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GLP-1 Decoder

Saxenda Not Working? The Checklist, in Order

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. If you have lost little after several months on your full dose, talk to your prescriber.

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

Saxenda in brief

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

Its half-life runs about 13 hours, so after 13 h half is gone, and five half-lives (2.7 d) leave about 3%

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

During SCALE Obesity and Prediabetes, 56 weeks, the figure was 7.4% of body weight, against 3% in the placebo group.

Sources: FDA label (DailyMed).

Saxenda not working: the numbers first

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

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

What makes it stall and what helps

  1. Check your place in the dose steps. Each trial listed above shows less weight loss at the lower doses.
  2. Count the doses you missed or took late during the last month.
  3. Write down what you eat and drink for a few days. When portions shrink, liquid calories and grazing add up.
  4. Include protein at each meal and continue strength exercise, so fat makes up most of what you lose.
  5. Appetite shifts with sleep and stress, so check both.
  6. Ask your pharmacist whether any other medicine you take could lead to weight gain.
  7. Months of stalled progress? Ask your prescriber about changing medicines and about tests of your thyroid or blood sugar.

How many people stopped in the trials

People stopped because of side effects
TrialDose groupWhat happenedDrugPlacebo
SCALE Obesity and PrediabetesAll doses, label poolStopped for side effects9.8%Not listed

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