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GLP-1 Decoder

Liraglutide Plateau: Why Weight Loss Stalls

Results vary a lot by person. In SCALE Obesity and Prediabetes, the average loss on liraglutide 3.0 mg daily was 7.4% over 56 weeks, against 3% on placebo.

Average loss, top dose
7.4%
On placebo
3%
Trial length
56 weeks
Trial
SCALE Obesity and Prediabetes

Saxenda, in brief

How long it lasts in your body
100%50%25%0%013 h26 h39 h2.2 d2.7 d50%25%12.5%time after the dose

Its half-life is about 13 hours. After 13 h, half is gone, and after five half-lives (2.7 d) about 3% is left.

Main trial weight loss
Saxenda (SCALE Obesity and Prediabetes)7.4%Placebo3%

SCALE Obesity and Prediabetes, 56 weeks: body weight fell by 7.4%, with 3% on placebo.

Sources: FDA label (DailyMed).

Liraglutide plateau: the numbers first

Average weight lost in each trial, listed by dose group
TrialDose groupAverage weight lostPlacebo or comparisonWeeksWho was in it
SCALE Obesity and PrediabetesLiraglutide 3.0 mg daily7.4%3%56Adults who were overweight or obese, and had no type 2 diabetes

Source: SCALE Obesity and Prediabetes (FDA label (DailyMed)).

What makes it stall, and what helps

  1. See which dose step you have reached. In all of the trials listed above, the lower doses led to less weight loss.
  2. Over the last month, count how many doses you missed or took late.
  3. Record your food and drinks for a few days. As portions shrink, liquid calories and grazing add up.
  4. Have protein at every meal and keep up your strength exercise, so most of the weight you lose is fat.
  5. Look at your sleep and stress, since both affect appetite.
  6. Ask your pharmacist whether any of your other medicines can cause weight gain.
  7. If your progress has stalled for months, talk with your prescriber about switching medicines, and ask about a thyroid check or a blood sugar check.