The actual reason no generic exists yet is that no manufacturer has filed an Abbreviated New Drug Submission (ANDS) referencing Wegovy specifically demonstrating bioequivalence at the higher Wegovy doses and pursuing the weight-management indication is a separate regulatory exercise from the diabetes-indication ANDS filings that have just cleared
Although the adjusted mean difference in weight reduction between treatments at 6 months was moderate in absolute terms, categorical outcomes reflect its strong clinical importance: for example, approximately twice as many tirzepatide-treated patients achieved 15% weight reduction compared with semaglutide-treated patients (31% vs
Kekic offers a framing for this from her clinical practice
In addition, basal-bolus insulin therapy was started (insulin glargine and lispro), reaching 156 IU/day (23% basal and 77% bolus, total insulin dose 2.23 IU/kg/day)
But Saxenda and Wegovy still give you a big bang for your buck, so any of the three are all effective at helping you lose weight
Pharmacy Quality : If you are worried your current source isn't effective, you have the right to try a different telehealth partner that uses vetted, licensed pharmacies