FDA Reviewed📅Updated April 6, 2026

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 NameSemaglutide
Brand NamesOzempic, Wegovy, Rybelsus
FDA StatusFDA-approved for type 2 diabetes as Ozempic (2017) and Rybelsus (2019); FDA-approved for chronic weight management as Wegovy (2021)
Approval DateJune 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.

Weeks 1–40.25mg/week
Weeks 5–80.5mg/week
Weeks 9–121.0mg/week
Weeks 13–161.7mg/week
Week 17+2.4mg/week (maintenance)

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.

Source: Published clinical trial data (STEP / SURMOUNT trial series)

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

9.0
★★★★4.7 (850)
$149/mo
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Alan Meds

Best for: budget-conscious shoppers

7.7
$99/mo
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AmberHealth

Best for: budget-conscious shoppers

7.7
$100/mo
CompoundedSemaglutideTirzepatide
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Boston Medical Group

Best for: budget-conscious shoppers

7.7
$66/mo
CompoundedSemaglutideTirzepatide
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Ivim Health

Best for: budget-conscious shoppers

7.7
$75/mo
CompoundedSemaglutideTirzepatide
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Lavender Sky Health

Best for: budget-conscious shoppers

7.7
$95/mo
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Cost Comparison

Starting prices for compounded GLP-1 medications from top providers, sorted cheapest first. Prices may vary based on dose and promo availability.

ProviderStarting Price
Lemonaid Health$30/moVisit
Boston Medical Group$66/moVisit
OrderlyMeds$74/moVisit
Ivim Health$75/moVisit
Pomegranate Health$90/moVisit
Lavender Sky Health$95/moVisit
Alan Meds$99/moVisit
Mochi Health$99/moVisit
Trimi Health$99/moVisit
WeightRx$99/moVisit
AmberHealth$100/moVisit
GobyMeds$119/moVisit
Found$129/moVisit
LumiMeds$133/moVisit
Piper$135/moVisit
BeyondMD$139/moVisit
Try Yucca Health$146/moVisit
CoreAge Rx$149/moVisit
PlushCare$149/moVisit
Ivy Rx$175/moVisit
Amble$179/moVisit
Nurx$179/moVisit
CallonDoc$190/moVisit
Hers$199/moVisit
Hims$199/moVisit
ShedRx$199/moVisit
SkinnyRx$199/moVisit
TrimRx$199/moVisit
Eden$239/moVisit
Henry Meds$249/moVisit
Livv$249/moVisit
Peak Wellness$249/moVisit
Independent Wellness$270/moVisit
OnlineSemaglutide.org$279/moVisit
Bliv$299/moVisit
MEDVi$299/moVisit
Remedy Meds$299/moVisit
Willow$299/moVisit
Sesame$349/moVisit
Mojoon$450/moVisit
ReflexMD$497/moVisit
GetRelief Rx$750/moVisit
Form Health$1350/moVisit

Frequently Asked Questions