Skip to content
GLP-1 Decoder

Victoza Not Working? The Checklist, in Order

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. If you have lost little after several months on your full dose, talk to your prescriber.

Average loss, top dose
7.4%
On placebo
3%
Trial length
56 weeks
Trial
SCALE Obesity and Prediabetes

A quick look at Victoza

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, so half clears by 13 h. After five half-lives, that is 2.7 d, only about 3% remains.

How much weight was lost in the main trial
Victoza (LEAD-3)2.5 kgPlacebo1.1 kg

In LEAD-3, people with type 2 diabetes lost 2.5 kg over 52 weeks, compared with 1.1 kg on placebo.

Sources: FDA label (DailyMed).

Victoza not working: the numbers first

Victoza tests focused mainly on blood sugar. The weight trials involved Saxenda, which contains the same medicine but uses a higher dose.

Average weight loss in each study, divided by dose group
TrialDose groupAverage weight lostPlacebo or comparisonWeeksWho was in it
SCALE Obesity and PrediabetesLiraglutide 3.0 mg daily7.4%3%56Adults who have obesity or are overweight, and do not have type 2 diabetes

Source: SCALE Obesity and Prediabetes (FDA label (DailyMed)).

What makes it stall and what helps

  1. See where you stand in the dose steps. In every trial listed above, lower doses led to less weight loss.
  2. Add up the doses you missed or took late over the past month.
  3. Keep a record of what you eat and drink for a few days. When portions decrease, calories from liquids and grazing build up.
  4. Include protein at every meal and continue strength exercise, so most weight loss comes from fat.
  5. Check your sleep and stress, since both change appetite.
  6. Check with your pharmacist whether any of your other medicines can cause weight gain.
  7. Raise two things with your prescriber: thyroid or blood sugar testing, and switching medicines if months go by with no progress.

In the trials, how many people stopped?

Stopped because of side effects
TrialDose groupWhat happenedDrugPlacebo
SCALE Obesity and PrediabetesAll doses, label poolStopped for side effects9.8%Not listed

Source: SCALE Obesity and Prediabetes (FDA label (DailyMed)).