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What to Expect With Saxenda Injections

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Thinking about using Saxenda for weight loss? Let’s dive in and explore what you should know before giving it a try.

How Saxenda Works

Originally designed as a diabetes medication called Victoza, Saxenda operates by mimicking the effects of a hormone known as GLP-1. This hormone stimulates insulin release, aiding those with poor insulin control in diabetes. GLP-1 also plays a role in making us feel full. Capitalizing on this, Saxenda has been repackaged as an appetite suppressant for weight loss.

The drug comes in pre-filled syringes with adjustable doses. Administering it involves attaching a needle, injecting the chosen dose, and holding it against your skin for 6 seconds before discarding the needle. Doses start low and increase gradually, especially if you’re new to Saxenda.

Side Effects

Common Side Effects (reported in more than 1% of patients):

  • Nausea (23-45%)
  • Diarrhea (17-34%)
  • Constipation (13-20%)
  • Headache (11-16%)
  • Vomiting (9-16%)
  • Dizziness (6-9%)
  • Abdominal pain (4-8%)
  • Fatigue (4-7%)
  • Dyspepsia (3-5%)
  • Decreased appetite (3-5%)
  • Gastroenteritis (3-4%)

Rare Side Effects (reported in less than 1% of patients):

  • Pancreatitis (0.2%)
  • Gallbladder disease (0.2%)
  • Hypoglycemia (0.2%)
  • Acute kidney injury (0.1%)
  • Suicidal ideation (frequency unknown)
  • Depression (frequency unknown)
  • Thyroid C-cell tumors (frequency unknown)

Saxenda Diet Plan

While there isn’t a specific diet mandated with Saxenda use, it might be beneficial to adopt a stricter dietary plan, given the drug’s appetite-suppressing effects. Enhance the impact by incorporating other appetite-suppressing strategies, like increasing protein and fat intake.

However, steer clear of extreme dieting and forced fasting. Opt for a well-rounded diet, such as a low-carbohydrate, calorie-controlled Mediterranean Diet, ensuring you receive a variety of essential nutrients.

Remember, proper nutrition is key for effective fat metabolism. Depriving yourself of necessary nutrients may hinder your body’s ability to metabolize fat and potentially increase the risk of weight rebound once you stop the drug.

FAQ

How effective is Saxenda for weight loss?

In a 56-week clinical trial involving adults dealing with obesity or excess weight and at least one weight-related condition, those taking Saxenda lost an average of 8.4% of their initial body weight, compared to 2.8% in the placebo group. Another trial showed a 5.9% weight loss with Saxenda versus 2.3% with the placebo.

Personal experiences suggest it can be effective, with some patients praising its ability to suppress hunger and cravings. However, a common side effect is persistent nausea, making it uncertain whether reduced eating is due to medication or discomfort.

Some patients also report other side effects, like migraines, impacting their appetite. Unfortunately, the appetite-controlling effect tends to diminish over time, with reduced effectiveness reported after continuous use.

How long does it take for Saxenda to work?

For some people, you might start feeling the effects within the initial 1-3 days of taking it. However, don’t expect to see noticeable weight loss right away, especially in the first two weeks of starting the treatment.

How long do you stay on Saxenda?

Typically, your healthcare provider will assess its effectiveness in the initial 12 weeks before deciding on continued usage. Saxenda is designed for long-term use, with many individuals using it for at least a year. However, some may choose to stay on Saxenda indefinitely to prevent weight regain.

How much does Saxenda cost?

Saxenda can be pricey, ranging from $1,000 to $2,000 per month out-of-pocket, depending on the dose. Trying Victoza first might be a cost-effective way to gauge potential effectiveness.

How long does Saxenda remain in your system?

It takes approximately three days for Saxenda to be completely cleared from your body. The liver metabolizes it, and its elimination half-life is about 13 hours. This means that within this timeframe, half of the Saxenda dose you took will be eliminated from your system.

Saxenda vs. Wegovy

Saxenda (liraglutide) and Wegovy (semaglutide) are similar drugs, both stimulating the GLP-1 receptor. Saxenda requires a daily injection, while Wegovy is administered weekly.

Comparisons indicate Wegovy likely leads to more weight loss but with increased side effects. However, in practice, both drugs are effective, and switching between them may not yield significant differences.

Learn more about

Citations

Highlights of prescribing info (FDA). https://www.accessdata.fda.gov/drugsatfda_docs/label/2014/206321Orig1s000lbl.pdf

Pi-Sunyer X, Astrup A, Fujioka K, et al. A randomized, controlled trial of 3.0 mg of liraglutide in weight management. N Engl J Med. 2015; 373(1): 11-22.

Wadden TA, Hollander P, Klein S, et al. Weight maintenance and additional weight loss with liraglutide after low-calorie-diet-induced weight loss: the SCALE Maintenance randomized study. Int J Obes (Lond). 2013; 37(11): 1443-1451.

Attributions

“Saxenda (Liraglutide) Weight Loss Injection Pen – Image 1” by Doctor4U_UK is licensed with CC BY 2.0. To view a copy of this license, visit https://creativecommons.org/licenses/by/2.0/


See also

  • Comparing Weight Loss Drugs in 2024
    Ozempic and Mounjaro are highly effective at treating obesity, however there are many other approved and off-label options that also work.
  • Bupropion vs Contrave vs Naltrexone
    Contrave is a synergistic combination of buproprion and naltrexone, which can be replicated to some degree using the generics individually.
  • New Obesity Drugs in 2024
    New obesity drugs target more than just GLP-1 and do much more than suppress appetite for a more nuanced approach to weight loss.
  • Mounjaro: Who Loses the Most Weight?
    White or Asian younger women who use metformin and have lower sugar and lipid levels tend to experience more weight loss with Mounjaro.
  • How does Oforglipron compare?
    Orforglipron, Semaglutide, and Danuglipron are oral GLP-1 agonists that are all similar enough that cost may end up being the winning factor.

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2 thoughts on “What to Expect With Saxenda Injections”

  1. I’ve been taking Saxenda for about 3 months. I don’t take it every day, only take it once or twice a week. 1.2mg seems to be the dose that works best for me on this routine. Least nausea and other side effects. Weight loss has been noticed but may be a little slower. Thanks for your informative article!

  2. I have been using Saxenda for about 2 years. I am CANADIAN from Alberta and our health care plan does not cover the cost, which has recently increased to $460.Cad. I found that the middle dose of 1.8 worked very well, which lowered the cost overall. That dosage makes the Rx last about 6 weeks. Trying to rid myself of the cost, I tried stopping it. My appetite soared within a couple of days without it! It absolutely does not reduce craving sweets. I lost 40 lbs. pretty easily but have plateaued at 180. BUT, I am also very sedentary. The needle is so tiny and short, that injecting your abdomen, means there is absolutely no discomfort at all. You feel nothing. Hope this helps somebody.

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