Wegovy Users Maintain Weight Loss for 4 Years: Here's How It Works

Updated Dec 3, 2024 | 09:00 PM IST

SummaryWegovy, is primarily an antidiabetic medication used to treat Type 2 diabetes. People receiving weight-loss drug Wegrovy sustained weight loss for up to four years
wegovy

wegovy (Credit: Canva)

People receiving weight-loss drug Wegovy sustained weight loss for up to four years, shedding an average of 10% of their body weight in that time, as per a new study. Wegrovy is a brand that markets semaglutide injections, that have gained widespread attention for their weight-loss effects. The study also found that Semaglutide injections boost an individual's heart health, even when weight loss doesn't take place.

The study, called SELECT, was published in journal Nature Medicine. "At four years, we see ongoing benefits of semaglutide," said Cheng-Han Chen, MD, interventional cardiologist from Cardiologist, who was not involved in the research. Besides the weight loss, it also lead to a loss in cardiovascular outcomes.

The research was conducted on 17000 adults, who had obesity but did not have diabetes. Overall, people who received once-weekly injections of semaglutide lost on average 10.2% of their body weight over the course of four years. All of the study participants continued to lose weight for about 65 weeks, a year and three months, and then their weight remained at a stable level.

Were There Any Side Effects?

However, people's experience with the medication varied. Researchers found no unexpected safety issues with drug during trial. In fact, most the people who withdrew from the study were those who experienced the known symptsoms of the semaglutide injections like nausea, indigestion etc. This occurred mainly during the beginning of the study, as the dose of the medicine is increased to a maximally tolerated dose.

What Did The Results Say?

Of the people on the highest dose of Wegovy, 68% lost at least 5% of their body weight. This compared to 21% of people on the placebo. Additionally, of the total people on Wegovy about 23% lost at least 15% of their body weight. For those in the placebo group, only 1.7% lost that much body weight.

Semaglutide Shows Heart Benefits Beyond Weight Loss

Researchers found that even individuals who did not experience significant weight reduction while on the drug saw a reduced risk of major heart events. Recent analysis of the SELECT trial data revealed that semaglutide significantly lowers the risk of heart attack, stroke, and cardiovascular-related deaths in adults with obesity or those who are overweight. Notably, the results of this study lead the US FDA to approve Novo Nordisk's Wegovy for reducing heart-related risks in this group.

What Is Semaglutide?

Semglutide is the synthetic version of GLP-1—a natural hormone produced in the intestines that regulates blood sugar, appetite, and digestion. Now, every time you eat, your body produces various hormones, including GLP-1. These are called Post nutrition hormones, and help you absorb the energy you just consumed. GLP-1 travels to your pancreas, prompting it to produce insulin. It also travels to the hypothalamus in your brain, which gives you the feeling of being full or satiated. Ozempic imitates this hormone, thereby, silencing the food chatter in the brain. Interestingly, for some people this food chatter is really quiet ( people with low appetite) and for others it is an outburst, (people who generally binge eat.) So with Ozempic, silencing this self-talk in the brain, people tend to lose their appetite and eventually weight.

Are Their Any Side Effects Of Semaglutide?

Semaglutide, marketed under the brand name Wegovy, is primarily an antidiabetic medication used to treat Type 2 diabetes. It is also an anti-obesity drug used for long-term weight management. While it can be taken as a subcutaneous injection or orally, it has significant side effects. It primarily impacts your gastrointestinal tract and its side effects include constipation, nausea, abdominal pain, diarrhoea, and fatigue amongst others.

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Not Just The Heart, Obesity In Midlife Could Be Just As Harmful To The Brain: Study

Updated Jul 28, 2026 | 07:07 PM IST

SummaryA recent study has found that obesity in late adulthood can lead to faster brain ageing and subsequent cognitive decline.
Can Obesity Lead To Long-Term Cognitive Decline? Scientists Discover Evidence

Credit: AI

Obesity has always been considered as one of the contributors to heart disease, diabetes, and stroke.

Now, growing research suggests that excess body fat, particularly in your 40s and 50s, may also accelerate brain aging and raise the risk of long-term cognitive decline.

Researchers say that obesity is not just linked with memory problems but also to significant changes in the brain structure.

Maintaining a healthy weight, especially during midlife, could help prevent memory problems and overall cognitive decline.

Higher BMI Linked To Faster Brain Aging

A recent study by researchers at the University of Georgia followed more than 8,200 adults aged 50 years and older for nearly 24 years.

The researchers found that individuals whose body mass index (BMI) increased over time experienced faster declines in cognitive performance than it would with normal aging. Excess body weight affected several aspects of cognition, including memory, planning, decision-making, problem-solving, emotional regulation, and concentration.

Lead author Dr. Claire Sexton (University of Georgia College of Public Health) said, "Maintaining a healthy body weight throughout adulthood may be an important strategy for preserving cognitive health later in life."

The study adds to the evidence that preventing weight gain throughout adulthood could become crucial for reducing dementia risk.

Also read: Grade-1 Fatty Liver: More Indians Are Developing It at Lower BMIs. What's Behind the Shift?

How Does Obesity Affect The Brain?

Chronic Inflammation

Obesity causes chronic low-grade inflammation, which can potentially damaging neurons essential for learning and memory.

Insulin Resistance

The brain relies on glucose for energy. Insulin resistance, common in obesity, may impair how brain cells use glucose, affecting memory and thinking.

Reduced Blood Flow

Obesity increases the risk of hypertension, atherosclerosis and vascular disease, reducing blood supply to brain tissue and potentially accelerating cognitive decline.

Visceral Fat

Experts believe visceral fat, the fat surrounding internal organs, may be more damaging than body weight alone. It produces inflammatory chemicals linked to brain changes and dementia risk.

Also read: Beyond Weight Loss: Scientists Discover How Exercise Can Help Reverse Muscle Aging

Growing Evidence

The latest findings are supported by several years of research. A large review published in Practical Neurology concluded that obesity is associated with smaller hippocampal volume, temporal lobe atrophy, mild cognitive impairment and increased Alzheimer's disease risk.

Some studies have suggested that obesity during midlife may nearly double the risk of developing Alzheimer's disease or dementia later in life.

Another review on obesity and aging reported that higher BMI is associated with poorer verbal memory, slower information processing and reduced executive function, particularly among older adults.

In January 2026, researchers also used genetic analyses to suggest that obesity and high blood pressure may directly contribute to dementia.

Can The Risk Be Reduced?

With a few lifestyle improvements, overweight and obese individuals can maintain a healthy BMI, reducing the risk of faster brain ageing and cognitive degradation. Experts recommend focusing on overall metabolic health rather than the number on the weighing scale alone.

Maintaining a healthy weight, regular exercise, controlling blood pressure, cholesterol and diabetes, following a Mediterranean diet, getting adequate sleep, remaining socially and mentally active can help maintain a healthy body weight.

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World Hepatitis Day: Living With Someone Who Has Hepatitis? Experts Reveal If You're At Risk Of Getting Infected

Updated Jul 28, 2026 | 04:08 PM IST

SummaryNot all types of hepatitis is spread through blood or bodily fluids exposure. Experts decode what kind of hepatitis is transmitted in close quarters.
World Hepatitis Day: Living With Someone Who Has Hepatitis? Experts Reveal If You're At Risk Of Getting Infected

Credit: AI

Living with someone who has hepatitis can be worrying. People tend to immediately wonder whether they are at risk simply by sharing meals, hugging, or living under the same roof.

Fortunately, the answer depends on the type of hepatitis, and in most cases, everyday household contact does not spread the virus.

Dr. Shalimar, Prof. Department of Gastroenterology, AIIMS explains, "Hepatitis means inflammation of the liver. There can be many causes, but viral hepatitis is one of the most common. There are different hepatitis viruses, including A, B, C, D, and E. Some cause acute illness, while others can lead to long-term liver damage, including cirrhosis and liver cancer."

Experts say misinformation surrounding hepatitis often leads to unnecessary fear and stigma, causing patients to feel isolated. Understanding how different hepatitis viruses spread can help families protect themselves without avoiding normal interactions.

Can You Get Hepatitis By Living With Someone?

Dr Nanda Kishore M, Gastroenterology, Athulya Geriatric Care Hospital, answers our question, "No, Hepatitis is not a communicable disease that spreads through everyday contact such as hugging, holding hands, coughing, or sneezing."

For most forms of hepatitis, the answer is no. However, hepatitis B is spread through contact with infected blood and certain body fluids. Household transmission is possible, but it generally occurs when infected blood enters another person's bloodstream.

Possible household risks include sharing:

  • Razors
  • Toothbrushes
  • Nail clippers
  • Glucose monitoring devices
  • Any item contaminated with blood

Also read: Can Hepatitis Be Completely Cured? Understanding What Treatment Can Achieve

Dr. Kishore says that the mode of transmission largely depends on the type of hepatitis infected.

He says, "Hepatitis A and E are predominantly spread via means of contaminated food and water, while Hepatitis B and C are transmitted through infected blood and certain bodily fluids."

Hepatitis B is preventable by vaccine. Household members of someone with chronic hepatitis B are usually advised to get tested and vaccinated if they are not already immune.

Dr. Shalimar says, "For hepatitis B, current treatment controls the infection, and newer therapies under development offer hope for a functional cure in the future. Vaccination has dramatically reduced hepatitis B in many parts of the world. Expanding vaccination coverage remains one of the most effective ways to prevent the disease."

Living with a hepatitis infected individual is generally safe given that basic hygiene and recommended precautions are followed strictly. Understanding these facts helps reduce unnecessary fear and stigma associated with it.

Also read: Grade-1 Fatty Liver: More Indians Are Developing It at Lower BMIs. What's Behind the Shift?

Importance of Screening & Prevention

Living with someone who has hepatitis does not mean you need to keep your distance. Instead, focus on practical precautions:

  • Never share personal items that may come into contact with blood.
  • Cover cuts and wounds.
  • Wear disposable gloves while cleaning blood spills.
  • Practice good hand hygiene.
  • Ensure hepatitis B vaccination if recommended.
  • Attend regular medical follow-ups if advised by your healthcare provider.

Dr. Ankur Jain, Associate Director & Unit Head, Gastroenterology, Hepatology & Endoscopy, Max Hospital, Dwarka, explains, "Hepatitis B and Hepatitis C continue to affect millions of people worldwide and remain major causes of liver cirrhosis and liver cancer. Individuals with a history of blood transfusions before routine screening, unsafe injections, or other risk factors should discuss screening with their physician.

He adds, "The liver has an extraordinary capacity to heal, but only if we identify problems early and address the underlying causes. Prevention, timely screening, and simple lifestyle modifications remain our most powerful tools in reducing the growing burden of liver disease in India."

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Can Hepatitis Be Completely Cured? Understanding What Treatment Can Achieve

Updated Jul 28, 2026 | 09:56 AM IST

SummaryRegular liver function tests, hepatitis screening for those at risk, and vaccination—especially for Hepatitis B—remain the strongest tools available for prevention and timely intervention.
Can Hepatitis Be Completely Cured? Understanding What Treatment Can Achieve

Credit: iStock

Hepatitis remains one of the most misunderstood liver conditions, largely because it isn't a single disease but a group of infections—A, B, C, D, and E—each of which behaves very differently once it enters the body.

The question "can hepatitis be cured?" doesn't have one straightforward answer. The truth lies somewhere between full recovery and lifelong management, depending entirely on which type of hepatitis a person has contracted.

Not All Hepatitis Is the Same

Hepatitis A and E are generally short-lived infections. The liver, in most cases, clears these viruses naturally without any specific antiviral medication. Rest, hydration, a balanced diet, and avoiding alcohol are usually enough to help the body recover fully. Chronic infection is rare with these two types, and when it does occur, particularly with Hepatitis E in people with weakened immunity, it can still be treated successfully.

Hepatitis C tells a much more encouraging story. Thanks to advances in medicine, Direct-Acting Antivirals, or DAAs, now cure more than 95 percent of cases. These are oral tablets taken for roughly eight to twelve weeks, and they carry minimal side effects compared to older treatments. For patients diagnosed early, Hepatitis C is, quite genuinely, curable.

Where Treatment Manages Rather Than Cures

Hepatitis B and D are a different story altogether. When the infection is acute, the body often fights it off on its own without much trouble.

Chronic cases, though, are far tougher to deal with. As of now, no medication can fully remove the Hepatitis B virus from the body once it settles in. What doctors can do is keep it under control, usually through antiviral tablets or interferon injections, so that it doesn't quietly damage the liver over time and lead to cirrhosis or cancer. For many patients, this isn't a short course of treatment. It's something they may need to stay on for years, and in several cases, for the rest of their lives.

Hepatitis D is considered the more severe of the two, and it only shows up in people who already have Hepatitis B; it cannot infect someone on its own. Treatment choices here are still quite limited. A few newer drugs have shown some promise in keeping the disease in check, but nothing yet counts as an actual cure. When the liver damage has progressed too far, a transplant sometimes becomes the only way forward.

Why Early Diagnosis Changes The Outcome

The single most important factor in determining outcomes across all types of hepatitis is timing. Detected early, Hepatitis C can be eliminated. Detected early, Hepatitis B can be controlled well enough that liver damage never progresses. Left unchecked, however, both can silently damage liver tissue for years before symptoms even appear.

Regular liver function tests, hepatitis screening for those at risk, and vaccination—especially for Hepatitis B—remain the strongest tools available for prevention and timely intervention.

The Bottom Line

Hepatitis doesn't follow a single script, and that's something patients often find confusing at first. Some forms clear up completely with the right treatment, others require ongoing management to keep the virus in check, and in many cases, vaccination and timely screening make the real difference in avoiding complications down the line.

Knowing exactly which type of hepatitis one is dealing with is what allows a doctor and patient to set realistic expectations and work out a treatment plan that actually fits the situation.

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