Oral Wegovy: what to know about the Wegovy pill for weight loss

If a fear of needles has kept you from taking Wegovy (semaglutide), we have good news. Oral Wegovy may be available soon — as early as next year, in fact. 

The US Food and Drug Administration (FDA) approved the Wegovy pill in late December 2025, based on promising clinical trials that showed a similar weight loss to the Wegovy injection.

Read on as we break down the latest news about oral Wegovy, including how it works for weight loss, possible side effects, and how much it might cost you out-of-pocket.

Wegovy should be available as a pill in early 2026, according to the drug manufacturer, Novo Nordisk. 

In late December 2025, the FDA officially approved the Wegovy pill for the following indications:

• To reduce excess body weight and maintain weight reduction long term in

  • Adults with obesity

  • Adults with overweight and at least one weight-related medical condition (e.g. high blood pressure, type 2 diabetes)

• To reduce the risk of serious cardiovascular problems (e.g. heart attack, stroke, death from heart disease) in adults with cardiovascular disease and either obesity or overweight

Upon receiving FDA approval, the Wegovy pill became the first oral GLP-1 explicitly approved for weight loss — but not the first oral GLP-1 overall. That honor belongs to Rybelsus, which is also manufactured by Novo Nordisk.

Rybelsus contains the same active ingredient as the Wegovy pill: semaglutide. Rybelsus is approved to control blood sugar levels in people with type 2 diabetes and to reduce the risk of serious cardiovascular problems in people with type 2 diabetes. 

Currently, brand-name Wegovy is available as a weekly injection. It’s approved for weight loss, fatty liver disease, and to lower cardiovascular risk in adults with obesity or overweight and heart disease.

It’s also worth noting that the Wegovy pill isn’t the only oral GLP-1 that may soon be FDA-approved for weight loss and diabetes. 

Novo Nordisk’s competitor, Eli Lilly, is also busy working on a GLP-1 pill called orforglipron.

• In a 40-week trial, participants with type 2 diabetes who took orforglipron daily lost 5%–8% of their body weight, or about 10–16 pounds. 

• In another trial, participants with obesity who took orforglipron lost an average of 9%–15% of their body weight after 36 weeks. 

The development of an oral Wegovy (and, frankly, orforglipron) that’s equally as or close to as effective as injectable GLP-1s is exciting. This is largely because “pills are easier to take,” says Kevin Gendreau, MD, a board-certified obesity medicine physician. 

“I’ve had many patients who dislike needles be hesitant to take these life-saving GLP-1 medications,” Dr. Gendreau says. “Pills have a broader acceptance and appeal in my opinion.” 

Indeed, surveys show that when given the option, most people prefer an oral GLP-1 over an injection.

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Oral Wegovy contains the same active ingredient as injectable Wegovy, semaglutide. So, it works in the same way: by mimicking GLP-1, a naturally occurring hormone that regulates appetite and satiety (fullness). 

Here’s how semaglutide — and oral Wegovy — works: 

• It binds to GLP-1 receptors throughout your GI tract and brain.

• It sends satiety (fullness) signals to your brain, which reduces appetite.

• It slows gastric emptying (how quickly food leaves your stomach), which makes you feel full sooner.

• It balances your blood sugar levels by boosting insulin production and limiting glucagon.

Thanks to these effects, people tend to eat fewer calories and lose weight on Wegovy. In the case of the Wegovy pill, people taking 25 mg daily experienced an average weight loss of 13.6% over a year and three months.

Of course, individual weight loss results can vary. They depend on factors such as other medications in your regimen, diet, and exercise routine. 

Both the Wegovy pill and Rybelsus, the oral form of semaglutide approved for type 2 diabetes, should be taken in the same way: in the morning on an empty stomach, at least 30 minutes before any food, water, or other medications. 

“This could potentially cause problems for patients taking other medications first thing in the morning on an empty stomach, such as levothyroxine (for the treatment of hypothyroidism),” says Shannon Fitzgerald, PharmD, a pharmacist, toxicologist, and expert contributor at Drugwatch.com. 

According to clinical trials, oral Wegovy (the Wegovy pill)  can produce an average weight loss of 13.6% in 64 weeks (about a year and three months). If you weigh 250 pounds, that’s a loss of 34 pounds. 

By comparison, people taking a placebo lost only 2.2% of their starting body weight.

Other clinical trials found that a higher dose of oral Wegovy (50 mg daily) produced even more weight loss — up to 15.1% in 68 weeks. 

Another clinical trial found that 50 mg of oral Wegovy reduced people’s caloric intake by nearly 40% in 20 weeks, leading to an average weight loss of 9.8%.

At this time, however, Novo Nordisk has yet to seek approval for up the 50-mg dose of oral Wegovy. This is likely due to the higher rate of gastrointestinal side effects seen with 50 mg, which affected about 80% of participants. 

Oral Wegovy can produce similar weight loss results to injectable Wegovy. But the existing research suggests the injections still work slightly better. 

• In clinical trials of oral Wegovy, people taking 25 mg daily lost an average of 13.6% of their body weight in 64 weeks. People taking 50 mg daily lost an average of 15.1% in 68 weeks.

• In clinical trials of Wegovy injections, people taking 2.4 mg weekly lost an average of 14.9% of their body weight in 68 weeks. 

So, people may lose slightly more weight on injectable Wegovy compared to 25 mg of oral Wegovy (aka the hopefully-soon-to-be-approved pill). 

But if a 50-mg daily dose is prescribed (which will likely be an off-label dosage), people may actually lose more weight on oral Wegovy vs. injections.

The lower weight loss of the Wegovy pill could be due to its bioavailability (or how much of a drug’s active ingredient gets absorbed by your bloodstream), Dr. Gendreau explains.  

“Digestive breakdown in the gut might reduce effectiveness [of a Wegovy pill], requiring higher doses to reach similar efficacy as an injection,” he says. 

That may explain why the Wegovy pill that’s recently received FDA approval is 25 mg while the Wegovy injection is only 2.4 mg.

Even so, the Wegovy pill seems to drive enough weight loss to be a viable alternative to GLP-1 injections, according to Dr. Gendreau. 

Current research suggests that injectable Wegovy slightly outperforms oral Wegovy. Still, there are other injectable GLP-1s that outperform any form of semaglutide. 

Zepbound (tirzepatide) and Mounjaro (tirzepatide), for example, produce an average weight loss of 15%–20.9% in about the same time, according to a 72-week trial for obesity.

Oral Wegovy seems to have similar side effects and risks as other semaglutide medications, mostly affecting the GI system. 

Based on phase 3 trials of the 25-mg Wegovy pill, the frequency of GI side effects was similar to what was seen in trials of Wegovy 2.4 mg weekly injections. These include:  

• Nausea

• Diarrhea

• Vomiting

• Constipation

• Stomach pain

• Headache

• Fatigue

• Upset stomach

• Dizziness

• Bloating

• Belching

• Flatulence

• Hypoglycemia (low blood sugar) in people taking certain diabetes drugs

• Stomach flu

• Heartburn

• Common cold

One possible benefit of a Wegovy pill is avoiding injection site reactions such as pain, rash, or irritation, Dr. Fitzgerald adds. However, these only affect a small number of people taking injectable Wegovy.

As of publication, the Wegovy pill will cost $149–$299 per month depending on the dose through NovoCare and Novo Nordisk’s partners.

It’s possible that the list price could be less than injections — if it’s less expensive to make.

“[Oral Wegovy] should be more competitively priced due to the fact that it’s easier to make (no pens) and easier to store and distribute (no refrigeration),” Dr. Gendreau says.

On the other hand, Dr. Fitzgerald points out that Novo Nordisk currently prices the diabetes medications Ozempic (injectable semaglutide) and Rybelsus (oral semaglutide) similarly, with both hovering around $1,000 per month. 

Moreover, the 25 mg Wegovy pill contains more than 10 times the amount of semaglutide than the 2.4 mg maximum dose of injectable Wegovy. That may also drive costs up, according to Dr. Fitzgerald.

Oral Wegovy (25 mg) was approved by the FDA on December 22, 2025. Upon receiving the green light from the FDA, Novo Nordisk announced that it expects to launch the Wegovy pill in the US in “early January 2026.” 

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For people who’ve avoided GLP-1 injections due to a fear of needles, oral Wegovy could be a game-changer. If approved, it will be the first oral GLP-1 medication specifically for weight loss.

• The FDA is set to approve oral Wegovy by the end of 2025, so prescriptions may be available in early 2026.

• A 25 mg daily Wegovy pill produced an average 13.6% weight loss in clinical trials, which is close to the 14.9% seen with 2.4 mg weekly injections.

• Side effects of oral Wegovy in studies are similar to the mild-to-moderate gastrointestinal side effects common with the injectable version.

• The Wegovy pill will cost a cash price of $149–$299 per month depending on the dose through NovoCare and Novo Nordisk’s partners.