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How fast will I lose weight on GLP-1s and is it sustainable?

ClaudevalidationCollected Aug 24, 2026, 12:00 UTC

Verbatim response from Claude

Weight Loss on GLP-1 Medications

Typical Speed of Loss

  • First 3 months: Often 5-10% of body weight
  • 6 months: Around 10-15% on average
  • 12-18 months: Up to 15-20%+ for some people
  • Clinical trials for Wegovy (semaglutide) showed ~15% average body weight loss over 68 weeks
  • Zepbound (tirzepatide) showed even stronger results - up to 20-22% in trials

Realistic Expectations

  • Loss is gradual (1-2 lbs/week early on, slowing over time)
  • Results vary significantly by individual
  • Diet and exercise still matter

Sustainability - The Honest Answer

This is the critical issue. Most research shows:

  • Weight often returns when medication stops (studies show ~2/3 of weight regained within a year of stopping)
  • Many people need long-term or indefinite use
  • These are increasingly viewed as chronic condition medications, similar to blood pressure drugs

Getting Started

  • Wegovy or Zepbound are the FDA-approved weight-loss versions
  • Services like Ro, Hims/Hers, or Noom Med can connect you with prescribers online
  • Always consult your doctor about your specific situation

The sustainability question is worth having an honest conversation with your doctor about before starting.

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