Categories: Health

4 Kinds of Abdomen Injections for Weight Loss

 

There are numerous kinds of injectable medicines for weight reduction, which could be injected into the abdomen or different areas. These embody generally prescription drugs corresponding to Ozempic or Wegovy (semaglutide), Saxenda (liraglutide), Zepbound (tirzepatide), and even Botox (onabotulinumtoxinA).

Most of those medicines, except for Botox, are glucagon-like peptide 1 (GLP-1) receptor agonists and work by lowering your urge for food. However, Botox relaxes the abdomen muscle groups, which additionally helps regulate urge for food.

 

1. Ozempic and Wegovy (Semaglutide)

Ozempic and Wegovy are brand-name injectable prescription medicines containing the lively ingredient semaglutide. These medicines are categorised as GLP-1 receptor agonists.

Their Meals and Drug Administration (FDA)-approved makes use of range, nevertheless:

  • Ozempic (semaglutide): Authorized to deal with sort 2 diabetes in adults and to decrease the danger of main antagonistic cardiovascular occasions (corresponding to coronary heart assault and stroke) in folks with sort 2 diabetes and coronary heart illness. Healthcare suppliers typically prescribe Ozempic off-label (non-FDA-approved use) for weight reduction.
  • Wegovy (semaglutide): Authorized as a long-term therapy to assist with weight reduction and upkeep in adults and adolescents 12 years and older with weight problems or obese adults who’ve at the very least one weight-related medical situation, corresponding to excessive ldl cholesterol. It is usually FDA-approved to decrease the danger of main antagonistic cardiovascular occasions in folks with coronary heart illness and weight problems or obese.

Different necessary details about semaglutide for weight reduction:

  • The way it works: Semaglutide acts just like the GLP-1 hormone, which controls meals consumption and urge for food. It additionally slows abdomen emptying, making you’re feeling full for longer, resulting in much less meals consumption. It is advisable to make use of semaglutide together with life-style modifications, corresponding to weight-reduction plan and train.
  • The right way to take it: Semaglutide is began on the lowest dose. Your healthcare supplier will progressively enhance the dose. It’s injected subcutaneously (underneath the pores and skin) as soon as per week. It may be injected into the abdomen, thigh, or higher arm.
  • Unintended effects: Frequent unwanted side effects of those medicines are principally gastrointestinal (GI)-related, corresponding to nausea or vomiting, diarrhea, abdomen ache, gasoline, indigestion, and constipation.

How Efficient Is It?

One medical examine examined weight reduction in individuals who injected semaglutide as soon as every week for 68 weeks at a dose of two.4 milligrams (mg). This interprets to the best dose of Wegovy, much like the best dose of Ozempic (2 mg).

In comparison with a placebo (inactive medication), a better share of people that used semaglutide had a weight reduction change of:

  • 5% or extra (86% vs. 32%)
  • 10% or extra (69% vs. 12%)
  • 15% or extra (51% vs. 5%)

Additionally, the change in physique weight was about 34 kilos in individuals who used semaglutide, in comparison with slightly below 6 kilos in those that used a placebo.

Individuals who used semaglutide additionally had coronary heart well being enhancements, corresponding to lowered blood strain and ldl cholesterol, and reported higher bodily functioning.

Ozempic vs. Wegovy

Ozempic and Wegovy are each once-weekly injectable prescription medicines containing the lively ingredient semaglutide. They are often injected into the abdomen, higher arm, or thigh. Whereas they differ of their FDA-approved makes use of, each medication are sometimes prescribed to assist in weight reduction, normally together with life-style modifications like weight-reduction plan and train.

 

2. Saxenda (Liraglutide)

Like Ozempic and Wegovy, Saxenda is a brand-name injectable GLP-1 agonist. The lively ingredient in Saxenda is named liraglutide. Saxenda is FDA-approved for persistent weight administration in:

  • Adults with weight problems
  • Chubby adults who’ve at the very least one weight-related well being situation
  • Adolescents 12 years of age and older who’ve weight problems

Different necessary details about Saxenda for weight reduction:

  • The way it works: As a GLP-1 agonist, Saxenda works the identical means as Ozempic and Wegovy and can also be usually advisable for use together with life-style modifications.
  • The right way to take it: Saxenda is injected subcutaneously within the abdomen, thigh, or higher arm. Your healthcare supplier progressively will increase the dose. Saxenda is injected as soon as day by day somewhat than as soon as weekly.
  • Unintended effects: Frequent unwanted side effects of Saxenda embody abdomen issues like nausea, vomiting, diarrhea, constipation, and upset abdomen. Different frequent unwanted side effects might embody dizziness, tiredness, headache, injection website reactions, and low blood sugar.
  • Its effectiveness: In a 56-week medical examine, individuals who used Saxenda misplaced a mean of about 18 kilos, in comparison with 6 kilos in those that acquired a placebo. A better share of people that used Saxenda had a weight lack of 5% or extra in comparison with placebo (63% vs. 27%) and 10% or extra (33% vs. 11%) at week 56.

A Phrase From Verywell

Figuring out which weight reduction injectable is acceptable for you’ll be able to depend upon a couple of elements. This consists of comorbidities (e.g., diabetes, thyroid problems), frequency of injection, value, and/or age. Desired weight reduction can even assist slim down the selection, as some choices have a better success charge than others or may fit extra shortly.

 

3. Mounjaro and Zepbound (Tirzepatide)

Mounjaro and Zepbound are brand-name injectable prescription medicines containing the lively ingredient tirzepatide. These medicines are glucose-dependent insulinotropic polypeptide (GIP) receptors and GLP-1 receptor agonists.

Their FDA-approved makes use of range, nevertheless:

  • Mounjaro (tirzepatide) is FDA-approved to enhance blood sugar management in adults with sort 2 diabetes. It is usually prescribed off-label for weight reduction.
  • Zepbound (tirzepatide) is FDA-approved for persistent weight administration in adults with weight problems or obese with at the very least one weight-related medical situation.

Different necessary details about tirzepatide for weight reduction:

  • The way it works: Tirzepatide acts on GIP and GLP-1 receptors to assist management urge for food and meals consumption.
  • The right way to take it: You will begin tirzepatide on the lowest dose, which will probably be progressively elevated. Tirzepatide could be injected subcutaneously as soon as every week into the abdomen, thigh, or higher arm. Like different weight reduction injections, it’s endorsed to make use of this alongside life-style modifications.
  • Unintended effects: Frequent unwanted side effects are GI-related, corresponding to nausea, vomiting, diarrhea, constipation, abdomen ache, burping, and indigestion. Injection website reactions are additionally potential.

How Efficient Is It?

In a medical examine, folks acquired varied doses of tirzepatide (5, 10, or 15 mg) or a placebo for 72 weeks. The outcomes are as follows:

  • Individuals who acquired 5 mg of tirzepatide misplaced about 15% of physique weight, those that acquired 10 mg misplaced about 20%, and people who acquired 15 mg misplaced about 21%. Individuals who acquired a placebo misplaced about 3% of physique weight.
  • 85% of people that acquired 5 mg of tirzepatide misplaced 5% or extra of their weight, whereas 89% utilizing 10 mg and 91% utilizing 15 mg additionally achieved this. Compared, solely 35% of individuals receiving a placebo misplaced that a lot weight.
  • Additionally, 50% of these utilizing 10 mg and 57% utilizing 15 mg misplaced 20% or extra of their weight, in comparison with simply 3% of the placebo group.

Boxed Warning for GLP-1 Receptor Agonists

All GLP-1 receptor agonists have a boxed warning, which is probably the most severe warning required by the FDA. These kinds of medicines have triggered thyroid most cancers in animal research. It isn’t recognized if this is applicable to people.

All people who use these medicines must be alert to signs of a thyroid tumor, corresponding to a lump within the neck, a hoarse voice, and problem respiration or swallowing. Individuals with a private or household historical past of medullary thyroid carcinoma, in addition to folks with A number of Endocrine Neoplasia syndrome sort 2 (MEN 2), mustn’t use these medicines.

 

4. Botox (OnabotulinumtoxinA)

Botox (onabotulinumtoxinA) has many authorised makes use of, together with each medical and beauty. It has been studied for its use as an injectable therapy for weight problems, though it isn’t authorised for this:

  • The way it works: Botox for weight reduction works by enjoyable the muscle groups within the abdomen wall, which helps preserve meals within the abdomen longer, slows digestion and makes you’re feeling fuller quicker and for an extended interval.
  • The right way to take it: The injection is carried out as an outpatient process in an endoscopy heart, the place the abdomen muscle groups are injected with botulinum toxin A. When you are underneath sedation, the surgeon makes use of an endoscope, which matches via the mouth into the abdomen, to information the injections. The consequences of those injections final for about three months, however the process can solely be repeated each six months.
  • Unintended effects: Whereas most individuals don’t expertise unwanted side effects, some might have a really small quantity of bleeding within the abdomen.
  • Its effectiveness: Research have discovered that Botox can result in a weight lack of between 5% and 10% over six months.

Nonetheless, this process is extra complicated than the load loss injections listed above.

Different Injection Websites

Botox for weight reduction is injected in a really particular means, and at the moment, different injection websites moreover the abdomen aren’t used.

Ozempic, Wegovy, Saxenda, Mounjaro, and Zepbound can all be injected into the thigh, abdomen, or higher arm space. When you or one other educated particular person can administer the injection into the abdomen or thigh, you’ll usually want one other particular person to inject the higher arm space as a result of it’s too tough to succeed in by your self.

It is best to all the time rotate injection websites with every dose so that you’re not injecting into the identical place every time.

 

Abstract

Injectable weight reduction medicines, corresponding to Ozempic, Wegovy, Saxenda, Mounjaro, and Zepbound, are popularly prescribed with weight-reduction plan and train. They are often injected into the abdomen, thigh, or higher arm areas.

These medicines work by performing like a hormone that helps management urge for food and gradual digestion, which may result in much less meals consumption and important weight reduction. Botox can be injected into the abdomen to extend emotions of fullness, however it requires sedation and repeated remedies.

Seek the advice of your healthcare supplier for extra details about weight reduction injections.

Verywell Well being makes use of solely high-quality sources, together with peer-reviewed research, to help the info inside our articles. Learn our editorial course of to study extra about how we fact-check and preserve our content material correct, dependable, and reliable.
  1. DailyMed. Ozempic.
  2. DailyMed. Wegs.
  3. Wilding JPH, Batterham RL, Calanna S, et al. As soon as-weekly semaglutide in adults with obese or weight problems. N Engl J Med. 2021;384(11):989-1002. doi:10.1056/NEJMoa2032183
  4. DailyMed. Saxenda.
  5. Pi-Sunyer X, Astrup A, Fujioka Okay, et al. A randomized, managed trial of three.0 mg of liraglutide in weight administration. N Engl J Med. 2015;373(1):11-22. doi:10.1056/NEJMoa1411892
  6. DailyMed. Mounjaro.
  7. DailyMed. Zepbound.
  8. Jastreboff AM, Aronne LJ, Ahmad NN, et al. Tirzepatide as soon as weekly for the therapy of weight problems. N Engl J Med. 2022;387(3):205-216. doi:10.1056/NEJMoa2206038
  9. Yen YA, Wang CC, Sung WW, et al. Intragastric injection of botulinum toxin A for weight reduction: a scientific assessment and meta-analysis of randomized managed trials. J Gastroenterol Hepatol. 2022;37(6):983-992. doi:10.1111/jgh.15847
  10. Johns Hopkins Drugs. Botulinum toxin abdomen injections for weight reduction.

By Karen Berger, PharmD

Karen Berger, PharmD, is a group pharmacist and medical author/reviewer.

 

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