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Wegovy vs. Ozempic

Published on 
February 3, 2025
Virta Team

Wegovy and Ozempic both contain semaglutide and are GLP-1 receptor agonists, but their primary difference lies in their indications: Wegovy is approved for chronic weight management, while Ozempic is primarily for type 2 diabetes management. Both drugs work by slowing gastric emptying, reducing appetite, and improving blood sugar control. Wegovy delivers greater weight loss (approximately 15% bodyweight) compared to Ozempic's focus on HbA1c reductions and moderate weight effects. Wegovy has no additional off-label uses, whereas Ozempic is also used off-label for weight management. Both share common side effects like nausea and vomiting, with similar serious risks. However, Wegovy is significantly costlier, averaging $1,375/month compared to Ozempic's $875/month. Neither faces current shortages. ​​

How Wegovy Works

Slows gastric emptying, reduces appetite, and enhances feelings of fullness, leading to lower calorie intake. It also stimulates insulin release and reduces glucagon secretion, improving blood sugar control.

Common Side Effects

Nausea, vomiting, diarrhea, constipation, abdominal pain, headache, and fatigue.

Serious Potential Side Effects

Pancreatitis, gallbladder issues, kidney problems, and increased heart rate, thyroid cancer, anaphylaxis (or serious allergic reactions)

How Ozempic Works

Slows gastric emptying, reduces appetite, and enhances feelings of fullness, leading to lower calorie intake. It also stimulates insulin release and reduces glucagon secretion, improving blood sugar control.

Common Side Effects

Nausea, vomiting, diarrhea, constipation, and abdominal pain.

Serious Potential Side Effects

Pancreatitis, gallbladder issues, kidney problems, and increased heart rate, thyroid cancer, anaphylaxis (or serious allergic reactions)

Brand Name

Wegovy
Ozempic

Generic Name

Semaglutide
semaglutide

Overview

Used for chronic weight management in adults with obesity or overweight with related conditions and for cardiovascular event risk reduction in patients with type 2 diabetes and established cardiovascular disease. It helps regulate appetite and reduce calorie intake by mimicking a hormone that influences hunger and satiety.
Primarily prescribed for type 2 diabetes to improve blood sugar control. Also used for cardiovascular event risk reduction in patients with type 2 diabetes and established cardiovascular disease. Off-label use for weight management due to its appetite-suppressing effects.

Year Approved

2021 for weight loss 2024 for cardiovascular risk reduction
2017 for weight management 2020 for cardiovascular risk reduction

Category

GLP-1
GLP-1

Indicated for

Chronic weight management and reducing risk of major cardiovascular events
Type 2 diabetes management; reducing risk of major cardiovascular events in adults with type 2 diabetes and cardiovascular disease

Administration type

Injectable
Injectable

Also used (but not approved) for

Weight Management

Frequency

Once / week
Once / week

Typical dose range

0.25–2.4 mg
0.25–2.0 mg

Average cost per month

$1,375
$875

Availability

No current shortages
No current shortages