Skip to content
GLP-1 Decoder

Semaglutide Heart: How Common, How Long It Lasts, What Helps

The semaglutide labels name heart rate as a reported side effect but give no trial rate for it.

In the label
Listed, no rate given
Label term
heart rate

Wegovy overview

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

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

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

In STEP 1, at 68 weeks: 14.9% of body weight, compared with 2.4% for placebo treatment.

The price as time goes by
202520262027$1,349.02$0List priceSelf-pay

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

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

What the Ozempic label lists instead

The Ozempic label gives no rate for heart effects. It lists five side effects most often, and gives rates for each.

Table 1. OZEMPIC: Adverse Reactions in Placebo-Controlled Trials Reported at ≥5% for 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

Source: Ozempic label (DailyMed).

Source: FDA label (DailyMed).

What the Ozempic label says

Here the label mentions heart effects, word for word:

“In placebo-controlled trials, OZEMPIC 0.5 mg and 1 mg resulted in a mean increase in heart rate of 2 to 3 beats per minute.”

Source: FDA label (DailyMed).