GLP-1 agonist

Semaglutide

Semaglutide is FDA-approved as Ozempic, Wegovy and Rybelsus, with a prescription. The evidence grade is strong-human for blood sugar, weight and heart risk. Copies made by pharmacies or sold for research use are not approved, and FDA has not checked them.

fda-approvedchecked Evidence grade strong-human · our assessmentVerified

This page has not been individually reviewed by a clinician.

Fact sheet · 6 facts

every row cites its source and its date
FactValueTierCheckedSource
Also calledOzempic, Wegovy, Rybelsusprimaryfda.gov
Classglp-1-agonistprimarydailymed.nlm.nih.gov
Regulatory statusfda-approvedprimaryaccessdata.fda.gov
Status source read2026-10-23primaryaccessdata.fda.gov
Evidence gradestrong-humanour assessmentpeptideindex.ai
Label dosingFrom the Wegovy label. Wegovy shot: once a week, starting at 0.25 mg for 4 weeks and going up every 4 weeks. The usual dose to stay on is 2.4 mg a week, and some adults may go up to 7.2 mg. Wegovy pill: once a day on an empty stomach, starting at 1.5 mg for 30 days and going up every 30 days to 25 mg. Ozempic and Rybelsus have their own schedules on their labels. The prescriber sets the dose.primarydailymed.nlm.nih.gov

Short answer

Semaglutide is FDA-approved as Ozempic, Wegovy and Rybelsus, with a prescription. The evidence grade is strong-human for blood sugar, weight and heart risk. Copies made by pharmacies or sold for research use are not approved, and FDA has not checked them.

Our assessment, drawn from the sources below.

What it is

Semaglutide is a prescription drug. It copies GLP-1, a hormone the gut makes after you eat [4]. GLP-1 helps control blood sugar and makes you feel full. FDA first approved it in 2017 [4]. One company makes it and sells it under three brand names [1] [2] [3].

Ozempic is a weekly shot for type 2 diabetes. It now also comes as a daily pill [3] [4]. Wegovy is a weekly shot or a daily pill for weight loss and heart health [5]. Rybelsus is a daily pill for type 2 diabetes [6]. The body clears half of a dose in about a week [4]. That is why the shots are taken once a week.

Some pharmacies and online sellers offer their own copies of it. Those copies are not the approved drug [10].

What the evidence shows

Evidence grade: strong-human · our assessment

The evidence grade is strong-human: several large trials in people agree that it lowers blood sugar, weight and heart risk [18] [19] [20]. In a two-year trial of 3,297 adults with type 2 diabetes, fewer people on it had a heart attack, a stroke or a heart death than people on a dummy shot [18]. In a 68-week trial of 1,961 adults with obesity and no diabetes, people on it lost about 15% of their weight. People on the dummy shot lost about 2% [19]. In a trial of 17,604 adults with heart disease and excess weight but no diabetes, it cut heart attacks, strokes and heart deaths by about a fifth [20]. A 2024 review of 38 studies found fewer hospital stays for heart failure and fewer deaths. It also found more stomach trouble [21].

These trials tested the approved drug from its maker, and the maker paid for them [18] [19] [20]. They tell us nothing about copies made by pharmacies or sold for research use. FDA has not checked those copies for quality [10].

Known risks

  • In rats and mice, semaglutide caused thyroid tumors. The labels warn people with a rare thyroid cancer in the family not to use it [4] [5].
  • The most common problems are nausea, vomiting, diarrhea, belly pain and constipation [4]. More people on it than on a dummy shot quit for stomach trouble [19].
  • The labels warn of a swollen pancreas and gallbladder disease. They also warn of kidney harm from losing fluids, and of bad allergic reactions [4] [5].
  • Taken with insulin or some other diabetes drugs, it can push blood sugar too low [4].
  • In a diabetes trial, eye damage from diabetes got worse more often in people on semaglutide [18].
  • FDA has reports of people who took 5 to 20 times the intended amount of compounded semaglutide. Some went to the hospital [12].

What nobody knows yet

  • Nobody knows if it can cause thyroid cancer in people. The rat and mouse studies do not tell us [4].
  • A 2025 review linked it to a rare eye nerve problem that can take away sight. The evidence is too thin to say it is the cause [22].
  • The main weight trial lasted 68 weeks, so it does not show what years of use do [19].
  • Nobody knows if the salt forms some pharmacies use act like the approved drug [10].

Legitimate ways to get it

The legal way to get semaglutide is a prescription for one of the approved brands, filled at a state-licensed pharmacy [1] [10]. Ozempic, Wegovy and Rybelsus are each approved by FDA [1] [2] [3]. Each label says who it is for and how it is taken [4] [5] [6].

A copy made by a pharmacy is lawful only in narrow cases. The prescriber has to write down why one patient needs a change from the approved drug, such as an allergy to one of its parts [16] [17]. A lower price or a wish for a different form is not enough [17]. FDA says pharmacy copies should be used only when an approved drug cannot meet a patient's needs [10]. FDA does not check pharmacy copies for safety, quality or whether they work [10].

Open trials are listed in the trials block below, with the date the official registry was last checked.

  • Approved product

    Approved by FDA and sold with a prescription as weekly shots and daily pills. Ozempic and Rybelsus are for type 2 diabetes. Wegovy is for weight loss and heart risk.

    Brand names: Ozempic, Wegovy, Rybelsus

    Manufacturer: Novo Nordisk

    Indication: Type 2 diabetes, and lower heart and kidney risk in some adults with it (Ozempic, Rybelsus). Weight loss, lower heart risk, and a fatty liver disease called MASH (Wegovy).

    accessdata.fda.gov

  • Lawful compounding

    FDA said the shortage ended on 21 February 2025. A pharmacy may make a version for one patient only when the prescriber writes down why that patient needs a change from the approved drug. Regular copies of the approved drug are not allowed.

    fda.gov

Recruiting trials

A listing is not a recommendation. Trials have strict eligibility rules. Talk to your doctor and read the official record.

Snapshot of .clinicaltrials.gov

  • NCT07586150

    Personalized Pharmaco-Lifestyle Interventions for Severe Mental Illnesses (LIFETRAIN)

    Phase: Not applicable · Sponsor: Ludwig-Maximilians - University of Munich · Status: Not yet recruiting

    Countries: Austria, Germany, Netherlands

    US states: none listed

    Official record for NCT07586150

  • NCT07430332

    GLP-1 RA for Stage 1 Type 1 Diabetes

    Phase: Phase 2 · Sponsor: Children's Hospital Medical Center, Cincinnati · Status: Not yet recruiting

    Countries: United States

    US states: Ohio

    Official record for NCT07430332

  • NCT07797036

    Postpartum Semaglutide to Reduce Cardiometabolic Risk After Gestational Diabetes Mellitus

    Phase: Phase 2/Phase 3 · Sponsor: University of Massachusetts, Worcester · Status: Not yet recruiting

    Countries: United States

    US states: Massachusetts

    Official record for NCT07797036

  • NCT07711548

    Can Two Dietary Interventions Maintain Weight Loss for 12 Months After GLP-1 Therapy in Adults With Overweight/Obesity?

    Phase: Not applicable · Sponsor: Knut Mai · Status: Not yet recruiting

    Countries: none listed

    US states: none listed

    Official record for NCT07711548

  • NCT07754045

    Evaluating the Efficacy and Safety of LUM-201 Plus Semaglutide Versus Semaglutide Plus Placebo in Older Obese Adults

    Phase: Phase 2 · Sponsor: Lumos Pharma · Status: Not yet recruiting

    Countries: none listed

    US states: none listed

    Official record for NCT07754045

  • NCT07731256

    Semaglutide for Low Back Pain

    Phase: Phase 2 · Sponsor: Washington University School of Medicine · Status: Not yet recruiting

    Countries: United States

    US states: Alabama, Missouri

    Official record for NCT07731256

  • NCT05714683

    Regulatory Post Marketing Surveillance (rPMS) Study of Rybelsus (Oral Semaglutide) to Evaluate Safety and Effectiveness in Patients With Type 2 Diabetes Mellitus in Routine Clinical Practice in Korea

    Phase: Not stated · Sponsor: Novo Nordisk A/S · Status: Not yet recruiting

    Countries: none listed

    US states: none listed

    Official record for NCT05714683

  • NCT07879612

    Semaglutide for the Treatment of Cannabis Use Disorder

    Phase: Phase 2 · Sponsor: Massachusetts General Hospital · Status: Not yet recruiting

    Countries: none listed

    US states: none listed

    Official record for NCT07879612

  • NCT07462663

    SHAPE-ENDO: Pilot Randomized Trial of Multimodal Pre-Surgical Optimization Versus Standard Surgery in Patients With Obesity and Early-Stage Endometrial Cancer

    Phase: Phase 4 · Sponsor: Hospital Universitari de Bellvitge · Status: Not yet recruiting

    Countries: none listed

    US states: none listed

    Official record for NCT07462663

  • NCT07614412

    SHIELD-T1D: Shingrix and GLP-1 Agonist for Beta-Cell Preservation in Recent-Onset Type 1 Diabetes.

    Phase: Phase 2 · Sponsor: Ministry of Health, Saudi Arabia · Status: Not yet recruiting

    Countries: Saudi Arabia

    US states: none listed

    Official record for NCT07614412

  • NCT07820358

    Semaglutide, Weight Loss, and LNG-IUD for Conservative Treatment of Endometrial Atypical Hyperplasia and Grade 1 Endometrial Cancer

    Phase: Phase 2 · Sponsor: The Methodist Hospital Research Institute · Status: Not yet recruiting

    Countries: United States

    US states: Texas

    Official record for NCT07820358

  • NCT07787936

    GLP-1/GIP Receptor Agonists in Obesity-Related HFpEF: The GLIDE-HF Registry

    Phase: Not stated · Sponsor: Miedziowe Centrum Zdrowia SA · Status: Not yet recruiting

    Countries: Poland

    US states: none listed

    Official record for NCT07787936

  • NCT07858331

    Patient-centred Intervention With Virtual Support for Obesity and Kidney Transplant Access

    Phase: Phase 4 · Sponsor: Kristin Clemens · Status: Not yet recruiting

    Countries: Canada

    US states: none listed

    Official record for NCT07858331

  • NCT07760948

    HMB Plus Vitamin D to Preserve Muscle in Older Adults Starting Semaglutide

    Phase: Phase 2 · Sponsor: Vanderbilt University Medical Center · Status: Not yet recruiting

    Countries: United States

    US states: Tennessee

    Official record for NCT07760948

  • NCT07770282

    Efficacy and Safety of Semaglutide Versus Placebo on Cardiometabolic Profile in Patients With Schizophrenia With Metabolic Syndrome

    Phase: Phase 3 · Sponsor: All India Institute of Medical Sciences, Bhubaneswar · Status: Not yet recruiting

    Countries: none listed

    US states: none listed

    Official record for NCT07770282

  • NCT06977438

    GLP-1 Plus Lifestyle for Overall Wellness: Find Your Way Forward

    Phase: Phase 4 · Sponsor: University of Minnesota · Status: Not yet recruiting

    Countries: United States

    US states: Minnesota

    Official record for NCT06977438

  • NCT07855900

    SYNCHRONIZE®-START- A Study to Test Whether Survodutide Helps People Living With Overweight or Obesity Who do Not Have Diabetes to Lose Weight

    Phase: Phase 3 · Sponsor: Boehringer Ingelheim · Status: Not yet recruiting

    Countries: United States

    US states: Florida

    Official record for NCT07855900

  • NCT07866066

    Maridebart Cafraglutide Versus Semaglutide in Participants With Type 2 Diabetes

    Phase: Phase 3 · Sponsor: Amgen · Status: Not yet recruiting

    Countries: none listed

    US states: none listed

    Official record for NCT07866066

  • NCT07249554

    Combination Therapy for Alcohol Use Disorder

    Phase: Phase 2 · Sponsor: Johns Hopkins University · Status: Not yet recruiting

    Countries: United States

    US states: Maryland

    Official record for NCT07249554

  • NCT07878494

    Dietary, Medication, and Endoscopic Interventions for Post-Bariatric Hypoglycemia

    Phase: Not applicable · Sponsor: Stanford University · Status: Not yet recruiting

    Countries: United States

    US states: California

    Official record for NCT07878494

  • NCT06546384

    GLP-1 RA on Alcohol Consumption, Metabolism and Liver Parameters in Patients With Obesity and Fatty Liver Disease

    Phase: Not applicable · Sponsor: Insel Gruppe AG, University Hospital Bern · Status: Not yet recruiting

    Countries: Switzerland

    US states: none listed

    Official record for NCT06546384

  • NCT07832084

    Comparing Different Medication Regimens to Maintaining Weight Loss Among Adults With Obesity Using GLP-1s

    Phase: Phase 4 · Sponsor: Jing Luo · Status: Not yet recruiting

    Countries: United States

    US states: Pennsylvania

    Official record for NCT07832084

  • NCT07027969

    Metabolic Surgery for Atrial Fibrillation Elimination

    Phase: Phase 4 · Sponsor: Ali Aminian · Status: Not yet recruiting

    Countries: United States

    US states: Ohio

    Official record for NCT07027969

  • NCT07845994

    SEMAFORCRANIO : Multicenter, Double-blind, Parallel, Randomized Controlled Trial of the Efficacy of Semaglutide in Hypothalamic Obesity Secondary to Craniopharyngioma in Children Aged 12 to 17 Years

    Phase: Phase 3 · Sponsor: University Hospital, Angers · Status: Not yet recruiting

    Countries: France

    US states: none listed

    Official record for NCT07845994

  • NCT07511543

    Glucagon-like Peptide-1 Receptor Agonists for Endovascular Stroke Thrombectomy

    Phase: Phase 2 · Sponsor: Population Health Research Institute · Status: Not yet recruiting

    Countries: none listed

    US states: none listed

    Official record for NCT07511543

  • NCT07881783

    A Real-world Study of Treatment Retention and Adherence to Secukinumab in Patients With Plaque Psoriasis (PsO) With or Without Glucagon-like Peptide-1 Receptor Agonist (GLP-1 RA) Co-therapy

    Phase: Not stated · Sponsor: Novartis Pharmaceuticals · Status: Not yet recruiting

    Countries: none listed

    US states: none listed

    Official record for NCT07881783

  • NCT07840729

    Evaluate the Safety and Tolerability of Multiple Doses of JMT206 Injection in Obese Participants

    Phase: Phase 1 · Sponsor: Shanghai JMT-Bio Inc. · Status: Not yet recruiting

    Countries: China

    US states: none listed

    Official record for NCT07840729

  • NCT07874971

    Short Term Effects of Semaglutide on Body Composition and Performance

    Phase: Not applicable · Sponsor: Morten Hostrup, PhD · Status: Not yet recruiting

    Countries: Denmark

    US states: none listed

    Official record for NCT07874971

  • NCT07874932

    Long-Term Effects of Semaglutide on Body Composition and Performance in Running

    Phase: Not applicable · Sponsor: Morten Hostrup, PhD · Status: Not yet recruiting

    Countries: Denmark

    US states: none listed

    Official record for NCT07874932

  • NCT07891156

    Lean Mass Changes With Semaglutide in Adults With Type 1 Diabetes and Overweight/Obesity.

    Phase: Phase 2/Phase 3 · Sponsor: McGill University Health Centre/Research Institute of the McGill University Health Centre · Status: Recruiting

    Countries: Canada

    US states: none listed

    Official record for NCT07891156

  • NCT07881770

    Semaglutide Health Outcomes and Patient Adherence in Australia

    Phase: Not stated · Sponsor: Novo Nordisk A/S · Status: Not yet recruiting

    Countries: Australia

    US states: none listed

    Official record for NCT07881770

  • NCT07812597

    A Study Evaluating Safety and Tolerability of Switching From Semaglutide to Zovaglutide in Adults With Obesity (HORIZON-SWITCH-SZ)

    Phase: Phase 2 · Sponsor: Beijing QL Biopharmaceutical Co.,Ltd · Status: Not yet recruiting

    Countries: China

    US states: none listed

    Official record for NCT07812597

  • NCT07627191

    GLP-1 RA Plus SOC Treatment in First-line, Metastatic Pancreatic, Colorectal, or Hepatocellular Cancer

    Phase: Early phase 1 · Sponsor: University of Arizona · Status: Recruiting

    Countries: United States

    US states: Arizona

    Official record for NCT07627191

  • NCT07855133

    A Research Study Investigating How Adults With Overweight or Obesity, With or Without Type 2 Diabetes, Tolerate Switching to a New Treatment (Zenagamtide) From Their Current Semaglutide Medication

    Phase: Phase 1 · Sponsor: Novo Nordisk A/S · Status: Recruiting

    Countries: United States

    US states: California, Maryland

    Official record for NCT07855133

  • NCT07816744

    Danish Trial of Weight Loss to Reduce Atrial Fibrillation Progression

    Phase: Not applicable · Sponsor: Axel Brandes · Status: Not yet recruiting

    Countries: Denmark

    US states: none listed

    Official record for NCT07816744

  • NCT07859137

    Semaglutide Before Primary Metabolic and Bariatric Surgery in Patients With BMI 60 kg/m² or Higher

    Phase: Phase 4 · Sponsor: General Committee of Teaching Hospitals and Institutes, Egypt · Status: Not yet recruiting

    Countries: Egypt

    US states: none listed

    Official record for NCT07859137

  • NCT07423481

    Weight Trajectories and Predictive Factors After Semaglutide in Patients With Grade 3 and Complicated Obesity

    Phase: Not stated · Sponsor: Nantes University Hospital · Status: Not yet recruiting

    Countries: France

    US states: none listed

    Official record for NCT07423481

  • NCT07859150

    Semaglutide 2.4 mg Once Weekly for Recurrent Weight Gain After Metabolic and Bariatric Surgery (RESURGE)

    Phase: Phase 4 · Sponsor: General Committee of Teaching Hospitals and Institutes, Egypt · Status: Not yet recruiting

    Countries: Egypt

    US states: none listed

    Official record for NCT07859150

  • NCT07872904

    FutureShape Family

    Phase: Phase 4 · Sponsor: Signe Torekov · Status: Not yet recruiting

    Countries: Denmark

    US states: none listed

    Official record for NCT07872904

  • NCT07859189

    Immediate Versus Criterion-triggered Semaglutide for Suboptimal Clinical Response One Year After Primary Metabolic and Bariatric Surgery

    Phase: Phase 4 · Sponsor: General Committee of Teaching Hospitals and Institutes, Egypt · Status: Not yet recruiting

    Countries: Egypt

    US states: none listed

    Official record for NCT07859189

  • NCT07389941

    Semaglutide PrIor to CathEeter Ablation in Patients With Atrial Fibrillation

    Phase: Phase 4 · Sponsor: University of Luebeck · Status: Not yet recruiting

    Countries: none listed

    US states: none listed

    Official record for NCT07389941

  • NCT07737522

    Myocardial Metabolic Flux in Pulmonary Arterial Hypertension

    Phase: Phase 2 · Sponsor: Imperial College London · Status: Not yet recruiting

    Countries: none listed

    US states: none listed

    Official record for NCT07737522

  • NCT07859176

    Tapered Versus Abrupt Discontinuation of Semaglutide After Treatment of Recurrent Weight Gain or Suboptimal Response Following Metabolic and Bariatric Surgery

    Phase: Phase 4 · Sponsor: General Committee of Teaching Hospitals and Institutes, Egypt · Status: Not yet recruiting

    Countries: Egypt

    US states: none listed

    Official record for NCT07859176

  • NCT07755085

    GLP-1s in Hip and Knee Arthroplasty

    Phase: Phase 4 · Sponsor: Nova Scotia Health Authority · Status: Not yet recruiting

    Countries: Canada

    US states: none listed

    Official record for NCT07755085

  • NCT07820722

    Assessing Heart and Brain Metabolism in Type II Diabetes Mellitus Patients Using Carbon-13 MRI

    Phase: Early phase 1 · Sponsor: Sunnybrook Health Sciences Centre · Status: Not yet recruiting

    Countries: none listed

    US states: none listed

    Official record for NCT07820722

  • NCT07772960

    Semaglutide Dose Effects on Metabolic and Stress Hormone, Craving and Alcohol Use Outcomes

    Phase: Phase 1 · Sponsor: Yale University · Status: Not yet recruiting

    Countries: United States

    US states: Connecticut

    Official record for NCT07772960

  • NCT07859163

    Semaglutide Given Before and After Conversion of Sleeve Gastrectomy to Roux-en-Y Gastric Bypass for Recurrent Weight Gain

    Phase: Phase 4 · Sponsor: General Committee of Teaching Hospitals and Institutes, Egypt · Status: Not yet recruiting

    Countries: Egypt

    US states: none listed

    Official record for NCT07859163

  • NCT07845500

    A Study to Learn About Switching to a Monthly Study Medicine Called Berobenatide (PF-08653944) to Help Keep Weight Off in People With Overweight or Obesity

    Phase: Phase 3 · Sponsor: Pfizer · Status: Recruiting

    Countries: United States

    US states: Alabama, California, Florida, Kentucky, Michigan, Mississippi, Missouri, Montana, North Carolina, Ohio, South Carolina

    Official record for NCT07845500

  • NCT07845578

    A Research Study Looking Into How a High Dose of s.c. Semaglutide Works With Emptying of the Stomach in People With Excess Body Weight

    Phase: Phase 1 · Sponsor: Novo Nordisk A/S · Status: Not yet recruiting

    Countries: Austria

    US states: none listed

    Official record for NCT07845578

  • NCT07668414

    A Research Study Investigating How Well the Medicine Zenagamtide Helps People With Excess Body Weight Lose Weight Compared to Semaglutide

    Phase: Phase 3 · Sponsor: Novo Nordisk A/S · Status: Recruiting

    Countries: United States

    US states: California, District of Columbia, Florida, Georgia, Illinois, Indiana, Louisiana, Missouri, New York, North Carolina, North Dakota, Pennsylvania, South Carolina, Texas, Virginia, Washington

    Official record for NCT07668414

How people are getting it anyway

This section describes what happens and is not a recommendation.

Semaglutide reaches people outside the approved brands in four main ways [10]. The first is pharmacies that kept making copies after the shortage ended [9] [13]. FDA has received reports of harm tied to pharmacy copies and says many more likely go unreported [10]. The second is online prescribers that sell these copies. FDA has told companies they may not call a copy generic or the same as the approved drug [13]. The third is fake Ozempic pens. FDA has seized fake pens from the US drug supply three times since 2023 [11]. The fourth is online sellers that label it for research use. FDA has warned such a seller that the label does not make the sale legal [15].

In each case, FDA cannot vouch for what is in the product [10]. Some pharmacy copies use salt forms, which are a different ingredient from the approved drug [10] [12]. Some carry the name of a pharmacy that does not exist or did not make them [10]. People have taken many times the intended amount by mistake [12].

  • Compounding outside the rules

    Copies of the approved shots made by pharmacies and outsourcing facilities, often sent in vials that hold several doses.

    The lawSince the shortage ended in 2025, a pharmacy may not make copies of the approved drug as a regular practice. FDA knows of no lawful basis for making it from salt forms such as semaglutide sodium.fda.gov

    Documented riskFDA has reports of people who took 5 to 20 times the intended amount from multi-dose vials. Some went to the hospital with vomiting, fainting, a swollen pancreas or gallstones.fda.gov

    Documented riskFDA has received reports of harm tied to compounded semaglutide and says many more likely go unreported.fda.gov

    Documented riskFDA has found fake compounded semaglutide with labels naming pharmacies that do not exist or did not make it.fda.gov

    Enforcement FDA said it would restrict the raw ingredient used for mass-marketed copies, and warned that seizure and court orders may follow.fda.gov

    Enforcement FDA proposed keeping semaglutide off the list of bulk ingredients outsourcing facilities may use. The proposal is not final.fda.gov

  • Telehealth

    Online prescribers that sell compounded semaglutide after a short online visit, often by monthly plan.

    The lawFDA says a company may not claim a compounded copy is a generic, is the same as the approved drug, or is proven to work.fda.gov

    Documented riskFDA reviewed a case where a patient could not get clear instructions from an online prescriber and took five times the intended amount.fda.gov

    Documented riskFDA has complaints that compounded GLP-1 drugs arrived warm, which can harm their quality.fda.gov

    Enforcement FDA said it would act against misleading marketing of compounded GLP-1 drugs, after warning letters sent in the fall of 2025.fda.gov

  • Counterfeit or diverted

    Fake Ozempic pens sold outside the maker's own supply chain. Some reached the regular US drug supply.

    The lawCounterfeit drugs are illegal, FDA says.fda.gov

    Documented riskA fake drug may hold the wrong ingredient, too much or too little drug, or none at all, FDA warns.fda.gov

    Documented riskIn fake pens seized in 2023, the needles were also fake, so nobody could confirm they were germ-free.fda.gov

    Enforcement FDA said it had seized thousands of fake Ozempic pens from the US drug supply.fda.gov

    Enforcement FDA said it had seized several hundred fake Ozempic pens on 9 April 2025.fda.gov

    Enforcement FDA said it had found more fake Ozempic pens in the US drug supply.fda.gov

  • Research use seller

    Sold online as a powder with a label saying it is for research use or not for people.

    The lawFDA treats these as unapproved new drugs when the seller's site shows they are meant for people, whatever the label says.fda.gov

    Documented riskFDA says these products are of unknown quality and may harm health.fda.gov

    Documented riskFDA warns that injected products skip some of the body's defenses, so toxins or germs in them can cause life-threatening illness.fda.gov

    Enforcement FDA warning letter to an online seller of research-use peptides, including semaglutide.fda.gov

Sources

  1. [1]Drugs@FDA: Ozempic injection, application 209637Regulatory · primary
  2. [2]Drugs@FDA: Wegovy injection, application 215256Regulatory · primary
  3. [3]Drugs@FDA: Rybelsus and Ozempic tablets, application 213051Regulatory · primary
  4. [4]DailyMed: Ozempic injection prescribing information, revised May 2026Label · primary
  5. [5]DailyMed: Wegovy injection and tablets prescribing information, revised June 2026Label · primary
  6. [6]DailyMed: Rybelsus and Ozempic tablets prescribing information, revised January 2026Label · primary
  7. [7]FDA drug shortages: semaglutide injection, resolvedRegulatory · primary
  8. [8]FDA order: the semaglutide injection shortage is resolved, 21 February 2025Regulatory · primary
  9. [9]FDA: policies for compounders as GLP-1 supply stabilizes, updated 1 April 2026Regulatory · primary
  10. [10]FDA: concerns with unapproved GLP-1 drugs used for weight loss, updated 1 October 2026Regulatory · primary
  11. [11]FDA: warnings on counterfeit Ozempic in the US drug supply, 2023 to 2025Regulatory · primary
  12. [12]FDA: dosing errors with compounded semaglutide injections, 2024Regulatory · primary
  13. [13]FDA statement: action against non-approved GLP-1 drugs, 6 February 2026Regulatory · primary
  14. [14]FDA: proposal to exclude semaglutide from the 503B bulks list, 30 April 2026Regulatory · primary
  15. [15]FDA warning letter to an online seller of research-use peptides, 24 August 2026Regulatory · primary
  16. [16]McDermott Will & Schulte: what the end of the semaglutide shortage meansLegal analysis · legal-analysis
  17. [17]Orrick: FDA moves to end large-scale compounding of GLP-1 drugsLegal analysis · legal-analysis
  18. [18]SUSTAIN-6: semaglutide and heart outcomes in type 2 diabetes, 2016Rct · peer-reviewed
  19. [19]STEP 1: weekly semaglutide in adults with overweight or obesity, 2021Rct · peer-reviewed
  20. [20]SELECT: semaglutide and heart outcomes in obesity without diabetes, 2023Rct · peer-reviewed
  21. [21]Review of heart outcomes and harms of semaglutide in overweight or obesity, 2024Systematic review · peer-reviewed
  22. [22]Review of eye disorders, including an optic nerve problem, with semaglutide, 2025Systematic review · peer-reviewed
  23. [23]STAT: FDA proposes a rule that would end bulk compounding of GLP-1 drugsReference · established-news
  24. [24]NBC News: FDA proposes keeping weight-loss drugs off a key compounding listReference · established-news

Last verified · 6 facts · 10 sources

Primary source: https://www.accessdata.fda.gov/scripts/cder/daf/index.cfm?event=overview.process&ApplNo=215256

Machine readers: JSON · Markdown · Status history: Change log

Information, not medical advice.

Status alerts

Get status alerts for Semaglutide

No alert has been sent yet. Until alerts begin, the confirmation is the only email you will get.

Sent by Migration Group, LLC. No account and no marketing. Unsubscribe at any time.