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When it comes to weight loss, there are many factors to consider, including diet, exercise, and medication. One medication that has been gaining popularity for its weight loss benefits is semaglutide. Semaglutide is a glucagon-like peptide-1 (GLP-1) receptor agonist that was originally developed to help manage type 2 diabetes. However, studies have shown that it can also be effective in promoting weight loss in individuals with obesity.

Understanding Semaglutide Dosing

Semaglutide works by mimicking the effects of GLP-1, which helps regulate appetite and food intake. When used for weight loss, semaglutide is typically administered via subcutaneous injection once a week. The recommended dose for weight loss is higher than the dose used for diabetes management, as studies have shown that higher doses of semaglutide are more effective in promoting weight loss.

Patients starting on semaglutide for weight loss are usually prescribed a lower dose, which is gradually increased over time to minimize side effects. It is important for patients to follow their healthcare provider’s instructions carefully and not to adjust their dose without consulting them first.

It is essential to note that semaglutide is not a miracle drug and should be used in combination with a healthy diet and regular exercise for best results. It is also not suitable for everyone, so individuals considering semaglutide for weight loss should discuss their medical history and any existing health conditions with their healthcare provider.

Side Effects and Considerations

Like any medication, semaglutide can cause side effects, including nausea, vomiting, diarrhea, and constipation. These side effects are usually mild and diminish over time as the body adjusts to the medication. However, if side effects persist or become severe, patients should contact their healthcare provider.

Patients taking semaglutide should also be aware of the potential risk of hypoglycemia, especially if they are also taking medications for diabetes. It is essential to monitor blood sugar levels regularly and seek medical attention if experiencing symptoms of low blood sugar, such as dizziness, sweating, or confusion.

Additionally, semaglutide has been associated with rare but serious side effects, such as pancreatitis and thyroid tumors. Patients should be monitored regularly by their healthcare provider to detect any potential complications early on.





Conclusion

In conclusion, the recommended semaglutide dose for weight loss is typically higher than the dose used for diabetes management. Patients starting on semaglutide should follow their healthcare provider’s instructions carefully and be aware of potential side effects and considerations.

Ultimately, the decision to use semaglutide for weight loss should be made in consultation with a healthcare provider, taking into account the individual’s medical history and existing health conditions. With the right guidance and support, semaglutide can be a valuable tool in achieving weight loss goals.

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Originally presented at Carilion Children's Grand Rounds by Violet Swanson, DO, Pediatric Resident, PGY-3, Carilion Children’s Faculty Advisor: Virginia Powel, MD, MPH, FAAP, Chief Pediatric Intensivist, Carilion Children’s Learning objectives include:​ 1. Describe the pillars of pediatric obesity management. 2. Review current pharmacotherapy for pediatric obesity. 3. Recognize the mechanism of action of GLP-1 RAs. 4. Review current evidence on the efficacy and safety of GLP-1 RAs in children and adolescents. 5. Identify clinical considerations for initiating GLP-1 RAs in pediatric patients. 6. Discuss access & insurance coverage challenges. Category 1 CME credit has been approved for this enduring material from January 1 through December 31, 2025.​ ​ To receive CME credit for watching this video, please complete the survey posted below. Note you will need to answer 2 content questions that are listed at the end of this video in the survey​ https://carilion.ca1.qualtrics.com/jfe/form/SV_eWMxee5wyTY92yp