How long can you stay on Wegovy?

You can remain on Wegovy (semaglutide) for up to two years under NHS specialist weight management services, as this is the maximum treatment duration considered both clinically effective and cost-effective by NICE. A formal review occurs at six months to check for at least a 5% weight loss before continuing treatment. After two years, your specialist team will reassess whether to stop treatment, reduce the dose, or consider retreatment if you still meet referral criteria. There is currently limited evidence for longer-term continuous use beyond two years, though future studies may inform changes. Any decision to extend or restart Wegovy must be made in consultation with your healthcare provider and follow UK clinical guidelines.

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