SELECT cardiovascular trial
A 2023 NEJM trial in 17,604 adults with obesity and cardiovascular disease but no diabetes reported reduced cardiovascular events over a mean 39.8 months. Reported in the cited paper.
SourceResearch Use Only. Products listed are not for human or animal consumption. Statements have not been evaluated by the FDA.View full disclaimers →
Semaglutide is an approved GLP-1 receptor agonist sold as Ozempic for type 2 diabetes, Wegovy for weight management and Rybelsus as an oral tablet. It carries a boxed warning for thyroid C-cell tumours and requires prescription and supervision.
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Overview
Semaglutide is an approved GLP-1 receptor agonist sold as Ozempic for type 2 diabetes, Wegovy for weight management and Rybelsus as an oral tablet. It carries a boxed warning for thyroid C-cell tumours and requires prescription and supervision.
What the research reports
Outcomes described across the published Semaglutide literature and ongoing study. Read each as research context, not a promised result.
Clinically meaningful weight loss
Trials of 2.4 mg reported 14.9 percent weight loss against 2.4 percent on placebo, and 15.8 percent against 6.4 percent for liraglutide. Reported in research settings.
Appetite and satiety effects
Acts on GLP-1 receptors to reduce appetite and slow gastric emptying, which lowers food intake without deliberate restriction. Reported in research settings.
Cardiovascular risk reduction
The SELECT trial in 17,604 adults with obesity and cardiovascular disease but no diabetes reported fewer cardiovascular events across a mean 39.8 month period.
Kidney outcome study data
The FLOW trial reported slower progression of chronic kidney disease and reduced cardiovascular death risk in people with type 2 diabetes. Reported in research settings.
Liver and metabolic effects
Trial data reported resolution of steatohepatitis without worsening fibrosis in 62.9 percent of patients against 34.3 percent on placebo. Reported in research settings.
Dosage and protocol
The weight management titration starts at 0.25 mg weekly, rising through 0.5, 1 and 1.7 mg to a 2.4 mg target, increasing every four weeks to limit gastrointestinal side effects throughout.
Clinical evidence
The published record for Semaglutide, labeled by strength so you can see what is settled and what is emerging.
A 2023 NEJM trial in 17,604 adults with obesity and cardiovascular disease but no diabetes reported reduced cardiovascular events over a mean 39.8 months. Reported in the cited paper.
SourceA NEJM trial in 3,533 people with type 2 diabetes and chronic kidney disease reported slower disease progression and lower cardiovascular death risk over 3.4 years.
SourceA 2025 NEJM trial in 9,650 high risk patients with type 2 diabetes reported that oral semaglutide reduced major adverse cardiovascular events against placebo. Reported in the cited paper.
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