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

ClaudevalidationCollected Sep 3, 2026, 15:13 UTC

Verbatim response from Claude

Weight Loss on GLP-1 Medications

Typical Speed of Loss

  • First 1-3 months: 1-2 lbs per week is common as your body adjusts
  • Months 3-12: Steady loss averaging 15-20% of body weight over a year for most people
  • Peak results: Usually seen around 12-18 months of treatment

Specific Medication Expectations

  • Wegovy (semaglutide): Clinical trials showed ~15% body weight loss on average
  • Zepbound (tirzepatide): Currently the strongest option, with trials showing up to 20-22% average loss
  • Ozempic (approved for diabetes but widely used): Similar to Wegovy but slightly lower typical doses

The Sustainability Question - Be Honest With Yourself

The hard truth: Weight loss is largely not sustained if you stop the medication. Studies show most people regain the majority of weight within 1-2 years of stopping.

What helps make it more sustainable:

  • Using the appetite suppression window to build lasting habits
  • Strength training to preserve muscle mass
  • Working with a registered dietitian

Getting Started

Services like Ro, Hims/Hers, or Found offer telehealth prescriptions if access is a concern, though your primary care doctor is the best first stop.

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