In practice, however, this is not always the case
The best results were achieved in combination with a reduced-calorie diet and increased physical activity
This prevents them from transcribing muscle atrophy genes (Atrogin-1, MuRF1), effectively blocking protein breakdown

Injectable Wegovy (STEP 1 Trial): According to the STEP 1 clinical trial published in The New England Journal of Medicine: Participants taking Wegovy 2.4 mg weekly experienced average weight loss of approximately 14.9% over 68 weeks According to the published data, 86% of participants lost at least 5% of body weight The trial included lifestyle modifications alongside medication Oral Wegovy (OASIS 4 Trial): According to the OASIS 4 trial published in The New England Journal of Medicine: Participants who adhered to the oral treatment protocol experienced average weight loss of approximately 16.6% over 64 weeks The overall trial population (regardless of adherence) experienced average weight loss of approximately 13.6% According to the manufacturer, results were considered comparable to injectable formulation trials, though the studies were conducted separately Important Clinical Trial Context: According to standard clinical research principles, trial results represent population averages from controlled conditions with specific patient populations, lifestyle interventions, and medical supervision

Some people reach their goal weight during this phase and transition to maintenance dosing, using the minimum dose that controls appetite without producing further loss