11 min readUpdated December 2024

Semaglutide for Weight Loss: Complete GLP-1 Guide

How GLP-1 medications like semaglutide are revolutionizing medical weight loss with average weight loss of 15-20% of body weight.

Medically Reviewed by:Medical Team, Men's Health & Wellness Center
Updated: December 2024
Reviewed: December 2024

Semaglutide represents a breakthrough in medical weight loss. Originally developed for diabetes, this GLP-1 receptor agonist has shown remarkable results for weight loss, with clinical trials demonstrating average weight loss of 15-20% of body weight—significantly more than any previous weight loss medication.[1]

What is Semaglutide?

Semaglutide is a GLP-1 (glucagon-like peptide-1) receptor agonist. It mimics a naturally occurring hormone that your body produces in response to eating. This hormone signals to your brain that you're full, slows stomach emptying, and helps regulate blood sugar.[2]

When given as a once-weekly injection at higher doses than used for diabetes, semaglutide produces significant weight loss by reducing appetite and food intake.

How Semaglutide Works for Weight Loss

Reduces Appetite

Acts on brain receptors that control hunger, making you feel satisfied with less food.

Slows Digestion

Delays stomach emptying so you feel full longer after eating.

Reduces Cravings

Decreases food reward signals in the brain, reducing cravings for high-calorie foods.

Improves Metabolism

Helps your body process sugar more efficiently and may improve insulin sensitivity.

Clinical Results: What the Research Shows

The STEP trials (Semaglutide Treatment Effect in People with Obesity) demonstrated impressive results:[1]

  • Average weight loss (68 weeks):15-17%
  • Participants losing 10%+ body weight:70%
  • Participants losing 20%+ body weight:32%
  • Average pounds lost (250 lb person):37-42 lbs

Who Qualifies for Semaglutide?

FDA guidelines generally approve semaglutide for weight loss in adults who meet one of these criteria:[2]

  • BMI of 30 or higher (clinically obese)
  • BMI of 27 or higher with at least one weight-related condition (high blood pressure, type 2 diabetes, high cholesterol, sleep apnea)

Medical Weight Loss Program

Physician-supervised semaglutide weight loss starting at $299/month. Includes medication, monitoring, and support.

Learn About Our Program

Treatment Protocol: What to Expect

  1. 1
    Initial Consultation

    Medical evaluation, lab work, and discussion of weight loss goals and history.

  2. 2
    Dose Titration (Weeks 1-16)

    Start at 0.25mg weekly, gradually increasing to minimize side effects. Target dose is typically 2.4mg.

  3. 3
    Weekly Injections

    Self-administered once weekly at home using a simple pen injection. We train you on proper technique.

  4. 4
    Ongoing Monitoring

    Regular check-ins to monitor progress, adjust dosing, and address any concerns.

Common Side Effects

Side effects are generally mild and improve as your body adjusts:[3][4]

  • Nausea (most common, typically temporary)
  • Vomiting or diarrhea (usually resolves within weeks)
  • Constipation (manageable with diet and hydration)
  • Injection site reactions (mild redness, usually resolves quickly)

Starting with a low dose and increasing gradually significantly reduces side effects. Most patients find symptoms manageable and worth the weight loss results.

Semaglutide vs. Other Weight Loss Options

OptionAvg Weight LossHow It Works
Semaglutide (GLP-1)15-20%Reduces appetite, slows digestion
Tirzepatide (GLP-1/GIP)20-25%Dual hormone action
Phentermine5-10%Appetite suppressant (stimulant)
Diet/Exercise Alone3-5%Calorie deficit

Frequently Asked Questions

How much weight can I lose with semaglutide?

Clinical trials show an average weight loss of 15-20% of body weight over 68 weeks. For a 250-pound person, that could mean losing 37-50 pounds. Individual results vary based on diet, exercise, and starting weight.

How does semaglutide work for weight loss?

Semaglutide mimics GLP-1, a hormone that regulates appetite. It slows stomach emptying, helps you feel full longer, reduces food cravings, and improves how your body processes sugar. It's not a stimulant—it works with your body's natural systems.

What are the common side effects?

The most common side effects are nausea, vomiting, diarrhea, and constipation. These typically improve over time as your body adjusts. Starting with a low dose and gradually increasing minimizes side effects.

Who qualifies for semaglutide weight loss treatment?

Generally, semaglutide is prescribed for adults with a BMI of 30+ (obese) or BMI of 27+ (overweight) with at least one weight-related condition like high blood pressure, type 2 diabetes, or high cholesterol. We'll evaluate your specific situation.

Is semaglutide the same as Ozempic?

Ozempic (semaglutide 0.5-2mg) is FDA-approved for diabetes. Wegovy (semaglutide 2.4mg) is the FDA-approved weight loss version at a higher dose. Some providers prescribe Ozempic 'off-label' for weight loss.

How long do I need to take semaglutide?

Semaglutide is typically used long-term. Studies show weight regain can occur after stopping. Many patients use it for 1-2 years while building sustainable habits, then taper off or continue at a maintenance dose.

Ready to Start Your Weight Loss Journey?

Schedule a consultation to learn if semaglutide is right for you.

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Sources & References

  1. [1]
    Once-Weekly Semaglutide in Adults with Overweight or Obesity (STEP 1 Trial) - New England Journal of Medicine (Accessed December 2024)
  2. [2]
  3. [3]
    GLP-1 Agonists: Weight Loss and Diabetes Treatment - Mayo Clinic (Accessed December 2024)
  4. [4]
    Semaglutide Weight Loss Injection - Cleveland Clinic (Accessed December 2024)

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