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Does compounded Semaglutide work differently than Wegovy?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I am a 40-year-old female with polycystic ovary syndrome (PCOS) and obesity. I started using compounded Semaglutide two months ago for weight loss, but I have noticed that the appetite suppression is not as strong as expected, and I am experiencing more nausea compared to when I used other formulations like Wegovy.

Could variations in the compounding process be affecting the drug’s effectiveness and side effects? Should I discuss a dosage adjustment or switch to a different formulation with my doctor? Please help.

Thank you.

Hi,

Welcome to icliniq.com.

I read your query and can understand your concern.

Based on your medical history and concerns regarding semaglutide treatment, I would like to provide you with a detailed explanation of Semaglutide, its mechanism of action, benefits, and possible side effects.

Semaglutide overview:

  1. Semaglutide is a glucagon-like peptide-1 (GLP-1) receptor agonist, which mimics the function of the body’s natural GLP-1 hormone.
  2. It plays a vital role in regulating blood sugar levels by stimulating insulin production and suppressing glucagon (a hormone that raises blood sugar levels).
  3. Semaglutide works by imitating the effects of the GLP-1 hormone, helping to improve glucose control.
  4. It also prevents the liver from producing excess glucose, which helps maintain balanced blood sugar levels.

Benefits of Semaglutide:

  1. Blood sugar control – Studies have shown that semaglutide can effectively lower blood sugar levels in adults with type 2 diabetes.
  2. Weight loss – It has also been associated with weight loss, providing an additional benefit for individuals with type 2 diabetes who are overweight or obese.

Possible side effects:

Gastrointestinal issues, including nausea, vomiting, diarrhea, and abdominal pain.

It is important not to take semaglutide based on the advice of a random pharmacy or without consulting a doctor.

Addressing your concern:

Since you mentioned that you are on Semaglutide and experiencing increased nausea as a side effect, changing the brand or formulation may not always help in reducing nausea, vomiting, or other side effects.

However, a dosage adjustment may help in minimizing these effects. I recommend following up with your doctor to discuss whether an adjustment is needed.

I hope this helps.

Kindly revert so I can assist you further.

Thank you.

Medically reviewed byiCliniq medical review team

Published At May 2, 2025
Reviewed AtMay 8, 2025

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