Obesity

Real‐World Use of Semaglutide for Weight Management: Dose Titration, Discontinuation Patterns and Weight Changes

Diabetes Obes MetabPublished Retrospective observational study

Authors' conclusion

Based on the experience from utilisation in a single general practise, semaglutide for weight management is frequently discontinued and titrated slower and to lower maintenance doses in real-world clinical practise than in the approved labelling. Despite this, the observed mean weight loss for individuals who had not discontinued treatment was substantial.

Study context

Population
Adults with overweight or obesity prescribed semaglutide for weight management, Dec 2022–May 2024, one general practice in Denmark; 76% women, mean age 48 years (SD 13), mean baseline weight 105 kg (SD 23.8)
Participants
206 adults
Outcome
Relative mean change in body weight in individuals who had not discontinued treatment and had baseline and follow-up weight
Follow-up
Baseline to 12 months
Methodological detailssingle general practice, primary care
  • Single general practice
  • Primary care

Main finding

As reported in the abstract

Relative mean change in body weight, in those who had not discontinued treatment · 12 months

Relative mean body weight change after 12 months

−13.6 (95% CI −15.0 to −12.2)%

Observational data: associations, not effects.

Further findings

Treatment status · 12 months

Permanently discontinued semaglutide
38% (n = 78)
Temporarily discontinued (paused)
15% (n = 30)
Remained on treatment
48% (n = 98)

Maintenance dose among those remaining on treatment · 12 months

≤ 1.0 mg/week
40%
1.7 mg/week
30%
2.4 mg/week
30%

Original publication

Real‐World Use of Semaglutide for Weight Management: Dose Titration, Discontinuation Patterns and Weight Changes. Diabetes Obes Metab. Published 8 July 2026. doi:10.1111/dom.71092

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