Ozempic Dosing For Weight Loss

Mahshid Moghei, PhD Medically reviewed by Mahshid M. on | Written by Matthew Sommers

5 dosing pens each of a Semiglutin drug

Ozempic is getting a lot of attention lately because some people are thinking about using it to help them lose weight. In the past, healthcare providers primarily prescribed Ozempic for diabetes. Although Ozempic itself isn't officially approved by the FDA for weight loss, its main ingredient, called semaglutide, has been approved for this purpose under a different name – Wegovy.

Semaglutide has shown to be effective for weight loss, which is why people are interested in using Ozempic for this purpose. In the past, there weren't many prescription options for weight loss, but semaglutide is changing that.

However, before you talk to your doctor about using Ozempic or other diabetes medications to lose weight, it's important to understand the precautions and risks involved. Let’s look closer at how Ozempic works and some of the important risks associated with its use to help you make an informed decision. 

Key Takeaways

  • Ozempic is directly FDA-approved for weight loss. However, its active ingredient, semaglutide, is used in Wegovy. Wegovy is approved specifically for weight loss in certain patients. 

  • Wegovy provides a maximum dose of 2.4 mg of semaglutide, while Ozempic provides a maximum dose of 2 mg of semaglutide. 

  • Lower doses of semaglutide have also been associated with significant weight loss. 

  • Discussing your complete medical history with your healthcare providers is critical to ensure the medication is used safely. 

How Does Ozempic Work For Weight Loss? 

Ozempic belongs to a class of medications called GLP-1 agonists. These medications help regulate blood sugar levels by promoting insulin release in the pancreas. They also have effects that could be more helpful for weight loss, like delaying stomach emptying after meals and potentially reducing hunger. 

Ozempic Dosing

Originally designed to help control blood sugar in diabetes patients, Ozempic has shown another beneficial effect – significant weight loss. Studies, notably the STEP trials, investigated semaglutide's impact on weight management. These trials focused on Wegovy, which provides a weekly dose of 2.4 mg. For Ozempic, the typical dose is 2 mg weekly.

Combining 2.4 mg of semaglutide with lifestyle changes proved highly effective, with an average weight loss of 14.9% of initial body weight. This success led to FDA approval for weight loss treatment in:

  • Adults with a BMI > 30kg/m2 (Obesity).

  • Adults with a BMI > 27kg/m2 (Overweight) and a weight-related health issue like high blood pressure, high cholesterol, or diabetes.

  • Pediatric patients with a BMI in the 95th percentile or higher.

The weight loss effects of semaglutide appear to be dose-dependent — higher doses have been associated with higher average body weight loss over time. However, using an Ozempic 2 mg dose for weight loss would likely still provide significant weight loss. Although weight management was not a primary objective in studies, doses as low as 0.5 to 1 mg of semaglutide have been associated with about 4 to 5% losses in body weight. This amount of weight loss is considered significant, as it becomes more likely to help improve things like cardiovascular risk and mobility in individuals considered overweight. 

The dose of Ozempic is often started at lower levels like 0.25 mg and increased slowly over a period of several months before reaching a target dosage. This slow increase in dosage helps the body adjust, and can help limit or avoid some of the common side effects of Ozempic. 

Ozempic Side Effects

Ozempic can help with weight loss by reducing hunger and slowing down stomach emptying. But, these same actions can cause some common side effects like upset stomach, nausea, vomiting, diarrhea, abdominal pain, and constipation. If these side effects become too bothersome, the medication may need to be stopped.

Ultimately, the Ozempic side effects for weight loss are the similar to those seen in individuals using the medication to help manage diabetes. To minimize side effects, doctors often start with a low dose and gradually increase it over time. This allows your body to adjust, making side effects less likely. It may take a few months to find the right dose that works best for you.

Ozempic Precautions

Before starting Ozempic, it's crucial to discuss your medical history with your healthcare provider. Certain conditions may make it risky to use this medication:

  1. Thyroid Tumors: If you or a family member have had thyroid tumors, it's best to avoid Ozempic due to the potential risk of thyroid cancer.

  2. Pancreatitis: Ozempic has been linked to a higher risk of pancreatitis, a serious condition causing inflammation of the pancreas. People with a history of pancreatitis should be cautious about using Ozempic.

  3. Gastroparesis: Ozempic slows down stomach emptying, which can worsen gastroparesis, a condition characterized by delayed stomach emptying and symptoms like nausea and vomiting.

  4. Dehydration and Kidney Damage: Side effects like vomiting and diarrhea from Ozempic can lead to dehydration and kidney damage if not addressed promptly.

  5. Pregnancy: If you're pregnant or planning to become pregnant, discuss Ozempic with your healthcare provider. Weight loss is, in general, not recommended during pregnancy and the use of the medication may pose risks to the baby. 

Ozempic Price

Once you and your healthcare provider decide on Ozempic, the next hurdle is often managing the costs. Without insurance or with a high deductible, the typical Ozempic cost without insurance can be over $1000 each month. Since there's no Ozempic generic version available yet, finding affordable prices can be tough. This leads many with a valid prescription to consider services that provide opportunities to buy Ozempic online. 

Prices can vary a lot between pharmacies, so it's a good idea to research your options. Some people also choose to buy their medications, including Ozempic, from Canadian pharmacies, where prices can be lower. Services like PlanetDrugsDirect connect you with licensed Canadian pharmacies to help you find more affordable prescription medications. 

Conclusion 

Semaglutide, the active ingredient of Ozempic, has generated a lot of interest because of its association with significant weight loss. While studies that focus on weight loss specifically have used doses of 2.4 mg of semaglutide, the lower doses provided by Ozempic appear likely to retain significant weight loss potential. When considering Ozempic for any purpose, it’s important to review your full medical history with your providers to ensure the medication is used safely. 

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Sources

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  2. Pietiläinen, K. H., Rissanen, A., Laamanen, M., Sovijärvi, A., Yki-Järvinen, H., Kaprio, J., & Rissanen, A. (2011). Growth patterns in young adult monozygotic twin pairs discordant and concordant for obesity. Twin Research and Human Genetics, 14(6), 490-498. https://doi.org/10.1375/twin.14.6.490

  3. McMurray, J. J. V., Packer, M., Desai, A. S., Gong, J., Lefkowitz, M. P., Rizkala, A. R., ... & Zile, M. R. (2016). Angiotensin–neprilysin inhibition versus enalapril in heart failure. The New England Journal of Medicine, 371(11), 993-1004. https://doi.org/10.1056/NEJMoa1607141

  4. Rubenstein, L. Z. (2022). Delirium in older adults: Diagnosis, prevention, and treatment. Primary Care Companion for CNS Disorders, 24(2). https://doi.org/10.1080/00325481.2022.2051366


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The content on this page is for informational and educational purposes only and does not constitute professional medical advice. Patients should not use the information presented on this page for diagnosing a health-related issue or disease. Before taking any medication or supplements, patients should always consult a physician or qualified healthcare professional for medical advice or information about whether a drug is safe, appropriate or effective.