Common themes from patient experiences
What people like
- Significant appetite reduction: Most report feeling genuinely less hungry rather than just suppressing cravings. Many describe it as "food noise" disappearing.
- Steady, noticeable weight loss: Patients commonly report 1–2kg per week in the first few months, slowing to steady ongoing loss.
- Once-weekly convenience: The weekly injection is seen as much more manageable than daily tablets or daily injections (vs the now-discontinued Saxenda).
- Improved relationship with food: Many report eating smaller portions naturally without feeling deprived.
- Health improvements: Reports of lower blood pressure, better blood sugar, and improved energy levels.
Common complaints
- Nausea during escalation: The most frequently mentioned downside. Usually worst in weeks 1–2 at each new dose level.
- Cost: At $400–460/month, affordability is a major concern for many Australians.
- Constipation: Can persist even after nausea resolves. Many patients need to increase fibre and water intake.
- Supply concerns: Some patients report occasional difficulty getting their prescription filled due to stock variability.
- Fear of weight regain: Awareness that stopping the medication typically leads to weight returning.
Tips from experienced users
- Start with small, protein-rich meals
- Have anti-nausea strategies ready before each dose increase
- Take the injection at the same time each week
- Photograph your progress — the scale doesn't tell the whole story
- Join an online support community for motivation
Note: These observations are compiled from publicly available reviews on platforms like Trustpilot, Reddit, and Whirlpool, as well as published patient-reported outcome data from clinical trials. Individual experiences vary significantly.