Ozempic and Wegovy are both semaglutide medications. GLP-1 helps to stimulate insulin production, lower blood sugar levels, and suppress appetite. But how do newer medications, like Ozempic, compare in terms of safety and efficacy? There is also a possibility that Mounjaro could increase the risk of thyroid cancer, though that is based only on animal studies at this time. Tirzepatide and other medications spur weight loss by targeting the metabolic conditions that lead to extra pounds. Insurance often does not cover GLP-1 agonists like Ozempic and Wegovy. Second, the insurance factor. Weight-loss medication might not be a good fit for someone with a binge eating disorder, for example, since it wouldnt target the root cause of the behavior. You've heard people talking about the drug for weight lossor is it diabetes? I get full very quickly, she said. Medicaid and the military insurer Tricare may cover them in some cases with prior approval. 1998 - 2023 Nexstar Media Group Inc. | All Rights Reserved. People who use it briefly to look good in a swimsuit are likely to see those pounds regained later, which leads to yo-yoing in weight that can be potentially harmful to long-term health. Thanks to the celebrity and social media factors, the drug has become increasingly popular among people who want to use it casually and are willing and able to pay the high price to use it. WebIn the STEP-1 clinical trial of Ozempic, patients taking semaglutide lost 15.3 kg compared to the placebo group, which saw a weight loss of only 2.6 kg. So you may be prescribed Ozempic long term to help you lose weight and keep it off. Phentermine, on the other hand, does not have any boxed warnings. She also notes that a physician experienced with these medications can control them better by extending time between dosage increases. If you develop a side effect while taking Ozempic and would like to inform the FDA, visit MedWatch. Dr. Butsch says that all signs point to the use of an anti-obesity medication as a safe and effective treatment for people living with obesity, yet its not being used as often as youd expect. Ozempic may be one of the most talked-about medications in recent history. Sign up for our GoodRx Diet and Nutrition Newsletter to receive the latest healthy eating advice, recipes, and savings that are most relevant to you. To learn more about how long you may use Ozempic for weight loss, talk with your doctor. For example, health insurance plans may not pay for Ozempic when the drug is used off-label. Using Ozempic may lead to rare but serious side effects. This needs to be more accessible. Eventually, some GLP-1 agonists will become generic, which would further help bring down the price and solve problems of accessibility by allowing more doctors to prescribe them to patients who actually need them. (2022). Also like Ozempic, it suppresses the appetite but it also changes how the body burns fat. Its a dysfunction of the normal pathways that regulate our body weight or, more specifically, our body fat. Weight loss results with Ozempic can vary. This diabetes med can treat obesity, but its not for people who just want to drop a few pounds. Its in a class of medications called GLP-1 receptor agonists or GLP-1 drugs for short. Examples include: Call your doctor right away if you have any serious side effects while using Ozempic. Red Wine and Type 2 Diabetes: Is There a Link? These medications mimic a hormone released from the digestive tract called glucagon-like peptide (GLP-1), which helps lower blood sugar and promotes a feeling of fullness. A boxed warning alerts doctors and patients about drug effects that may be dangerous. MORE: Powerful new obesity drug poised to upend weight loss care. However, getting your A1C below 7 can take For someone who has diabetes, their body either doesnt produce enough insulin or they are insulin resistant, meaning their body is not using the insulin they produce properly. All Rights Reserved. In a trial, adults who took Wegovy saw a weight loss of nearly 35 pounds, or about 15% of their body weight. Mounjaro is a medication from Eli Lilly. You should always consult your doctor or another healthcare professional before taking any medication. Its become the worst-kept celebrity weight loss secret of the moment with people like Elon Musk tweeting about taking Wegovy and Andy Cohen commenting on Ozempics widespread use. Obesity medicine specialist W. Scott Butsch, MD, MSC, helps explain why Ozempic has become so popular for weight loss and why new anti-obesity medications are a major victory for people with obesity. And let them know if you notice any symptoms such as neck pain, a lump in your throat, or a hoarse voice. Most of semaglutides side effects are tied to the GI tract, thanks to its ability to slow it down. Ashley Dunham before taking semaglutide (left) and after 5.5 months. Remember that Ozempic is the specific name for a medication approved for type 2 diabetes, so its prescribed for patients diagnosed with that health condition. Patients who received placebo, or dummy injections, lost about 3% of their body weight, or 7 pounds. For those who want more details, these shots help the pancreas release the right amount of insulin and slow the stomach's natural process. For example, a doctor may prescribe Ozempic off-label for weight loss in adults with either: This is because semaglutide (the active drug in Ozempic) was shown to help with weight loss in adults meeting either of these criteria in studies. Dosage strength: Starting dose: Maintenance dose: Dosing schedule: 2 mg/1.5 mL, used for starting and maintenance dosages: 0.25 mg, given for 4 weeks: 0.5 mg, given Can I use Ozempic with other weight-loss medications? Expected weight loss on Ozempic: Results from clinical studies Here's what the research says about weight loss using Ozempic. Disclaimer: Healthline has made every effort to make certain that all information is factually correct, comprehensive, and up to date. Cleveland Clinic 1995-2023. Celebrities are touting it. Ozempic should be used only when prescribed by a medical professional. Tornado flips cars, damages homes in coastal Florida city, What to know about tick, Lyme season after winter, Rolling Fork on long road to recovery after tornado devastation, Floodwaters threaten to drown small California town, Experimental water release to continue Lake Mead rise, NASA: Bizarre weather becoming more common, Baby receives successful heart transplant in Texas. @ashton_olivia27 The long awaited before/afters! An allergic reaction is possible after using Ozempic. There are two pathways in the brain, says Dr. Stanford. While Dr. Stanford is adamant that semaglutide should not be used as a quick fix and doesnt prescribe it that way, there are many doctors out there who will. Ozempic 0.5mg and 1mg injected weekly significantly reduced A1C levels in all studies ranging from 30 weeks to 56 weeks. Phentermine is a stimulant medication that is used short-term to help you lose weight by curbing your appetite. Ozempic belongs to a group of drugs called glucagon-like peptide-1 (GLP-1) receptor agonists. Your doctor will typically start you on a low dosage of Ozempic. It wasnt until years later that liraglutide, another GLP-1 agonist, was approved for both diabetes and obesity, albeit under two different brand names: Victoza for diabetes and Saxenda for obesity. It also slows down how quickly food leaves your stomach (called gastric emptying), causing you to feel full for longer. These drugs differ from over-the-counter fat burners, which are typically designed to rev up a persons energy, Lofton said. Conversations about weight loss often focus on lifestyle modifications like eating healthier or exercising more, but dont take into account whether a person has access to affordable healthy foods, or if genetics could be impacting how a person stores fat, Pernell said. Ozempic is the brand name for a medication thats classified as a glucagon-like peptide-1 agonista class of drugs that includes semaglutide, the active ingredient in Ozempic, which mimics a naturally-occurring hormone in our bodies called glucagon-like peptide-1 (GLP-1). This trend held at multiple dosing intervals compared. While other medications in its drug class sometimes need to be administered daily, Ozempic only needs to be used weekly since it continues to work in your body for a longer period of time. How Processed Meat and Refined Carbs Can Increase Your Risk of Type 2 Diabetes, People With Type 2 Diabetes May Live Longer by Giving Up Sugary Drinks. Trademarks, brands, logos, and copyrights are the property of their respective owners. People taking Ozempic for diabetes also tend to lose weight, so the manufacturer conducted clinical trials to see if people without diabetes would see the same benefit. But allergic reaction has been reported with Ozempic since the drug became available for use. They send you messages that youre no longer hungry. Its also important to note that even on prescribed weight-loss medicine, diet and physical activity are important and weight gain is possible once you stop taking the medicine. Moving something through the FDA with an indication [like diabetes] is easier because people believe its a disease and they believe it is damaging, she says. If you have questions about using Ozempic off-label for weight loss, talk with your doctor. Its a place where people with certain conditions can find support and connect with others. Hence why youre still hearing about it today. We can thank the Kardashians. There are a few issues at play. Both situations can be life-threatening. Compare that with people living with diabetes researchers say 88% of people who have diabetes use medication to treat their condition. Doctors will typically start patients on lower doses of Wegovy usually 0.25 milligrams and gradually increase them over several weeks as people adjust to the People with private insurance may be able to receive the drugs with only a small co-payment. What's the Difference Between Weight Loss and Fat Loss? If things move through your GI tract really slowly, what are you going to feel? Advertising on our site helps support our mission. For the right candidates, GLP-1 agonists like Ozempic and Wegovy are actually pretty groundbreaking. GoodRx works to make its website accessible to all, including those with disabilities. GLP-1 plays a role in digestion and appetite regulation, causing you to feel full so that you eat fewer calories. What are Ozempic and Wegovy? With off-label use, doctors prescribe a drug for a purpose other than what its approved for. Additionally, anti-obesity medications are, for most people, medications you stay on for long periods of time, so if you cant afford the medication when the coupon runs out, its not going to be effective long-term. This drug has a boxed warning. Today, they need to be injected only once a week. The second most common side effect, again unsurprisingly, is constipation. Thats because people have different genetic makeups, exercise differently, and want to see different results. But while celebrities may have been the spark, social media is the fire. You may also want to check out the online communities at Bezzy. Its a major medical advancement that could make a big difference. dom-pubs.onlinelibrary.wiley.com/doi/10.1111/dom.14725. Ozempic should thus be safe to use for up to 68 weeks. Saxenda, which is also manufactured by Novo Nordisk, was the first to be approved. There are several hormones that respond to reduced calorie intake by ramping up hunger to maintain body mass. Take it with or without food. Check out Bay Area safety tracker, Bay Area Life; Sundays at 6:30 p.m. on ABC7, Powerful new obesity drug poised to upend weight loss care. But be sure to follow the instructions and dosage your doctor has prescribed. As its popularity grows, however, supply is dwindling. This can also result in looser skin and wrinkles that are more noticeable. Ozempic, also made by Novo Nordisk, followed a similar trajectory. In other words, Ozempic and anti-obesity medications work not simply because theyre correcting a bad behavior by lowering your appetite and causing you to eat less. To learn more about using Ozempic for weight loss, talk with your doctor. Before using Ozempic off-label* for weight loss, theres some important information to keep in mind. See additional information. Some providers havent yet come to understand that obesity is a disease that can (and often should) be treated medically, Dr. Butsch states. When people who dont technically need the drug use Ozempic or Wegovy for weight loss, its considered an off-label use and not technically approved. Ozempic (also known by the generic name semaglutide) was approved for use as a diabetes medication in 2017. Compared to placebo, people taking phentermine were able to lose, on average, an additional 3.6 kg (about 8 pounds) of weight. Ozempic is not approved by the FDA for weight loss, but it is often prescribed off-label (for an In the case of Ozempic, it makes total sense to use it to treat obesity, considering its sister drug, Wegovy, is approved for that use. according to the National Institute of Health. Ozempic is given once a week, on the same day each week (for example, every Monday). And consuming fewer calories may lead to weight loss. But if you dont have diabetes, your doctor may still prescribe Ozempic off-label for weight loss. Now that weve covered the basics on each medication, lets take a look at how they stack up in terms of efficacy and safety. Is there a 6-week weight loss plan for Ozempic? Ozempics drugmaker hasnt provided a 6-week plan for weight loss. Phentermine can also cause dangerously high blood pressure if you take it during or within 2 weeks of taking monoamine oxidase inhibitors (MAOIs), like those used in Parkinsons disease and depression. This article explains the stages of weight loss and the difference, Weight loss can lead to side effects, including hair loss. A meta analysis looking at studies ranging from 2 to 24 weeks of treatment with phentermine (an average of 13 weeks) showed a mean total weight loss of about 6.3 kg (almost 14 pounds). Healthline Media does not provide medical advice, diagnosis, or treatment. Wilding JPH, et al. Part of whats made the news is that the increase in usage of the drug for weight loss has taken the medication away from those who use it to treat diabetes. Research participants who didnt take the medication lost about six pounds on average. Ozempic (also known by the generic name semaglutide) was approved for use as a diabetes medication in 2017. Ticketmaster under fire over King Charles coronation concert, FAA launches faster, more direct flight paths on East Coast, In debt from your kid's education? They include Ozempic and Wegovy, which are two versions of the same medication, semaglutide. If any of the following medical conditions or other health factors apply to you, talk with your doctor before using Ozempic. Ozempic (semaglutide) is a prescription drug that may be prescribed off-label for weight loss. Ozempic may cause mild side effects in some people. Those are Contrave, Sexenda, Xenical or Alli, Qysmia, Wegovy, and Imcivree. There are also new similar drugs on the horizon to take some of the pressure off Ozempic and Wegovy. Who semaglutide (remember, this is the main ingredient in Ozempic) is not for, Dr. Stanford is quick to note, is someone who is a few extra pounds overweight and wants a quick fix so they can fit into their skinny jeans. When used to treat type 2 diabetes, Ozempic works to lower your blood sugar by: By lowering your blood sugar in the ways described above, Ozempic also helps lower certain heart-related risks related to diabetes. Its expensive, and usually not covered by insurance. Theyll also avoid prescribing the drug if you have a genetic (inherited) condition called multiple endocrine neoplasia syndrome type 2 (MEN2). Ozempic (semaglutide) is approved with an indication for weight loss. Think of this common scenario: Even when we diet and increase our exercise, we tend to hit a weight-loss plateau, where our bodies actively fight against continued weight loss. These issues were first noted when phentermine was being used in combination with fenfluramine (referred to as fen-phen) or dexfenfluramine. ), they really can be lifesaving. Garrett Munce writes about men's style and grooming. Issues like nausea and constipation tend to decrease with time. Weight can be maintained with lifestyle, but the degree that the medication is changing the hormones that affect fat cell regulation and appetite, that goes away when you stop the medication, and that can lead to weight regain.. I came to Washington Street did not take on long. Youll inject Ozempic once per week, usually on the same day each week. If approved, Ozempic would be the second medication in its class to be approved for weight loss in adults. And many people living with obesity have internalized a stigma that makes them believe their obesity is somehow their fault.