Evidence map›Paper›PMID 42420793›Full record

Observational studyDiabetes, obesity & metabolism2026

Real-World Use of Semaglutide for Weight Management: Dose Titration, Discontinuation Patterns and Weight Changes.

Mie Dyberg Skandov, Katrine McLain Christensen, Dagmar Abelone Dalin, Janne Unkerskov, Andreas Brønden, Marie Lund, Mikkel Bring Christensen, Kristian Karstoft

Abstract readObservational Study
In one paragraph

Observational study in Diabetes, obesity & metabolism, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Mie Dyberg SkandovDepartment of Clinical Pharmacology, Copenhagen University Hospital-Bispebjerg, Copenhagen, Denmark.
Katrine McLain ChristensenDepartment of Clinical Pharmacology, Copenhagen University Hospital-Bispebjerg, Copenhagen, Denmark.
Dagmar Abelone DalinDepartment of Clinical Pharmacology, Copenhagen University Hospital-Bispebjerg, Copenhagen, Denmark.
Janne UnkerskovLægerne Kanaltorvet, Albertslund, Denmark.
Andreas BrøndenDepartment of Clinical Pharmacology, Copenhagen University Hospital-Bispebjerg, Copenhagen, Denmark.ORCID 0000-0003-1262-3769
Marie LundDepartment of Clinical Pharmacology, Copenhagen University Hospital-Bispebjerg, Copenhagen, Denmark.
Mikkel Bring ChristensenDepartment of Clinical Pharmacology, Copenhagen University Hospital-Bispebjerg, Copenhagen, Denmark.
Kristian KarstoftDepartment of Clinical Pharmacology, Copenhagen University Hospital-Bispebjerg, Copenhagen, Denmark.ORCID 0000-0002-6596-4199

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimIn December 2022, semaglutide injections for weight management were marketed in Denmark. Pre-marketing trials documented high efficacy when adherence to the treatment and the recommended dose titration schedule was followed. This study aimed to describe real-world use of semaglutide, including dose titration, discontinuation patterns and effectiveness on body weight in adults with overweight or obesity treated in primary care. MATERIALS AND

methodsThis retrospective, observational study included adults prescribed semaglutide for weight management between December 2022 and May 2024 in one general practise in Denmark. The primary outcome was the relative mean change in body weight from baseline to 12-months follow-up in individuals who had not discontinued treatment and who had a baseline and a follow-up weight.

resultsA total of 206 individuals were included (76% women; mean age 48 years, standard deviation (SD) 13). Mean baseline body weight was 105 kg (SD 23.8). Twelve months after treatment initiation, 38% (n = 78) had permanently discontinued semaglutide, whilst 15% (n = 30) had temporarily discontinued (paused) semaglutide. Approximately 48% (n = 98) remained on treatment. Amongst these, 40% were treated with ≤ 1.0 mg/week, 30% with 1.7 mg/week and 30% with 2.4 mg/week. Relative mean body weight change after 12 months was -13.6 (95% CI -15.0 to -12.2)%.

conclusionsBased on the experience from utilisation in a single general practise, semaglutide for weight management is frequently discontinued and titrated slower and to lower maintenance doses in real-world clinical practise than in the approved labelling. Despite this, the observed mean weight loss for individuals who had not discontinued treatment was substantial.

Indexed as

Anti-Obesity AgentsGlucagon-Like PeptidesObesityOverweightSemaglutideAdultDenmarkDose-Response Relationship, DrugFemaleHumansMaleMiddle AgedRetrospective StudiesTreatment OutcomeWeight LossAnti-Obesity AgentsGlucagon-Like PeptidesSemaglutideeffectivenessprimary carereal‐world evidencesemaglutideweight management

Identifiers

PMID42420793
PMCPMC13538733

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.