Obesity

Short‐Term Weight Loss Outcomes of 1.0 mg Semaglutide Therapy Initiated 6 Months After Sleeve Gastrectomy

Obesity (Silver Spring)Published Retrospective cohort study

Authors' conclusion

Semaglutide initiated 6 months post LSG significantly enhances short-term postoperative weight loss, even among patients who have already achieved substantial initial weight loss. These findings suggest its potential as an effective adjunct therapy for optimizing weight management in early postoperative care.

Study context

Population
Patients undergoing primary laparoscopic sleeve gastrectomy (LSG); controls matched on demographics, preoperative BMI, WHR, comorbidities and total weight loss at 6 monthsmatched 1:3
Participants
34 vs 102
Exposure
Semaglutide 1.0 mg weekly from 6 months post LSG vs no semaglutide
  • Treatmentn = 34
  • Controln = 102reference
Outcome
Absolute and percentage weight loss
Follow-up
6 to 12 months post LSG
Methodological detailsmatched 1:3
  • Matched 1:3

Main finding

As reported in the abstract

Absolute weight loss

P < 0.0001

Observational data: associations, not effects.

Further findings

OutcomeTreatmentControlP value
Percentage weight loss (primary outcome) · 6 to 12 months post LSGGreater with Treatment12.61% ± 4.11%4.84% ± 5.18%P < 0.0001
TWL · 6 months post LSG23.16% ± 6.50%23.53% ± 4.87%
TWL · 12 monthsHigher with Treatment35.77% ± 8.35%28.37% ± 7.41%P < 0.0001

Original publication

Short‐Term Weight Loss Outcomes of 1.0 mg Semaglutide Therapy Initiated 6 Months After Sleeve Gastrectomy. Obesity (Silver Spring). Published 18 September 2025. doi:10.1002/oby.70006

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