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GLP-1 Decoder

Saxenda Sulfur Burps: How Common, How Long It Lasts

Yes. In the Saxenda trials, 4.5% of people on Saxenda had sulfur burps, against 0.2% on placebo: about 22 times the placebo rate. Smaller, slower meals help most.

In the Saxenda label
Yes, with a rate
On Saxenda Saxenda
4.5%
On placebo
0.2%
Rank in the label table
15 of 24

Saxenda facts at a glance

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

The half-life is about 13 hours. After 13 h, half is gone. At five half-lives (2.7 d), about 3% remains.

How much weight was lost in its main trial
Saxenda (SCALE Obesity and Prediabetes)7.4%Placebo3%

In SCALE Obesity and Prediabetes, 56 weeks, the result was 7.4% of body weight versus 3% on placebo.

Sources: FDA label (DailyMed).

How often this happens on Saxenda compared with placebo

By dose group, the label trials report Saxenda sulfur burps. The placebo group is the comparison group in that same trial.

What the Saxenda label says about sulfur burps
Medicine and doseSulfur burpsPlaceboMore than placeboPeople in the trials
Saxenda Saxenda4.5%0.2%+4.3 pointsFor weight management in adults who have obesity or are overweight; the label calls this eructation

Source: Saxenda label (DailyMed).

Comparing sulfur burps from Saxenda and other GLP-1s

Each label covers its own trials, which studied different groups of people. Use this comparison as a rough guide.

The table also lists the pill forms: Foundayo.

Sulfur burps across GLP-1 labels
MedicineHighest rate in the labelDose groupPlaceboPeople in the trials
Foundayo8%9 mg1%Adults with obesity or overweight (weight management)
Wegovy7%2.4 mgNot reportedAdults with obesity or overweight (weight management)
Zepbound5%10 mg1%Adults with obesity or overweight (weight management)
Saxenda4.5%all doses0.2%Adults with obesity or overweight (weight management)
OzempicNot by this name–––
RybelsusNot by this name–––
MounjaroNot by this name–––
TrulicityNot by this name–––
VictozaNot listed–––
ByettaNot by this name–––

Sources: Wegovy label (DailyMed), Zepbound label (DailyMed), Foundayo label (DailyMed), Saxenda label (DailyMed).

Source: FDA label (DailyMed).

Why it happens on Saxenda

These medicines make the stomach empty more slowly. When food sits longer, sulfur burps can show up, most of all after meals that are big or fatty.

Source: health.clevelandclinic.org.

What helps, step by step

  1. Cut back on sugary and highly processed foods.
  2. Right after taking your dose, go easy on high-fiber foods.
  3. Eat smaller meals and stop when you feel full. The stomach empties more slowly because of these medicines.
  4. Eat slowly. Your brain needs time to notice when you feel full.
  5. Fatty, greasy, and sugary foods often cause symptoms, so limit them.
  6. Tell your prescriber if it does not ease. They may slow the dose increases, or they may suggest another GLP-1.

Use the GLP-1 interactions checker to check anything from the drugstore before taking it.

Source: health.clevelandclinic.org.