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Semaglutide

Also known as Wegovy, Ozempic, Rybelsus

A weekly injection that makes you feel full sooner and less hungry. It's the active ingredient in Wegovy and Ozempic.

Quick facts

Status
Approved medicine in the EU and US
Evidence
Approved (large phase 3 trials)
Taken as
Injection under the skin once a week (pre-filled pen); also a daily tablet
Common sizes
The approved medicine comes in pre-filled pens. Vials sold online (5–20 mg) are not the approved product.
Category
GLP-1 receptor agonist · weight & blood sugar

How it works

It copies a gut hormone called GLP-1. That hormone tells your brain you're full, slows down how fast your stomach empties and helps your body control blood sugar.

What it’s used for

  • Weight loss (Wegovy) for people with obesity or overweight plus a health problem
  • Type 2 diabetes (Ozempic, and Rybelsus as a tablet)
  • Lowering the risk of heart attack and stroke in some people with heart disease

What the research shows

  • Large clinical trials with thousands of people.
  • People lost about 15% of their body weight on average after a little over a year with Wegovy.
  • Weight usually comes back if treatment stops.

Side effects & risks

  • Nausea, diarrhoea, vomiting and constipation — most common when the dose goes up
  • Gallstones and, rarely, inflammation of the pancreas
  • Losing muscle as well as fat if weight drops fast
  • Not for use in pregnancy

Is it legal?

Approved in the EU (EMA), US (FDA) and UK. Prescription-only — use only under a doctor's supervision.

Storage & safe handling

  • Keep unused pens in the fridge (2–8 °C); never freeze them.
  • Use a new needle for each injection and rotate sites (stomach, thigh or upper arm).
  • Follow your doctor's instructions and the patient leaflet — don't change the dose yourself.
  • Get medical help for severe stomach pain, signs of an allergic reaction or persistent vomiting.
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Sources: EMA product information (EPAR) for Wegovy and Ozempic; FDA prescribing information for Wegovy.
Last updated 12 October 2026. Information — not medical advice. PepTimer does not replace a doctor. Many peptides are not approved medicines in the EU, UK or US. Talk to a qualified healthcare provider before starting, changing or stopping any treatment.