Can semaglutide, sold as Ozempic and Rybelsus for diabetes, be a safe and effective weight loss treatment?

### Semaglutide: A Potential Weight Loss Solution Semaglutide, marketed under the brand names Ozempic and Rybelsus, is a medication initially approved for treating type 2 diabetes. Recent studies suggest that it may also be highly effective for weight loss. In a clinical trial, adults with obesity who took semaglutide lost an average of 10 to 15 percent of their body weight. This level of weight loss can significantly reduce the risk of chronic illnesses. The trial involved 1,961 adults with a body mass index (BMI) of 30 or higher, or a BMI of 27 or higher with at least one weight-related health issue. Participants received nutrition counseling and were encouraged to engage in physical activity. Those who took semaglutide lost an average of 33.7 pounds over 68 weeks, compared to just 5.7 pounds in the placebo group. Semaglutide works by mimicking a hormone that makes people feel full, helping to reduce appetite. It also showed improvements in cardiovascular risk factors such as BMI, waist circumference, blood pressure, and blood sugar levels. Common side effects included gastrointestinal issues like nausea, vomiting, and constipation, but these were generally manageable. Compared to other weight loss medications, semaglutide has shown superior results. For instance, it outperformed drugs like phentermine/topiramate, liraglutide, naltrexone/bupropion, and orlistat in terms of the percentage of body weight lost. Experts believe that semaglutide could be a long-term solution for managing obesity, similar to how medications are used for chronic conditions like high blood pressure or diabetes. While not as effective as surgical weight loss options, semaglutide offers a promising alternative for those who may not be candidates for surgery. Overall, semaglutide appears to be a safe and effective option for weight loss, with the potential for lifelong use to help maintain a healthy weight.