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Can Rybelsus Really Help You Lose Weight? What the Research & Patients Say

Monday 30 June 2025
Rybelsus
6 minute(s) read

Table of Contents


I. What the Trials Say about Rybelsus

II. Patient Reports

III. Rybelsus Compared to Injectables

IV. When to Expect Results

V. Conclusion


When it comes to weight loss medications, Rybelsus, an oral form of semaglutide, is increasingly in the spotlight. Initially designed to manage blood sugar levels in type 2 diabetes, it's gaining attention for its weight loss capabilities. 

But is Rybelsus for weight loss truly effective, and how does it stack up against injectable forms of semaglutide? Let's dive into what clinical trials and patient experiences are revealing about oral semaglutide weight loss results.

What the Trials Say About Rybelsus for Weight Loss

researchers collaborating in a clinical trial

Multiple clinical studies have put Rybelsus for weight loss head-to-head against both placebo and injectable semaglutide. 

In a real-world observational study that compared injectable and oral semaglutide, adults on Rybelsus for weight loss experienced promising results:

  • Participants lost a median of 13 lbs. over six months, almost matching the 14 lbs. drop seen with injectable semaglutide. 
  • Both injectable and oral semaglutide groups saw about 56.7% of participants shed at least 5% of their body weight. [1]

In the PIONEER 4 trial, researchers compared oral semaglutide at its highest dose to injectable semaglutide and a placebo. By week 26, researchers observed the following results:

  • Oral semaglutide (Rybelsus) for weight loss users lost 9.7 lbs. on average
  • Injectable semaglutide (liraglutide) users lost 6.8 lbs. 
  • The placebo group lost 1.1 lbs. [2]

These oral semaglutide weight loss results show that the pill can rival injection-based therapies, making Rybelsus for weight loss a great option for anyone who dreads needles.

A 12-week study found that semaglutide’s weight-loss power comes from curbing hunger and cutting energy intake. Throughout the study, participants taking Rybelsus for weight loss consumed about 38.9% fewer calories at meals compared to placebo, losing 6 lbs. of body weight largely from fat mass while lean mass stayed stable. That means oral semaglutide weight loss results aren’t just reflected on the scale; they reflect real changes in body composition. [3]

What Patients Are Reporting

Real-world evidence reinforces what trials have already shown. In an observational study of 106 adults with type 2 diabetes who were new to GLP-1 therapy, participants took either Rybelsus for weight loss (oral semaglutide) or a weekly injectable semaglutide for six months. By the end:

  • The Rybelsus group recorded a median weight loss of 13 lbs.
  • The injectable group lost 14 lbs.
  • Exactly 56.7% of participants in both groups achieved at least a 5% reduction in body weight. [1]

Cost, however, is the biggest hurdle. In the U.S., a 30-day supply of Rybelsus runs about $997.58, no matter which dose you need. [4] With Rybelsus still under patent, no generics exist, so you’re stuck with that sticker shock unless you find ways to reduce the cost of Rybelsus: 

  • Novo Nordisk Rybelsus savings card: If eligible, patients can receive a one-to-three-month supply of Rybelsus for as little as $10. [5]
  • Ordering semaglutide for weight loss from Canada: Thanks to prescription cost regulations, Canadian-sourced semaglutide for weight loss and diabetes is significantly less than in the States. 

Through reputable Canadian outlets (for example, Canada Pharmacy Depot), you’ll find semaglutide weight loss medications in Canada priced at roughly:

  • Rybelsus 3 mg: $314
  • Rybelsus 7 mg: $319
  • Rybelsus 14 mg: $354

Compared to nearly $1,000 per month in the U.S., choosing semaglutide for weight loss from Canada can save you hundreds each month, letting you experience oral semaglutide weight loss results without breaking the bank.

How Weight Loss with Rybelsus Compares to Injectables

When you pit Rybelsus for weight loss against injectable semaglutide, the gaps are surprisingly small. Both formats leverage the same GLP-1 mechanism, and both deliver solid weight reductions. In the six-month observational study discussed earlier, the difference was under 1 lbs. between oral and injected forms. [1]

Additionally, side-effect profiles for injectable and oral semaglutides overlap (mostly mild nausea and occasional digestive upset). Patients who prefer pills over needles still get the same oral semaglutide weight loss results, and those results stack up when you compare charts or journal articles side by side.

When to Expect Results

A person weight themselves on a scale with a measuring tape nearby

When you begin a Rybelsus regimen, most healthcare providers will start you on the smallest available strength: 3 mg taken once each morning on an empty stomach. This introductory dose is designed primarily to help your body get used to the medication and typically doesn’t produce noticeable changes in weight or blood sugar control. Instead, it minimizes the likelihood of common Rybelsus side effects like nausea or stomach discomfort. [6]

After you’ve taken the 3 mg dose every day for about 30 days, your provider will step you up to 7 mg once daily. At this intermediate level, many people start to observe the first signs of progress: better glycemic control, a slight reduction on the scale, or decreased appetite. For some, the shift is fairly quick, while others might notice changes more gradually. [6]

If, after another month at 7 mg, your results aren’t where you and your doctor hoped they’d be, the dose can be increased again—this time to the maximum of 14 mg once daily. That higher strength is what’s most often used in clinical trials to produce significant weight loss and improvements in blood sugar. It’s also the dose at which many of the trial-proven benefits of semaglutide become most pronounced. [6]

Keep in mind that everyone’s journey is different. How quickly you see results on each dose depends on factors such as:

  • Diet and nutrition: Sticking to healthy foods and maintaining a proper diet helps Rybelsus work optimally.
  • Starting weight and body composition: Heavier individuals or those with higher fat mass may see larger weight changes.

Routine check-ins allow your provider to track your progress, adjust your dose if needed, and manage any side effects. Through this stepwise approach, you and your healthcare team can find the dose that balances maximum benefit with the fewest unwanted effects, ensuring you get the most out of Rybelsus over the long term.

Conclusion

If you’re considering Rybelsus for weight loss, both the hard data and real-world stories are on your side. The clinical trials and patient reports show that oral semaglutide weight loss results can be impressive, especially when you pair the medication with sensible diet and exercise habits.

The biggest hurdle is cost, but there are simple workarounds. Many people lower their out-of-pocket expenses by ordering semaglutide for weight loss from Canada, and eligible patients take advantage of the Novo Nordisk savings card to bring their monthly cost down.

At the end of the day, Rybelsus for weight loss delivers clear benefits. Whether you opt for the pill or an injectable form of semaglutide, the evidence supports both as effective tools for shedding pounds and improving blood sugar. Talk with your healthcare provider to decide which option best fits your personal health goals and medical history.

The content provided in this article is based on thorough research and in some cases, reviewed by a medical professional. Our goal for the information is to provide helpful, general health informational. It is not intended as a substitute for professional medical advice.