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GLP-1 Decoder

Ozempic Timeline: Week by Week, What Changes and When

STEP 1 ran 68 weeks. By the end, people on semaglutide 2.4 mg weekly had lost 14.9% of their body weight on average, against 2.4% on placebo. Side effects are most common in the first weeks and after each dose increase.

Average loss, top dose
14.9%
On placebo
2.4%
Trial length
68 weeks
Trial
STEP 1

Ozempic in brief

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

A half-life of about 1 week means the amount falls by half in 7 d. After five half-lives (35 d), about 3% remains.

Main-trial weight loss
Ozempic (SUSTAIN 1)4.7 kgPlacebo1.2 kg

During 30 weeks of SUSTAIN 1, people with type 2 diabetes lost 4.7 kg, compared with 1.2 kg on placebo.

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

The maker's price page gives monthly US dollar price points for both list prices and self-pay offers.

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

Ozempic timeline: the numbers first

Testing Ozempic mainly examined blood sugar. Wegovy provides the weight-trial results shown here. It uses the same medicine, but at a higher dose.

Average weight lost in each trial, by dose group
TrialDose groupAverage weight lostPlacebo or comparisonWeeksWho was in it
STEP 1Semaglutide 2.4 mg weekly14.9%2.4%68Adults with obesity or overweight, without diabetes
OASIS 4Wegovy pill 25 mg daily13.6%2.4%64Adults with obesity or overweight, without diabetes
STEP 2Semaglutide 2.4 mg weekly9.6%3.4%68This group included adults with type 2 diabetes and either obesity or overweight

For source details, see STEP 1 (FDA label (DailyMed)) and STEP 2 (PubMed).

The average, explained in pounds

Three starting weights were used with the 14.9% average from the trial. These figures use arithmetic only and do not predict any single person's result. Results vary: some people lose more, while others lose less.

Average Ozempic weight loss in pounds
Starting weightAverage loss on semaglutide 2.4 mg weeklyAverage loss on placebo
180 lbabout 27 lbabout 4 lb
220 lbabout 33 lbabout 5 lb
260 lbabout 39 lbabout 6 lb

Sources: FDA label (DailyMed).

Week by week

Sources: health.clevelandclinic.org and PubMed.