6, 2024
Why I Practice Medicine:
I'm passionate about helping people access reliable, affordable healthcare—without stigma or unnecessary barriers. Everyone deserves to feel informed and empowered when it comes to their health!
Hobbies & Interests:
Salsa dancing, drumming, surfing, scuba diving, triathlons
Professional Website or Profile: https://www.morskiconsulting.com/, https://psychedelicmedicineassociation.org/