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Nee Soon Clinic

8 Sept 2025

While lifestyle interventions remain the cornerstone of treatment, many patients find it difficult to achieve meaningful weight loss. This has fueled global interest in medical therapies like Wegovy for Obesity

Obesity is not merely a cosmetic issue—it is a chronic, relapsing disease associated with severe health risks, including type 2 diabetes, hypertension, heart disease, and some cancers. Singapore’s Ministry of Health (MOH) has repeatedly flagged obesity as one of the key preventable causes of morbidity.

 

While lifestyle interventions remain the cornerstone of treatment, many patients find it difficult to achieve and maintain meaningful weight loss. This has fueled global interest in medical therapies like Wegovy for Obesity, which target appetite regulation at the hormonal level.

 

Obesity in Singapore: A Growing Concern

According to the National Population Health Survey 2022, about 10.5% of adults in Singapore are obese, up from 8.6% in 2017. This rise has important implications for public health spending and chronic disease burden.

  • Higher risk at lower BMI: Asians, including Singaporeans, face obesity-related health risks at lower BMIs than Western populations. Hence, an Asian BMI ≥ 27.5 is often considered obese.

  • Comorbidities: Local data shows obesity is strongly associated with diabetes, high cholesterol, and hypertension—conditions that strain Singapore’s healthcare system.

  • Young adults at risk: Alarming trends show increasing obesity prevalence among those in their 20s and 30s, pointing to early lifestyle-related risks.

 

This context explains why interest in Wegovy for Obesity is growing among patients and clinicians.

 

What Is Wegovy for Obesity?

Wegovy (semaglutide 2.4 mg) is a once-weekly injectable medication developed by Novo Nordisk, specifically approved for chronic weight management. It belongs to the class of GLP-1 receptor agonists, which mimic the body’s natural satiety hormone.

 

Indications include:

  • Adults with BMI ≥ 30 (obese)

  • Adults with BMI ≥ 27 (overweight) plus at least one weight-related condition such as diabetes, high blood pressure, or high cholesterol

  • Adolescents ≥ 12 years with obesity

 

Unlike cosmetic quick fixes, Wegovy for Obesity is prescribed as part of a comprehensive program that includes reduced-calorie diets, physical activity, and behavioral therapy.

 

How Wegovy for Obesity Works

The key lies in the GLP-1 pathway. Wegovy for Obesity mimics glucagon-like peptide-1, a gut hormone that signals the brain to regulate appetite and food intake.

 

Mechanisms of action:

  • Appetite suppression: Patients feel full sooner and for longer.

  • Delayed gastric emptying: Food stays in the stomach longer, reducing hunger.

  • Reduced cravings: Many report fewer urges for high-calorie or fatty foods.

  • Improved metabolic control: GLP-1 agonists improve glucose regulation, supporting patients with prediabetes or type 2 diabetes.

 

This biological effect explains why patients often describe less struggle with willpower compared to diet alone.

 

Clinical Trials and Evidence: STEP Program

The Semaglutide Treatment Effect in People with Obesity (STEP) trials provide the strongest evidence for Wegovy for Obesity.

Trial

Population

Avg. Weight Loss

Key Findings

STEP 1

Adults with obesity or overweight (no diabetes)

14.9% body weight loss at 68 weeks

Significantly greater than placebo (2.4%).

STEP 2

Adults with type 2 diabetes

9.6% weight loss

Effective even in diabetic patients, though less than non-diabetics.

STEP 3

Obesity + intensive behavioral therapy

16% weight loss

Synergy between Wegovy and structured lifestyle support.

STEP 4

Maintenance trial

Weight loss maintained at 68 weeks when continuing Wegovy, vs. regain when switched to placebo.


 

This evidence shows that Wegovy for Obesity is not only effective but also sustainable for long-term management.

 

Benefits Beyond Weight Loss

While weight reduction is the primary goal, Wegovy for Obesity has additional clinical benefits:

  • Cardiovascular health: Reduced risk of heart attack, stroke, and cardiovascular death in obese adults with pre-existing heart disease.

  • Diabetes prevention: Trials show patients at risk of diabetes have delayed onset when on Wegovy.

  • Improved metabolic profile: Lower blood pressure, improved cholesterol, reduced waist circumference.

  • Quality of life: Many patients report better mobility, energy levels, and emotional well-being.

 

Dosage and Administration of Wegovy for Obesity

Dosing is titrated gradually to minimize side effects:

Weeks

Dose

1–4

0.25 mg once weekly

5–8

0.5 mg once weekly

9–12

1.0 mg once weekly

13–16

1.7 mg once weekly

17+

2.4 mg once weekly (maintenance)


Administration:

  • Injected under the skin (abdomen, thigh, or upper arm).

  • Can be taken with or without food.

  • Supplied as pre-filled pens for self-administration.

 

Side Effects, Safety & Contraindications

Common side effects (usually improve with time):

  • Nausea

  • Vomiting

  • Diarrhea

  • Constipation

  • Abdominal discomfort

 

Serious but rare risks:

  • Pancreatitis

  • Gallbladder disease

  • Possible thyroid C-cell tumors (boxed warning)

 

Contraindications:

  • Personal/family history of medullary thyroid carcinoma (MTC)

  • Multiple endocrine neoplasia syndrome type 2 (MEN 2)

  • Pregnancy and breastfeeding

Monitoring with a doctor is essential before and during treatment.

 

Comparison With Other Obesity Treatments

Approach

Average Weight Loss

Pros

Cons

Lifestyle only

3–5%

Safe, low cost

High relapse rates

Orlistat

5–7%

Oral pill

GI side effects (oily stools)

Wegovy for Obesity

10–16%

Sustained, evidence-based, CV benefits

Cost, availability, injection

Bariatric surgery

20–30%

Most effective, may reverse diabetes

Invasive, surgical risks

 

Patient Experience and Expectations in Singapore

Patients often describe three phases:

  1. First month: Reduced cravings, mild nausea.

  2. Months 2–6: Noticeable weight loss, improved energy.

  3. After 1 year: Sustained weight management with ongoing monitoring.

 

However, because Wegovy is not yet approved in Singapore, many patients turn to clinics prescribing Ozempic (lower dose semaglutide) off-label or await Health Sciences Authority (HSA) approval.

 

Practical Considerations: Cost, Access & Local Options

  • Availability in Singapore: As of 2025, Wegovy is not yet approved locally. Supply shortages globally also limit access.

  • Estimated cost (overseas): USD $1,000–1,300 per month. Prices in Singapore, once approved, may vary depending on subsidies and insurance.

  • Insurance: Weight-loss drugs are often not covered under standard plans, though this may evolve as obesity is increasingly recognized as a chronic disease.

  • Alternative options: Patients in Singapore can explore Neesoon Clinic’s weight-loss injection programs for current solutions.

 

 FAQs About Wegovy for Obesity

1. How soon will I see results?Weight loss begins within weeks but is most significant after 3–6 months.

 

2. Do I need to take it forever?Like other chronic conditions, obesity requires long-term management. Stopping Wegovy often leads to weight regain.

 

3. Can teenagers use Wegovy?Yes, approved for ages 12 and up with obesity.

 

4. Is it safe with diabetes medications?Yes, but dosing may need adjustment with insulin or sulfonylureas.

 

5. When will it be in Singapore?No confirmed HSA approval date yet. Patients should monitor regulatory updates.

 

Conclusion

Wegovy for Obesity represents a major breakthrough in weight management, offering 10–16% sustained weight loss plus cardiovascular and metabolic benefits. Although not yet available in Singapore, it holds promise as a future frontline therapy for obesity.

 

In the meantime, Singapore residents can explore safe medical options, including weight-loss injections and structured programs available at trusted clinics like Neesoon Clinic.

 

For official prescribing information, refer to the Wegovy website.


779 Yishun Ave 2, #01-1547, Singapore 760779

Tel: 6721 9796

779 Yishun Ave 2, #01-1547, Singapore 760779

Tel: 6721 9796

© 2023 by Nee Soon Clinic

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