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How Long Does It Take for Semaglutide to Suppress Appetite?

James Madison, GLP-1 Expert

James Madison, GLP-1 Expert

Jul 24, 2025

Jul 24, 2025

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Weight loss is often a struggle of both body and mind. While reducing body fat is necessary for improved health, it can come with unwanted side effects. As the body sheds pounds, it can alter levels of hormones such as ghrelin, which increases appetite. This can make it challenging to stick with a weight loss plan. This article will answer that question and offer valuable insights to help you reach your goals, such as feeling full sooner, reducing cravings effortlessly, and starting to lose weight consistently within the first few weeks of taking semaglutide. Additionally, Does Semaglutide Cause Constipation?

MeAgain’s solution, the GLP-1 app, can help you achieve these objectives by tracking your progress and providing personalized tips to help you adjust to life with semaglutide and stay motivated on your weight loss journey.

Table of Contents

How Long Does It Take for Semaglutide to Suppress Appetite?

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The appetite-suppressing effects of semaglutide may take several weeks to take effect. While experiences can vary, some people may start to notice a decrease in appetite within the first few weeks of starting semaglutide. For many, a more noticeable reduction in appetite occurs around 8-12 weeks after starting the medication, as the dosage is increased. 

Dosing, Appetite, and Blood Sugar Timeline

Appetite suppression improves with dosage, and experiences vary by starting dose and sensitivity. For example, in a clinical study, participants taking semaglutide noticed significant weight loss after about 4 weeks. It’s also important to note that while appetite suppression may take some time to take effect, blood sugar levels drop within hours of taking semaglutide. 

How Does Semaglutide Suppress Appetite?  

Semaglutide is a GLP-1 receptor agonist. It mimics the action of glucagon-like peptide-1 to suppress appetite, promote insulin release, and decrease glucagon secretion, thereby managing blood sugar levels and body weight. As one of the most widely used drugs for weight loss and blood sugar control, semaglutide is known for curbing hunger and improving metabolism. When it comes to appetite suppression, semaglutide works in the following ways: 

  • Semaglutide improves insulin secretion from the beta cells in the pancreas. Your insulin levels increase immediately after a meal, and this action of semaglutide helps lower your blood sugar levels.

  • It reduces the production of glucagon from the alpha cells in the pancreas. Glucagon releases stored glucose from the liver into the bloodstream, so its inhibition improves blood sugar control.

  • The medication slows down the digestion of food in the stomach. Since food moves slowly from the stomach to the intestines, you feel fuller earlier and for longer. This reduces food cravings and hunger pangs.

  • Semaglutide mimics the action of GLP-1 on the lateral hypothalamus, the brain center for hunger regulation. This way, it improves satiety and reduces food intake. 

A Timeline for Appetite Suppression  

The appetite-suppressing effects of semaglutide typically increase gradually over several months as the dosage is increased. 

Factors Influencing Semaglutide's Appetite Suppression Timeline

The timeline for appetite suppression varies from person to person depending on the dosage of the medication, individual metabolism, gender, body mass index, body composition, and other medications the patient is taking with semaglutide. Nevertheless, it generally follows this pattern: 

  • 1-2 hours: Appetite suppression and weight loss don’t start immediately after the first dose of semaglutide. If you have type 2 diabetes, you may see some reduction in your blood sugar levels.

  • 24-48 hours: You may feel slightly less hungry within the first 1-2 days of using semaglutide, although this is not typically expected for most people. Glycemic control improves, although it is still too early to see weight loss.

  • Weeks 1-2: Appetite suppression and reduced food cravings may become more noticeable. Some people may lose 1 to 2 pounds. Blood sugar levels improve.

  • Weeks 3-4: Appetite continues to be further reduced, with many people losing 1-2 pounds per week. Glycemic control stabilizes further with fewer blood sugar spikes and drops.

  • Weeks 5+: Appetite suppression becomes highly effective. It is easier to adhere to healthy eating habits as food cravings and hunger pangs have significantly decreased. Weight loss becomes more noticeable, although individual results depend on metabolism, diet, and exercise. 

Semaglutide Appetite Suppression Timeline

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Time after starting

Appetite

Weight loss

Glycemic control

Side effects

1-2 hours

No effect

No effect

Improvement

Mild nausea and abdominal discomfort

1-2 days

A slight reduction in hunger

No effect

Improvement

Nausea, bloating, constipation

Weeks 1-2

Feeling fuller faster, reduced cravings

No effect or minimum weight loss

Improvement

Nausea, bloating, constipation

Weeks 3-4

Hunger reduces more

Weight loss (1-2 lbs) may start

Major improvement

Side effects reduce

Weeks 5+

Appetite suppression greatly improves.

Weight loss (2-4 lbs a month) becomes steady

Blood sugar becomes well-controlled

Side effects become mild or unnoticeable


Factors that Influence the Timeline

Multiple factors influence the semaglutide appetite suppression timeline, including:

  • Dosage and adherence to guidelines: Higher doses of semaglutide are associated with greater weight loss. Participants of a study taking 14 mg of oral semaglutide lost 4.5 kg. In comparison, individuals taking 50 mg of semaglutide lost 9.2 kg in 68 weeks. Additionally, individuals who adhere to dosage schedules are more likely to experience the desired results earlier than those who do not.

  • Individual metabolism: The effect of semaglutide depends on an individual’s metabolic rate. Patients with higher metabolic rates tend to metabolize the medication more quickly. They may need a higher dosage of semaglutide to achieve appetite suppression. In comparison, patients with lower metabolic levels experience the appetite-suppressing effect of semaglutide for a longer time.

  • Body composition: Individuals with higher body fat percentages may experience a slightly slower onset of appetite suppression compared to those with lower body fat percentages.

  • Other medications and health conditions: Certain medications, such as furosemide, ritodrine, and thiazide diuretics, can reduce the effectiveness of semaglutide when taken together. As well, semaglutide needs to be taken with care when paired with other medications such as insulin, metformin, antidepressants, and diuretics. Weight loss on semaglutide is greater in people without diabetes than in those with diabetes.

  • Lifestyle factors: The FDA has approved semaglutide (Wegovy) for the combined management of chronic weight management and type 2 diabetes, when used in conjunction with a healthy diet, increased physical activity, and exercise. Individuals with a healthy lifestyle tend to get significant improvements in blood sugar levels and weight management earlier than those with a sedentary lifestyle.

When to Speak with a Healthcare Provider

If you’ve been taking semaglutide for several weeks without any reduction in hunger or blood sugar levels, it is best to consult your healthcare professional for further guidance. Additionally, it is essential to notify your healthcare provider if you experience any side effects. Common side effects of Semaglutide include:

  • Nausea and vomiting

  • Diarrhea

  • Constipation

  • Impaired digestion

  • Severe abdominal pain

  • Low blood sugar levels

  • Pancreatitis (inflammation of the pancreas)

  • Gall bladder issues

  • Se ere abdominal pain

  • Allergic reactions

  • Jaundice

  • Tachycardia

  • Dizziness and vision changes

  • Suicidal ideation

Who Should Avoid Semaglutide?

Semaglutide is contraindicated in people who have a medical and family history of thyroid tumors, such as medullary thyroid cancer and endocrine tumors, particularly MEN 2 syndrome (Multiple endocrine neoplasia type 2 syndrome. The medication is also avoided in pregnancy, lactating mothers, and children.

Why Patience is Important

Semaglutide is intended for long-term use. It may take several months to over a year to see significant improvements in body weight and blood sugar control. Additionally, the semaglutide dosage is increased in small increments to minimize the risk of adverse events. If you escalate the dose according to the prescribed dosing schedule, you will get the maximum results. 

Importance of Adherence and Gradual Escalation

Missing or escalating the dosage too quickly can affect the effectiveness of semaglutide. You may not get the desired results, and there is an increased risk of potential side effects. Stopping semaglutide results in the regaining of weight loss. The participants of the STEP 4 study who stopped taking semaglutide regained 6.9% of their body weight over 48 weeks.

Clinical Studies on Appetite Suppression  

A considerable number of studies have proven the effectiveness of semaglutide for weight loss, especially the STEP trials, which have been summarized below:

Semaglutide Clinical Studies on Appetite Suppression

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Clinical studies

Time on semaglutide

Amount of weight loss

STEP 1

68 weeks

14.9% weight loss vs 2.4% with placebo

STEP 2

68 weeks

9.6% weight loss vs 3.4% with placebo

STEP 3

68 weeks

16% weight loss vs 5.7% with placebo

STEP 4

68 weeks

• 7.9% weight loss after 20 weeks of semaglutide use


• Users who switched to placebo gained 6.9% over 48 weeks

STEP 5

2 years

77% of semaglutide users lost at least 5% of their body weight vs. 34% with placebo

STEP 6

68 weeks

• 13.2% weight loss with 2.4 mg


• 19.6% with 1.7 mg

STEP 8

68 weeks

• 15.8% weight loss with semaglutide


• 6.4% weight loss with liraglutide

STEP UP Phase 3B

72 weeks

• 20.7% weight loss with 7.2 mg


• 17.5% weight loss with 2.4 mg

Mayo Clinic Study

28 weeks

• 7% weight loss on 1 mg


• 9.6% weight loss on 2.4 mg


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Tips for Maximizing Appetite Suppression and Weight Loss

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A combination of medication adherence, balanced diet, exercise, and lifestyle changes significantly improve appetite suppression and weight loss while on semaglutide. Follow these tips to maximize the effectiveness of semaglutide:

Stay on Track with Your Medication Schedule

Take semaglutide exactly as prescribed by your healthcare provider to achieve maximum results. Missing doses can affect the efficacy of the medication. Always remember to take semaglutide on the same day each week and to continue the treatment long-term without interruption. Stopping semaglutide results in regaining the weight that was initially lost.

Adopt a Healthy Diet Plan to Maximize Weight Loss

Focus on a semaglutide diet plan to maximize your potential weight loss. A well-balanced diet rich in hydration, dietary fiber, and micronutrients is recommended to complement the use of semaglutide. Eat more fruits, vegetables, and lean protein to complement the effect of semaglutide. Avoid consuming sugary foods, refined carbohydrates, sodas, and energy drinks.

Get Moving to Improve Your Results

Regular exercise has been linked to better sensitivity to GLP-1 agonists, such as semaglutide. Physical activity promotes heart health, lowers blood cholesterol levels, and helps maintain stable blood sugar levels. You can incorporate light cardio, yoga, and strength training to support your weight loss journey.

Manage Your Stress Levels

Stress can influence your appetite and body weight due to hormonal imbalances. Use stress management techniques such as meditation and breathing exercises to control anxiety and stress.

Prioritize Quality Sleep

Aim to get 8-9 hours of quality sleep to regulate your hunger hormones and support weight loss efforts.

Stay Hydrated

When your body is hydrated, you feel less hungry. Water fills the space in your stomach, causing you to feel full sooner and more quickly. Dehydration can give hunger signals. Stay hydrated to maximize appetite suppression with semaglutide.

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