Ozempic vs Wegovy: Which Is Better in 2026?

Comparing Ozempic and Wegovy side by side — weight loss results, side effects, cost, dosing, and who should choose each.

CategoryOzempicWegovy
Active IngredientSemaglutideSemaglutide
MechanismGLP-1 receptor agonistGLP-1 receptor agonist
FDA Approved ForType 2 diabetesChronic weight management
AdministrationOnce weekly injectionOnce weekly injection
Starting Dose0.25mg weekly0.25mg weekly
Maximum Dose2mg weekly2.4mg weekly
Average Weight Loss~12-15% of body weight~15-17% of body weight
Titration Schedule4 dose steps over 16+ weeks5 dose steps over 16-20 weeks
A1C Reduction~1.5-1.8%Not primary endpoint
Monthly Cost (US, no insurance)~$900-1,000~$1,300-1,400
BMI RequirementNone (diabetes diagnosis needed)BMI ≥30 or ≥27 with comorbidity
Cardiovascular BenefitProven MACE reduction (SUSTAIN-6)Proven MACE reduction (SELECT trial)
Clinical TrialSUSTAIN seriesSTEP series
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Track Ozempic or Wegovy with Enzo

Dose tracking, side effect logging, and a cute cat cheering you on. Free to download.

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Enzo's Tip

Same semaglutide, different label! If you have type 2 diabetes, Ozempic is your match. If weight management is the primary goal, Wegovy is specifically designed for that. Either way, Enzo is here to track your progress and remind you of injection day — this cat doesn't judge, just supports!

Choose Ozempic if you...

  • • Have insurance that covers it
  • • Want an established track record
  • • Prefer a well-known medication

Choose Wegovy if you...

  • • Want maximum weight loss potential
  • • Have tried other GLP-1s without success
  • • Your doctor recommends it

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Medical Disclaimer: Enzo is a tracking companion, not a doctor. Always consult your healthcare provider before starting, stopping, or changing any medication. The information on this page is for educational purposes only and should not be considered medical advice. Individual results may vary.

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