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By enhancing the feeling of fullness, Zepbound aids in reducing calorie intake, making it easier to stick to a healthier diet. At the heart of my choice was the desire for lasting change—an opportunity to unlock my potential and build a healthier lifestyle. 5 Weight Loss Superfoods to Stock for a Slimmer 2025 The FDA doesn’t review compounded versions of GLP-1 drugs for safety, effectiveness or quality, and the agency has received reports of adverse events in people who used compounded semaglutide. The Houston-area father of two said he’s been able to maintain his weight loss, hovering at around 168 pounds since his last injection in May. Life after weight-loss medications has been smooth sailing, Steven Ray says. The body is adjusting to its new, lower weight and energy balance. The plateau eventually manifests when the medication's effect reaches its limit for a given dose, or when more profound, longer-term metabolic adaptations become dominant. The delayed plateau with Wegovy and Zepbound suggests these medications actively counteract or postpone these initial adaptations.
  • Overall, by 2025 the diabetes and obesity area is skyrocketing primarily due to GLP-1 class.
  • She began taking the medication in 2023 after her health care provider prescribed it over concern she was becoming prediabetic.
  • Whether it’s because of a sedentary lifestyle or poor dietary habits, carrying around extra pounds can take a toll on one’s health and self-confidence.
  • The COR-I, COR-II, and COR-BMOD trials enrolled patients with BMI ≥ 30 kg/m2 or BMI ≥ 27 kg/m2 with at least one comorbidity (25,30,44).
  • The long-term strategy of these platforms involves moving from stigmatized “lifestyle” drugs to high-volume chronic care medications.1 DrugPatentWatch serves as a vital strategic intelligence tool in this transition, allowing these firms to track patent expirations and time their market entry for generics.29
  • Research shows that individuals taking Zepbound can experience substantial weight loss, particularly when the medication is combined with healthy lifestyle practices.
  • Sarah had been struggling with her weight for many years, and her diabetes had become increasingly difficult to manage.
  • Third, we considered the Cochrane Bias Methods to minimize systematic errors and achieve reliable estimates of effects.
Zepbound is an injectable prescription medication that’s been FDA-approved for chronic weight management alongside a balanced diet and regular exercise. Find out if you're eligible for GLP-1s and get started on your weight loss journey. Since you’re experiencing significant side effects, it’s important to discuss with your doctor whether adjusting the dose, taking a break, or stopping altogether is best for you. However, those who switched to a placebo started to see the pounds creep back on, with an average weight regain of 14% almost a year later. If you're still curious to see some of these transformations, social media like Instagram, Tik Tok and Facebook are flooded with before and after shots of people taking Zepbound for weight loss. Setting achievable weight loss goals helps you maintain motivation and make sustainable health changes. To maximize its effectiveness and achieve sustainable weight loss, it must be used alongside healthy lifestyle changes-including diet and physical activity. Spicy or fatty foods can make nausea worse, says Kelly Nguyen, a clinical pharmacy specialist in the Cardiology Department at Tufts Medical Center. “Within a few days of publication, drug companies were contacting me to learn more about it,” he says. In 2021, Wegovy became the first drug since Saxenda to be approved by the U.S. Dapagliflozin was recently approved by the FDA for the treatment of heart failure in individuals with or without T2D based on the results of the DAPA-HF trial (142). Pramlintide acetate (trade name Symlin) is an injectable agent that is FDA-approved for the treatment of type 1 and T2D. The most common side effects of metformin are nausea, flatulence, diarrhea, and bloating (125). In the landmark Diabetes Prevention Program (DPP), 3234 participants without T2D but with fasting and post-prandial hyperglycemia were randomized to intensive lifestyle intervention (ILI), metformin, or placebo (14). These are different drugs that work in similar ways to help with weight loss. While both Mounjaro and Ozempic are really diabetes drugs, they also can help you lose weight. There’s more data on Wegovy for weight loss, but Wegovy also comes with a longer list of common side effects given the higher dose. Working with a knowledgeable healthcare professional, like a Midi clinician, can help you find a safe, appropriate plan—even while new medications are still in development. For many people, non-GLP-1 medications, alone or in combination, can produce meaningful, sustainable results when chosen thoughtfully. These medications—all available as injectables, tablets, or oral drops—are accessible today through a clinician and may be a strong option for people who don’t qualify for or don’t want to wait to get retatrutide with a clinical trial. Because they’re FDA-approved, clinicians have a much clearer understanding of appropriate dosing, common side effects, and long-term safety compared to investigational drugs like retatrutide. You also don’t need to enroll in a retatrutide clinical trial if you are seeking more modest weight loss to optimize your health.
  • Most notice appetite changes within the first week, with 4-8 pounds lost by month one.
  • The latency period to reach significance for differences in all cancers between the treatment groups was a little over 2 years, and although the overall cancer rates were low, the FDA felt that benefits of lorcaserin could not yet be judged to outweigh this adverse risk.
  • Zepbound has been approved for a specific population — adults with obesity or those who are overweight and have at least one weight-related condition, such as high blood pressure, Type 2 diabetes or high cholesterol.
  • “The point of these medications is to improve health,” he said.
  • Success demands thorough lifestyle integration, combining the medication with specific dietary requirements, a consistent exercise protocol, and ongoing behavioral support.
  • Orlistat has been found to be more effective in inhibiting the digestion of fat in solid foods, as opposed to liquids (50).
  • And recent findings show that participants on the highest dose of retatrutide lost an average of 28.7% of their body weight over 68 weeks.
” or “Am I going to be able to eat healthy this weekend? The concept of food noise is you're spending a lot of conscious energy thinking about food. I didn't think much of the term when I first heard it, but since then, so many people tell me it describes exactly what's happening. Ro Body offers a fully integrated telehealth experience for GLP-1 weight-loss treatment, blending medical care, insurance navigation, and lifestyle support. Consumers are often shocked to find that GLP-1 medications like semaglutide (Ozempic®, Wegovy®) and tirzepatide (Mounjaro®, Zepbound®) can cost over $1,000 a month without insurance. This new analysis took the data further by categorizing the different levels of weight loss or regain with cardiometabolic health outcomes. However, this probiotic is not nearly as effective as semaglutide or tirzepatide. Keep in mind that the effects will only last a few hours. You can support your natural GLP-1 by eating healthy fats, protein, and soluble fiber. GLP-1 is a hormone your body makes to help control hunger and blood sugar.

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A well-balanced diet is fundamental for maintaining weight loss. This biological response is often referred to as "metabolic adaptation" and can make it challenging to maintain weight loss without ongoing interventions. However, once the medication is stopped, the body's natural hunger signals return to their original state. The same study showed that only about 25% of patients on one of the weight loss medications continued taking it long-term, Mozaffarian says. Medicare currently does not cover the medications if prescribed solely for weight loss, but may cover them if FDA-approved and prescribed for another medically accepted health benefit, such as decreasing stroke risk. The Tufts experts emphasized that people taking the new weight loss medications still need a nutrition and exercise plan. While surgery, for some people, may be a more appealing option than taking medication for the rest of their lives, Siegel notes that weight loss will plateau for these patients, as well. The demand for glucagon-like-peptide-1 (GLP-1) medications, used for both diabetes and weight loss, has surged significantly, showing no signs of slowing down.
  • How do these medications affect metabolic health beyond weight loss?
  • See, weight-loss results can vary a lot between people, and there's no one-size-fits-all answer to how many pounds you'll lose with Zepbound.
  • Based on the available research, we consider Zepbound use likely to result in weight loss in overweight and obese individuals, which is unsurprising given that the drug is FDA-approved for those indications.
  • The only difference is that you take Ozempic at a lower dose.
  • Zepbound (tirzepatide) has proven to be a powerful drug in the fight against obesity, particularly when paired with healthy lifestyle changes like diet and exercise.
  • When I started my treatment, I was intrigued by the science behind it.
  • My weight gain was out of control, and I tried other programs with no luck.
She prescribed me a GLP-1 for weight loss and HRT. Any approach to sustained weight loss should be multifaceted, encompassing various elements that contribute to your overall well-being. Lower estrogen, reduced activity over time, and menopause-related sleep disruption often work together to drive steady weight gain—about 1.5 pounds per year on average after menopause. As estrogen levels decline, women may burn 250–300 fewer calories per day, making weight gain easier and weight loss harder. As noted above, in many of these randomized trials there is a chance that you will be receiving a placebo, so no active drug at all. In addition, Ozempic works in a unique way to promote weight loss. Many over-the-counter weight loss supplements contain ingredients such as caffeine or green tea extract that can help to suppress appetite or boost metabolism. Compared to other weight loss supplements that are available over the counter, Ozempic has some unique advantages. Her weight had also become a significant barrier to her health and overall well-being. David had been struggling with his weight and type 2 diabetes for many years. Caution should be used in patients with hypertension, mania/hypomania, psychosis, and angle-closure glaucoma. Bupropion is contraindicated in patients with seizures, current or prior diagnosis of bulimia or anorexia nervosa, and concurrent use with MAOs (115). The manufacturer recommends caution in patients with active gastrointestinal reflux diseases. It should be avoided in patients with esophageal anatomic anomalies, suspected strictures, or post-operative complications that affect gastrointestinal transit and motility. In fact, he just got back from a cruise where he was able to walk around confidently without a shirt – a first for a man who, growing up, felt so self-conscious about his weight that he wore a t-shirt in the pool. “It’s not worth it because of the acne, and I had other hormonal side effects,” she said. Murphy feels sure that this latest dose of Zepbound will be her last. Murphy now weighs less than she did in middle school and says it has improved her mental health. Doctors warned her that her blood sugar was low and that she was letting herself get dehydrated, so she tried to be more mindful about her food and water intake. A year and a half later, by her wedding date, Smith had lost 110 pounds. She vowed to commit to healthy eating as her wedding day approached. When Haley Smith, 24, got engaged, she realized she wasn't totally comfortable with her body. But they’re primarily indicated to treat type 2 diabetes. Both Mounjaro and  Ozempic can help you lose weight. The only difference is that you take Ozempic at a lower dose. You can take Wegovy to help you lose weight together with eating fewer calories and exercising more. I also paid attention to what food made me feel better or worse. 12 Best Low Carb Fruits To Eat On Keto Diet Keto Lowcarb Shorts If you have not responded to other weight-loss medications or have plateaued in your weight loss, seeking enrollment in a clinical trial for retatrutide may be a great option for you. And more recent findings show that participants on the highest dose of retatrutide lost an average of 28.7% of their body weight over 68 weeks. Early trial data suggest retatrutide could lead to greater average weight loss than tirzepatide, but its long-term safety, side effects, and real-world tolerability are still being studied. We aim to provide a comprehensive look at Zepbound, ensuring you feel informed and empowered as you navigate your weight loss journey. If you’re wondering, “What’s the average weight loss on Zepbound? When it comes to weight loss solutions, understanding what to expect can make the journey feel less daunting. Because lifestyle modifications have been limited in their success in weight loss maintenance, pharmacotherapy plays an important role in achieving clinically significant weight loss and preventing the development or exacerbation of comorbid conditions. Orforglipron is a small molecule GLP-1RA that has also demonstrated about 15% weight loss in a phase 2 trial (166). The medication was incredibly helpful in quieting the constant “food noise” in my head – that persistent thinking about food that many of us who struggle with weight experience. Essentially, Zepbound works by mimicking these natural hormones, leading to several effects that support weight loss goals. Zepbound is one of the newer prescription medications on the market for chronic weight management. I have about more pounds to lose in the weight loss portion of this journey. As I began taking Zepbound, I experienced some very minimal initial side effects, which is common with many medications. He stayed on the drug for a full year before deciding he was ready to look at lifestyle changes and possibly quit the medicine. Between February and September 2023, Gee lost about 45 pounds on Wegovy. He was also worried about his blood sugar and cholesterol levels, especially because obesity and heart disease run in his family. It mimics a hormone known as GLP-1, which the body releases into the intestine when people eat food and tells the brain you’ve had a meal. People with obesity seeking to lose weight can also turn to Wegovy, which contains semaglutide — the same active ingredient as in Ozempic — and is approved for weight loss. People have been showing off their before-and-after when taking Ozempic and other weight-loss drugs, especially their slimmer bodies thanks to a curbed appetite and eating less. “The weight loss outweighs the side effects for me. Both Zepbound and Mounjaro work by mimicking two different types of hormones that help reduce food cravings and break down sugar and fat, facilitating weight loss. Chinese companies are expected to not only dominate their massive domestic market but increasingly compete internationally with novel products (for example, in 2021, China's BeiGene got its homegrown BTK inhibitor Brukinsa approved by the FDA, showing Chinese drugs going global). Traditional primary care areas like cardiovascular (including lipid-lowering drugs, antihypertensives) have a big volume but many generic products, so their share of spending has declined over time (as key drugs like statins, older antihypertensives went generic). Understanding the detailed dynamics of this industry is crucial, as decisions made within pharma (whether to pursue a certain drug target, how to price a new therapy, where to invest in manufacturing) have far-reaching impacts on global health and economics. The industry’s business model – historically reliant on a few blockbuster drugs marketed broadly – is evolving towards more targeted therapies and diversified portfolios, often in partnership with biotech innovators. The industry’s core purpose is the research, development, manufacture, and distribution of drugs that prevent or treat diseases. After six months, many hit mg doses. He noted improved health markers beyond the scale. A 75-year-old man went from 268 to 232 pounds in four months, sleeping better too. Total drops of pounds become common. It is important to discuss any medications you plan to take or are currently taking before starting Zepbound to ensure that it is safe and effective. If you are taking a sulfonylurea or insulin, speak to your healthcare provider about reducing the dosage of your medication. While Zepbound is a safe and effective medication, there are some side effects that are important to take into consideration before you start. A new prescription is required for each dose adjustment, ensuring a safe and monitored approach to a patient's weight management journey. The treatment regimen starts at 2.5 mg weekly, and, if well-tolerated after 4 weeks, the dosage is raised to 5 mg weekly.
  • The main ingredient in Ozempic is semaglutide, which mimics the chemical GLP-1 in the body.
  • Some people may see steady progress, while others might experience slower results or plateaus.
  • “It’s really a continuum of care for a chronic disease, which is what we now know obesity is,” says Siegel.
  • I discovered the importance of listening to my body—recognizing when I was hungry and when I was full.
  • This allowed me to focus on making better food choices without feeling deprived.
  • For patients who have struggled with repeated weight gain, this study provides hope.
  • In comparison to other well-known GLP-1 agonists used for weight loss management, such as Semaglutide, Tirzepatide has a strong effect on reducing glucose and body weight, according to the SURPASS Pre-clinical studies, 4-week-long phase 1 and 26-week-long phase 2 clinical trials.
  • For years, when PCOS sufferer Brook Vaughan, 42, went on a diet, “I’d gain weight eating the exact same things as other people who were losing,” recalls the Tennessee mom.
  • Deciding the duration of medication use is pivotal.
You’ll most likely have to keep taking them to keep the weight off. Ozempic can help you lose 15%-20% of your weight on average. You’ll take Mounjaro in a higher dose, starting at 2.5 milligrams and working your way up to 5 milligrams once a week. They haven’t been studied in people who’ve had pancreatitis in the past. Hims and Hers both offer convenient access to brand-name and compounded GLP-1 medications without requiring insurance. Its three-month starter bundle ($119/month, billed upfront) gradually increases the dose from 0.25 mg to 1.0 mg to help minimize early side effects. It’s best for people wanting straightforward, affordable access to GLP-1s who are comfortable managing their weight-loss journey without heavy hand-holding. Most side effects get better on their own or resolve with lifestyle changes. They also ramp down overall inflammation in your body. They reduce your risk of heart disease, type 2 diabetes, sleep apnea, and even osteoarthritis. You’ll work your way up to a dose of 0.5 miligrams each week. You’ll start at a lower dose and work your way up to 25 miligrams. The table below shows the percentage of people who lost different amounts of weight while taking different doses of Zepbound or a placebo. Half of those patients then continued the drug for another 52 weeks, while the other half switched to a placebo for the next year. Zepbound, Novo Nordisk's weight loss injection Wegovy and their blockbuster diabetes counterparts have soared in popularity, and in turn have run in short supply in the U.S. over the past year because they help patients lose substantial weight without surgery. The body actively works to close the energy gap created by the initial weight loss intervention. The initial calorie deficit that drove weight loss naturally shrinks over time if dietary intake is not adjusted downwards to match the body's new, lower energy requirements. There has been particular focus on muscle loss in patients using GLP-1 medications. At this point, the medication may still be playing a crucial role, shifting from primarily driving weight loss to helping maintain the weight that has already been lost. 10x Faster Bulking Meal Gym Diet Weightgainers Niteshsoni Workout Sometimes, I get frustrated knowing how hard I have to work to stay on a WW eating plan and control my binge eating knowing that Zepbound made it much easier for me to simply coexist with food. I was completely priced out of a medication that literally changed my life. I also have a food journal in the notes app on my phone. When the food noise came back, I figured that I had nothing to lose by giving Contrave a try. Ro’s acquisition of Modern Fertility for over $225 million was a landmark deal in the digital health space.36 Modern Fertility was a “disruptor” in the fertility space, offering at-home hormone tests for a fraction of the cost of a traditional clinic visit.36 By bringing this capability in-house, Ro gained a high-intent audience of younger women who are now being transitioned into Ro’s broader primary care ecosystem.36 Missing a generic launch by even a few weeks can cost a company millions in lost revenue.34 DrugPatentWatch provides the competitive intelligence that allows Hims and Ro to stay ahead of the “patent cliff”.29 Hims & Hers uses MedMatch to personalize care at scale.26 Unlike a traditional doctor who might see a few hundred patients a year, MedMatch is trained on millions of clinical encounters.23 The system identifies patterns in patient metrics—such as which dosage levels lead to the best outcomes for specific demographics—and uses those insights to guide the provider’s decision-making.27

Need to Get Active? Steps to Change Your Sedentary Lifestyle

Skipping the exploration of post-medication strategies may lead to missing out on sustainable health benefits and the opportunity to permanently transform your lifestyle. Most importantly, we’ve highlighted the crucial steps to prevent weight regain post-medication – a facet often overlooked but equally, if not more, significant. We hope this blog has equipped you with vital information about Zepbound, its comparison with other medications, and strategies for both short-term and long-term use.
  • Some people experience strong appetite suppression and weight loss at Zepbound 7.5 mg or 10 mg and choose to stay there rather than increasing further.
  • “Even accounting for their health benefits, one analysis showed the total annual health care cost for patients adhering to the drug doubled in the first year, from approximately $13,000 per person before starting the drug to $26,000 after,” Mozaffarian says.
  • Greenberg recently published a paper indicating that another hormone, when combined with GLP-1 agonist drugs, may reduce rates of gastric emptying even further.
  • When blood sugar goes up, GLP-1 encourages your body to make more insulin to lower blood sugar.
  • This equates to 45 pounds of weight loss for an individual with a baseline weight of 300 pounds.
  • They can pause your dose increases, make adjustments, or offer ways to ease the symptoms.
  • As I moved into the second and third weeks, I began to settle into a routine.
It's more difficult to convince people to stay with it if they're having side effects during weight loss maintenance. Studies show patients can lose 15–22% of body weight over 72 weeks. According to research, nearly 9 out of 10 patients achieved at least 5% body weight reduction, which is considered a meaningful health milestone. Based on Zepbound clinical trials, patients lost anywhere from 15% to 22% of their body weight over 72 weeks. Sign up for the best information on GLP-1 from the patient led community GLP1 Tribe Greenberg notes that drugs which help build muscle mass may be one way to help with this side effect. “This can be particularly problematic in older individuals, which is why combining weight loss with resistance training exercises is so important,” says Siegel. “If this a nine-inning game, we are still in the first inning in terms of learning what these drugs can do." Greenberg recently published a paper indicating that another hormone, when combined with GLP-1 agonist drugs, may reduce rates of gastric emptying even further. Clinical trials suggest Zepbound may be even more effective in producing weight loss than Wegovy/Ozempic. From week 36 to week 88, participants lost an addition 5.5% with tirzepatide and gained 14.0% with placebo. A post hoc analysis showed that the proportion of participants who increased anti-diabetic therapy intensity decreased in the tirzepatide arms and increased in the placebo arm. A1c was equally reduced by 2.1% with both tirzepatide 10 mg and 15 mg vs 0.5% with placebo. Additional mechanisms involving both GIP and GLP1 pathways may also contribute to weight loss (106), though significant nuance exists in understanding their actions as investigated in mouse vs human studies (107). Refunds are not typically offered, and GLP‑1 medication purchases are handled separately by insurers or cash for Zepbound. WeightWatchers Clinic offers a holistic approach to weight management by combining medical oversight with behavioral support. However, some confusion has arisen around medication purchase rules, specifically that brand-name meds must be run through insurance, not as cash through Mochi. It’s tailored for patients aiming to leverage insurance for comprehensive care. Some patients report slower response times for refill issues or clinical questions. Kyra Wensley's weight loss journey stands as a testament to the transformative power of perseverance, dedication, and innovative weight loss medications like Zepbound. By modulating key neurotransmitters in the brain that regulate appetite and food intake, Zepbound helps individuals make healthier dietary choices and maintain a caloric deficit conducive to weight loss. Zepbound, a cutting-edge injectable weight loss medication, has garnered attention for its ability to facilitate significant weight loss in individuals struggling with obesity. A year later, 70 pounds lighter, CPAP came off. Starting at 280 pounds, he felt drained. At 240 pounds, fatigue cut play short. The first piece of any weight-loss puzzle is diet, and folks in the recent study saw great results with therapeutic carb reduction or TCR. It can make results better and faster while you take the medication. Yet research more than half of users discontinue the meds due to high cost, side effects or other reasons. This dual mechanism helps control blood sugar and results in weight loss. Developed by Eli Lilly, this once-weekly injectable has shown remarkable promise in helping people lose weight. We are happy for those who have achieved their desired weight loss results with Zepbound and wish everyone beginning this journey success in reaching their goals. Check out the success stories of people who lost weight with Zepbound. This allows you not only to view the photos but also to choose a weight loss clinic near you or in your city. This difference is relevant for setting patient expectations and considering treatment adjustments if a plateau occurs. Like semaglutide, tirzepatide has a long half-life (approximately 5 days), enabling once-weekly subcutaneous administration. That compares to an average reduction of 4.8 events per hour for those who received a placebo in the first trial. The index is used to evaluate the severity of obstructive sleep apnea and the effectiveness of treatments for the condition. "Imagine not having to use a PAP machine, or not having to worry about waking up again in the middle of the night, or for your partners — not having to live with somebody with this condition." Working closely with your medical provider is the best way to determine if medication is a good option, as well as which medication may be right for you. Uncover everything you need to know to get started with this medication and determine whether it's right for you. Visit zepbound.lilly.com/coverage-savings to learn more. You will need a prescription for Zepbound from a health care provider, and you can get it at any pharmacy. Both companies are also expected to release new data that could show other potential health benefits of their drugs beyond weight loss and diabetes management, which may increase insurance coverage down the line. While weight-loss drugs and injectables can be an effective short-term strategy, the long-term success and tolerance for side effects of these medications is still being researched. I think that's OK – if people feel good, the drugs work for weight loss, they don't have problems with side effects – that’s a viable alternative. While people are losing weight, they're pretty tolerant of those side effects, but everybody will stop losing weight on the drugs. However, treatments involving GLP-1 receptor agonists like Wegovy and Zepbound tend to sustain weight loss for a longer duration before a plateau is reached. This phase signifies that the body has reached a new equilibrium or "settling point" where the energy consumed through food intake now matches the energy expended at the current, lower body weight. This article aims to provide a comprehensive overview for patients experiencing a weight loss plateau while taking Wegovy or Zepbound. This is defined as a period where weight loss significantly slows down or halts altogether, even while continuing the medication and maintaining lifestyle modifications like diet and exercise. In October 2023, after losing 70 pounds, she stopped using Ozempic because of the side effects. In 2020, her doctor prescribed Ozempic to help her lose weight and prevent her prediabetes from progressing. It’s allowed by the US Food and Drug Administration during a shortage – which, until recently, applied to the GLP-1 drugs due to unprecedented demand. Compounding is the process of making copies of drugs that are commercially available.

Sign up for the best information on GLP-1 from the patient led community GLP1 Tribe

Pricing for higher doses is not clearly disclosed and may increase with titration. The $119/month starter bundle reflects a low starting dose (typically 0.25 to 0.5 mg weekly). Some users report receiving damaged medication or being charged without receiving shipments. Tirzepatide is FDA-approved (for diabetes and weight loss, depending on the brand) and works as a dual-agonist, targeting GLP-1 and GIP receptors to reduce appetite, improve insulin response, and support weight loss. Retatrutide and tirzepatide are often compared because they represent the next wave of metabolic medications, but they’re not equally accessible. A clinician-guided Care Plan that combines proven medications, hormone support when appropriate, and lifestyle strategies tailored to your body can deliver real results. Together, let’s embark on this journey towards sustainable health and well-being. At TrimRx, we offer personalized assessments, unlimited support, and quick-access supplements to aid in your weight maintenance journey. Incorporate more fiber-rich foods, lean proteins, and whole grains into your diet. The psychological aspects of weight maintenance are often overlooked but play a significant role in overall success. Can you stop retatrutide after reaching your goal weight? Once you reach your target dose (typically 8–12 mg), you'll continue at this level to maintain your results. This does not reduce long-term effectiveness—it simply allows your body more time to adjust. Book a BodySpec DEXA scan today and see exactly how your body composition changes over time. When blood sugar goes up, GLP-1 encourages your body to make more insulin to lower blood sugar. For example, all of them include a class of drug that’s known as a GLP-1 agonist. LeafyBark isn’t just a source of information; it’s a community where health-conscious individuals connect and thrive. Other foods to avoid on Ozempic include fruits and vegetables that contain significant roughage such as pineapple, and gas-forming vegetables like broccoli. To reduce nausea while on semaglutide, registered dietitian Emily Rubin recommends skipping hot, fried or greasy food; and avoiding eating or cooking strong-smelling food. Since then, Jackson-Williams told NBC News she’s making better food choices, her blood sugar has dropped to prediabetic levels, and she’s much more active and fit. Barbie Jackson-Williams, 55, of Des Moines, Iowa, says she has lost 180 pounds thanks to Ozempic and working out.
Long-term Zepbound use: when to re-evaluate your plan and next steps in the weight loss journey
You may be eligible for Zepbound if you are an adult with obesity or with overweight with certain weight-related conditions. The remarkable weight loss impact of Zepbound can be attributed to its unique ability to simultaneously target the GIP and GLP-1 receptors, providing a dual-action approach. GIP also affects fat reserves in multiple ways such as enhancing functionality and insulin sensitivity, thereby contributing to weight loss. Among patients with T2D, hypoglycemia occurred in 6.2% of patients treated with semaglutide vs. 2.5% of patients on placebo (89). In the STEP 1 trial, these gastrointestinal side effects occurred more often in those receiving semaglutide vs. placebo (74.2% vs. 47.9%). Semaglutide 2.4 mg was demonstrated in the STEP HFpEF trial to significantly improve the Kansas City Cardiomyopathy Questionnaire clinical summary score by 16.6 points vs 8.7 points with placebo in adults with HFpEF and obesity (BMI ≥ 30) (100). This tool helps you track your weight loss progress. The food you eat is very important and it is clear that some food help minimize side effects while others can increase them. Not everyone experiences side effects with Zepbound, and many users report a smooth journey with the medication.
The weight loss drug boom isn't over yet — here's what to expect in the year ahead
Zepbound’s creators have designed the program to be safe and effective for individuals with a range of health conditions, including diabetes, high blood pressure, and joint issues. You’ll also receive guidance on healthy eating and meal planning, using everyday foods and ingredients. Results with Zepbound can vary depending on individual factors such as starting weight, body composition, and commitment to the program. Additionally, Zepbound’s personalized approach means that you’ll receive guidance and support every step of the way, helping you to overcome any challenges and achieve your weight loss goals. Both Zepbound and Wegovy are FDA-approved medications that need a prescription. Both Zepbound and Ozempic are US FDA-authorized medications available only with a prescription. Focus on a healthy diet, regular exercise, proper hydration, and staying consistent with your medication. If industry, policymakers, healthcare providers, and patients can find common ground, the next decade could inaugurate a golden era of medicine where cures for major diseases come to fruition and are shared globally. It has delivered incredible value in the form of healthier, longer lives – global life expectancy has risen significantly over the past decades in part due to medical treatments (). Achieving that means continuing to push for scientific breakthroughs while also implementing systems (be it through smarter regulation, better negotiated pricing, or global health initiatives) that ensure a breakthrough in the lab becomes a treatment in the clinic for all who need it.
  • Ozempic is approved for people with type 2 diabetes.
  • According to research, nearly 9 out of 10 patients achieved at least 5% body weight reduction, which is considered a meaningful health milestone.
  • Dealing with Zepbound side effects is a significant part of many users' experiences.
  • Studies show patients on Wegovy lose as much as 15% of their body weight over time.
  • In essence, by 2025 the pharmaceutical industry stands as a dynamic, essential, and sometimes controversial pillar of the global economy and healthcare system.
  • Maintaining weight is often just as challenging as losing it, so having a plan can make all the difference in keeping those pounds off for good!
  • They can lead to weight gain and other health issues.
  • Next year may mean even more to the other companies hoping to join what's so far been a two-horse race to make weight loss treatments.
  • Obviously, people that have problems with obesity had those issues beforehand.
  • Social media is rife with dramatic weight loss stories-some reportedly shedding 50 pounds in a month and others posting striking before and after pics.
Metreleptin is administered as a once daily subcutaneous injection with dosages ranging from 0.06 mg/kg/d to 10 mg/d, depending on body weight and sex. The most commonly reported side effects compared to placebo were gastrointestinal (nausea/vomiting), nervous system (headaches), and cognitive (anxiety, impaired memory, language problems) (156). Randomized controlled trials have shown that topiramate is both tolerable and effective in promoting weight loss (61). Subsequently, randomized trials combining pramlintide or placebo with a lifestyle intervention were undertaken in obese participants without diabetes. Its effect on weight loss is thought to be mediated through central (brain) receptors (128) that improve appetite control (129). When weight is lost through diet and exercise, the body initiates adaptive responses relatively quickly – metabolism slows, and hunger signals increase – leading to the typical 6-month plateau. With traditional lifestyle interventions (diet and exercise alone), weight loss plateaus commonly emerge around the 6-month mark. It's important to distinguish a true plateau, which typically persists for several weeks (e.g., four weeks or more ), from normal day-to-day weight fluctuations or temporary stalls caused by factors like water retention. This foundational requirement becomes particularly relevant when addressing weight loss plateaus. Research indicates that once individuals stop taking the medication, they may regain a substantial portion of the weight lost. Clinical trials have demonstrated that individuals using Zepbound can lose an average of 20% of their body weight, which is a significant achievement for many. Let’s embark on this journey together as we uncover effective strategies for maintaining weight loss after using Zepbound. Makers of these drugs recommend having a conversation about the side effect profile and personalized risks with a health care professional before starting. Aronne and other medical specialists also point out that using medication to lose weight also requires cardio and strength training and changing your diet to one that includes proteins and less processed foods with added sugars. Dr. Louis Aronne, a principal investigator on the clinical trial involving Zepbound and Wegovy, told ABC News that the success of drugs using tirzepatide is likely because the ingredient targets two hormones instead of one. Four years after starting semaglutide, patients maintained an average weight loss of 10% of their body weight, a peer-reviewed 2024 study funded by Novo Nordisk found. One study found people who received weekly semaglutide injections lost an average of about 15 pounds after three months and about 27 pounds after six months, which translates into about a 5-pound weight loss per month. She thinks about weight loss with the medication in terms of improving her health, rather than being able to fit into a smaller size dress, Schwartz previously told TODAY.com. Less than a fifth of large companies in the U.S. offer health insurance plans that cover weight-loss drugs like Wegovy, a 2024 survey found. But patients may also experience serious side effects such as pancreatitis, gallbladder problems and kidney failure, it warns. People have to keep taking semaglutide for the drug to keep working — otherwise, they’ll regain much of the weight, studies have shown. The vast majority of them — 129 million — qualify to take it for weight loss based on their BMI and weight-related complications like high blood pressure. Ozempic isn’t approved for weight loss but that's a famous side effect, so some doctors have been prescribing it off-label for that purpose. What’s more, she believes the medication transformed her health. He sat down with WebMD to discuss life after getting off the drugs. Whether you’re navigating weight loss, struggling with plateaus, or just curious about Zepbound, let’s chat. Whether it was my metabolism catching up, the medication fully kicking in, or just the power of persistence, I finally dropped below 165 pounds. I doubled down on tracking my food, tweaking my macros, and adjusting my workout routine, but my body seemed determined to resist further loss. Phentermine is thought to promote weight loss by increasing norepinephrine release and decreasing its uptake in hypothalamic nuclei, leading to a decrease in food intake (59). The controlled-release, single-tablet combination phentermine plus topiramate (trade name Qsymia) was approved by the FDA in 2012 as a long-term treatment for obesity for adults with BMI ≥ 30 kg/m2 or BMI ≥27 kg/m2 with at least one weight-related comorbidity. Subjects in the orlistat group lost significantly more weight in the first year (10.2 vs. 6.1%) and regained half as much weight during the second year of treatment, as compared to the placebo group (53). At Pure Med Spa, we specialize in helping patients achieve their weight loss goals safely. A safe and realistic weight loss result with Zepbound averages about 1–2 pounds per week. At Pure Med Spa, our medical experts will help you compare Zepbound vs Ozempic for weight loss to determine which option fits your unique health goals. For example, someone weighing 200 pounds might expect a Zepbound weight loss chart to show a reduction of 30–44 pounds over time. One of the most common questions patients ask is about the average weight loss on Zepbound. He specializes in evidence-based health information, medications, and chronic conditions. Steady 1-2 pounds weekly follows, building to 15-20% body weight over six months. Zepbound offers a powerful tool for weight loss, with averages of 1-2 pounds per week in clinical settings. Treatment with pramlintide (up to 240 ug three time daily) for 16 weeks resulted in a placebo-corrected reduction in body weight of 3.7% (P131). After an average follow-up of 2.8 years, patients in the metformin group achieved greater weight loss than placebo but less than the ILI group. In subjects with obesity and depressive symptoms, bupropion SR was more effective than placebo in achieving weight-loss when combined with a 500 kcal deficit diet (4.6% vs.1.8% loss of baseline body weight, P114). So, while Zepbound can help control your hunger, making healthy food choices remains important for your weight loss journey. In a clinical trial, people on Zepbound (Tirzepatide) lost 15-20% of their body weight in a little over a year (72 weeks). Social media and news articles cover many success stories about losing weight on Zepbound (tirzepatide), the weight loss drug. The F.D.A. approved the once a week use of Zepbound for people with a body mass index (B.M.I.) of 30 or greater or those with a B.M.I. of 27 or greater with weight-related conditions like high blood pressure, type 2 diabetes, or sleep apnea. Eli Lilly found that patients with an average starting weight of 231 pounds lost 48 pounds taking the lowest dose and 58 pounds taking the highest dose of Zepbound If you've hit a weight loss plateau, try to stay consistent with your medication and make small changes to get back on track. For example, people with type 2 diabetes can still lose weight on Zepbound, just not as much as those without diabetes. If there is any type of hormonal imbalance in your body, it could affect your weight loss results—even if you’re on Zepbound.
Data synthesis and statistical analysis
  • The study on Eli Lilly's treatment showed that 670 obese patients without diabetes lost around 20% of their body weight on average after taking Zepbound for 36 weeks.
  • A balanced diet includes all the necessary food groups.
  • “I give props to my primary care physician, who was so encouraging and told me I could do this without taking meds forever,” says Brook, down 90 pounds and counting.
  • "Our goal is to provide innovative and person-centric options to support patients living with chronic disease as part of their journey towards better health."
  • In this population, where weight loss is often difficult to maintain, Zepbound demonstrated the potential for long-term metabolic improvement.
  • The medication follows a structured approach, beginning with dose adjustments through careful titration over 4-20 weeks.
  • "Patients, providers and the public do not always understand obesity is a chronic disease that often requires ongoing treatment, which can mean that treatment is stopped once weight goals are met," said Dr. Jeff Emmick, senior vice president of product development at Eli Lilly, in a statement.
Phentermine-topiramate is not recommended for patients with significant cardiac history such as coronary disease and uncontrolled hypertension (64). Improvements in systolic blood pressure (SBP), diastolic blood pressure (DBP), triglycerides, and high-density lipoprotein (HDL) cholesterol were seen in subjects treated with phentermine plus topiramate compared with placebo in both EQUIP and CONQUER (26,27). Administration of orlistat with psyllium mucilloid reduced the incidence of GI side effects to 29% with psyllium vs. 71% without psyllium (58). These symptoms are usually mild to moderate and decrease in frequency the longer the medication is continued. If side effects become difficult to manage at higher doses, talk to your doctor about staying at a lower maintenance dose that still works for you. We’ve even heard of people who had great success on the first (2.5mg) dose of Zepbound. If you don’t have diabetes and need insurance to cover your medication, Zepbound is more likely to be approved than Mounjaro. However, while they share similarities, there are key differences between the two medications in terms of FDA approval, intended use, and insurance coverage. This dual combination is believed to help people lose more weight. However, Zepbound is the first dual-acting weight-loss drug that activates the GLP-1 (glucagon-like peptide-1) and GIP (glucose-dependent insulinotropic polypeptide) hormone receptors. A new weight-loss drug has been approved by the F.D.A and is expected to hit the market soon. Our Post-Ozempic Transition program is designed to help you safely wean off medication while maintaining your goal weight. Don’t let the fear of regaining weight hold you back; explore your options and embrace a future where you control your health journey. While some patients may lose weight rapidly in the beginning, especially those with higher starting weights, this rate is not typical or sustainable. For many, this dual mechanism is what makes Zepbound truly work for weight loss compared to traditional methods. Over time, patients may move to a higher dose as recommended by their provider to maximize results. So I think um, you know, you, if that’s how you can feel good about yourself or feel better about yourself, if weight loss is part of it, then do it. Also, they were..they all complimented me, it was a happy, complimentary surprise for me that everybody noticed the drastic amount of weight that I had lost. I didn’t put a routine of working out and staying on point with the exercising to compensate for that muscle loss or the weight loss. And then the exercising, you got to stay focused because, for me, it was rapid, rapid weight loss, and I lost a lot of muscle. Clothes fit looser, and health markers like blood pressure improve. Cumulative totals hit pounds, boosting confidence. Appetite dips quickly, leading to 4-8 pounds lost for most. Unlike naturally occurring GLP-1, which lasts for only minutes in the body, GLP-1-mimicking drugs can last for days. Do the costs of these drugs—$12,000-$16,000 per person per year—limit who has access or threaten to bankrupt the healthcare system? Although many GLP-1 drugs have gained popularity in recent years, Zepbound is poised to become a leading medication in 2025. Ozempic® and Mounjaro® are not FDA-approved to treat obesity or for weight loss. “I built healthy habits with coaching and lessons that make me confident I can maintain my weight loss long term.” High prices for GLP-1 weight loss drugs have been a persistent barrier for many people who would otherwise want to stay on GLP-1s. Dapagliflozin on a background of metformin was found to result in a placebo-subtracted weight loss of 2.42kg at 102 weeks in adults with T2D and obesity (134). In this study, pramlintide-treated patients experienced a 3-fold increase in successfully achieving a total body weight loss of ≥ 5%, when compared to those who received placebo. Short-term studies and meta-analyses in individuals with obesity and without prediabetes/diabetes consistently demonstrate ~2% weight loss beyond placebo, with a greater response in those with more insulin resistance (124). At the end of 36 weeks, average weight loss was 20.9% with tirzepatide vs --- with placebo. Monitoring and open communication are key to ensuring a safe and effective treatment experience. Always discuss your full medical history with your healthcare provider before starting Zepbound. These symptoms often appear during the early stages of treatment and gradually decrease over time. The most common side effects are gastrointestinal issues, including nausea, vomiting, diarrhea, and constipation. Always consult with a qualified healthcare provider for any medical concerns or questions you may have. “ (I pay) $550 per 4 weeks with the saving card + commercial insurance that doesn't cover it. Let’s be honest, Zepbound is an expensive drug, with a list price over $1,000 a month. Dealing with Zepbound side effects is a significant part of many users' experiences. The majority of individuals experienced at least a 5% reduction in body weight, but those on tirzepatide saw larger reductions and were more likely to reach clinically meaningful weight loss milestones. In this article, we’ll help you understand all there is to know about Zepbound, including who may be eligible for the medication, how it’s taken, and how it compares to other weight loss medications. The sustainability of weight loss with drugs like Zepbound is a common concern, especially when you've achieved your goals and want to stop the injections. Remember, each person's body is different and responds differently to weight loss treatments like Zepbound. A 6-month double-blinded placebo-controlled RCT followed by an open-label 6-month extension in 69 adults with obesity demonstrated diethylpropion 50 mg twice a day resulted in average weight loss of 9.8% at 6 months vs. 3.2% with placebo (42). Phentermine (trade name Adipex) was among the first FDA-approved short-term medications for weight loss and remains available today. Weight loss outcomes reported are based on intention-to-treat or intention-to-treat last observation carried forward analyses from RCTs using the maximum doses of medications for 56 weeks unless otherwise stated (17). Today, nine FDA-approved AOMs remain on the market, with six approved for long-term weight loss, of which one is indicated for specific monogenic obesity mutations, and one “device” that functions as a medication (Table 2). Today, six anti-obesity medications (AOMs) are approved by the Federal Drug Administration (FDA) for the long-term treatment of obesity. These findings were also reported in another meta-analysis for weight and body mass index (decrease by -4.48 kg/m2) (51). In another meta-analysis in 2021, Liraglutide caused a weight loss of -4.19 kg (95%CI, -4.84 to -3.55) compared to the control group (49). The improvement in weight changes between treatment groups suggests that Tirzepatide can be considered a good option (47). Also, changes in weight were higher in Tirzepatide receivers compared to placebo receivers (46). There was a significant reduction in weight after the intervention, especially with a greater dose of Tirzepatide.

Medication Costs

10 Micro Habits To Actually Help You Lose Weight And Keep It Off Tracking also shows patterns in your weight loss journey. Tracking your weight loss is crucial. Zepbound is a detailed weight loss chart. Through its targeted approach, Zepbound aids in regulating appetite and promoting a sense of fullness, which are crucial factors in achieving sustainable weight loss. The mechanism of action of Zepbound involves targeting specific receptors in the body, thereby promoting satiety and reducing food intake. In April, Kyra Wensley received a noteworthy letter from her pharmacy benefit manager, signaling a pivotal moment in her weight loss journey. This achievement not only reflects her dedication and perseverance but also underscores the efficacy of Zepbound in aiding weight loss. Follow my progress, share your experiences, and let’s support each other in our weight loss endeavors. At a certain point—around months after beginning treatment—weight loss plateaus. “I counsel patients in that situation to use physical barrier contraceptives during the first few weeks they are beginning the medication as we titrate the dosage,” says Nguyen. Patients are also advised that the medications can impact the effectiveness of certain medications, including diabetes medications such as insulin, leading to lower blood sugars. Being overweight or obese can take a toll on the body – both physically and mentally. Zepbound was specifically developed for overweight and obese adults with a weight-related health condition. By mimicking these two hormones, Zepbound helps the brain slow down intestinal function, which in turn promotes weight loss. For many patients, the weekly schedule feels manageable and far less demanding than daily treatments. Your healthcare provider will work with you to determine the right dose and ensure you’re comfortable with the injection process. Treatment typically starts at a low dose and increases gradually based on your body’s response. For most individuals, these are mild and temporary, especially as the body adjusts to the treatment. If you’ve tried other weight loss strategies without success, Zepbound weight loss could be a solution worth exploring. Larger drugmakers used acquisitions of smaller businesses, or partnerships with them, to carve out space in the weight loss drug market this year. Pfizer isn't the only company that could benefit from looking externally for obesity drugs. In the first half of 2024, Amgen is slated to publish early stage trial data on an oral weight loss medication. New data next year will be crucial to determining whether Pfizer gets a piece of the weight loss drug space. Also in 2024, a study following patients from a previous late-stage trial could potentially generate data supporting Wegovy as a treatment for preventing the development of diabetes, Nedelcovych said. Zepbound is also effective in individuals who have already lost weight through lifestyle changes. The focus of our articles is to share our opinion on the potential efficacy and safety of health trends and products. We review published medical research in respected scientific journals to arrive at our conclusions about a product or health topic. Thus, meta-regression between subcutaneous Tirzepatide and absolute mean differences in body weight based on dosage, baseline of mean age and BMI, and duration of intervention was performed using random effect model. Meta-regression investigates whether particular covariates (potential effect modifiers) explain any of the heterogeneity of treatment effects between studies. Also, if Tirzepatide is compared with other common drugs or drugs with similar performance, the desired study will be removed due to lack of sufficient effect of Tirzepatide. Studies with duplicated data, studies with unclear information, studies in which Tirzepatide was an intervention in conjunction with other widely used medications, non-randomized trial designs, animal studies, studies without a control group, and reviews or meta-analysis studies were also omitted.