After years of being injection-only, the Wegovy pill is now available—and yes, Midi prescribes it when appropriate. Wondering if it’s right for you? Here’s what to know.

What is the Wegovy pill?

There’s a reason for all the buzz: It’s the first FDA-approved oral GLP-1 for weight management. Taken once daily, the Wegovy pill contains semaglutide—the same active ingredient in injectable Wegovy.

Who is the Wegovy pill best for?

This can be a great option if you don’t like needles or if you travel frequently and don’t want to deal with refrigeration. It can also make sense if your goal is more modest weight loss (for many women, that’s around 20 pounds or fewer). If you’re aiming to lose significantly more, injectable options tend to deliver stronger results.

Is the Wegovy pill as effective as the injectable?

Not quite—but it’s closer than earlier semaglutide pills. Because oral medications are absorbed differently than injections, the Wegovy pill is designed to be taken at a higher dose. At the max approved dose (25 mg), people lose nearly 14% of their body weight after about 15 months—or roughly 23 pounds for someone weighing 170 pounds. 

How does dosing work?

Just like injectables, we start low (1.5 mg dose) to minimize side effects like nausea. If you need additional weight loss support, we’ll titrate up gradually. But if you’re already on an injectable and want to switch, you may be able to start at a higher oral dose since your body has already adjusted.