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Weight Management
Weight Management

How Long Can You Stay on Ozempic? What to Know

Christine Russell, MS, RD, LD, CDCES
Author: 
Medical Reviewer: 
Christine Russell, MS, RD, LD, CDCES
|
Author: 
Heather Smith, RN, BSN
Published:
August 7, 2023
Updated on
May 28, 2024
#
min read
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Table of Contents

Text Link
Weight Management

Key Takeaways

  • Ozempic is a medication used for managing type 2 diabetes by helping control blood sugar levels though it may also promote weight loss.
  • The duration of Ozempic treatment depends on individual factors and should be determined by your healthcare provider.
  • It is good to be aware of potential long-term effects and follow the prescribed dosing schedule under medical supervision.

Ozempic is a pharmaceutical drug composed of the active ingredient semaglutide and falls under the category of medications known as glucagon-like peptide-1 receptor (GLP-1) agonists. 

Ozempic is specifically designed to manage type 2 diabetes.

Many people also experience weight loss while taking Ozempic.

This article explores the potential long-term effects of Ozempic, how it assists with weight loss, the timeline for observing results, the recommended dosing schedule, and what happens when you stop taking it.

There’s currently no known limit on how long you can stay on semaglutide, the main ingredient in Ozempic.

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How Long Can You Stay On Ozempic?

The duration of Ozempic treatment for type 2 diabetes varies from person to person and depends on individual factors, such as your response to the medication and overall health. 

Your healthcare provider will determine the appropriate length of time for your Ozempic therapy based on your diabetes management goals and any other relevant considerations. 

There’s currently no limit to how long you can take Ozempic.

Some people take it for several months while others take it for years. Some plan on taking it indefinitely.

The research on the long-term use of semaglutide is still underway.

In the longest trial of semaglutide in people without diabetes, which spanned across four years, researchers supported the use of weekly injections.

The trial found that people who took semaglutide at a dose of up to 2.4 mg safely and effectively experienced weight loss.

It is essential to follow your healthcare provider's guidance regarding the duration of treatment to ensure optimal effectiveness and safety.

Possible Long-Term Effects

Semaglutide can initially give a person gastrointestinal side effects such as nausea, stomach pain, or changes in bowel movements.

However, researchers found that those symptoms typically decrease while your body adjusts to the medication. 

Less common but more severe side effects may include:

  • Inflammation of the pancreas.
  • Changes in vision.
  • Low blood sugar.
  • Kidney problems.
  • Allergic reactions.
  • Gallbladder problems.

Your doctor may determine Ozempic is not a good drug choice for you if you experience these side effects.

Do People Stay on Ozempic for Years?

People stay on Ozempic for varying amounts of time—depending on the individual's needs.

Some people remain on the medication for several months while others continue to take Ozempic after a year.

There are different factors that affect the duration of use, such as access, dosage, insurance coverage, and tolerance.

If you tolerate it well and your healthcare team deem it necessary to continue the treatment, it’s possible to stay on Ozempic for several years.

The longest trial on semaglutide concluded that it’s safe to take the drug for up to four years.

When taking Ozempic for diabetes treatment, it’s intended for long-term use.

A Note from the FDA

The Food and Drug Administration (FDA) gave Ozempic a black box warning, the most serious type of warning for a medication. 

The warning cautions consumers and healthcare providers that Ozempic may cause a thyroid tumor or thyroid cancer and recommends avoiding Ozempic if you or a family member have a history of medullary thyroid carcinoma (MTC) or Multiple Endocrine Neoplasia Syndrome Type 2 (MEN 2).

Because this medication is relatively new and has only been approved by the FDA since 2017, current research does not discuss other long-term effects of taking semaglutide other than the known possible side effects. 

Can You Stop Taking Ozempic Any Time?

According to a 2020 review, semaglutide has a half-life of about one week.

This means half the drug leaves your body in about a week.

Depending on your dosage, it can take several weeks for semaglutide to fully leave your system.

If you take Ozempic for diabetes management, you should talk with your healthcare provider before discontinuing the medication. 

In people with diabetes, Ozempic can help improve blood sugar control and insulin resistance.

When you stop taking it, your body could have difficulty regulating your blood sugar.

Consider checking with your doctor or healthcare team on safely stopping Ozempic.

They may recommend tapering off the medication or switching to a new one to manage symptoms of diabetes.

For those taking Ozempic as an off-label treatment for overweight or obesity, stopping the medication may affect the benefits you experienced while taking it. 

As you taper off Ozempic or as it leaves your body, you may notice increased hunger or weight gain. 

Quitting Ozempic cold turkey is unlikely to cause any withdrawal symptoms.

However, it’s always a good idea to consult your doctor before stopping any prescription medications.

How Ozempic Works for Weight Loss?

Ozempic works by mimicking the action of GLP-1, a natural hormone in your body that regulates blood sugar levels and appetite.

By activating the GLP-1 receptors in your brain, Ozempic helps reduce hunger and increase feelings of fullness. 

Additionally, Ozempic slows down the emptying of the stomach and reduces the liver's sugar production.

These combined effects can lead to feeling full for longer, reduce mindless snacking, and promote better weight management over time.

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How Long Does It Take to Notice Ozempic Results?

Individual responses to Ozempic may vary.

Some people notice changes in their weight within the first few weeks of starting the medication, per a 2022 cohort study.

However, it is important to remember that weight management is a gradual process and the rate at which your weight changes may differ from others. 

Consistency with medication, a balanced diet, and regular physical activity can influence the pace of your progress.

Dosing Schedule

Ozempic comes in a pre-filled injection pen and is typically taken once a week. 

The starting dose is usually lower to minimize the risk of side effects, and your healthcare provider may increase it gradually over time. 

Always follow your healthcare provider's instructions regarding the dosing schedule to ensure the medication's effectiveness and safety.

What Happens When You Stop Taking Ozempic?

If you are considering stopping Ozempic, it is important to do so under the guidance of your healthcare provider. 

Suddenly discontinuing the medication can result in fluctuations in your blood sugar levels and may not be safe for your overall diabetes management. 

Your healthcare provider can help you develop a plan to transition off Ozempic if needed and may suggest alternative treatments to maintain your blood sugar control.

What Else Should I Know Before Taking Ozempic for Weight Loss?

Before starting Ozempic, inform your healthcare provider about any pre-existing medical conditions, allergies, or medications you are taking.

Ozempic may not be suitable for individuals with a history of certain medical conditions.

Ozempic is not a stand-alone solution for weight management or diabetes. It should be used with a healthy diet and regular physical activity. 

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Takeaway

Ozempic can be a valuable addition to your diabetes management plan, helping you achieve better blood sugar control and supporting weight management.

However, its use should always be overseen by your healthcare provider. 

By collaborating with your healthcare team, you can tailor your diabetes management approach, including the appropriate use of Ozempic, to meet your unique needs and improve your overall health.

Managing Weight Loss with a Dietitian

By working with a weight loss dietitian you can learn ways to improve your eating habits and lose weight.

At Nourish, all visits are personally tailored to you through virtual nutrition counseling. 

You may not know what to expect if you’ve never met with a dietitian before.

Here are questions others have asked: 

  • Can I drink coffee while taking Ozempic?
  • What foods should I avoid while taking Ozempic?
  • Is protein powder good for weight loss?
  • Is popcorn good for weight loss?

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Frequently Asked Questions

Do you stay on Ozempic for life?

Your healthcare provider will determine the duration of Ozempic treatment for type 2 diabetes based on your individual response to the medication and your diabetes management goals.

Do you regain weight after stopping Ozempic?

Weight regain is possible after stopping Ozempic, especially if healthy lifestyle habits are not maintained. It is essential to continue following a balanced diet and engaging in regular physical activity for effective diabetes management.

What are the long-term effects of Ozempic?

Potential long-term effects of Ozempic for type 2 diabetes may include side effects such as nausea, vomiting, or diarrhea. It is best to have regular check-ups with your healthcare provider to monitor your health and address any concerns.

References

View all references

Smits, M. M., & Van Raalte, D. H. (2020). Safety of Semaglutide. Frontiers in Endocrinology, 12. 

Ozempic. Webpage. (N.D.) 

Novo Nordisk. Webpage. (N.D.) 

FDA Approves New Drug Treatment for Chronic Weight Management, First Since 2014. (2021). FDA News Release. 

‍Ghusn, W., Sacoto, D., Cifuentes, L., Campos, A., Feris, F., Hurtado, M. D., & Acosta, A. (2022). Weight Loss Outcomes Associated With Semaglutide Treatment for Patients With Overweight or Obesity. JAMA Network Open, 5(9). ‍

Ryan, D. H., Lingvay, I., Deanfield, J., Kahn, S. E., Barros, E., Burguera, B., Colhoun, H. M., Cercato, C., Dicker, D., Horn, D. B., Hovingh, G. K., Jeppesen, O. K., Kokkinos, A., Lincoff, A. M., Meyhöfer, S. M., Oral, T. K., Plutzky, J., Van Beek, A. P., Wilding, J. P. H., & Kushner, R. F. (2024). Long-term weight loss effects of semaglutide in obesity without diabetes in the SELECT trial. Nature Medicine. ‍

Smits, M. M., & Van Raalte, D. H. (2021). Safety of semaglutide. Frontiers in Endocrinology, 12. ‍

Novo Nordisk. Webpage. (N.D.)  ‍

FDA Approves New Drug Treatment for Chronic Weight Management, First Since 2014. (2021). FDA News Release.  

‍Kalra, S., & Sahay, R. (2020). A review on semaglutide: an oral Glucagon-Like peptide 1 receptor agonist in management of Type 2 diabetes mellitus. Diabetes Therapy, 11(9), 1965–1982. ‍

‍Ozempic. Webpage. (N.D.)  

Nourish has strict sourcing policies and prioritizes primary sources, including medical organizations, governmental agencies, academic institutions, and peer-reviewed scientific journals. Learn more about our medical review process and editorial guidelines.

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TN
Tennessee
36.162663, -86.781601
Tempe
, 
AZ
Arizona
33.425522, -111.941254
Mobile
, 
AL
Alabama
30.695366, -88.039894
New Orleans
, 
LA
Louisiana
29.951065, -90.071533
Knoxville
, 
TN
Tennessee
35.960636, -83.920738
Grand Rapids
, 
MI
Michigan
42.963360, -85.668083
Fontana
, 
CA
California
34.102890, -117.435760
Elk Grove
, 
CA
California
38.418129, -121.393257
Miami
, 
FL
Florida
25.7825389, -80.3118603
Grand Prairie
, 
TX
Texas
32.745499, -97.003532
Fort Collins
, 
CO
Colorado
40.588970, -105.082458
Killeen
, 
TX
Texas
31.117119, -97.727798
Modesto
, 
CA
California
37.639095, -120.996880
Oklahoma City
, 
OK
Oklahoma
35.468491, -97.521263
Santa Ana
, 
CA
California
33.745571, -117.867836
Ontario
, 
CA
California
34.063343, -117.650887
Brownsville
, 
TX
Texas
25.9015688, -97.4984005
Montgomery
, 
AL
Alabama
32.379223, -86.307739
Hialeah
, 
FL
Florida
25.857595, -80.278107
Springfield
, 
MA
Massachusetts
42.102051, -72.585762
Toledo
, 
OH
Ohio
41.652805, -83.537865
Pembroke Pines
, 
FL
Florida
26.007765, -80.296257
Overland Park
, 
KS
Kansas
38.974819, -94.683601
Little Rock
, 
AR
Arkansas
34.746483, -92.289597
Glendale
, 
CA
California
34.142509, -118.255074
Roseville
, 
CA
California
38.752125, -121.288010
Rancho Cucamonga
, 
CA
California
,
Wichita
, 
KS
Kansas
37.687176, -97.330055
Huntington Beach
, 
CA
California
33.659485, -117.998802
Augusta
, 
GA
Georgia
33.4709714, -81.9748429
Worcester
, 
MA
Massachusetts
42.271389, -71.798889
Virginia Beach
, 
VA
Virginia
36.852924, -75.977982
Oceanside
, 
CA
California
33.1958696, -117.3794834
Santa Clarita
, 
CA
California
34.456043, -118.571335
Philadelphia
, 
PA
Pennsylvania
39.952583, -75.165222
Corpus Christi
, 
TX
Texas
27.800583, -97.396378
Portland
, 
OR
Oregon
45.512230, -122.658722
Denver
, 
CO
Colorado
39.739235, -104.990250
Boston
, 
MA
Massachusetts
42.3554334, -71.060511
Atlanta
, 
GA
Georgia
33.7489924, -84.3902644
Chicago
, 
IL
Illinois
41.8755616, -87.6244212
Orlando
, 
FL
Florida
28.538336, -81.379234
Jacksonville
, 
FL
Florida
30.332184, -81.655647
Tampa
, 
FL
Florida
27.950575, -82.457176
Long Island
, 
NY
New York
40.757801, -73.940033
Queens
, 
NY
New York
40.728226, -73.794853
Bronx
, 
NY
New York
40.8466508, -73.8785937
Staten Island
, 
NY
New York
40.643501, -74.076202
Brooklyn
, 
NY
New York
40.6526006, -73.9497211
New York
, 
NY
New York
40.712776, -74.005974
San Jose
, 
CA
California
37.342205, -121.851990
San Francisco
, 
CA
California
37.774929, -122.419418
San Diego
, 
CA
California
32.834686, -117.130775
Los Angeles
, 
CA
California
34.052235, -118.243683
El Paso
, 
TX
Texas
31.761877, -106.485023
San Antonio
, 
TX
Texas
29.387428, -98.496574
Dallas
, 
TX
Texas
32.776665, -96.796989
Fort Worth
, 
TX
Texas
32.755489, -97.330765
Houston
, 
TX
Texas
29.760427, -95.369804
Austin
, 
TX
Texas
30.2711286, -97.7436995
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