{"id":37260,"date":"2026-04-21T07:01:42","date_gmt":"2026-04-21T14:01:42","guid":{"rendered":"https:\/\/getheally.com\/patients\/news\/?p=37260"},"modified":"2026-04-21T07:01:44","modified_gmt":"2026-04-21T14:01:44","slug":"how-to-switch-from-tirzepatide-to-semaglutide-a-complete-2026-guide","status":"publish","type":"post","link":"https:\/\/getheally.com\/patients\/news\/how-to-switch-from-tirzepatide-to-semaglutide-a-complete-2026-guide","title":{"rendered":"How to switch from tirzepatide to semaglutide. A complete 2026 guide"},"content":{"rendered":"\n<p>Most of the conversation around switching GLP-1 medications focuses on upgrading from <a href=\"https:\/\/getheally.com\/patients\/semaglutide\">semaglutide<\/a> to <a href=\"https:\/\/getheally.com\/patients\/tirzepatide\">tirzepatide<\/a> \u2014 but the reverse transition happens too, and for very legitimate reasons. Whether your insurance coverage has shifted, tirzepatide&#8217;s side effects haven&#8217;t suited you, cost has become a barrier, or your provider has recommended a change in your treatment plan, switching from tirzepatide to semaglutide is a well-established and medically sound option.<\/p>\n\n\n\n<p>This guide walks you through exactly how the conversion from tirzepatide to semaglutide works: who should consider it, why, the dosing transition process, what side effects to expect, and how to maintain your weight loss and blood sugar progress throughout.<\/p>\n\n\n\n<p><strong>Key takeaways<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Switching from tirzepatide (Mounjaro\/Zepbound) to semaglutide (Ozempic\/Wegovy) is safe, medically valid, and more common than many people realize.<\/li>\n\n\n\n<li>There is no direct tirzepatide to semaglutide dose conversion \u2014 most providers start semaglutide at 0.25 mg weekly regardless of the tirzepatide dose you were on.<\/li>\n\n\n\n<li>No extended washout period is typically required; most patients start semaglutide about one week after their last tirzepatide injection.<\/li>\n\n\n\n<li>Common reasons to switch: cost, insurance coverage changes, intolerable tirzepatide side effects, medication availability, or personal preference.<\/li>\n\n\n\n<li>Semaglutide remains a highly effective GLP-1 medication with strong clinical evidence \u2014 switching does not mean giving up on your goals.<\/li>\n\n\n\n<li><a href=\"https:\/\/getheally.com\/patients\/weight-loss-prescription\">Heally&#8217;s licensed providers<\/a> can help you plan a safe, personalized transition.<\/li>\n<\/ul>\n\n\n\n<h2 id=\"why-would-someone-switch-from-tirzepatide-to-semaglutide\" class=\"wp-block-heading\"><strong>Why would someone switch from tirzepatide to semaglutide?<\/strong><\/h2>\n\n\n\n<p>Since clinical trials consistently show tirzepatide producing greater average weight loss than semaglutide, it might seem counterintuitive to switch in this direction. But efficacy data from trials reflects population averages \u2014 individual responses vary significantly, and there are multiple valid reasons to make this change.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Cost and affordability.<\/strong> Brand-name tirzepatide (Mounjaro\/Zepbound) can be expensive. Depending on your insurance and location, semaglutide may be more affordable, especially with compounded options or manufacturer savings programs.<\/li>\n\n\n\n<li><strong>Insurance coverage changes.<\/strong> Insurance formularies shift. If your plan no longer covers tirzepatide or has raised its tier, semaglutide (<a href=\"https:\/\/getheally.com\/patients\/ozempic\">Ozempic<\/a> or <a href=\"https:\/\/getheally.com\/patients\/wegovy\">Wegovy<\/a>) may be the covered alternative available to you.<\/li>\n\n\n\n<li><strong>Persistent or intolerable side effects.<\/strong> Some patients experience more pronounced nausea, appetite suppression that feels excessive, or GI issues on tirzepatide that do not resolve over time. Because semaglutide acts on only the GLP-1 receptor (not GIP), some individuals tolerate it better.<\/li>\n\n\n\n<li><strong>Personal response \u2014 tirzepatide isn&#8217;t working for you.<\/strong> Clinical averages don&#8217;t predict individual outcomes. Some people respond better to semaglutide&#8217;s targeted GLP-1 mechanism, even if the population average favors tirzepatide.<\/li>\n\n\n\n<li><strong>Medication availability.<\/strong> While most GLP-1 shortages resolved in early 2025, regional supply issues can still arise. If tirzepatide becomes hard to source consistently, your provider may transition you to semaglutide to maintain treatment continuity.<\/li>\n\n\n\n<li><strong>Provider or clinical protocol guidance.<\/strong> For some patients, particularly those with specific comorbidities or medication combinations, a provider may recommend semaglutide as the more clinically appropriate choice.<\/li>\n<\/ul>\n\n\n\n<p><strong>2026 Update.<\/strong> As of early 2026, the FDA has updated prescribing information for both <a href=\"https:\/\/getheally.com\/patients\/wegovy\">Wegovy<\/a> and <a href=\"https:\/\/getheally.com\/patients\/mounjaro\">Mounjaro<\/a>. Compounded semaglutide availability has fluctuated alongside FDA shortage determinations \u2014 confirm current availability with your provider or pharmacy. Semaglutide&#8217;s cardiovascular benefit data (the SELECT trial, 2023) remains a distinct advantage for high-risk patients, and this consideration may guide some providers to recommend semaglutide even for patients currently on tirzepatide.<\/p>\n\n\n\n<h2 id=\"tirzepatide-vs-semaglutide-understanding-what-changes\" class=\"wp-block-heading\"><strong>Tirzepatide vs semaglutide: understanding what changes<\/strong><\/h2>\n\n\n\n<p>To understand what happens during the transition, it helps to know the core difference between these two medications. <a href=\"https:\/\/getheally.com\/patients\/tirzepatide\">Tirzepatide<\/a> (Mounjaro\/Zepbound) is a dual GLP-1 and GIP receptor agonist \u2014 it activates two separate hormonal pathways simultaneously. <a href=\"https:\/\/getheally.com\/patients\/semaglutide\">Semaglutide<\/a> (Ozempic\/Wegovy) is a single GLP-1 receptor agonist, targeting only the GLP-1 pathway.<\/p>\n\n\n\n<p>When you switch from tirzepatide to semaglutide, your body transitions from dual-receptor stimulation back to GLP-1-only stimulation. In practical terms, this means:<\/p>\n\n\n\n<figure class=\"wp-block-table\"><table class=\"has-fixed-layout\"><tbody><tr><td><strong>What changes<\/strong><\/td><td><strong>On tirzepatide<\/strong><\/td><td><strong>After switching to semaglutide<\/strong><\/td><\/tr><tr><td>Receptor targets<\/td><td>GLP-1 + GIP (dual)<\/td><td>GLP-1 only<\/td><\/tr><tr><td>Appetite suppression<\/td><td>Often more pronounced<\/td><td>Effective but typically less intense<\/td><\/tr><tr><td>Dose range<\/td><td>2.5 mg \u2013 15 mg weekly<\/td><td>0.25 mg \u2013 2.4 mg weekly<\/td><\/tr><tr><td>Average weight loss (trials)<\/td><td>~20% at max dose \/ 72 weeks<\/td><td>~13\u201315% at max dose \/ 72 weeks<\/td><\/tr><tr><td>HbA1c reduction (T2D)<\/td><td>~2.0\u20132.4%<\/td><td>~1.5\u20131.9%<\/td><\/tr><tr><td>Cardiovascular outcomes data<\/td><td>Studies ongoing (SURPASS-CVOT)<\/td><td>Proven benefit (SELECT trial, 2023)<\/td><\/tr><tr><td>GI side effects<\/td><td>Similar; sometimes more pronounced at high doses<\/td><td>Similar; typically well tolerated<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p><em>Sources: <\/em><a href=\"https:\/\/www.nejm.org\/doi\/full\/10.1056\/NEJMoa2416394\"><em>SURMOUNT-5 Trial, NEJM 2025<\/em><\/a><em>; <\/em><a href=\"https:\/\/jamanetwork.com\/journals\/jamainternalmedicine\/fullarticle\/2821080\"><em>Rodriguez et al., JAMA Internal Medicine 2024<\/em><\/a><\/p>\n\n\n\n<p>Importantly, semaglutide is not a &#8220;step down&#8221; in terms of efficacy for every patient. Many people achieve excellent, lasting weight loss and blood sugar control on semaglutide, and its long-term safety and cardiovascular benefit profile is well established.<\/p>\n\n\n\n<h2 id=\"is-there-a-direct-tirzepatide-to-semaglutide-dose-conversion\" class=\"wp-block-heading\"><strong>Is there a direct tirzepatide to semaglutide dose conversion?<\/strong><\/h2>\n\n\n\n<p>No. Just as there is no direct conversion going from semaglutide to tirzepatide, there is no milligram-for-milligram equivalence in the reverse direction either. The two medications operate through different receptor pathways, which means their dose ranges, potencies, and clinical effects are not directly translatable.<\/p>\n\n\n\n<p>The standard clinical approach is to restart at the beginning of the semaglutide titration schedule, regardless of the tirzepatide dose you were on. Here is how the semaglutide titration typically unfolds after switching:<\/p>\n\n\n\n<figure class=\"wp-block-table\"><table class=\"has-fixed-layout\"><tbody><tr><td><strong>Week<\/strong><\/td><td><strong>Semaglutide dose (Wegovy\/Ozempic)<\/strong><\/td><td><strong>Duration<\/strong><\/td><td><strong>Notes<\/strong><\/td><\/tr><tr><td>Week 1\u20134<\/td><td>0.25 mg weekly<\/td><td>4 weeks<\/td><td>Standard starting dose for all patients transitioning from tirzepatide<\/td><\/tr><tr><td>Week 5\u20138<\/td><td>0.5 mg weekly<\/td><td>4 weeks<\/td><td>First increase; assess GI tolerability<\/td><\/tr><tr><td>Week 9\u201312<\/td><td>1.0 mg weekly<\/td><td>4 weeks<\/td><td>Many patients with T2D are maintained here (Ozempic)<\/td><\/tr><tr><td>Week 13\u201316<\/td><td>1.7 mg weekly<\/td><td>4 weeks<\/td><td>Intermediate step on Wegovy titration path<\/td><\/tr><tr><td>Week 17+<\/td><td>2.4 mg weekly<\/td><td>Maintenance<\/td><td>Maximum dose for Wegovy (obesity); 2 mg max for Ozempic (T2D)<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p><em>Source: <\/em><a href=\"https:\/\/www.accessdata.fda.gov\/drugsatfda_docs\/label\/2025\/215256s023lbl.pdf\"><em>FDA Prescribing Information, Wegovy 2025<\/em><\/a><\/p>\n\n\n\n<p>Your provider may adjust this schedule based on your history \u2014 for example, some clinicians allow patients with excellent prior GLP-1 tolerance to move through the early doses more quickly. However, the general principle is the same: never skip directly to a high semaglutide dose when transitioning from tirzepatide.<\/p>\n\n\n\n<h2 id=\"how-to-make-the-transition-from-tirzepatide-to-semaglutide\" class=\"wp-block-heading\"><strong>How to make the transition from tirzepatide to semaglutide<\/strong><\/h2>\n\n\n\n<p>The transition process is straightforward and does not require a lengthy break between medications. Here is a step-by-step overview of how the switch typically works:<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li><strong>Consult your healthcare provider.<\/strong> Discuss your reasons for switching, review your medical history, and ensure semaglutide is an appropriate choice for your health goals. Providers at <a href=\"https:\/\/getheally.com\/patients\/weight-loss-prescription\">Heally&#8217;s GLP-1 weight loss program<\/a> can help you assess your options and get a new prescription quickly online.<\/li>\n\n\n\n<li><strong>Take your last tirzepatide dose.<\/strong> Complete your current tirzepatide injection cycle \u2014 do not stop mid-dose or double-dose in anticipation of switching.<\/li>\n\n\n\n<li><strong>Wait approximately one week.<\/strong> Most providers recommend starting semaglutide about one week after your last tirzepatide injection, aligning with your normal weekly injection schedule. If you are still experiencing tirzepatide side effects, your provider may recommend waiting until they subside before starting semaglutide.<\/li>\n\n\n\n<li><strong>Begin semaglutide at 0.25 mg weekly.<\/strong> This is the standard starting dose. Even if you were on 15 mg tirzepatide, you will begin at the lowest semaglutide dose to allow your body to adjust to the different receptor mechanism.<\/li>\n\n\n\n<li><strong>Titrate up every 4 weeks.<\/strong> Follow your provider&#8217;s titration plan, increasing the dose in increments every four weeks based on your tolerability and response.<\/li>\n\n\n\n<li><strong>Maintain your diet and lifestyle habits.<\/strong> Both medications work alongside healthy eating and exercise. Do not let the transition period become an excuse to relax established habits \u2014 continuity here strongly supports maintaining your progress.<\/li>\n\n\n\n<li><strong>Schedule follow-up monitoring.<\/strong> Your provider should check your weight, blood sugar (if relevant), and side effect profile at regular intervals after the switch to optimize your dose and ensure the transition is successful.<\/li>\n<\/ol>\n\n\n\n<p><strong><em>Important:<\/em><\/strong><em> never take tirzepatide and semaglutide at the same time. Combining two GLP-1 pathway medications provides no additional benefit and significantly increases the risk of side effects, including severe nausea, vomiting, and hypoglycemia.<\/em><\/p>\n\n\n\n<h2 id=\"will-you-lose-weight-loss-progress-when-switching\" class=\"wp-block-heading\"><strong>Will you lose weight loss progress when switching?<\/strong><\/h2>\n\n\n\n<p>This is one of the most common concerns patients have \u2014 and it is a fair one. The short answer is: not necessarily, and the transition can be managed to minimize any disruption to your progress.<\/p>\n\n\n\n<p>Both medications have half-lives of approximately one week, meaning that when you take your last tirzepatide dose and start semaglutide the following week, you will still have residual tirzepatide activity in your system during the early days of semaglutide treatment. This overlap helps maintain continuity of appetite suppression and metabolic effect during the switch.<\/p>\n\n\n\n<p>However, some patients do experience a temporary plateau or minor weight fluctuation during the first few weeks on a low semaglutide starting dose, when the therapeutic effect is lower than your previous tirzepatide maintenance dose. This is normal and expected. Weight loss typically resumes as semaglutide reaches its therapeutic range \u2014 usually around the 1.0\u20131.7 mg dose level.<\/p>\n\n\n\n<p>Maintaining your established habits during the transition \u2014 consistent meal patterns, protein prioritization, adequate hydration, and regular movement \u2014 is the single most effective way to bridge the gap.<\/p>\n\n\n\n<p><strong>2026 Update.<\/strong> Real-world data published through 2025 and 2026 continues to confirm that many patients achieve and maintain clinically meaningful weight loss on semaglutide, even after previously being on tirzepatide. Individual metabolic response, adherence, and lifestyle factors play a larger role in real-world outcomes than trial averages suggest. <a href=\"https:\/\/getheally.com\/patients\/wegovy\">Wegovy<\/a> and <a href=\"https:\/\/getheally.com\/patients\/ozempic\">Ozempic<\/a> remain among the most prescribed and well-studied GLP-1 medications globally.<\/p>\n\n\n\n<h2 id=\"side-effects-to-expect-during-the-transition\" class=\"wp-block-heading\"><strong>Side effects to expect during the transition<\/strong><\/h2>\n\n\n\n<p>Because your body has already adapted to GLP-1 receptor stimulation from tirzepatide, the transition to semaglutide is generally well tolerated. That said, some patients do experience a mild re-emergence of GI symptoms as the body adjusts to the single-receptor mechanism and the new molecule.<\/p>\n\n\n\n<p><strong>Common side effects during the adjustment period (typically the first 2\u20134 weeks):<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Mild nausea \u2014 usually less intense than when first starting a GLP-1 medication<\/li>\n\n\n\n<li>Changes in appetite (some patients notice less appetite suppression early on at the starting 0.25 mg dose)<\/li>\n\n\n\n<li>Mild stomach discomfort, bloating, or constipation<\/li>\n\n\n\n<li>Injection site reactions<\/li>\n<\/ul>\n\n\n\n<p><strong>Side effects that are less likely during the switch (compared to first-time GLP-1 use), but still possible:<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Significant vomiting \u2014 less common given prior GLP-1 exposure, but possible<\/li>\n\n\n\n<li>Hypoglycemia \u2014 particularly relevant for type 2 diabetes patients on insulin or sulfonylureas; monitor blood sugar closely in the first few weeks and report any episodes to your provider<\/li>\n\n\n\n<li>Gallbladder-related symptoms \u2014 rapid weight change in either direction can increase risk; report any right-sided abdominal pain<\/li>\n<\/ul>\n\n\n\n<p>If you experienced side effects on tirzepatide that prompted the switch \u2014 for example, severe nausea or excessive appetite suppression \u2014 semaglutide&#8217;s GLP-1-only mechanism may actually be more tolerable for you. Starting at a low dose gives you the best chance of a smooth adjustment.<\/p>\n\n\n\n<h2 id=\"related-reading\" class=\"wp-block-heading\"><strong>Related reading<\/strong><\/h2>\n\n\n\n<p>Looking for information about the reverse switch? See our guide: <a href=\"https:\/\/getheally.com\/patients\/news\">How to Switch from Semaglutide to Tirzepatide<\/a>.&nbsp;<\/p>\n\n\n\n<h2 id=\"frequently-asked-questions\" class=\"wp-block-heading\"><strong>Frequently Asked Questions<\/strong><\/h2>\n\n\n\n<p><strong>Do I need a washout period between stopping tirzepatide and starting semaglutide?<\/strong><\/p>\n\n\n\n<p>In most cases, no. Since both medications are weekly injections with similar half-lives of approximately five to seven days, the standard approach is to start semaglutide about one week after your last tirzepatide dose \u2014 aligning with your normal injection day. If you are still experiencing side effects from tirzepatide, your provider may suggest waiting until they resolve before beginning semaglutide.<\/p>\n\n\n\n<p><strong>I was on 15 mg tirzepatide. Why do I have to start semaglutide at just 0.25 mg?<\/strong><\/p>\n\n\n\n<p>Because tirzepatide and semaglutide work through different receptor pathways, there is no direct dose equivalence between them. The milligram doses are not comparable. Starting at 0.25 mg semaglutide is not a reflection of your prior medication strength \u2014 it is a standard safety measure to allow your body to adjust to the different mechanism and minimize GI side effects. Your provider will escalate your dose every four weeks based on your response and tolerance.<\/p>\n\n\n\n<p><strong>Will switching to semaglutide mean I gain back weight?<\/strong><\/p>\n\n\n\n<p>There may be a brief plateau or minor fluctuation during the early low-dose period of semaglutide, but this is typically temporary. Both medications have overlapping half-lives that help maintain continuity, and once semaglutide reaches a therapeutic dose, most patients resume progress. Maintaining your diet and exercise habits during the transition is the most important factor in protecting your results.<\/p>\n\n\n\n<p><strong>Can I switch from Zepbound to Wegovy, or only between the diabetes versions?<\/strong><\/p>\n\n\n\n<p>Yes \u2014 the transition can be made between the obesity-approved versions (Zepbound to Wegovy) or the diabetes-approved versions (Mounjaro to Ozempic), depending on your diagnosis and your provider&#8217;s prescription. Zepbound and Mounjaro both contain tirzepatide; Wegovy and Ozempic both contain semaglutide. See our <a href=\"https:\/\/getheally.com\/patients\/zepbound\">Zepbound<\/a>, <a href=\"https:\/\/getheally.com\/patients\/wegovy\">Wegovy<\/a>, <a href=\"https:\/\/getheally.com\/patients\/mounjaro\">Mounjaro<\/a>, and <a href=\"https:\/\/getheally.com\/patients\/ozempic\">Ozempic<\/a> pages for more on each brand.<\/p>\n\n\n\n<p><strong>Is semaglutide still effective if I&#8217;ve already been on tirzepatide?<\/strong><\/p>\n\n\n\n<p>Yes. Semaglutide is a well-established, highly effective GLP-1 medication with strong clinical and real-world evidence. Prior tirzepatide use does not diminish your response to semaglutide. In fact, your prior GLP-1 exposure means your body is already adapted to this class of drugs, which can make the transition smoother. Many patients achieve excellent outcomes on semaglutide.<\/p>\n\n\n\n<p><strong>I&#8217;m switching because of cost. Are there affordable semaglutide options?<\/strong><\/p>\n\n\n\n<p>Several options may reduce costs, including manufacturer savings programs (Novo Nordisk offers a Wegovy savings card for eligible patients), insurance prior authorization for Wegovy, and in some cases compounded semaglutide through a licensed pharmacy (note: compounded medications are not FDA-approved; discuss with your provider). <a href=\"https:\/\/getheally.com\/patients\/semaglutide\">Heally&#8217;s semaglutide program<\/a> can help you navigate prescriptions and access options.<\/p>\n\n\n\n<p><strong>Do I need a new prescription to switch from tirzepatide to semaglutide?<\/strong><\/p>\n\n\n\n<p>Yes. Tirzepatide and semaglutide are separate medications requiring separate prescriptions. You cannot use a tirzepatide prescription to obtain semaglutide. Your provider will need to write a new prescription, and a brief consultation to review your health status and transition plan is important. <a href=\"https:\/\/getheally.com\/patients\/weight-loss-prescription\">Heally&#8217;s online platform<\/a> makes this fast and convenient \u2014 no in-person visit needed.<\/p>\n\n\n\n<h2 id=\"resources-further-reading\" class=\"wp-block-heading\"><strong>Resources &amp; further reading<\/strong><\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li><a href=\"https:\/\/www.nejm.org\/doi\/full\/10.1056\/NEJMoa2416394\">SURMOUNT-5: Tirzepatide vs. Semaglutide for Obesity, NEJM 2025<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/jamanetwork.com\/journals\/jamainternalmedicine\/fullarticle\/2821080\">Rodriguez et al. (2024) \u2014 Semaglutide vs Tirzepatide for Weight Loss, JAMA Internal Medicine<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/www.accessdata.fda.gov\/drugsatfda_docs\/label\/2025\/215256s023lbl.pdf\">FDA Prescribing Information: Wegovy (Semaglutide), 2025<\/a><\/li>\n<\/ul>\n\n\n\n<h2 id=\"medical-disclaimer\" class=\"wp-block-heading\">Medical disclaimer<\/h2>\n\n\n\n<p>This article is for informational and educational purposes only and does not constitute medical advice, diagnosis, or treatment. The information provided reflects publicly available clinical data and general guidance as of April 2026, but individual medical decisions should always be made in consultation with a licensed healthcare provider. Semaglutide and tirzepatide are prescription medications that carry potential risks and require professional medical supervision. Do not start, stop, or change any medication regimen without consulting your doctor or a licensed prescriber. Heally connects patients with independent licensed healthcare providers; Heally itself does not prescribe medications or provide medical advice. Individual results from switching medications vary and are not guaranteed.<\/p>\n\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"Most of the conversation around switching GLP-1 medications focuses on upgrading from semaglutide to tirzepatide \u2014 but the&hellip;\n","protected":false},"author":7,"featured_media":29201,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[1838,1829],"tags":[],"class_list":{"0":"post-37260","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-semaglutide-weight-loss","8":"category-tirzepatide"},"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.1.1 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Conversion from tirzepatide to semaglutide: dosing, timing &amp; results (2026) - Heally<\/title>\n<meta name=\"description\" content=\"Transition from tirzepatide (Mounjaro\/Zepbound) to semaglutide (Ozempic\/Wegovy)? 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