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GLP-1 Decoder

Stopping Semaglutide: What Happens Week by Week (Regain Data)

Agree a plan with your prescriber before you stop semaglutide. What you are trying to keep: in STEP 1, people on semaglutide 2.4 mg weekly lost 14.9% on average over 68 weeks.

Average loss, top dose
14.9%
On placebo
2.4%
Trial length
68 weeks
Trial
STEP 1

Wegovy: key facts

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, and after five half-lives (35 d), about 3% remains.

Main-trial weight loss
Wegovy (STEP 1)14.9%Placebo2.4%

In STEP 1 over 68 weeks, body weight fell 14.9%, compared with 2.4% among those taking placebo.

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

Monthly price points for list prices and self-pay offers are shown in US dollars, with each figure taken from the manufacturer's price page.

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

Stopping semaglutide: the numbers first

Average trial weight loss by dose group
TrialDose groupAverage weight lostPlacebo or comparisonWeeksWho was in it
STEP 1Semaglutide 2.4 mg weekly14.9%2.4%68Adults with obesity or overweight, without diabetes
OASIS 4Wegovy pill 25 mg daily13.6%2.4%64Adults with obesity or overweight, without diabetes
SURMOUNT-5Semaglutide 1.7 or 2.4 mg weekly (Wegovy)13.7%semaglutide (Wegovy)72Adults with obesity, without type 2 diabetes
STEP 2Semaglutide 2.4 mg weekly9.6%3.4%68Adults with overweight or obesity and type 2 diabetes

The sources cited are STEP 1 (FDA label (DailyMed)), SURMOUNT-5 (PubMed), and STEP 2 (PubMed).

Keeping the weight off

  1. Speak with your prescriber first so the plan covers follow-up visits and any other medicines.
  2. Keep the eating habits you developed while taking the drug: protein with each meal, smaller portions, and fewer sugary drinks.
  3. Keep moving. Strength training helps you keep the muscle you have now.
  4. Weigh yourself at a regular time, and agree beforehand on the change that should prompt a call to your prescriber.
  5. If you take it for diabetes, ask how your blood sugar will be managed after you stop.

How many people stopped in the trials

Stopped because of side effects
TrialDose groupWhat happenedDrugPlacebo
STEP 1Semaglutide 2.4 mg weeklyStopped for stomach or bowel side effects4.5%Not listed
STEP 1All doses, label poolStopped for side effects6.8%Not listed

Sources: STEP 1 (FDA label (DailyMed)), STEP 1 (PubMed).