Randomised controlled trial

Weight regain and cardiometabolic effects after withdrawal of semaglutide: The STEP 1 trial extension

Wilding JPH, Batterham RL, Davies M, et al. Diabetes, Obesity and Metabolism 2022;24:1553-1564.

What it found

People who had lost a mean 17.3% on semaglutide regained 11.6 percentage points in the year after stopping, ending 5.6% below their starting weight. Most improvements in blood pressure, blood sugar and blood fats moved back towards baseline.

Limitations

Exploratory analysis of a subset of STEP 1 participants from selected countries. Lifestyle support also stopped at week 68.

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