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GLP-1 drugs to be studied for effects on impulsive spending

A US research team will use brain scans and financial choices to investigate whether GLP-1 medicines alter responses to spending, gambling and delayed rewards.

Anonymous participant holding a response button in an MRI scanner for research into GLP-1 drugs and spending
Anonymous participant holding a response button in an MRI scanner for research into GLP-1 drugs and spending

Wharton plans study of GLP-1 drugs and spending decisions

Researchers at the University of Pennsylvania’s Wharton School plan to investigate whether GLP-1 medicines influence impulsive spending and other financial decisions, according to reporting by CBS News. The study aims to recruit about 180 participants and is scheduled to run from mid-October until around March 2027 at the university’s MindCORE research laboratory in the United States.

The central question is whether medicines used for weight management and diabetes affect how people value financial rewards, including purchases, gambling opportunities and money available now rather than later. Researchers will combine questions about participants’ health and medicine use with brain scans taken during decision-making tasks.

This is a proposed investigation, not evidence that the drugs treat compulsive shopping or gambling. The potential financial benefits described by the researchers remain hypotheses to be tested.

Participants will first provide information about their demographic background, mental health and GLP-1 use, where applicable, and complete a short cognitive exercise. They will then undergo magnetic resonance imaging while performing four tasks: two concerning food and two concerning financial choices.

One financial task will present 14 images depicting goods, services, experiences and spending opportunities, including the Powerball lottery jackpot. Participants will simply view the images, allowing researchers to examine their spontaneous responses without requiring them to make a purchase or choose an option.

Recognisable branding and logos will be excluded. The purpose is to avoid confusing a response to the underlying spending opportunity with a response to a familiar or preferred brand.

Why GLP-1 research is moving beyond appetite

GLP-1 medicines mimic the action of a hormone involved in blood sugar regulation and appetite. Their established medical uses help explain the interest in whether changes in food-related reward might also be associated with changes in other behaviour. That question is distinct from their approved role in treating diabetes or managing weight.

The Wharton research will focus on the brain’s reward system: interconnected structures involved in assessing value, reinforcing behaviour and making decisions. Dopamine is among the neurotransmitters involved in those processes.

Researchers want to compare responses to necessary, practical purchases with responses to discretionary spending and pleasurable experiences. The distinction matters because reduced interest in one type of reward would not necessarily imply reduced interest in every financial opportunity.

A second financial task will require an active choice, recorded by pressing a button during the scan. One example given to CBS News is a choice between receiving $20 immediately and receiving $50 after two months. This tests how participants weigh a smaller, immediate payment against a larger, delayed one.

MRI measurements will track changes in blood flow and oxygen levels associated with brain activity. The team will use those signals to investigate how participants evaluate the options and whether those evaluations differ with GLP-1 use.

The work sits alongside broader interest in changes reported by Mounjaro users beyond weight loss. Patient accounts and laboratory measurements, however, answer different questions; neither should be treated as proof of a financial benefit before the relevant evidence is available.

Michael Platt sets out the financial-reward hypothesis

Michael Platt, a neuroscientist and Wharton professor, told CBS News that the researchers believe GLP-1 medicines could eventually produce changes in brain structure with implications for both food choices and financial decisions. That is the team’s proposed explanation, rather than an outcome demonstrated by this study.

Platt also raised a possible trade-off. A reduced drive to pursue rewards might help some consumers resist unplanned spending, while potentially reducing the willingness of people in high-risk occupations, such as trading, to pursue large returns. He described the latter possibility as anecdotal speculation.

Noom, the digital health company, is funding the study. According to CBS News, the hypothesis draws on earlier research by its chief executive, Geoff Cook. The funding relationship is relevant context when assessing future findings, but the report provides no study results to evaluate.

Other researchers involved told CBS News that a principal interest is subjective value: how desirable an individual finds a particular food or financial option. Their question is whether that assessment differs according to GLP-1 use, rather than simply whether everyone makes the same supposedly better choice.

What the Wharton study will need to establish

After scanning, participants will have to follow through on one of their recorded financial decisions. Someone who selected $50 in two months rather than $20 immediately would receive the larger amount later. Making a choice consequential is intended to encourage participants to express their actual preferences.

CBS News gives a planned start in mid-October without specifying the year, and an expected finish around March 2027. It does not provide a date for publication of the findings or set out whether participants will be randomly assigned to treatment.

Those details will matter when interpreting any eventual differences between people using GLP-1 medicines and others. A difference in laboratory responses would not, by itself, establish that a medicine caused a lasting reduction in shopping, gambling or household debt.

For patients, the research does not provide a basis for starting or changing treatment to influence spending. Prescribing decisions remain separate from this experimental question, including the established need to consider other medicines when reviewing GLP-1 treatment.

Why this matters

For people taking GLP-1 medicines, claims about benefits beyond weight loss can influence expectations of treatment. This research could help clarify whether the drugs are associated with changes in how people value financial rewards, but it cannot yet tell patients that their spending or gambling will change. The distinction between a brain response, a laboratory choice and sustained behaviour outside the laboratory will be central to judging any future findings.

Frequently asked questions

Can GLP-1 drugs stop compulsive shopping?
That has not been established by this study. Wharton researchers plan to investigate whether GLP-1 use is associated with different responses to purchases and other financial rewards.
Can GLP-1 drugs help with gambling?
The planned research includes gambling-related rewards among the financial opportunities participants will see. It has not shown that GLP-1 medicines reduce gambling or treat gambling problems.
What will the Wharton GLP-1 study involve?
About 180 participants will be recruited. They will answer background and health questions, complete a cognitive exercise, and undergo MRI scans during two food tasks and two financial tasks.
Who is funding the GLP-1 spending study?
Noom, the digital health company, is funding the Wharton study, according to CBS News. The report says the hypothesis draws on earlier research by Noom chief executive Geoff Cook.
When will the GLP-1 spending study finish?
The study is expected to run until around March 2027. CBS News gives a planned mid-October start without specifying the year, and no publication date for results.
How will researchers test financial decisions?
Participants will view spending-related images and make financial choices during MRI scans. One example is choosing $20 immediately or $50 in two months. After scanning, one recorded decision will be carried out.

Sources

This report draws on the following original reporting:

Topics: GLP-1 · Research · Impulsive spending · Gambling

This article is for information only and is not medical advice.

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