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GLP-1 Decoder

Ozempic Gallbladder Problems: Risk Numbers, Symptoms

The Ozempic label names cholelithiasis as a reported side effect but gives no trial rate for it.

In the label
Listed, no rate given
Label term
cholelithiasis

Ozempic: a quick look

Time it remains in your body
100%50%25%0%07 d14 d21 d28 d35 d50%25%12.5%time after the dose

Half-life is about 1 week: after 7 d, half is gone, and about 3% remains after five half-lives (35 d).

Weight loss in the main trial
Ozempic (SUSTAIN 1)4.7 kgPlacebo1.2 kg

In SUSTAIN 1, people with type 2 diabetes lost 4.7 kg over 30 weeks, compared with 1.2 kg on placebo

Costs over time
202520262027$1,027.51$0List priceSelf-pay

Monthly price points are in US dollars. They cover the list price and self-pay offers. Each was read from the maker's price page.

Sources: FDA label (DailyMed), healthsystemtracker.org, prnewswire.com 1 2.

What the Ozempic label lists instead

The Ozempic label gives no rate for gallbladder problems. It lists five side effects most often. Here they are, with rates.

Table 1. Adverse Reactions in Placebo-Controlled Trials Reported in ≥5% of OZEMPIC-Treated Patients with Type 2 Diabetes Mellitus
Side effectPlaceboOzempic 0.5 mgOzempic 1 mgMore than placebo, 1 mg
Nausea6.1%15.8%20.3%+14.2 points
Vomiting2.3%5%9.2%+6.9 points
Diarrhea1.9%8.5%8.8%+6.9 points
Abdominal pain4.6%7.3%5.7%+1.1 points
Constipation1.5%5%3.1%+1.6 points

Source: Ozempic label (DailyMed).

Ozempic and other GLP-1s: gallbladder comparison

Each label covers its own trials, which involved different groups of people. Use it as a rough guide.

Gallbladder problems across GLP-1 labels
MedicineHighest rate in the labelDose groupPlaceboPeople in the trials
Wegovy4%2.4 mg0%Children 12 and older with obesity
OzempicListed, no rate given–––
RybelsusListed, no rate given–––
MounjaroListed, no rate given–––
ZepboundListed, no rate given–––
FoundayoListed, no rate given–––
TrulicityListed, no rate given–––
SaxendaListed, no rate given–––
VictozaListed, no rate given–––
ByettaListed, no rate given–––

Source: Wegovy label (DailyMed).

Source: FDA label (DailyMed).

Statements in the Ozempic label

Here, the label mentions gallbladder problems word for word:

“In placebo-controlled trials, cholelithiasis was reported in 1.5% and 0.4% of patients-treated with OZEMPIC 0.5 mg and 1 mg, respectively.”

Source: FDA label (DailyMed).