Semaglutide Guide
Semaglutide is a GLP-1 receptor agonist approved by the FDA for both type 2 diabetes management and chronic weight management. It has become one of the most prescribed medications in the United States, with clinical trials demonstrating weight loss of up to 15% of body weight.
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At a Glance
| Generic Name | Semaglutide |
| Brand Names | Ozempic, Wegovy, Rybelsus |
| FDA Status | FDA-approved for type 2 diabetes as Ozempic (2017) and Rybelsus (2019); FDA-approved for chronic weight management as Wegovy (2021) |
| Approval Date | June 4, 2021 |
How Semaglutide Works
Semaglutide mimics the naturally occurring hormone GLP-1 (glucagon-like peptide-1), which is released after eating. It activates GLP-1 receptors in the brain to reduce appetite and increase feelings of fullness, while also slowing gastric emptying so food stays in the stomach longer. These combined effects lead to reduced caloric intake and meaningful, sustained weight loss.
Dosing Schedule
Semaglutide uses a gradual dose escalation to minimize side effects. Always follow your prescriber's guidance.
Side Effects
Common: nausea, vomiting, diarrhea, constipation, abdominal pain, decreased appetite, headache, fatigue. Serious (rare): pancreatitis, gallbladder disease, kidney problems, diabetic retinopathy complications, increased heart rate. Rare thyroid C-cell tumors observed in animal studies — contraindicated in patients with personal or family history of MTC or MEN2.
This is not a complete list. Consult your healthcare provider or prescriber for full safety information.
Clinical Trial Results
In the landmark STEP-1 trial (N=1,961), adults treated with semaglutide 2.4mg achieved an average body weight loss of 14.9% over 68 weeks, compared to 2.4% in the placebo group. 86.4% of participants lost at least 5% of body weight, versus 31.5% with placebo.
Where to Get Semaglutide
These telehealth providers offer access to semaglutide or compounded equivalents with online consultations and home delivery.
CoreAge Rx
Best for: best overall value
Alan Meds
Best for: budget-conscious shoppers
Boston Medical Group
Best for: budget-conscious shoppers
Lavender Sky Health
Best for: budget-conscious shoppers
Cost Comparison
Starting prices for compounded GLP-1 medications from top providers, sorted cheapest first. Prices may vary based on dose and promo availability.
| Provider | Starting Price | |
|---|---|---|
| Lemonaid Health | $30/mo | Visit |
| Boston Medical Group | $66/mo | Visit |
| OrderlyMeds | $74/mo | Visit |
| Ivim Health | $75/mo | Visit |
| Pomegranate Health | $90/mo | Visit |
| Lavender Sky Health | $95/mo | Visit |
| Alan Meds | $99/mo | Visit |
| Mochi Health | $99/mo | Visit |
| Trimi Health | $99/mo | Visit |
| WeightRx | $99/mo | Visit |
| AmberHealth | $100/mo | Visit |
| GobyMeds | $119/mo | Visit |
| Found | $129/mo | Visit |
| LumiMeds | $133/mo | Visit |
| Piper | $135/mo | Visit |
| BeyondMD | $139/mo | Visit |
| Try Yucca Health | $146/mo | Visit |
| CoreAge Rx | $149/mo | Visit |
| PlushCare | $149/mo | Visit |
| Ivy Rx | $175/mo | Visit |
| Amble | $179/mo | Visit |
| Nurx | $179/mo | Visit |
| CallonDoc | $190/mo | Visit |
| Hers | $199/mo | Visit |
| Hims | $199/mo | Visit |
| ShedRx | $199/mo | Visit |
| SkinnyRx | $199/mo | Visit |
| TrimRx | $199/mo | Visit |
| Eden | $239/mo | Visit |
| Henry Meds | $249/mo | Visit |
| Livv | $249/mo | Visit |
| Peak Wellness | $249/mo | Visit |
| Independent Wellness | $270/mo | Visit |
| OnlineSemaglutide.org | $279/mo | Visit |
| Bliv | $299/mo | Visit |
| MEDVi | $299/mo | Visit |
| Remedy Meds | $299/mo | Visit |
| Willow | $299/mo | Visit |
| Sesame | $349/mo | Visit |
| Mojoon | $450/mo | Visit |
| ReflexMD | $497/mo | Visit |
| GetRelief Rx | $750/mo | Visit |
| Form Health | $1350/mo | Visit |