In a large clinical trial, people taking oral semaglutide, aka Rybelsus for weight loss, lost 15.1% of their body weight in 68 weeks. If you weigh 250 pounds, that’s a loss of 37.5 pounds.
Interested in getting a prescription for Rybelsus for weight loss online? Find a weight loss specialist on Klarity Health. If they recommend Rybelsus for you, get a prescription in as little as 24 hours.*
Providers on Klarity Health are independent practitioners with clinical autonomy; a diagnosis, treatment, or prescription is not guaranteed.
Providers on Klarity Health are independent practitioners with clinical autonomy; a diagnosis, treatment, or prescription is not guaranteed.
Rybelsus (semaglutide) is a glucagon-like peptide-1 (GLP-1) receptor agonist, the same drug class that includes Ozempic and Wegovy (which share the same active ingredient as Rybelsus, semaglutide).
The U.S. Food and Drug Administration (FDA) approved Rybelsus in 2017 to improve blood sugar control in adults with type 2 diabetes, in combination with diet and exercise. Rybelsus is also prescribed off-label for weight loss, as GLP-1s are known to reduce appetite and promote losing weight.
Novo Nordisk, the manufacturer of Rybelsus, is seeking FDA approval for Rybelsus as a treatment for weight loss. If approved, Rybelsus would likely be available under a new brand name with higher dosage strengths than those currently used to treat type 2 diabetes.
A clinical trial found that higher doses of Rybelsus than the doses used for blood sugar control led to 15.1% weight loss over 68 weeks. If you weigh 250 pounds, that’s a loss of more than 37 pounds!
Unlike other semaglutide treatments, such as Ozempic or Wegovy, which are weekly injections, Rybelsus is taken as a daily oral medication. It’s not yet FDA-approved for weight management, and is available as a compounded medication if your provider determines that’s right for you. There’s no generic version of Rybelsus.
Learn more about the differences between oral vs injectable semaglutide.
As a GLP-1 medication, Rybelsus mimics a gut hormone your body naturally produces called glucagon-like peptide-1 (GLP-1). Rybelsus supports weight loss through 2 main mechanisms: appetite regulation and delayed gastric emptying.
The active ingredient in Rybelsus — semaglutide — sends signals to your brain telling it you’re full, so you feel less hungry and eat less. Rybelsus also slows down the passage of food through your digestive system, so you feel fuller for longer. Together, these effects cause you to eat less and lose weight.
Clinical trials for weight loss with Rybelsus show significant promise. At its current FDA-approved dosage strengths for type 2 diabetes, people taking Rybelsus lost 9.7 pounds in 6 months. In a 2023 clinical trial, higher doses of Rybelsus led to 15.1% weight loss over 68 weeks (about a year and a half).
These results align with the known effects of other semaglutide-based treatments for weight loss, such as Wegovy. Although Rybelsus is less potent for weight loss than injectable semaglutide at its current dosages for treating type 2 diabetes, its daily oral administration may appeal to you if you want an alternative to weekly injections.
Rybelsus is FDA-approved for adults with type 2 diabetes who need help lowering their blood sugar levels. If you take it, you should adopt a healthy diet and exercise more.
If your healthcare provider thinks you’ll benefit from Rybelsus for weight loss, they can prescribe it off-label. Typically, GLP-1 medications for weight loss are FDA-approved for adults with a:
— Body mass index (BMI) of 30 or higher, which is medically obese.
— BMI of 27 or higher (overweight) with at least one weight-related health problem, like type 2 diabetes or high cholesterol.
Rybelsus may not be suitable for everyone, including those with type 1 diabetes, pancreatitis, and gallbladder, kidney problems, or a personal or family history of certain thyroid cancers.
You need a prescription from a healthcare provider to get Rybelsus for weight loss online or in person.
To get a prescription online, you can find a licensed healthcare provider and schedule an appointment. If you choose a provider on Klarity Health, you can often have an appointment in as little as 24 hours.* During your appointment, share your goals and experience with losing weight in the past. Your provider can recommend a medical weight loss program for you that may or may not include medication, such as Rybelsus, if medically necessary.
If you and your provider decide that Rybelsus is right for you, they can send your prescription directly to your pharmacy of choice.
Note that in some states, you have to see a provider at least once in person before they can prescribe medication. See the Center for Connected Health Policy site for details on your state requirements.
Rybelsus is an oral tablet you take once a day in the morning on an empty stomach, at least 30 minutes before you eat or drink anything else. You want to swallow the tablet whole with 4 ounces of plain water.
Rybelsus is available in 3 dosage strengths — 3, 7, and 14 milligrams. Since weight loss is an off-label use of Rybelsus, there are no specific dosage recommendations for weight loss, and your healthcare provider may follow the dosage recommendations for type 2 diabetes.
The typical starting dose of Rybelsus for type 2 diabetes is 3 milligrams daily. After 30 days, your provider will increase your dosage to 7 milligrams a day. After another 60 days, they’ll assess how well Rybelsus is working for you and either recommend you stay at the 7-milligram dose or increase your dose to 14 milligrams if you need added blood sugar control.
The most common possible side effects of Rybelsus include decreased appetite, nausea, abdominal pain, diarrhea, vomiting, and constipation. For most people, these side effects are most noticeable when you start taking it and tend to go away with time as your body gets used to the medication.
Rybelsus can cause serious side effects, although these are less common. Serious risks include pancreatitis, an allergic reaction to the medication, kidney or gallbladder problems, and pulmonary aspiration during surgical procedures. Rybelsus can also increase the risk of diabetic retinopathy complications and hypoglycemia (low blood glucose [sugar]) in those who are also taking insulin or other glucose-lowering medications).
Rybelsus has an FDA-boxed warning for the possibility of medullary thyroid carcinoma (MTC) or multiple endocrine neoplasia syndrome type 2 (MEN2). People with a family history of thyroid tumors should avoid it. Learn more about the side effects of semaglutide.
If you take Rybelsus and have side effects, work with your provider and consider reporting negative side effects to the FDA by visiting MedWatch or calling 1-800-FDA-1088.
As a brand-name drug without a generic, Rybelsus can be expensive. The average out-of-pocket price for Rybelsus is $1,029 for a 1-month supply, according to drugs.com and with its discount.
If you take Rybelsus for weight loss, it’s less likely to be covered by insurance since that’s an off-label use. And whether you take it for type 2 diabetes or weight loss, your insurance company will likely require prior authorization.
With or without insurance, you can take advantage of prescription drug discount cards from GoodRx, WellRx, SingleCare, NeedyMeds, and drugs.com to save on your cost of Rybelsus.
Compared to other medications for weight loss, Rybelsus is less effective in its currently available dosage strengths. In clinical trials, people taking the maximum 14-milligram dose of Rybelsus lost 9.7 pounds in 26 weeks. But in a later clinical trial, people taking higher doses of Rybelsus lost up to 15.1% of their initial weight over 68 weeks.
By contrast, people taking weight loss pills, like Contrave (bupropion-naltrexone) or Qsymia (phentermine-topiramate), lost 5 to 10% of their initial body weight in 56 weeks. That would equal 12.5 to 25 pounds for a 250-pound person.
Injectable weight loss drugs can lead to equal or more weight loss. People taking Wegovy have lost 14.9% of their initial body weight in 68 weeks, while people taking Zepbound (tirzepatide) lost up to 20.9% of their body weight in 72 weeks.
Contrave, Qsymia, Wegovy, and Zepbound are FDA-approved for weight loss or weight management in people with obesity and overweight when combined with a reduced-calorie diet and increased physical activity. Common side effects vary by drug, but may include nausea, vomiting, diarrhea, constipation, and headaches. Serious side effects are also possible.
If the FDA approves a new indication for Rybelsus for weight loss, it may be approved at higher doses that could produce weight loss that’s on par with these other medications.
The best way to find out which weight loss medication is best for you is to talk to a weight loss provider.
Reviews from real patients who received treatment from healthcare providers on Klarity Health.
Providers on Klarity Health are licensed, board-certified, and offer a personalized approach to your unique weight-loss needs. See detailed profiles for each provider and find an approach that’s best for you. (Costs for treatment options may vary.)
Your journey to losing weight starts with an initial consultation Your provider will go over your goals and medical history to recommend a program that’s right for you and may or may not include prescription medication.
Your initial consultation is just the beginning. You and your provider will follow up to make sure you’re doing okay and that you’re reaching your goals. You stay on track with easy medication refills and ongoing support from your provider.
If you have questions or need assistance, the Klarity Health Patient Support team is there to help. Along with your provider, they’re committed to making sure you have the best care and support throughout your weight loss journey.
*Appointments are generally available within 24 hours. Free initial consultations are available only with select providers. Prescriptions, particularly for controlled substances, may require an in-person evaluation depending on the state of residence and current federal regulations.
The information provided in this article is for educational purposes only and should not be construed as medical advice. Controlled substances may not be appropriate for all patients and any mention of these medications is for educational purposes only, not for marketing or encouraging self-diagnosis. Always seek the guidance of a qualified healthcare professional with any questions or concerns you have regarding your health. Providers on Klarity Health are independent practitioners with clinical autonomy. Nothing in this article is intended to diagnose or treat any condition, including guaranteeing prescription medication of any kind or dosage. Not all providers on Klarity Health prescribe all medications, particularly medications that are controlled substances.
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