GLP-1 receptor agonist · Evidence-led, sources cited

Wegovy (Semaglutide)

Licensed in the UK for weight management.

How it works

Semaglutide mimics the GLP-1 hormone, reducing appetite and food intake by acting on appetite centres and slowing gastric emptying.

Published dosing

Per the Wegovy SmPC, treatment starts at 0.25mg once weekly for four weeks, then steps up at intervals toward a maintenance dose — the pace and target are set by your prescriber.

Common side effects

Commonly reported effects per the SmPC are gastrointestinal: nausea, diarrhoea, vomiting, constipation, typically settling over time.

What the evidence shows

In STEP 1 (NEJM, 2021), mean weight loss was about 14.9% at 68 weeks. Individual results vary.