{"id":633381,"date":"2025-09-12T09:30:24","date_gmt":"2025-09-12T13:30:24","guid":{"rendered":"https:\/\/www.singlecare.com\/blog\/?p=633381"},"modified":"2025-09-03T15:08:54","modified_gmt":"2025-09-03T19:08:54","slug":"does-emgality-cause-weight-gain","status":"publish","type":"post","link":"https:\/\/www.singlecare.com\/blog\/does-emgality-cause-weight-gain\/","title":{"rendered":"Does Emgality cause weight gain?"},"content":{"rendered":"<p><span style=\"font-weight: 400;\">The link between obesity and migraines is well established. People who are overweight have triple the odds of developing chronic headaches compared to those who maintain a healthy body weight, according to the American Migraine Foundation. While excess weight may increase the risk of migraines, certain migraine treatments have raised questions about whether they might also contribute to weight changes, further complicating this relationship.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">If you experience migraines, chronic headaches, or cluster headaches, your provider may prescribe a medication like <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/emgality\"><span style=\"font-weight: 400;\">Emgality (galcanezumab)<\/span><\/a><span style=\"font-weight: 400;\">. Emgality is a monoclonal antibody that targets calcitonin gene-related peptides (CGRPs), which researchers now know can play a key role in triggering migraine pain. FDA approved in 2018, this subcutaneous injection is available in a pre-filled syringe and is known for its effectiveness with relatively minimal side effects. Importantly, unlike some other migraine medications that have been associated with weight gain, galcanezumab has not been shown to be associated with a significant increase in body weight.<\/span><\/p>\n\t\t<div id=\"coupon-cta\" class=\"coupon-cta master-template\">\n\t\t\t<p id=\"headline\">Save up to 80% on Emgality with SingleCare<\/p>\n\t\t\t<p id=\"subheadline\">Different pharmacies offer different prices for the same medication. SingleCare helps find the best price for you.<\/p>\n\t\t\t<div class=\"details-wrap\">\n\t\t\t\t<div class=\"details\">\n\t\t\t\t\tEmgality 1ml of 120mg\/ml  (1 Pen)\t\t\t\t<\/div>\n\t\t\t\t<div class=\"address\">\n\t\t\t\t\t23666 - Hampton, VA\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<div class=\"api-response\">\n\t\t\t\t\t\t<div class=\"coupon\">\n\t\t\t<div class=\"logo\">\n\t\t\t<img decoding=\"async\" src=\"https:\/\/images.singlecare.com\/content\/images\/pharmacy\/logo-color-kroger.svg\" alt=\"Kroger Pharmacy\" \/>\t\t\t<\/div>\n\t\t\t<div class=\"price\">\n\t\t\t\t<div class=\"price-number\">\n\t\t\t\t\t$626.45<br\/>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"price-signup\">\n\t\t\t\t\t<span class=\"info-icon\">i<\/span>\n\t\t\t\t\tPrice with <a href=\"https:\/\/www.singlecare.com\/prescription\/emgality#blog-cta\">signup<\/a>\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<div class=\"couponbtn\">\n\t\t\t\t<a target=\"_blank\" href=\"https:\/\/www.singlecare.com\/prescription\/emgality#blog-cta\">Get free coupon<\/a>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"coupon\">\n\t\t\t<div class=\"logo\">\n\t\t\t<img decoding=\"async\" src=\"https:\/\/images.singlecare.com\/content\/images\/pharmacy\/logo-color-harristeeter.svg\" alt=\"Harris Teeter Pharmacy\" \/>\t\t\t<\/div>\n\t\t\t<div class=\"price\">\n\t\t\t\t<div class=\"price-number\">\n\t\t\t\t\t$626.45<br\/>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"price-signup\">\n\t\t\t\t\t<span class=\"info-icon\">i<\/span>\n\t\t\t\t\tPrice with <a href=\"https:\/\/www.singlecare.com\/prescription\/emgality#blog-cta\">signup<\/a>\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<div class=\"couponbtn\">\n\t\t\t\t<a target=\"_blank\" href=\"https:\/\/www.singlecare.com\/prescription\/emgality#blog-cta\">Get free coupon<\/a>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t<a target=\"_blank\" href=\"https:\/\/www.singlecare.com\/prescription\/emgality#blog-cta\" class=\"coupon-see-all-btn\">See Emgality prices at all pharmacies<\/a>\n\t\t<\/div>\n\n\t\t\n<h2 id=\"can-emgality-cause-weight-gain\"><span style=\"font-weight: 400;\">Can Emgality cause weight gain?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">A <\/span><a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC7467458\/\"><span style=\"font-weight: 400;\">medical review<\/span><\/a><span style=\"font-weight: 400;\"> found that galcanezumab is effective for both episodic and chronic migraines. The review also emphasized that <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/emgality-side-effects\/\"><span style=\"font-weight: 400;\">side effects of Emgality<\/span><\/a><span style=\"font-weight: 400;\"> are generally minimal, with most patients tolerating the medication well even after a year of use. Weight gain is not a common side effect, notes <\/span><a href=\"https:\/\/health.usf.edu\/medicine\/neurology\/faculty\/marie136\"><span style=\"font-weight: 400;\">Marie Labadie-DeGennaro,<\/span><\/a><span style=\"font-weight: 400;\"> DNP, an advanced practice registered nurse at the University of South Florida College of Medicine Neurology.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Labadie-DeGennaro treats many migraine patients with <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/emgality\/what-is\"><span style=\"font-weight: 400;\">Emgality<\/span><\/a><span style=\"font-weight: 400;\">, and weight gain is rarely reported. \u201c<\/span><span style=\"font-weight: 400;\">I have had it reported twice in over 5 years, and it is unclear if there is a connection,\u201d she says.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Research supports her clinical observation. In a <\/span><a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC6966798\/\"><span style=\"font-weight: 400;\">meta-analysis<\/span><\/a><span style=\"font-weight: 400;\"> of eight separate studies, investigators found no significant changes in weight among people taking galcanezumab. While a small percentage of patients experienced shifts of at least 7% of their starting body weight, slightly more with weight gain than weight loss, these differences were not considered clinically meaningful.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Still, concern about weight gain is understandable. Most <\/span><a href=\"https:\/\/www.clinicaltherapeutics.com\/article\/S0149-2918%2808%2900206-3\/abstract\"><span style=\"font-weight: 400;\">preventive migraine medications<\/span><\/a><span style=\"font-weight: 400;\"> are associated with weight gain, and patients often worry about this potential side effect.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">There are several possible reasons why migraine drugs in general may affect weight. Some can slow metabolism or increase appetite. Others may influence hormone levels. Certain medications also cause fatigue, which can decrease activity levels and make weight management more difficult.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">If you experience weight gain while taking Emgality or another migraine treatment, seek medical advice from your provider. While the medication itself may play a role, other factors, such as lifestyle changes, other prescriptions, or underlying health conditions, can also contribute.<\/span><\/p>\n<h2 id=\"does-emgality-make-it-hard-to-lose-weight\"><span style=\"font-weight: 400;\">Does Emgality make it hard to lose weight?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">\u201cEmgality should not have any significant impact on your weight,\u201d <\/span><span style=\"font-weight: 400;\">Labadie-DeGennaro says, including the ability to lose weight.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">That said, living with chronic headaches or migraines can make weight management more difficult for reasons unrelated to Emgality itself. For example:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Pain can limit activity.<\/b><span style=\"font-weight: 400;\"> Severe headaches may make it difficult to exercise and burn calories.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Migraines can trigger cravings. <\/b><span style=\"font-weight: 400;\">Many people experience food cravings during or after migraine attacks, which can lead to increased caloric consumption.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Other medications may contribute.<\/b><span style=\"font-weight: 400;\"> Some migraine treatments are known to cause weight gain as a side effect.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Importantly, having migraines does not automatically mean you will gain weight. In fact, a large study of nearly 40,000 women found <\/span><a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC3460066\/#S6\"><span style=\"font-weight: 400;\">no significant difference<\/span><\/a><span style=\"font-weight: 400;\"> in long-term weight gain over a five-year period between those with migraines and those without.<\/span><\/p>\n<h2 id=\"tips-for-managing-your-weight-on-emgality\"><span style=\"font-weight: 400;\">Tips for managing your weight on Emgality<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Maintaining a healthy weight supports overall well-being and can also play a role in migraine management. <\/span><a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC2974024\/#S14\"><span style=\"font-weight: 400;\">Research<\/span><\/a><span style=\"font-weight: 400;\"> suggests that weight loss may be associated with fewer headaches, making healthy lifestyle choices especially valuable for people prescribed Emgality or other migraine treatments.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u201cWhile some medications can cause weight gain, there are many strategies that can help mitigate this impact,\u201d says Jennie Stanford, MD, an American Board of Obesity Medicine Diplomate. \u201cLifestyle changes are the cornerstone.\u201d<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Both Dr. Stanford and Dr. Labadie-DeGennaro emphasize six healthy habits that can help reduce migraine risk while also supporting weight control:<\/span><\/p>\n<ol>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Prioritize nutrition.<\/b><span style=\"font-weight: 400;\"> A balanced diet is fundamental for weight management. Beyond that, some <\/span><a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC7352457\/\"><span style=\"font-weight: 400;\">research<\/span><\/a><span style=\"font-weight: 400;\"> suggests that the Mediterranean and ketogenic diets may be especially beneficial for people with migraines.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Avoid added sugars, trans fats, and refined carbohydrates.<\/b><span style=\"font-weight: 400;\"> These ingredients are strongly associated with weight gain and may also trigger migraines.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Engage in regular exercise.<\/b><span style=\"font-weight: 400;\"> Physical activity not only burns calories but may also lower the frequency of migraines, according to <\/span><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/32529311\/\"><span style=\"font-weight: 400;\">one review<\/span><\/a><span style=\"font-weight: 400;\">.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Get quality sleep.<\/b><span style=\"font-weight: 400;\"> Poor sleep is a well-documented <\/span><a href=\"https:\/\/academic.oup.com\/braincomms\/article\/6\/2\/fcae051\/7610111?login=false\"><span style=\"font-weight: 400;\">migraine trigger<\/span><\/a><span style=\"font-weight: 400;\">, and chronic sleep deprivation can also contribute to weight gain.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Manage stress.<\/b> <span style=\"font-weight: 400;\">If you experience headaches, then you probably know that stress can be a trigger. What\u2019s more, <\/span><a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC9362746\/\"><span style=\"font-weight: 400;\">chronic stress can lead to weight gain.<\/span><\/a><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Drink plenty of water.<\/b><span style=\"font-weight: 400;\"> Dehydration can prompt migraines in some people, while adequate water intake has been linked to <\/span><a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC4121911\/#sec1-5\"><span style=\"font-weight: 400;\">weight loss<\/span><\/a><span style=\"font-weight: 400;\">.<\/span><\/li>\n<\/ol>\n<h2 id=\"alternatives-to-emgality\"><span style=\"font-weight: 400;\">Alternatives to Emgality<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">There are many treatment options for migraines, and the best alternative to Emgality often depends on your goals\u2014whether you want to minimize side effects, avoid injections, focus on prevention, or simply treat migraines as they occur. Here are some of the main categories:<\/span><\/p>\n<h3 id=\"options-with-mild-side-effects\"><span style=\"font-weight: 400;\">Options with mild side effects<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">CGRP inhibitors, the class of drugs including Emgality, are generally well-tolerated and have relatively mild side effects. Common issues include constipation, nausea, or injection site reactions. While anaphylaxis, shortness of breath, trouble breathing, and serious allergic reactions are possible, one report notes that having an <\/span><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/38170954\/\"><span style=\"font-weight: 400;\">autoimmune disorder<\/span><\/a><span style=\"font-weight: 400;\"> could play a factor in causing those outcomes. Other CGRP inhibitors include:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/prescription\/aimovig\"><b>Aimovig (erenumab)<\/b><\/a><span style=\"font-weight: 400;\"> and <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/ajovy\"><b>Ajovy (fremanezumab)<\/b><\/a><b>:<\/b><span style=\"font-weight: 400;\"> Both are monthly self-injectable medications to prevent migraines.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/prescription\/vyepti\"><b>Vyepti (eptinezumab)<\/b><\/a><b>:<\/b><span style=\"font-weight: 400;\"> Given by intravenous infusion once every 12 weeks in an infusion center, making it a good choice for those who prefer less frequent dosing. Like Emgality, it has not been <\/span><a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC8029561\/\"><span style=\"font-weight: 400;\">associated with weight gain<\/span><\/a><span style=\"font-weight: 400;\">.<\/span><\/li>\n<\/ul>\n<h3 id=\"oral-options\"><span style=\"font-weight: 400;\">Oral options<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">For those who would rather avoid injections altogether, <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/qulipta\"><span style=\"font-weight: 400;\">Qulipta (atogepant)<\/span><\/a><span style=\"font-weight: 400;\"> is a daily oral pill that also belongs to the CGRP inhibitor class. Notably, it has even been linked to <\/span><a href=\"https:\/\/thejournalofheadacheandpain.biomedcentral.com\/articles\/10.1186\/s10194-024-01736-z\"><span style=\"font-weight: 400;\">modest weight loss<\/span><\/a><span style=\"font-weight: 400;\"> in some patients.<\/span><\/p>\n<h3 id=\"medications-for-acute-treatment-not-prevention\"><span style=\"font-weight: 400;\">Medications for acute treatment (not prevention)<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">If your goal is to stop migraine headaches once they start rather than prevent them, triptans are a long-standing (and most likely less expensive) option. Examples include sumatriptan, <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/almotriptan-malate\"><span style=\"font-weight: 400;\">Axert (almotriptan)<\/span><\/a><span style=\"font-weight: 400;\">, and <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/naratriptan-hcl\"><span style=\"font-weight: 400;\">Amerge (naratriptan)<\/span><\/a><span style=\"font-weight: 400;\">. These drugs work by activating serotonin receptors during a migraine attack. However, they are generally not effective for the prevention of migraine.<\/span><\/p>\n<h3 id=\"over-the-counter-options\"><span style=\"font-weight: 400;\">Over-the-counter options<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">For mild to moderate migraine pain, many people rely on over-the-counter medications such as <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/excedrin-migraine\"><span style=\"font-weight: 400;\">Excedrin<\/span><\/a><span style=\"font-weight: 400;\">, <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/advil\"><span style=\"font-weight: 400;\">Advil<\/span><\/a><span style=\"font-weight: 400;\">, <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/aleve\"><span style=\"font-weight: 400;\">Aleve<\/span><\/a><span style=\"font-weight: 400;\">, or <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/motrin-ib\"><span style=\"font-weight: 400;\">Motrin<\/span><\/a><span style=\"font-weight: 400;\">. These can be inexpensive, convenient, safe for short-term use, and sometimes appropriate during pregnancy or breastfeeding. That said, they do not prevent migraines and are typically less effective than prescription medications for managing associated migraine symptoms like nausea.<\/span><\/p>\n<h3 id=\"alternatives-that-may-cause-weight-gain\"><span style=\"font-weight: 400;\">Alternatives that may cause weight gain<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Some migraine medications are linked to weight gain, which may be a concern for certain patients. These include:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Tricyclic antidepressants<\/b><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Gabapentin<\/b><span style=\"font-weight: 400;\"> and <\/span><b>Lyrica (pregabalin)<\/b><span style=\"font-weight: 400;\">, often used for neuropathic pain<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Beta blockers<\/b><span style=\"font-weight: 400;\"> such as propranolol, commonly prescribed for migraine prevention but are associated with long-term weight gain<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">With so many options available, the right choice depends on your health history, lifestyle preferences, and how your body responds to treatment. A healthcare professional can help you weigh the benefits and risks to find the approach that works best for you.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>The link between obesity and migraines is well established. People who are overweight have triple the odds of developing chronic headaches compared to those who maintain a healthy body weight, according to the American Migraine Foundation. While excess weight may increase the risk of migraines, certain migraine treatments have raised questions about whether they might [&hellip;]<\/p>\n","protected":false},"author":135,"featured_media":633303,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[4589],"tags":[12752,4316,8905,9825],"coauthors":[21080],"class_list":["post-633381","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-drug-info","tag-medication-side-effects","tag-migraine","tag-seasonal","tag-weight-loss","wpautop"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.4 (Yoast SEO v27.4) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Does Emgality cause weight gain?<\/title>\n<meta name=\"description\" content=\"Weight gain isn\u2019t a reported side effect of Emgality. 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