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Ozempic vs Saxenda – Which is the Better Treatment?

David Fuller

Last Updated On: July 5, 2024

According to recent studies, the prevalence of type 2 diabetes continues to rise globally. As more individuals grapple with this chronic condition, the demand for effective treatments has intensified. Medications help manage blood sugar levels, and knowing which one to use is vital for patients to achieve their health goals.

Two prominent medications in diabetes management are Ozempic (semaglutide) and Saxenda (liraglutide). While both belong to the glucagon-like peptide-1 (GLP-1) receptor agonists class, their approved uses are different. These drugs share similarities but serve distinct purposes.

In this article, we’ll explore the mechanisms, dosages, and side effects of Ozempic and Saxenda, helping practitioners and patients decide which is the better treatment.

Key Takeaways

  • Ozempic is primarily used to manage type 2 diabetes and aids in weight loss, potentially benefiting those with PCOS. Saxenda, meanwhile, focuses on reducing appetite to support weight loss efforts.
  • Ozempic offers a convenient once-weekly injection regimen, contrasting with Saxenda’s daily dosing schedule, which requires gradual dosage adjustments to minimize side effects.
  • Both medications have shown effectiveness in weight management, but outcomes may vary based on individual health profiles and responses to treatment.
  • Understanding potential side effects is crucial. While both medications are generally well-tolerated, they can cause gastrointestinal issues such as nausea and diarrhea. Ozempic also carries specific considerations for individuals with type 2 diabetes.
  • Choosing between Ozempic and Saxenda involves considering factors such as individual health needs, lifestyle preferences, and the guidance of healthcare professionals to determine which treatment aligns best with personal goals and health conditions.

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Ozempic and Saxenda’s Mechanisms of Action

Ozempic targets key areas for glucose metabolism and hunger signals. It boosts insulin release when blood sugar is high, helping lower glucose levels, slows food leaving the stomach, and makes you feel fuller. This dual action helps control appetite and manage weight. 

The convenient dosing schedule of Ozempic intake aids adherence to treatment plans, improving glycemic control and weight management. Beyond lowering blood sugar, Ozempic addresses overeating due to delayed stomach emptying, leading to significant weight loss.

Meanwhile, Saxenda mimics a hormone that targets the brain’s hunger regulation, making individuals feel full sooner and reducing their desire to eat. It slows stomach emptying, further enhancing satisfaction with smaller portions. Saxenda supports weight loss and improves glycemic control, which is crucial for managing conditions like PCOS with compromised insulin sensitivity. It emphasizes patient-centered care with tangible outcomes.

Ozempic and Saxenda’s Clinical Efficacy

Ozempic has been studied for weight loss. After 30 weeks, patients on Ozempic 0.5 mg lost 2.6 kg more than the placebo group, and patients on Ozempic 1 mg lost 3.5 kg more than the placebo group.

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It is also important to note that Ozempic is not FDA-approved specifically for weight loss, but its effects on weight are observed. Meanwhile, A recent study found that Ozempic provides results for up to 3 years. Participants experienced long-term improvements in blood sugar control and weight loss, which is significant for people with type 2 diabetes and associated obesity.

Another study presented at the European Association for the Study of Diabetes (EASD) found that semaglutide significantly improved blood sugar control and weight loss in adults with type 2 diabetes when taken for up to three years.

Overall, Ozempic shows promising long-term benefits in blood sugar control and weight loss, offering a significant impact for individuals with type 2 diabetes and associated obesity.

Weight Loss and Glycemic Control Results for Saxenda

Studies consistently demonstrate that Saxenda leads to more significant weight loss than placebo. Participants also experience improved metabolic parameters, including glycemic control, lipid profiles, and blood pressure. 

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Likewise, a year-long study found that adding liraglutide to insulin regimens for patients with type 1 diabetes (T1D) helps achieve better glycemic control and weight loss without causing more incidents of hypoglycemia.

Even modest weight loss (5-10%) has significant health benefits, such as improving glycemic control, reducing progression to type 2 diabetes, and addressing comorbidities like hypertension and dyslipidemia.

All these studies show that Saxenda promises weight loss and positively impacts glycemic control. 

Ozempic and Saxenda Safety Profiles

Ozempic and Saxenda both have their own set of side effects. Some are common and mild, and others can be serious. Patients must know these things and learn how to use Ozempic or Saxenda.

Common Side Effects of the Treatments

  • Ozempic: Nausea, vomiting, diarrhea, constipation, abdominal pain, and loss of appetite
  • Saxenda: Same as Ozempic, but some patients report experiencing headaches as well.

Less Common but Serious Side Effects

  • Ozempic: Pancreatitis, hypoglycemia, kidney problems, allergic reactions (rash, itching, or swelling), severe dizziness, and retinopathy complications (worsening diabetic eye disease in patients with a history of diabetic retinopathy)
  • Saxenda: Same as Ozempic but may not cause retinopathy complications. However, one of the more severe side effects of Saxenda is an increase in heart rate.

Ozempic and Saxenda Practical Considerations

Choosing between Ozempic and Saxenda goes beyond just looking at their benefits. Consider how often you must take them, who should use them, and the cost.


  • Weekly shot regimen starting with a low dose.
  • The dose increases after four weeks to optimize effectiveness.
  • Rapid improvement in blood sugar levels was observed.
  • Potential weight loss over continued use.
  • Considered for PCOS treatment.
  • Requires adherence to schedule and doctor supervision.


  • Daily dosing starts at 0.6mg for the first week.
  • Gradual weekly dose increments to reach 3 mg daily.
  • Helps minimize initial side effects.
  • Requires careful adherence to dosing instructions.
  • Store in refrigeration for potency.
  • Essential for managing nausea and blood sugar levels.

Following these schedules and guidelines ensures the safe and effective use of Ozempic and Saxenda.

Patient Selection Criteria for Ozempic and Saxenda

Doctors might suggest Ozempic for adults with type 2 diabetes who also need help managing their weight. For those exploring the options Saxenda offers, it’s crucial to understand who stands to benefit most from this medication.


  • Effective for individuals not achieving blood sugar goals through diet and exercise alone.
  • Supports weight management, which is particularly beneficial for PCOS patients.
  • A once-weekly dosing schedule reduces the need for daily injections.
  • Requires realistic expectations and commitment to long-term lifestyle changes.
  • Proper refrigeration before use is crucial for maintaining effectiveness.


  • It is suitable for adults with a BMI of 30 or more (obese) or a BMI of 27 or more with weight-related conditions.
  • Helps manage weight and addresses conditions like high blood pressure, type 2 diabetes, and high cholesterol.
  • Beneficial for individuals with PCOS who struggle with weight.
  • Selection criteria emphasize overall health and readiness for long-term lifestyle changes.
  • Requires careful monitoring and adjustment by medical professionals for effective use and sustained health benefits.

Cost Comparison Between Ozempic and Saxenda

Understanding the distinct patient selection criteria for Ozempic and Saxenda naturally leads us to discuss another crucial aspect: the cost comparison between these two treatments. This comparison is essential for medical professionals to make informed decisions and guide patients regarding the financial considerations of their treatment options.

TreatmentAverage Cost per Month (USD)Insurance Coverage ConsiderationsAdditional Cost Factors
Ozempic$850Varies by plan; often covered for diabetes, less often for weight lossCost may decrease with manufacturer savings card or insurance adjustments
Saxenda$1,349Often not covered for weight loss, coverage is more likely with obesity-related health complications.Manufacturer savings programs may reduce out-of-pocket expenses


Choosing between Ozempic and Saxenda depends on personal needs and health goals. Both treatments show good results for weight loss and sugar control, but they work differently.

The key factors to consider are side effects, how often you need to take them, and the cost. Talk with a doctor to pick the best one for your situation. They will help you weigh the pros and cons of each option.


1. What are the differences between Ozempic and Saxenda? 

Both medications are used for weight management, but they have distinct purposes. Ozempic is primarily used to treat type 2 diabetes and may benefit individuals with PCOS due to its ingredients. Saxenda focuses on reducing appetite to promote eating less.

2. Can Ozempic be used if I have PCOS? 

Yes, Ozempic can be beneficial for women with PCOS. It helps manage weight and may alleviate some symptoms associated with PCOS.

3. How should I store Ozempic? Does it require refrigeration? 

Yes, Ozempic should be stored in the refrigerator until it is ready for use. Proper refrigeration ensures its stability and effectiveness.

4. Are there noticeable changes before and after using these treatments? 

Many individuals have reported significant improvements after using either medication. However, outcomes vary among individuals, and results can differ based on personal health factors and responses to treatment.


Mayo Clinic. Hyperglycemia in diabetes – Diagnosis and treatment – Mayo Clinic. Mayoclinic.org. Published August 20, 2022. https://www.mayoclinic.org/diseases-conditions/hyperglycemia/diagnosis-treatment/drc-20373635

Medications Containing Semaglutide Marketed for Type 2 Diabetes or Weight Loss. FDA. Published online May 31, 2023. https://www.fda.gov/drugs/postmarket-drug-safety-information-patients-and-providers/medications-containing-semaglutide-marketed-type-2-diabetes-or-weight-loss 



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