Wegovy vs Saxenda: Which Weight Loss Drug Is Better?

Alan Lucks | MD

Medically reviewed by Alan Lucks | MD, Alan Lucks MDPC Private Practice - New York on January 20th, 2026.

Key Takeaways

  • Wegovy and Saxenda are both FDA-approved injectable medications for weight loss, but they differ in dosage, effectiveness, and side effects. Saxenda is being discontinued in some areas.

  • Wegovy tends to offer greater average weight loss compared to Saxenda, making it a preferred option for many patients.

  • Both drugs work by mimicking a hormone that regulates appetite, but their treatment plans and costs vary.

  • Choosing the right medication depends on individual health conditions, goals, and consultation with a healthcare provider.

  • Telehealth services like Doctronic.ai make it easier to access expert advice and prescriptions for these medications from home.

Understanding Wegovy and Saxenda: What Are They?

Wegovy and Saxenda are prescription medications designed to help people lose weight by reducing appetite and increasing feelings of fullness. Both belong to a class of drugs called GLP-1 receptor agonists, which mimic the naturally produced glucagon-like peptide-1 hormone. This hormone plays a key role in regulating hunger and blood sugar levels.

Although they share a similar mechanism, Wegovy and Saxenda differ in their formulations and approved uses. Wegovy contains a higher dose of semaglutide, while Saxenda contains liraglutide. Both drugs are administered by daily or weekly injections under the skin.

How Wegovy Works

Wegovy, approved by the FDA in 2021, contains semaglutide at doses specifically tailored for weight management. It is injected once weekly and has been shown to help patients lose an average of 15% of their body weight when combined with diet and exercise. The medication works by slowing stomach emptying and signaling the brain to reduce hunger.

How Saxenda Works

Saxenda, approved earlier in 2014, contains liraglutide and is injected daily. It also reduces appetite and promotes fullness but generally results in more modest weight loss, averaging around 5-10% of body weight. Saxenda is often prescribed for patients with obesity or overweight conditions who have additional health risks like diabetes or high blood pressure. It is being discontinued in some regions.

Comparing Effectiveness: Which Drug Leads to More Weight Loss?

Clinical trials have shown that Wegovy tends to produce greater weight loss than Saxenda. In a major study, patients using Wegovy lost about 15% of their body weight over 68 weeks, while Saxenda users lost closer to 8%. This difference can be significant for people seeking substantial weight reduction.

Weight Loss Results in Numbers

  • Wegovy: Average weight loss of 12 to 15% of initial body weight

  • Saxenda: Average weight loss of 5 to 10% of initial body weight

These figures depend on adherence to lifestyle changes such as diet and exercise, which remain critical components of any weight-loss program.

Why Wegovy May Be More Effective

Wegovy’s higher dose of semaglutide allows for stronger appetite suppression and better control of hunger signals. Its once-weekly dosing also improves convenience and compliance for many patients compared to Saxenda’s daily injections.

Side Effects and Safety Considerations

Both medications share similar side effects, but their frequency and intensity can vary. Understanding these is important before starting treatment.

Common Side Effects

  • Nausea and vomiting

  • Diarrhea or constipation

  • Headache

  • Fatigue

  • Injection site reactions

These symptoms often improve after the first few weeks as the body adjusts to the medication.

Serious Risks to Watch For

Though rare, both drugs carry warnings about potential risks such as pancreatitis, gallbladder disease, and thyroid tumors. Patients with a history of medullary thyroid carcinoma or multiple endocrine neoplasia syndrome type 2 should avoid these medications.

Choosing Based on Side Effects

Some patients tolerate one medication better than the other. Wegovy’s weekly dosing may reduce the burden of daily injections but could cause more intense initial nausea. Saxenda’s daily injections allow for more gradual dose adjustments, which might help minimize side effects.

Insulin pens and injection devices used for diabetes management.Cost and Accessibility: What to Expect

Cost is a practical factor when deciding between Wegovy and Saxenda. Both medications can be expensive without insurance coverage, often costing several hundred dollars per month.

Insurance and Coverage

Insurance coverage varies widely. Some plans cover one medication but not the other, or require prior authorization. Patients should check with their insurance providers to understand coverage details.

Accessing Medications Through Telehealth

Getting a prescription for Wegovy or Saxenda is easier than ever thanks to telehealth platforms like Doctronic.ai. Doctronic offers convenient, affordable telehealth visits with licensed doctors who can evaluate your health, discuss treatment options, and prescribe weight loss medications if appropriate. This service is available 24/7 across all 50 states, making expert care accessible from home.

Who Should Consider Wegovy or Saxenda?

Both drugs are intended for adults with a body mass index (BMI) of 30 or higher, or those with a BMI of 27 or higher who have weight-related medical conditions such as type 2 diabetes, high blood pressure, or sleep apnea.

Factors Influencing Choice

  • Weight loss goals: Wegovy may be better for those seeking more significant weight loss.

  • Injection preference: Weekly injections of Wegovy versus daily injections of Saxenda.

  • Medical history: Certain health conditions may make one drug safer than another.

  • Cost and insurance: Coverage and affordability can influence the decision.

Consulting a Healthcare Provider

Before starting either medication, it is essential to have a thorough medical evaluation. Telehealth services like Doctronic.ai provide a quick and reliable way to connect with healthcare professionals who can help determine the best treatment plan tailored to your needs.

Getting Started with Weight Loss Medication

Starting a weight loss medication involves several steps to ensure safety and effectiveness.

Initial Assessment

A healthcare provider will review your medical history, current medications, and lifestyle habits. This helps identify any contraindications or potential drug interactions.

Setting Realistic Expectations

Weight loss medications are most effective when combined with healthy eating and regular physical activity. They are not magic pills but tools to support sustained lifestyle changes.

Monitoring Progress

Regular follow-ups are important to assess effectiveness, manage side effects, and adjust dosages if necessary. Telehealth platforms make these check-ins convenient and accessible.

Why Use Telehealth for Weight Loss Medication?

Telehealth services have transformed how people access healthcare, especially for chronic conditions like obesity. Doctronic.ai offers several advantages:

  • Convenience: Consult with doctors from home at any time.

  • Affordability: Low-cost visits under $40 compared to traditional office visits.

  • Speed: Get answers and prescriptions quickly without waiting weeks for appointments.

  • Personalized care: AI-powered tools help doctors provide recommendations based on the latest medical research.

For anyone considering Wegovy or Saxenda, telehealth is a practical way to start the conversation and receive ongoing support.

Choosing Between Wegovy and Saxenda: What Matters Most

Ultimately, the decision comes down to individual needs and preferences. Wegovy offers stronger weight loss results with less frequent dosing but may have a higher upfront cost. Saxenda provides a more gradual approach with daily injections and a longer track record.

Both medications require commitment to lifestyle changes and regular medical supervision. Using a trusted telehealth service like Doctronic.ai can simplify this process and help you stay on track.

Frequently Asked Questions

Switching between these medications is possible but should only be done under medical supervision. Your healthcare provider can guide the transition based on your response and side effects.

Most patients begin to notice weight loss within the first few weeks, but significant results typically appear after 12 to 16 weeks of consistent use combined with lifestyle changes.

Both drugs can be used in patients with type 2 diabetes, but dosing and monitoring may differ. Always consult your healthcare provider before starting treatment.

Yes, both medications require a prescription from a licensed healthcare provider. Telehealth platforms like Doctronic.ai can provide evaluations and prescriptions when appropriate.

Common side effects often improve over time. If symptoms persist or worsen, contact your healthcare provider promptly for advice.

The Bottom Line

Wegovy and Saxenda are both effective weight loss medications, but Wegovy typically delivers greater results with once-weekly dosing, while Saxenda offers a more gradual approach. Saxenda is being discontinued in some regions. The best choice depends on your goals, tolerance, and insurance. Expert guidance via Doctronic.ai makes deciding and getting started easier.

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