Compared to Mounjaro, which also promotes weight loss, Semaglutide has a similar impact on ALT reduction. Both drugs improve liver enzymes by reducing fat and inflammation, but Semaglutide’s longer track record provides more data on liver outcomes.

A MAJOR review has pitted the big three blockbuster weight management jabs against each other – comparing weight lost and how long users were able to maintain it. There are several weight loss treatments now available in the UK via the NHS and private clinics Scientists compar ed tirzepatide – the active ingredient of Mounjaro – to semaglutide, which is in Wegovy and Ozempic, and liraglutide, that’s in Saxenda. he reviews – published in the gold-standard Cochrane Database of

Most other weight-loss injections, like semaglutide (used in Wegovy), act only on the GLP-1 receptor. Mounjaro’s dual action on GIP and GLP-1 sets it apart, giving it a broader effect on metabolism and appetite regulation. Clinical studies suggest this combination may lead to greater improvements in blood sugar and weight, though results vary from person to person. Understanding the difference in how they work Both Mounjaro and Wegovy belong to a class of medicines known as i

Wegovy is compatible with vegetarian or vegan eating, but plan protein (beans, lentils, tofu/tempeh, mycoprotein), iron, iodine, calcium and B12 carefully — lower appetite can make hitting targets harder. A simple “protein first” rule at meals and a daily multivitamin that fits your diet can help, alongside routine blood work if your clinician advises. For coeliac disease or other medical diets, your team will integrate Wegovy around the existing plan rather than replace it.

Support starts with your prescribing service: nurse-led education, injection training, and scheduled reviews. Pharmacists can help with device checks, storage questions, and travel letters. Many NHS weight-management programmes offer dietitian input and behaviour support; local availability differs by nation and Integrated Care Board / health board. Stick to official resources for technique and safety; if something online conflicts with your pen’s leaflet or clinic advice, fo

Yes — psychological context matters. Calmer appetite can ease emotional or stress-linked eating, but it doesn’t replace mental-health care. Set expectations early, watch for mood changes, and use behavioural tools (meal planning, mindful eating, sleep routines). If you’ve had disordered-eating patterns, tell your clinician so support can be tailored; brief check-ins with a dietitian or counsellor often make the process smoother. Why psychology is part of treatment Weight mana

People sometimes call a plateau “tolerance,” but classic drug tolerance isn’t the main issue here. Signs to explore include hunger returning most days, cravings as frequent as before, or weight not trending down at agreed review points despite consistent dosing. Your team will check technique (hold time, site), missed doses, titration pace, meal structure, sleep, and interacting medicines. If you’re tolerating treatment but not seeing benefit, they may adjust the plan, hold a

Yes — seasonal extremes matter. In summer, protect pens from heat; don’t leave them in cars or direct sun, and use an insulated pouch for journeys. In winter, guard against freezing (a frozen pen must not be used). Unopened pens stay refrigerated; in-use pens can usually be kept below 30 °C for the leaflet-specified period, cap on and away from light. If you suspect overheating or freezing, ask your pharmacist before using the pen. Why temperature control matters Wegovy (sema

Weight loss with Wegovy can lower blood pressure and improve metabolic markers, so clinicians often monitor and adjust existing treatments over time. If you use insulin or sulphonylureas for diabetes, doses may need review to reduce hypos as appetite and intake fall. Wegovy can slow stomach emptying, so timing may be adjusted for oral medicines that require predictable absorption. Always share a full medication list; Scotland and Wales follow similar clinical principles, thou

Yes — many services use Wegovy for maintenance when it remains clinically appropriate and well tolerated, but continuation depends on local commissioning rules. Some pathways set time limits or review benchmarks; others allow ongoing use if benefits and safety are clear. Whatever the policy, maintenance also relies on stable habits (protein, fibre, steps, simple strength work) so that stopping — if and when it happens — doesn’t trigger rapid regain. Scotland and Wales may fra

Short training is strongly recommended and widely offered by nurses or pharmacists. A hands-on demo covers device setup, priming (if applicable), 90° angle, site rotation, and how long to hold the pen in place — five minutes of practice prevents most errors. You’ll also get storage, travel, and missed-dose guidance, and a chance to ask questions. Refresher sessions are useful if you switch strengths or pens. Why training matters Wegovy (semaglutide) is designed for self-injec

The effectiveness of Wegovy often feels strongest early on as appetite settles and “food noise” quietens, but the weight curve is rarely perfectly linear. Many people see quicker losses at first, followed by slower, steadier change as the body adapts and plateaus appear — that’s normal physiology, not failure. Services use review points to check technique, adherence, side effects, and whether your plan (protein, fibre, activity, sleep) matches the new appetite pattern. If pro

There are no strict activities to avoid, but comfort improves if you skip very hot environments (saunas, hot tubs) and high-intensity core work for a few hours after injecting a tender area. If you feel queasy on escalation weeks, keep meals light, postpone vigorous workouts until later in the day, and limit alcohol. Don’t massage the injection site; a cool pack helps if it stings. If dizziness or reflux appears, avoid driving until you feel steady and speak with your team ab

Intermittent use isn’t recommended; Wegovy is designed for consistent weekly dosing. Stopping and starting can bring appetite surges and weight regain, and it complicates review criteria. If you need a pause (side effects, procedures, travel), agree a plan with your clinician so re-starting is safe and structured. Why Wegovy is designed for steady use Wegovy (semaglutide) works best when injected on a consistent weekly schedule. NICE TA875 and NHS England’s 2025 weight-manage

Prioritise protein at each meal, slow down eating, and include fibre-rich foods to support fullness. Keep daily steps and two short resistance sessions weekly to protect strength; limit alcohol and maintain good sleep to stabilise appetite signals. Plan hydrated, portion-aware days around your injection, and rotate injection sites. Small, repeatable routines beat perfection — your team will help tailor these to your life, and devolved-nation services may offer slightly differ

Yes — mild redness, itching, or small lumps can occur and usually settle. Rotate sites weekly to prevent lipohypertrophy (fatty thickening) and avoid injecting into scars, moles, or irritated skin. If you see persistent nodules, colour changes, warmth, or pain, switch location and ask your clinician to review technique and needle size. Why skin reactions happen Wegovy (semaglutide) is injected into the fatty layer under the skin (the subcutaneous tissue), where small local re

With illness or fever, focus on fluids, simple foods, and rest; if vomiting or dehydration is significant, contact your service before taking the next dose. For stomach bugs, clinicians often advise delaying until you’re tolerating fluids and food again. If you’re booked for procedures with sedation or anaesthesia, your team may adjust timing to reduce aspiration risk — always follow their specific instructions. Why illness matters for Wegovy dosing Short-term illness, such a

Some people report better sleep as late-night snacking eases and caffeine intake drops, while others notice temporary sleep disruption from nausea or reflux during dose increases. Practical tweaks help: avoid large meals close to bedtime, prop the upper body slightly if reflux flares, and keep evening alcohol modest. If sleep remains poor, your clinician can adjust titration pace and review other contributors (stress, screen time, other medicines). How Wegovy can influence sl

Yes — for older adults, start low, go slow, and protect muscle. Appetite reduction plus low protein can increase frailty risk, so set a protein target and add light resistance work if feasible. Review other medicines for dizziness or dehydration risk, and monitor renal function and blood pressure routinely. Services may schedule closer follow-up for people living with frailty or multiple conditions. Why Wegovy requires extra care in older adults Wegovy (semaglutide) can be us

Contact your clinic or GP well before the final dose in your pen so there’s time to process repeats and navigate any supply constraints....