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Oral Semaglutide

The Essential Guide to Taking Semaglutide for Weight Management

Christine Folake Obasi-Coon, PharmD

Licensed Pharmacist, Owner and Lead Pharmacist at Sit Laus Deo (SLD) Compounding Pharmacy in Houston, TX

With expertise in compounding pharmacy and medical weight loss medications, Christine is dedicated to providing personalized and high-quality pharmaceutical care to her patients.

Content reviewed for pharmaceutical accuracy by our clinical team

Understanding Semaglutide: An Innovative Medication

Losing weight and keeping it off is a formidable challenge, one that often requires more than just diet and exercise. For those struggling with obesity or excess weight, semaglutide may offer a promising solution. This revolutionary medication, initially developed for type 2 diabetes management, has emerged as an effective tool for long-term weight control.

Semaglutide belongs to a class of drugs called glucagon-like peptide-1 (GLP-1) receptor agonists. It mimics the effects of a naturally occurring hormone that regulates appetite and blood sugar levels. When taken orally, semaglutide works by:

  • Increasing feelings of fullness and reducing hunger cravings

  • Slowing down the emptying of the stomach, promoting a longer-lasting feeling of satiety

  • Improving insulin sensitivity, helping the body use glucose more efficiently

The U.S. Food and Drug Administration (FDA) has approved semaglutide for chronic weight management in adults with a body mass index (BMI) of 30 or greater (obesity) or a BMI of 27 or greater (overweight) with at least one weight-related comorbidity, such as high blood pressure or type 2 diabetes.

While diet and exercise remain essential components of any weight loss journey, semaglutide offers a potent pharmacological ally. As stated in the New England Journal of Medicine, "Semaglutide at a dose of 2.4 mg once weekly plus lifestyle intervention was associated with sustained, clinically relevant reduction in body weight."

Proper Dosage and Administration

Semaglutide is available in oral tablets, making it a convenient option for long-term use. However, proper dosing and administration are crucial for optimal results and minimizing potential side effects.

Recommended Dosages

The recommended starting dose for most adults is 4.8 mg once per week. After 4 weeks, the dose can be increased to 6.4 mg once per week, and after another 4 weeks, it may be further increased to a maximum dose of 9.6 mg once per week if needed. These dosage increases allow your body to gradually adjust to the medication.

It's important to note that semaglutide should be taken on the same day each week, with or without food. Consistent timing helps maintain steady therapeutic levels of the medication in your system.

Taking the Medication

Here are step-by-step instructions for taking oral semaglutide tablets:

  1. Prepare: Remove the tablet from the blister packaging by peeling back the foil. Do not split, crush, or chew the tablet.

  1. Place Under Tongue: Place the tablet under your tongue and allow it to dissolve completely before swallowing any remaining fragments. This sublingual administration ensures optimal absorption.

  1. Wait: Once the tablet has dissolved, avoid eating or drinking for at least 30 minutes. This prevents interference with the medication's absorption.

  1. Hydrate: After 30 minutes, you can eat and drink normally. However, it's recommended to drink plenty of water to help manage potential side effects.

Dietary adjustments may also be necessary during semaglutide treatment. As the medication can delay stomach emptying, smaller, more frequent meals may be better tolerated than large, heavy meals.

Managing Potential Side Effects

While semaglutide is generally well-tolerated, some patients may experience side effects, especially during the initial dose-adjustment period. Understanding and preparing for these potential side effects can help minimize discomfort and promote adherence to the treatment plan.

Common Side Effects

The most frequently reported side effects of semaglutide include:

  • Gastrointestinal Issues: Nausea, vomiting, diarrhea, constipation, and abdominal pain are common, particularly when starting the medication or increasing the dose. These effects typically subside over time as your body adjusts.

  • Appetite Changes: Reduced appetite and feelings of fullness are expected effects of semaglutide, contributing to its weight loss benefits. However, some patients may experience excessive appetite suppression or aversions to certain foods.

  • Fatigue and Headaches: Mild fatigue and headaches have been reported by some patients, especially in the initial weeks of treatment.

Minimizing Discomfort

To help manage gastrointestinal side effects, consider the following tips:

  • Start Low and Go Slow: Begin with the lowest recommended dose and increase gradually, allowing your body time to adjust.

  • Stay Hydrated: Drink plenty of fluids, especially water, to support digestion and reduce nausea or constipation.

  • Adjust Meal Timing and Size: Eat smaller, more frequent meals to avoid overwhelming your digestive system.

  • Engage in Light Exercise: Gentle physical activity can aid digestion and alleviate constipation.

  • Consult Your Healthcare Provider: If side effects persist or become severe, your provider may recommend adjustments or additional interventions.

Monitoring for Serious Reactions

While rare, some patients may experience more severe reactions to semaglutide. Seek immediate medical attention if you experience:

  • Severe and persistent abdominal pain, nausea, or vomiting

  • Signs of pancreatitis (e.g., severe upper abdominal pain, fever, fast heart rate)

  • Symptoms of thyroid cancer (e.g., a lump in the neck, hoarseness, difficulty swallowing)

  • Vision changes, such as blurred vision or vision loss

By staying vigilant and communicating openly with your healthcare provider, you can ensure that any concerns are promptly addressed and managed appropriately.

Maximizing Semaglutide's Effectiveness

While semaglutide can be a powerful tool for weight management, its effectiveness depends on a holistic approach. At MadeMed, we believe in supporting you throughout your journey with personalized guidance and lifestyle recommendations.

The Importance of Diet and Exercise

Semaglutide should be used in conjunction with a balanced, calorie-controlled diet and regular physical activity. These lifestyle components not only enhance weight loss but also contribute to overall health and well-being.

Our team of experts will work with you to develop a personalized nutrition plan that aligns with your preferences, dietary needs, and weight goals. We'll provide practical recommendations for making sustainable dietary changes, such as:

  • Meal planning and grocery shopping strategies

  • Healthy recipe ideas and cooking tips

  • Guidance on portion control and mindful eating

Additionally, we'll create a tailored exercise routine that fits your fitness level and lifestyle. Regular physical activity not only burns calories but also supports muscle maintenance, cardiovascular health, and mental well-being during weight loss.

Setting Realistic Goals and Tracking Progress

Success with semaglutide often involves patience and persistence. Our team will help you set achievable, incremental goals and provide tools for tracking your progress over time.

Celebrate milestones along the way, whether it's inches lost, improved lab values, or increased energy levels. These small victories can fuel your motivation and reinforce the positive changes you're making.

MadeMed's Personalized Nutrition and Lifestyle Guidance

At MadeMed, we understand that sustainable weight management is about more than just a number on the scale. Our comprehensive approach addresses the physical, mental, and emotional aspects of your health journey.

Through our digital platform, you'll have access to educational resources, interactive tools, and a supportive community of individuals on similar paths. Our team of healthcare professionals will be by your side every step of the way, offering encouragement, guidance, and adjustments as needed to help you achieve lasting success.

Semaglutide Patient Experiences

While individual results may vary, many patients have experienced significant weight loss and improved health outcomes with semaglutide. Here are some real-world stories and insights from those who have incorporated this medication into their wellness journeys:

"I had tried countless diets and exercise plans, but nothing seemed to work for me until I started taking semaglutide. Within the first few months, I noticed a significant decrease in my appetite and cravings, which made it easier to stick to a healthy eating plan." - Sarah, 37

"Semaglutide has been a game-changer for me. Not only have I lost over 50 pounds, but my energy levels and overall well-being have improved dramatically. I no longer feel held back by my weight." - Michael, 42

"One of the biggest challenges I faced was managing the initial side effects, like nausea and constipation. However, my MadeMed provider worked closely with me to adjust my dosage and provided practical tips for minimizing discomfort. Once I got through that initial phase, the weight started coming off steadily." - Emily, 29

While semaglutide can be highly effective, it's important to remember that individual responses may vary. Some patients may experience more pronounced results, while others may need additional lifestyle modifications or combination therapies.

Consistent adherence to the treatment plan, coupled with sustainable dietary and exercise habits, is essential for long-term success. At MadeMed, we're committed to supporting you every step of the way, celebrating your progress and adjusting your plan as needed to help you achieve your ultimate wellness goals.

Exploring Alternative Options

While semaglutide has proven to be a valuable tool for many individuals seeking weight management, it's important to recognize that no single approach is suitable for everyone. At MadeMed, we understand the complex nature of weight-related health concerns and the need for personalized solutions.

Non-Pharmacological Approaches

For some individuals, lifestyle modifications alone may be sufficient for achieving and maintaining a healthy weight. Our team can provide guidance on evidence-based strategies, such as:

  • Nutritional counseling and meal planning

  • Exercise programs tailored to your fitness level and preferences

  • Behavioral therapy and mindfulness techniques

  • Stress management and sleep optimization strategies

These non-pharmacological approaches can be effective for those who are mildly overweight or have a shorter weight loss journey ahead.

Comparing Semaglutide to Other Prescription Medications

For those who may require additional pharmacological support, MadeMed offers other prescription weight management options, such as tirzepatide. Like semaglutide, tirzepatide is a dual agonist that targets both GLP-1 and glucose-dependent insulinotropic polypeptide (GIP) receptors, potentially offering enhanced weight loss and metabolic benefits.

During your consultation, our healthcare providers will evaluate your medical history, weight goals, and individual circumstances to determine the most appropriate treatment option for you. We may also recommend combination therapies or adjustments to your existing plan if necessary.

When to Consider Alternative Treatments or Combination Therapies

Every individual's weight journey is unique, and there is no one-size-fits-all solution. If you encounter challenges with semaglutide or experience suboptimal results, our team will work closely with you to explore alternative treatment options or combination therapies.

Factors that may prompt a change in approach include:

  • Persistent or severe side effects

  • Inadequate weight loss or plateauing progress

  • Development of new health conditions or changes in existing comorbidities

  • Lifestyle or personal circumstances that impact treatment adherence or effectiveness

At MadeMed, our goal is to provide you with the most effective and personalized care possible. We remain flexible and adaptable, continually reassessing and adjusting your treatment plan to ensure optimal results and your overall well-being.

Your Journey to Sustainable Weight Management

Achieving and maintaining a healthy weight is a lifelong journey, one that requires commitment, perseverance, and a comprehensive approach. At MadeMed, we believe that semaglutide can be a powerful ally in this journey, but it is only one part of a broader wellness strategy.

Our commitment to personalized, supportive care extends beyond just prescribing medications. We'll work with you to develop a holistic plan that addresses your unique needs, lifestyle, and health goals.

As you embark on this transformative path, remember that you are not alone. Our team of dedicated healthcare professionals will be by your side every step of the way, providing guidance, encouragement, and adjustments as needed.

Next Steps for Starting Your Customized Treatment Plan

Ready to take control of your health and explore the potential benefits of semaglutide? Here's what you can expect when you partner with MadeMed:

  1. Comprehensive Health Assessment: Our digital platform will guide you through a detailed medical history and weight management questionnaire, providing our healthcare providers with a comprehensive understanding of your unique situation.

  1. Virtual Consultation: You'll have a secure, HIPAA-compliant video consultation with one of our licensed healthcare providers. During this session, they will review your assessment, discuss your goals, and determine if semaglutide or another treatment option is appropriate for you.

  1. Personalized Treatment Plan: If semaglutide is recommended, your provider will create a customized treatment plan, including the appropriate dosage, dietary guidance, and exercise recommendations tailored to your needs.

  1. Ongoing Support and Monitoring: Your journey doesn't end with a prescription. Our team will schedule regular check-ins to monitor your progress, address any concerns, and make adjustments as needed to ensure you stay on track and achieve lasting success.

  1. Access to Educational Resources: Through our digital platform, you'll have access to a wealth of educational materials, interactive tools, and a supportive community to help you navigate your weight management journey with confidence.

At MadeMed, we're committed to redefining healthcare by putting your needs at the center of everything we do. Take the first step towards sustainable weight management today and discover the power of personalized, supportive care.

*Based on a 78-week clinical trial; patients without diabetes lost with a BMI of ≥30, or ≥27 but at average of 15% of their body weight^1 (15.8 lbs) on 2.4 mg semaglutide, when combined with a reduced-calorie diet and increased physical activity. Individual results may vary.

*Based on a 78-week clinical trial; patients without diabetes lost with a BMI of ≥30, or ≥27 but at average of 15% of their body weight^1 (15.8 lbs) on 2.4 mg semaglutide, when combined with a reduced-calorie diet and increased physical activity. Individual results may vary.

*Based on a 78-week clinical trial; patients without diabetes lost with a BMI of ≥30, or ≥27 but at average of 15% of their body weight^1 (15.8 lbs) on 2.4 mg semaglutide, when combined with a reduced-calorie diet and increased physical activity. Individual results may vary.