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August 12, 2025 4 mins
Welcome to Ozempic Weightloss Unlocked, where we break down the latest science, headlines, and real world experiences around semaglutide, known by many as Ozempic and Wegovy.

Here is what is new. Medical News Today reports on a fresh Cell Metabolism study in mice suggesting lean mass loss with Ozempic may be smaller than feared, about ten percent of lean mass during weight loss, with much of the change coming from organs like the liver rather than skeletal muscle. Researchers also noted some muscles maintained size while strength could still dip, underscoring the need for human trials to clarify muscle function during treatment. That is according to Medical News Today and University of Utah Health coverage of the same research.

University of Utah Health explains that the liver in mice shrank by nearly half during weight loss, which can be part of healthy metabolic improvement, and that some reduction in skeletal muscle may reflect a return to baseline as body fat drops. Their message is clear. We need rigorous human studies to confirm how size and strength change in different muscles and what training and protein strategies best protect function during treatment.

What about long term weight outcomes in the real world. A new analysis in the journal Advances in Therapy shows that around half of patients on semaglutide 2.4 milligrams achieved at least twenty percent weight loss at 18 to 24 months, pointing to meaningful, sustained results for many patients outside trials. That is according to Springer Nature’s publication of the real world study.

Stopping medication remains a pivotal issue. ScienceDaily reports on a meta analysis in BMC Medicine across 11 trials showing weight regain commonly begins about eight weeks after stopping anti obesity medications, including glucagon like peptide one drugs, and continues for several months before leveling off. The extent of regain varies by drug and by lifestyle consistency, but the pattern is widespread. One tirzepatide study found participants regained nearly half of the lost weight after switching to placebo. This highlights the importance of long term plans, whether continued medication, step down dosing, or robust nutrition, activity, sleep, and support.

The pipeline is active. Fierce Biotech reports Eli Lilly’s oral glucagon like peptide one candidate orforglipron achieved about twelve percent average weight loss in phase three, less than injectable rivals but with the convenience of a pill. Meanwhile, new semaglutide dosing research from Novo Nordisk’s program suggests higher weekly doses like seven point two milligrams can approach or surpass twenty percent average loss at 72 weeks, adding competitive pressure and new options if approved. These developments matter for access, costs, and matching the right person to the right therapy.

Beyond weight, McGill University highlights growing evidence that glucagon like peptide one medicines may also help conditions like heart and kidney disease, fatty liver disease, sleep apnea, osteoarthritis, and even addiction. Their review in eClinicalMedicine stresses both promise and open questions, including long term safety signals like gallbladder disease, mood effects, and vision risks, plus the realities of cost and access.

Here are practical takeaways for listeners. First, combine medication with protein forward eating and resistance training to protect strength while losing fat. Second, plan for maintenance early, since weight regain after stopping is common. Third, talk with a clinician about the full cardiometabolic picture, including blood sugar, cholesterol, blood pressure, and fatty liver markers. Fourth, keep an eye on emerging options, including oral therapies and dose optimization, which may broaden choices.

That is it for today on Ozempic Weightloss Unlocked. Thank you for tuning in, and please subscribe so you never miss an update. This has been a quiet please production, for more check out quiet please dot ai.

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Episode Transcript

Available transcripts are automatically generated. Complete accuracy is not guaranteed.
Speaker 1 (00:00):
Welcome to Ozepic Weight Loss Unlocked, where we break down
the latest science headlines and real world experiences around semaglutide,
known by many as ozepic and wagoly. Here is what
is new. Medical News Today reports on a fresh cell
metabolism study in mice suggesting lean mass loss with ozepic
may be smaller than feared, about ten percent of lean

(00:21):
mass during weight loss, with much of the change coming
from organs like the liver rather than skeletal muscle. Researchers
also noted some muscles maintain size while strength could still dip,
underscoring the need for human trials to clarify muscle function
during treatment. That is according to Medical News Today and
University of Utah Health coverage of the same research. University

(00:45):
of Utah Health explains that the liver in mice shrank
by nearly half during weight loss, which can be part
of healthy metabolic improvement, and that some reduction in skeletal
muscle may reflect a return to baseline as body fat drops.
Their message is clear, we need rigorous human studies to
confirm how size and strength change in different muscles and

(01:05):
what training and protein strategies best protect function during treatment,
What about long term weight outcomes in the real world.
A new analysis in the journal Advances in Therapy shows
that around half of patients on semaglutide two point four
millibrams achieved at least twenty percent weight loss at eighteen
to twenty four months, pointing to meaningful sustained results for

(01:29):
many patients outside trials. That is, according to Springer Nature's
publication of the real world study. Stopping medication remains a
pivotal issue. Science Daily reports on a meta analysis in
BMC Medicine across eleven trials showing weight regain commonly begins
about eight weeks after stopping anti obesity medications, including glucagon

(01:52):
like pope eyed one drugs, and continues for several months
before leveling off. The extent of regain varies by drug
and b by lifestyle consistency, but the pattern is widespread.
One tirezapathide study found participants regained merely half of the
lost weight after switching to placebo. This highlights the importance
of long term plans where the continued medication, step down dosing,

(02:16):
or robust nutrition, activity, sleep and support the pipeline is active.
Fierce Biotech reports ELI Lilly's oral glucagon like peptide one
candidate or fallipron, achieved about twelve percent average weight loss
in phase three, less than injectable rivals, but with the
convenience of a pill. Meanwhile, new summer glutide dosing research

(02:38):
from Nova Nordisk's program suggests higher weekly doses like seven
point two milligrams can approach all surpass twenty percent average
loss at seventy two weeks, adding competitive pressure and new
options if approved. These developments matter for access, costs and
matching the right person to the right therapy Beyond weight.

(02:59):
McGuire Real University highlights growing evidence that glucagin like peptide
one medicines may also help conditions like heart and kidney disease,
fatty liver disease, sleep, ATMEA, osteoarthritis, and even addiction. Their
review in e Clinical Medicine stresses both promise and open questions,
including long term safety signals like Gollblatter disease, mood effects

(03:24):
and vision risks, plus the realities of cost and access.
Here are practical takeaways for listeners. First, combine medication with
protein forward eating and resistance training to protect strength while
losing fat. Second, plan for maintenance early since weight regain
after stopping is common. Third, talk with a clinician about

(03:46):
the full cardiometabolic picture including blood sugar, cholesterol, blood pressure,
and fatty liver markers. Fourth, keep an eye on emerging options,
including oral therapies and dose optimization which may broaden choices.
That is it for to day on ozempic weight loss unlocked.
Thank you for tuning in and please subscribe so you

(04:08):
never miss an update. This has been a quiet please production.
For more check out quiet please dot a I
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