Results showed that patients lost on average up to 14 lb (6.4 kg), although some people also gained weight. Study 1: Patients using Ozempic 0.5 mg dose lost on average 8 lb (3.6 kg), those using 1 mg dose lost 10 lb (4.5 kg), and those taking placebo (an inactive treatment) lost 3 lb (1.4 kg).
A dose of 0.5 to 1 mg per week (double the maximum approved diabetes dose) seems to provide the maximum weight loss benefits for many people using Ozempic off-label.
Once you begin using Ozempic, some people can find it takes several weeks to see any weight loss, yet others may see some weight loss within a week or 2. While it can be difficult, try to remain patient — change looks different for everyone.
Ozempic 0.5 mg and 1 mg injected weekly significantly reduced the A1C levels in all studies ranging from 30 weeks to 56 weeks.
Study 1: Patients using Ozempic 0.5 mg dose lost on average 8 lb (3.6 kg), those using 1 mg dose lost 10 lb (4.5 kg), and those taking placebo (an inactive treatment) lost 3 lb (1.4 kg). Study 2: Patients using the Ozempic 1 mg dose lost on average 12 lb (5.5 kg), and those using the 2 mg dose lost 14 lb (6.3 kg).
Still, Ozempic and other GLP-1 medications will be most effective for weight loss and blood sugar control when combined with a healthy diet and regular exercise. Generally, eating healthy foods and avoiding foods high in sugar, calories, and unhealthy fats while taking Ozempic helps.
Ozempic is also used off-label for weight loss. In particular, it can help reduce the amount of belly fat. This is because Ozempic works by making you feel fuller for longer, which can help you resist overeating by controlling cravings and hunger.
You may need a higher dosage of Ozempic
The same holds true for Ozempic's weight loss results. People taking higher doses of Ozempic tend to lose more weight. In the landmark study we cited above, people lost 7% of their body weight, on average, within a year and a half of taking 1mg of semaglutide.
The active ingredient in Ozempic is semaglutide, which works by inducing satiety. This feeling of being satisfied or “full”, suppresses appetite. This is why it works for weight loss. Semaglutide also helps the pancreas produce insulin, which is how it helps manage type 2 diabetes.
Once you use Ozempic, you should experience increased satiety, which helps your body to gradually adjust and begin to lose weight. In general, most people lose a minimum of 5% of their starting weight when they use Ozempic.
A study found that at the highest dose of Wegovy (2.4 mg), patients lost on average 15% of their total body weight after 1 year. In patients with diabetes, one study showed that taking Ozempic at the highest dose of 2 mg led to on average ~15 lbs (6.9 kg) weight loss after 40 weeks.
You start feeling those usual hunger pangs again, and consequently, you may start eating more to satisfy that hunger. An increase in your consumption can lead to the regaining of weight that was lost. A 2022 study found that most individuals gain weight back a year after stopping the medication.
Weight loss—whether through medication or diet—may lead to a loss of muscle mass, which can be especially concerning for older adults. While muscle mass declines naturally with age, shedding a lot of weight in a short time with drugs like Ozempic or Wegovy can lead to reduced strength and bone density.
Will Ozempic or Wegovy reduce belly fat? The answer appears to be yes. That Novo Nordisk-funded study of almost 2,000 overweight or obese adults without diabetes also found their visceral fat — the type that accumulates in the belly — was reduced from baseline with semaglutide, along with their total fat mass.
Ozempic can cause nausea and vomiting if taken after eating foods high in fat or sugar. It is recommended that you take Ozempic before meals, rather than after, to minimise any potential side effects from eating high-fat or high-sugar foods.
Ozempic® should be administered by a patient once weekly on the same day each week, at any time of the day, with or without meals. The day of weekly administration can be changed if necessary as long as the time between 2 doses is at least 2 days (>48 hours).
Clinical studies have shown that Ozempic® (Semaglutide) can help patients lose significant amounts of weight over time. In fact, in one study, patients who took Ozempic® (Semaglutide) lost an average of 15.3 pounds after 26 weeks, compared to an average weight loss of 2.6 pounds in the placebo group.
On average, a user can lose about 3 to 5% of their body weight after using Ozempic for a month regularly. This equates to about 4 to 6 pounds on average. Using a higher potency of the drug may result in more weight loss, but it isn't recommended that you start taking it right away.
So, on average, with the recommended starting Ozempic dose of 0.25 mg, a 500 to 1000 calorie reduced diet, and exercise 3 times a week, you can expect to lose 3-5 pounds in the first month of treatment, which works out to about 3% of body weight for most overweight or obese individuals.
Ozempic is only intended and approved for people with type 2 diabetes. You should not take it solely for weight loss. Doing so may prevent patients who require the medication for blood sugar management from getting it. Interrupting their treatment with Ozempic creates serious health risks.