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GLP-1 Decoder

Does Semaglutide Cause Cancer? Thyroid Warning vs the Human Data

The semaglutide labels name thyroid c-cell tumors as a reported side effect but give no trial rate for it.

In the label
Listed, no rate given
Label term
thyroid c-cell tumors

A quick look at Wegovy

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

Its half-life is about 1 week. After 7 d, half is gone; after five half-lives (35 d), about 3% remains.

Weight loss in the main trial
Wegovy (STEP 1)14.9%Placebo2.4%

In STEP 1 over 68 weeks, weight loss was 14.9% of body weight, compared with 2.4% on placebo.

Cost over time
202520262027$1,349.02$0List priceSelf-pay

Monthly prices in US dollars include the list price and self-pay offers, each taken from the maker's price page.

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

Ozempic label: what it lists in its place

The Ozempic label provides no cancer risk rate. It lists five side effects most often, and it gives rates for each.

Table 1. Adverse Reactions from 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

Taken from the Ozempic label (DailyMed).

Taken from the FDA's label on DailyMed.

How the Ozempic label says it

Here the label mentions cancer risk word for word:

“• In rodents, semaglutide causes dose-dependent and treatment-duration-dependent thyroid C-cell tumors at clinically relevant exposures.”

Taken from the FDA's label on DailyMed.