One of Dr. Mo Sarhan’s patients was experiencing intense cravings for opioids and alcohol when the Florida-based doctor offered him a striking solution: the Eli Lilly weight-loss drug Mounjaro.
“Within days, all of his cravings were gone and he was much more effective in his engagement and treatment. He’s done great since,” Sarhan says.
Sarhan and his colleague Steven Klein at the Caron Treatment Centers in Florida and Pennsylvania have prescribed a range of so-called glucagon-like peptide-1 receptor agonists (GLP-1s) to treat addictions, using them alongside traditional therapies, to around 75 patients.
The Biden administration on Tuesday issued sweeping health care proposals that would see Medicare plans greatly expand access to blockbuster GLP-1 weight-loss drugs, bar insurers from skipping out on paying certain claims that were granted prior authorization, and reinforce guardrails on the use of AI.
The proposals fit into the administration's existing aims to improve and protect access to care in Medicare and Medicaid programs. But, the future of the proposals is uncertain, as it will be up to the Trump administration to finalize the policies.
Anti-obesity drugs
The flashiest of the proposals is to reinterpret existing law in such a way as to allow Medicare and Medicaid coverage of anti-obesity drugs—particularly the extremely popular and pricy GLP-1 drugs Wegovy and Zepbound. Existing policy excludes coverage of drugs used for "weight loss" or "weight gain."
A study of 14,000 WeightWatchers participants is the latest to suggest that Ozempic and similar obesity drugs could be adapted into treatments for substance use disorders.
If you’re looking to keep a closer eye on your health, a smart scale might be the perfect addition to your wellness routine. Unlike standard scales, which only measure weight, smart scales go further by tracking a range of metrics like body fat percentage, muscle mass and even water weight. They connect to your smartphone or tablet, syncing up with health apps so you can easily monitor changes over time and set fitness goals. Plus, many smart scales offer user profiles, which is great if multiple people in your home want to track their own progress individually.
Smart scales also bring a level of accuracy that standard scales just don’t offer. By analyzing bioelectrical signals, these scales can provide you with more detailed insights, helping you get a clearer picture of your body composition and overall health. Whether you’re just starting a fitness journey or want more in-depth insights into your wellness, a smart scale can help you stay motivated and informed.
There are valid reasons to weigh yourself, but your self-worth shouldn’t be defined by the number that shows up between your feet. If you’re looking to alter your body shape, that figure could go up as your waistline goes down, since muscle weighs more than fat. Dr. Anne Swift, Director of public health teaching at the University of Cambridge, said that “weighing yourself too often can result in [you] becoming fixated on small fluctuations day-to-day, rather than the overall trend over time.” Swift added that “it’s sometimes better to focus on how clothes fit, or how you feel, rather than your weight.”
(A meta-analysis from 2016 found there may be some negative psychological impact from self weighing. A 2018 study, however, said that there may be a positive correlation between regular weigh-ins and accelerated weight loss. It can be a minefield, and I’d urge you to take real care of yourself and remember that success won’t happen overnight.)
Best smart scales for 2024
What to look for in a smart scale
Weight
A weighing scale that measures weight is probably the top requirement, right? One thing to bear in mind is that, with all these measurements, weight readings won’t be as accurate as a calibrated, clinical scale. Consequently, it’s better to focus on the overall full body weight trend up or down over time, rather than the figures in isolation.
Connectivity
Most scales will either connect to your phone over Bluetooth, or to your home’s Wi-Fi network, and you should work out your regular weighing routine ahead of time. A lot of lower-end, Bluetooth-only scales will only record your weight when your phone is present and don’t keep local records. That means if you routinely leave your phone outside the bathroom at home, you could lose that day’s stats. Wi-Fi connectivity, on the other hand, allows a scale to post your stats to a server, letting you access them from any compatible device. Some smart scales even allow multiple user profiles, which is great for families or shared households. But you need to be mindful that there’s a small risk to your privacy should that information from your Wi-Fi scale be compromised.
Bone density
The stronger your bones, the less you’re at risk from breaks and osteoporosis, which you should keep in mind as you get older. Clinical bone density tests use low-power x-rays but higher-end scales can offer an approximation from your own bathroom. These bone mass tests pass a small electrical current through your feet, measuring the resistance as it completes its journey. The resistance offered by bones, fat and muscle are all different, and your scale can identify the difference.
Body fat percentage and muscle mass
Fat and muscle are necessary parts of our makeup, but an excessive amount of either can be problematic. Much like bone density, a smart body fat scale can measure body fat and muscle mass percentages using Bioelectrical Impedance Analysis (BIA). This measurement tests how well your body resists the electrical signal passing through your body. (It’s a rough rule of thumb that you should have a 30/70 percent split between fat and muscle, but please consult a medical professional for figures specific to your own body and medical needs.) For those with specific athletic goals, some smart scales also offer an athlete mode to better tailor readings for accuracy.
BMI
A lot of scales offer a BMI calculation, and it’s easy to do since you just plot height and weight on a set graph line. Body Mass Index is, however, a problematic measurement that its critics say is both overly simplistic and often greatly misleading. Unfortunately, it’s also one of the most common clinical body metrics and medical professionals will use it to make judgements about your care.
Pulse Wave Velocity
French health-tech company Withings has offered Pulse Wave Velocity (PWV) on its flagship scale for some time, although regulatory concerns meant it was withdrawn for a period of time. It’s a measurement of arterial stiffness, which acts as a marker both of cardiovascular risk and also other health conditions. I’ve had anecdotal reports that PWV scales have sent people to the doctor, where they’ve found they were close to a cardiac event. It’s worth saying, as with all of these technologies, that there is limited, albeit positive, research into how accurate these systems are.
Display
Less a specification and more a note that smart scales have displays ranging from pre-printed LCDs or digital dot matrix layouts through to color screens. On the high end, your scale display can show you trending charts for your weight and other vital statistics, and can even tell you the day’s weather. If you are short-sighted, and plan on weighing yourself first thing in the morning, before you’ve found your glasses / contacts, opt for a big, clear, high-contrast display.
App and subscriptions
You’ll spend most of your time looking at your health data through its companion scales app, and it’s vital you get a good one. This includes a clear, clean layout with powerful tools to visualize your progress and analyze your data to look for places you can improve. Given that you often don’t need to buy anything before trying the app, it’s worth testing one or two to see if you vibe with it. It’s also important you check app compatibility before making your purchase. Some health apps will only work with iOS or Android — not both. Apple Watch connectivity can also be a bonus for tracking workouts and health metrics seamlessly.
Several companies also offer premium subscriptions, unlocking other features – including insights and coaching – to go along with your hardware. Fitbit and Withings both offer these services, which you may feel is worth the extra investment each month.
Data portability
Using the same scale or app platform for years at a time means you’ll build up a massive trove of personal data. And it is, or should be, your right to take that data to another provider when you choose to move platforms in the future. Data portability is, however, a minefield, with different platforms offering wildly different options, making it easy (or hard) to go elsewhere.
All of the devices in this round-up will allow you to export your data to a .CSV file, which you can then do with as you wish. Importing this information is trickier, with Withings and Garmin allowing it, and Omron, Xiaomi, Eufy and Fitbit not making it that easy. (Apps that engage with Apple Health, meanwhile, can output all of your health data in a .XML file.)
Power
It’s not a huge issue but one worth bearing in mind that each scale will either run disposable batteries (most commonly 4xAAA) or with its own, built-in battery pack. Sadly, all of our crop of smart scales use batteries, adding an environmental and financial cost to your scale life. That’s just about forgivable for scales that cost under $100, but this stretches even to the highest-end models. When you’re spending more than that on a device, the lack of a rechargeable cell feels very, very cheap indeed.
How we tested and which smart scales we tested
For this guide, I tested six scales from major manufacturers:
Mi (Xiaomi) Body Composition Scale 2 ($29.99)
Our cheapest model, Xiaomi / Mi’s Body Composition Scale 2 is as bare-bones as you can get, and it shows. It often takes a long while to lock on to get your body weight, and when it does you’ll have to delve into the Zepp Life-branded scales app in order to look at your extra data. But you can’t fault it for the basics, offering limited (but accurate) weight measurements and body composition for less than the price of a McDonald’s for four.
Fitbit, now part of Google, is the household name for fitness trackers and smartwatches in the US, right? If not, then it must be at least halfway synonymous with it. The Aria Air is the company’s stripped-to-the-bare bones scale, offering your weight and a few other health metrics, but you can trust that Fitbit got the basics right. Not to mention that most of the reason for buying a Fitbit product is to leverage its fitness app anyway.
Eufy’s Smart Scale P2 Pro has plenty of things to commend it – the price, the overall look and feel (it’s a snazzy piece of kit) and what it offers. It offers a whole host of in-depth functionality, including Body Fat, Muscle Mass, Water Weight, Body Fat Mass and Bone Mass measurements, as well as calculating things like your Heart Rate and Basal Metabolic Rate (the amount of calories you need to eat a day to not change weight at all) all from inside its app. In fact, buried beneath the friendly graphic, the scale offers a big pile of stats and data that should, I think, give you more than a little coaching on how to improve your overall health.
Shortly before publication, Anker – Eufy’s parent company – was identified as having misled users, and the media, about the security of its products. Its Eufy-branded security cameras, which the company says does not broadcast video outside of your local network, was found to be allowing third parties to access streams online. Consequently, while we have praised the Eufy Smart Scale for its own features, we cannot recommend it without a big caveat.
Given its role in making actual medical devices, you know what you’re getting with an Omron product. A solid, reliable, sturdy, strong (checks the dictionary for more synonyms) dependable piece of kit. There’s no romance or excitement on show, but you can trust that however joyless it may be, it’ll do the job in question and will be user-friendly. The hardware is limited, the app is limited, but it certainly (checks synonyms again) is steady.
Joking aside, Omron’s Connect app is as bare-bones as you can get, since it acts as an interface for so many of its products. Scroll over to the Weight page, and you’ll get your weight and BMI reading, and if you’ve set a fitness goal, you can see how far you’ve got to go to reach it. You can also switch to seeing a trend graph which, again, offers the most basic visualization of your workouts and progress.
Garmin’s got a pretty massive fitness ecosystem of its own, so if you’re already part of that world, its smart bathroom scale is a no-brainer. On one hand, the scale is one of the easiest to use, and most luxurious of the bunch, with its color screen and sleek design. I’m also a big fan of the wealth of data and different metrics the scale throws at you – you can see a full color graph charting your weight measurements and goal progress, and the various metrics it tracks in good detail. If there’s a downside, it’s that Garmin’s setup won’t hold your hand, since it’s for serious fitness people, not newbies.
At the highest end, Withings’ flagship Body Comp is luxurious, and luxuriously priced, a figure I’d consider to be “too much” to spend on a bathroom scale. For your money, however, you’ll get a fairly comprehensive rundown of body composition metrics including your weight, body fat percentage, vascular age, pulse wave velocity and electrodermal activity. Its monochrome dot matrix display may not be as swish as the Garmin’s, but it refreshes pretty quickly and feels very in-keeping with the hardware’s overall sleek look. If there’s a downside, it’s that they ditched the rechargeable battery found in the Withings Body Cardio (its former flagship, and an excellent scale I’d recommend if it were within the parameters of this guide) in favor of AAA batteries. Which, when you’re spending this much on a body fat scale, makes me feel very nickel-and-dimed.
Smart scales FAQs
What's the difference between a smart scale and a regular scale?
A regular scale is pretty straightforward - it tells you how much you weigh, and that’s usually it. A smart scale, on the other hand, does much more. Not only does it give you your weight measurements, but it can also track things like your body fat percentage, muscle mass, and even your BMI. Some smart scales even monitor more advanced metrics like bone density, depending on the model.
What’s even better is that smart scales sync with scales apps on your phone using Wi-Fi or Bluetooth, so you can see all your health data in one place. This lets you monitor trends over time, like if your muscle mass is increasing or your body fat percentage decreasing.
How do smart scales work with more than one person using it?
When more than one person in a household uses the smart scale, it usually recognizes each person by their weight range and other body measurements (like body fat percentage). Most smart scales allow you to set up individual profiles in the companion app, and once your profile is linked, the scale can automatically figure out who’s standing on it.
Let’s say you and a family member have fairly different weights - the scale will easily know who’s who based on that. But if you and someone else have similar weights, it might ask you to confirm the profile on your phone after the weigh-in. Some scales even let you assign a profile manually in the scales app if it’s not sure.
This article originally appeared on Engadget at https://www.engadget.com/home/smart-home/best-smart-scale-160033523.html?src=rss
Patients in China will be able to purchase the blockbuster weight-loss drug Wegovy for 1,400 yuan, or about $193, just a fraction of the US list price of $1,349, according to mediareports.
The price in China is in line with pricing elsewhere outside of the US. As Sen. Bernie Sanders (I-Vt.) noted in a September Senate hearing, Wegovy, made by Novo Nordisk, is sold for $265 in Canada, $186 in Denmark, $137 in Germany, and just $92 in the United Kingdom. In the hearing, Sanders and other senators grilled Novo Nordisk CEO Lars Jørgensen on the "outrageously high prices" in the US of Wegovy and the company's other popular GLP-1 drug, Ozempic, used for diabetes.
"What we are dealing with today is not just an issue of economics, it is not just an issue of corporate greed. It is a profound moral issue," Sanders said in opening remarks about the prices of the highly effective drugs.
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