15 Burning Questions About Ozempic, Answered

21 Min Read
21 Min Read

1. How does Ozempic and different in style weight reduction medicine work?

Ozempic is a GLP-1 agonist. It mimics the motion of glucagon-like peptide 1, a hormone within the physique that stimulates the pancreas to supply extra insulin. When insulin will increase, extra blood sugar is taken into the cells, decreasing the sugar stage within the blood.

Ozempic has the additional benefit of stopping the liver from making and releasing extra sugar, Palinsky-Wade stated.

GLP-1 is the primary driver of Ozempic’s weight reduction results, past its results on blood sugar. “GLP-1 will increase satiety, reduces urge for food, and slows digestion, which additionally suppresses urge for food,” says Palinsky-Wade. She explains that the drug slows the emptying of meals from the abdomen, which might hold you feeling full longer.

“Some individuals could really feel an urge for food suppressant impact inside 24 to 48 hours, however weight reduction and blood sugar management could take longer,” says Dr. Chan. “Some individuals shed some pounds and obtain blood sugar management over a number of months, however the results final for greater than a 12 months.”

Equally, the same class of medication, GLP-1 and GIP receptor agonists, mimic the results of hormones within the decrease gut to stimulate postprandial insulin launch. Mounjaro and Zepbound (model identify variations of generic tirzepatide) are GIP receptor agonists. Analysis has additionally proven that GIP alerts a sense of fullness.

2. Who has been probably the most profitable Ozempic participant thus far?

Ozempic was first formulated by the pharmaceutical firm Novo Nordisk in 2012. A number of research over the previous decade have proven it to be efficient in controlling blood sugar. Research have proven that individuals taking this drug noticed their A1C lower by a mean of 0.77 factors over a six-month interval.

A1C measures common blood sugar ranges over a 2-3 month interval and is a marker of diabetes administration.

Though Ozempic is just not particularly authorised for weight reduction, many sufferers who use Ozempic to deal with kind 2 diabetes additionally shed some pounds as a facet impact. Wegovy, the identical high-dose drug as Ozempic, has been authorised by the FDA for extra weight with important outcomes. One placebo-controlled research discovered that greater than 1,200 individuals who took 2.4 mg or 7.2 mg of Wegovy for 72 weeks misplaced a mean of 15.6 to 18.7 % in weight.

Relating to Ozempic particularly, it’s at present unclear whether or not some teams of individuals are higher in a position to handle their blood sugar ranges than others, or whether or not they can lose extra weight with the drug. “We do not have that detailed proof but, however there are basic developments from different research,” Chan says. “Early intervention is best as a result of it reduces the variety of years of uncontrolled diabetes and other people with greater baseline weights are likely to shed some pounds.”

3. Who shouldn’t take Ozempic?

Ozempic is just not really useful throughout being pregnant, a historical past of diabetic retinopathy, or individuals with pancreatic or kidney issues, based on the drug’s web site.

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Individuals with a household historical past of medullary thyroid most cancers or a number of endocrine tumor syndrome 2 must also not take Ozempic.

These similar limitations apply to Wegovy. Mounjaro and Zepbound are additionally not really useful throughout being pregnant or for individuals with household historical past of those situations.

4. Ought to I keep in Ozempic endlessly?

For most individuals, Ozempic is not going to be a short-term answer. “Semaglutide is a drug that needs to be taken long-term, not quickly,” says Dr. Washington. “Weight problems is a continual illness, and drugs do not work until you’re taking them.” When you cease taking Ozempic, you are likely to regain the load you misplaced, she says.

So how lengthy are you able to keep in Ozempic? No time restrict has been set but. (The identical is true for different new weight reduction medicine.) However so long as you tolerate the drug effectively and your well being care supplier recommends it, it’s best to have the ability to proceed taking it.

5. I do know that Ozempic loses weight rapidly. Are there any downsides to that?

If that you must shed some pounds, speedy weight reduction medicine could also be best for you. Nonetheless, dropping pounds rapidly can include drawbacks. Lack of muscle mass is a specific concern for older individuals taking this drug.

“Decreased urge for food and decreased calorie consumption can promote weight reduction, however may also result in a scarcity of balanced diet and an elevated threat of dietary deficiencies,” says Palinsky-Wade. These potential deficiencies can have lasting results. For instance, not getting sufficient calcium and vitamin D in your weight-reduction plan can improve your threat of osteoporosis, she notes. Speedy weight reduction may also result in a lack of muscle mass, which might scale back total metabolism, energy, and stability over time.

Ozempic and different weight reduction medicine could have some beauty drawbacks. Many individuals report having an “Ozempik face,” or a sunken face attributable to speedy fats loss. (Sadly, you’ll be able to’t management which areas of your physique lose fats the quickest or most noticeably.) Some Ozempic customers complain about their “Ozempic butt.” The identical precept applies. Speedy weight reduction may cause your butt to sag or grow to be sunken.

6. I’ve heard that this drug has some fairly dangerous negative effects. Ought to I be involved?

Most pharmaceuticals can have negative effects, and Ozempic isn’t any exception. The commonest negative effects of Ozempic are nausea, vomiting, constipation, diarrhea, and belly ache.

Much less generally, some individuals expertise fatigue, hair loss, and extra extreme abdomen issues.

Unwanted side effects of GLP-1 and GIP receptor agonists are related and are usually gastrointestinal (GI), says Palinski-Wade. Some research have proven that individuals taking tirzepatide expertise extra gastrointestinal negative effects than individuals taking semaglutide, however every individual responds in another way to every drug.

Alternatively, for most individuals, the negative effects of those new weight reduction medicine aren’t debilitating and disappear rapidly. “Usually, these negative effects are seen throughout the first few weeks of therapy and when the dose is elevated,” Palinsky-Wade says. She recommends avoiding massive meals and high-fat meals to cut back digestive signs.

7. What are the long-term well being results of Ozempic?

As a result of medicine like Ozempic are comparatively new, there is not a ton of information on their long-term well being results. Nonetheless, some research have raised some doable long-term well being results. One research discovered a hyperlink between these medicine and critical gastrointestinal issues similar to intestinal obstruction, pancreatitis, and gastroparesis.

For these causes, the FDA added a warning about potential negative effects to Ozempic’s label beginning in September 2023.

One other concern is the potential impression of Ozempic on the chance of thyroid most cancers. Based on analysis, out there proof doesn’t help a causal relationship between GLP-1 agonists and thyroid most cancers.

That stated, Tchang recommends warning when you’ve got sure threat components. “A private or household historical past of medullary thyroid most cancers is a contraindication to Ozempic as a result of one of these most cancers has been related to Ozempic in animal research,” she says. “Nonetheless, it is very important focus on these considerations with the physician who is aware of your private state of affairs greatest.”

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As with Ozempic, the long-term results of Munjaro and Seppbound additionally require extra knowledge. Palinsky-Wade stated thyroid tumors could ultimately grow to be a priority with these medicine. “The FDA has warned that tirzepatide may cause thyroid tumors in rats, however we do not but know if this is applicable to people. Additional analysis and long-term research are wanted,” she says.

8. How does Ozempic have an effect on my psychological well being?

Washington says weight problems and psychological well being issues go each methods, that means it is troublesome to inform which comes first. Analysis has proven that weight problems is a threat issue for each anxiousness and melancholy.

It is very important learn how Ozempic impacts psychological well being. “There are case studies displaying an affiliation between semaglutide and melancholy,” Washington notes. In a single research, two instances of depressive signs had been recorded. Two individuals with melancholy stopped taking semaglutide and their signs disappeared.

Washington State stated there have been quite a few studies of sufferers experiencing anxiousness, melancholy and suicidal ideas whereas taking semaglutide and tirzepatide.

Inform your physician when you really feel that your medicine is inflicting or worsening your psychotic signs. “It is necessary to fastidiously monitor an individual’s temper and make modifications as wanted,” Washington says.

9. How can I get Ozempic lined by insurance coverage?

Insurance coverage protection for Ozempic (and all drugs similar to weight reduction) varies by supplier and plan. In lots of instances, when you’ve got a legitimate drug prescription, your insurance coverage will cowl no less than a number of the price. Nonetheless, some insurance coverage solely cowl Ozempic when prescribed as a therapy for kind 2 diabetes, not when prescribed off-label as a weight reduction support. Nonetheless, Wegovy and Zepbound are FDA-approved for weight reduction and aren’t supposed to be prescribed to diabetics.

10. How a lot does Ozempic price?

No sugar coating. These medicine aren’t low cost. Novo Nordisk, the producer of Ozempic, lists the value of the injection pen at $1,027.51 with out insurance coverage.

(This worth applies to 0.25 mg, 0.5 mg, 1 mg, and a pair of mg pens.) The corporate affords an internet instrument that will help you decide the price of your explicit plan.

11. How do I get Ozempic if my insurance coverage would not cowl it?

In case your insurance coverage plan doesn’t cowl Ozempic, there could also be different choices to cut back the price of the drug. Ozempic affords a financial savings card that permits customers with non-public or business insurance coverage to pay simply $25 per pen for as much as three months’ value of prescriptions. To entry this card, your prescription have to be for one, two, or three months, and it’s essential to reply a couple of qualifying questions on-line. In the event you’re all for one other weight reduction drug, verify that drug’s web site for potential financial savings.

It’s also possible to ask your physician or pharmacist for inside details about financial savings and affected person help applications in your space. Nationwide drug low cost applications like GoodRx could scale back prices.

12. Are there cheaper alternate options to Ozempic?

Contemplating Ozempic’s worth could be excessive, you’ll be able to’t blame anybody for in search of a less expensive various. Sadly, there aren’t any widespread alternate options to Ozempic, says Chan. Do not be fooled by some web sites promoting copycat variations of this drug. Counterfeit medicines aren’t a protected guess.

Some specialty pharmacies supply compounded semaglutide. These custom-made medicines mix the lively components in Ozempic with different medicines tailor-made to your particular person well being wants. However Chan says this feature would not have the identical security backing as brand-name medicine. “Compounded semaglutide has not undergone the identical rigorous medical testing because the model identify Ozempic, so sufferers who select this route tackle extra dangers and should depend on impartial analysis to make sure security and efficacy.”

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If you cannot afford the identify model Ozempic, different weight reduction medicine are a chance, Chan says. “If Ozempic is just not out there, sufferers ought to seek the advice of a board-certified bariatric doctor who can focus on different choices which are often less expensive, similar to different GLP-1s or oral anti-obesity drugs,” she says.

13. How do I take advantage of Ozempic?

Ozempic is a weekly injection. The tactic of injecting Ozempic is comparatively easy. This medicine is available in a prefilled pen and is injected beneath the pores and skin. The place you carry out the injection is essentially as much as you. It may be injected into the stomach, thigh, or higher arm. Retailer Ozempic within the fridge earlier than first use. After use, the pen could be saved at room temperature between 59 and 86 levels Fahrenheit or within the fridge between 36 and 46 levels Fahrenheit for as much as 56 days. Don’t freeze Ozempic. Additionally, you’ll want to depart the cap on the pen when not in use.

14. I’ve heard that Zepbound and Mounjaro are much more efficient than Ozempic. What do I have to find out about these medicine?

Zepbound and Mounjaro are precisely the identical drug, simply completely different names. Zepbound is a tirzepatide drug particularly authorised for weight problems, and Monjaro is authorised for kind 2 diabetes. Like Ozempic, these medicine have been proven to decrease blood sugar ranges and promote weight reduction in individuals with kind 2 diabetes. In a single research, contributors who took tirzepatide misplaced a mean of 15% of their physique weight over 72 weeks at a dosage of 5mg per week, 19.5% at a dosage of 10mg, and 20.9% at a dosage of 15mg.

This compares favorably with different research that confirmed that Ozempic at 2.4 mg weekly decreased physique weight by a mean of 14.9 % over 68 weeks.

Equally, research have proven that Mounjaro reduces A1C in diabetic sufferers. The research discovered that individuals who took the drug had a discount in A1C starting from 1.87 to 2.59 %.

Deciding which medicine is greatest for chances are you’ll contain evaluating your well being objectives. One of many key variations between Mounjaro and Ozempic is that Ozempic is FDA-approved to cut back the chance of coronary heart assault and stroke in individuals with kind 2 diabetes, whereas Mounjaro is just not. Discuss to your physician about whether or not Munjaro or Ozempic is best for you.

15. What occurs if I cease taking Ozempic?

Ozempic’s results solely final so long as you’re taking it, so weight acquire often rebounds whenever you cease taking the drug, Washington says. “The issue is that as a result of weight problems is a continual illness, our our bodies resist weight modifications and begin working to return to a better set level. On this case, persevering with to take anti-obesity medicine may also help forestall weight acquire,” she says. One overview discovered that individuals who stopped weight reduction medicine returned to their baseline weight in lower than two years.

Palinsky-Wade stated that is more likely to be the case with the drug tirzepatide, in addition to with semaglutide. “Generally, there’s at all times an opportunity you may acquire weight again after stopping weight reduction medicine,” she says. “These drugs are weight administration instruments, not fast fixes or cures.”

Even when you cease taking weight reduction drugs, you’ll be able to at all times proceed to make wholesome selections that promote weight reduction. “To cut back rebound weight acquire, individuals can proceed the approach to life modifications they discovered whereas taking semaglutide,” says Washington.

On a regular basis Well being’s Weight Loss Reframe Examine questioned 3,144 Individuals ages 18 and older throughout the nation who had tried to shed some pounds inside the previous six months. The research was carried out from July 10 to August 18, 2023, throughout demographic teams, gender, and well being standing. Recruitment for the research occurred through an internet portal, in-app, and through e mail. The margin of error for a pattern measurement of three,144 is +/-1.7 share factors at a 95 % confidence stage.

takeout

  • Ozempic is a GLP-1 agonist drug that will increase satiety and reduces urge for food. Different weight reduction medicine similar to Wegovy, Mounjaro, and Zepbound have related results.
  • Analysis exhibits that these medicine assist many individuals shed some pounds, however that you must hold taking them to maintain dropping pounds. These medicine may cause negative effects similar to nausea, vomiting, and diarrhea.
  • Costs range relying in your insurance coverage. As a result of medicine like Ozempic are comparatively new, researchers are nonetheless learning their long-term well being results.
  • These medicine aren’t really useful for people who find themselves pregnant, have a historical past of diabetic retinopathy, or have pancreatic or kidney issues.

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