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GLP-1 Decoder

Saxenda 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

A quick look at Saxenda

How long the body keeps it
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%

For SCALE Obesity and Prediabetes, 56 weeks of data showed 7.4% of body weight, against 3% in the placebo group.

Sources: FDA label (DailyMed).

Saxenda plateau: the numbers first

Average weight lost in each trial, broken out by dose group
TrialDose groupAverage weight lostPlacebo or comparisonWeeksWho was in it
SCALE Obesity and PrediabetesLiraglutide 3.0 mg daily7.4%3%56Participants were adults with overweight or obesity and without type 2 diabetes

From the SCALE Obesity and Prediabetes (FDA label (DailyMed)).

Why it stalls and what helps

  1. Check where you are on the dose steps. Every trial listed above shows lower doses losing less weight.
  2. Over the last month, count doses that you missed or took late
  3. Write down what you eat and drink for a few days. Liquid calories and grazing pile up as portions become smaller
  4. Have protein at every meal and keep up strength exercise, so most of the weight you lose is fat.
  5. Sleep and stress change appetite, so look at both.
  6. Ask your pharmacist whether some of the other drugs you take can cause weight gain.
  7. Ask your prescriber about two issues: a thyroid or blood sugar test, and a medicine switch after months without progress