How much weight will I lose on Ozempic?

Clinical trial projections, personalized to you

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projected weight loss
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Starting Weight
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Final Weight
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Starting BMI
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Final BMI
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% of Starting Body Weight
Treatment Details
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Maximum Dose--
Clinical Trial BasisSTEP 1 Trial

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Medical Disclaimer: This tool provides general educational estimates. Always consult your prescribing physician or healthcare provider before making medication changes or interpreting results from population-based models.

Frequently Asked Questions

In the STEP 1 clinical trial (N=1,961), participants taking semaglutide 2.4 mg weekly lost an average of 14.9% of their body weight over 68 weeks, compared to 2.4% with placebo. At the standard Ozempic doses (0.5 mg and 1.0 mg), the SUSTAIN trials showed weight loss typically ranges from 5% to 10% of body weight over 6-12 months.

Most people start noticing weight loss within 4-6 weeks of starting treatment. The rate of loss is typically fastest between weeks 12 and 28 during dose escalation.

The STEP 4 trial showed participants who switched from semaglutide 2.4 mg to placebo regained approximately two-thirds of the weight they had lost over the following 48 weeks.

Yes. All STEP clinical trials combined semaglutide with a reduced-calorie diet (500 kcal/day deficit) and increased physical activity (150 minutes/week). Dietary changes amplify results substantially.

Yes. The projections are derived from the STEP and SUSTAIN clinical trial programs published in the New England Journal of Medicine and The Lancet.

Sources

  1. Wilding JPH, Batterham RL, Calanna S, et al. Once-Weekly Semaglutide in Adults with Overweight or Obesity (STEP 1). N Engl J Med. 2021;384(11):989-1002. Link
  2. Davies M, Faerch L, Jeppesen OK, et al. Semaglutide 2.4 mg once a week in adults with overweight or obesity (STEP 2). Lancet. 2021;397(10278):971-984. Link
  3. Rubino D, Abrahamsson N, Davies M, et al. Effect of Continued Weekly Subcutaneous Semaglutide vs Placebo on Weight Loss Maintenance (STEP 4). JAMA. 2021;325(14):1414-1425. Link
  4. Novo Nordisk. Ozempic (semaglutide) Prescribing Information. FDA.gov. Link

Methodology

This calculator projects weight loss using dose-specific percentage outcomes from published clinical trials. For the 2.4 mg dose, projections are based on the STEP 1 trial (14.9% average body weight loss at 68 weeks). For the 1.0 mg and 0.5 mg doses, projections use data from the SUSTAIN trial program (~8% and ~5% at 52 weeks respectively).

Weight loss is calculated as a percentage of starting body weight and scaled proportionally to the selected treatment duration. This tool provides estimates only and does not replace clinical guidance.

Ozempic (semaglutide) is a GLP-1 receptor agonist. In the STEP 1 clinical trial, the 2.4 mg weekly dose produced 14.9% average body weight loss over 68 weeks. The standard Ozempic doses (0.5 mg and 1.0 mg) produce approximately 5-8% weight loss over 52 weeks in the SUSTAIN trials.

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