Semaglutide Compound vs. Ozempic: What is the Difference?

Compounded Semaglutide can be superior to Ozempic if doses are individualized and ingredients are added for increased efficiency and reduced side effects.

Medically Reviewed By Mostafa Elhennawy MS, Pharm D

Novo Nordisk is the only company in the USA with FDA-approved products (Ozempic, Wegovy, and Rybelsus) containing Semaglutide, a GLP-1 receptor agonist. 

Increasing demand that has led to shortages and high cost for injectable anti-obesity drugs have driven patients to seek alternatives resulting in the growth of compounding pharmacies selling bespoke versions as a substitute for weight loss drugs.

The FDA permits compounding of Semaglutide due to shortages or when commercially available medication is not suitable for a particular patient but only if compounding pharmacies and outsourcing facilities are regulated by Section 503A and Section 503B of the Federal Food, Drug, and Cosmetic Act.

In this article, we will focus on the pros and cons of using Compounded Semaglutide and its branded counterpart Ozempic.

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Is Compounded Semaglutide the Same As Ozempic?

Compounded Semaglutide (cSemaglutide), produced by a reliable compounding pharmacy, should have the same efficacy and side effects as its commercial counterpart. Its strength can be adjusted compared to standard formulation and certain ingredients can be removed or added to ease side effects to meet an individual’s needs.

Is Compounded Semaglutide Safe?

It is highly recommended to consult the doctor about compounding pharmacies they’ve previously worked with and to ask pharmacies about the tests performed on their sterile products. The legitimacy of the source can be checked on these websites:

Recent safety concerns regarding cSemaglutide are:

  • The FDA issued an alert related to overdoses due to patients measuring and self-administering incorrect doses and healthcare providers miscalculating doses of the drug.
  • The FDA alerted the public about the use of Semaglutide salts which are not meeting the requirements for compounded medications.

Weight Loss Reviews

What is the Difference Between Compound Semaglutide and Ozempic?

cSemaglutide can be superior to Ozempic if doses are individualized and ingredients are added for increased efficiency and reduced side effects.

Effectiveness

Semaglutide has demonstrated significant weight loss effects – a reduction of around 15% of initial body weight 68 weeks after initiating treatment.

Form And Dosage

Ozempic is available as multiple-dose pre-filled pens for single-patient use, while a specific concentration of cSemaglutide is delivered in a vial.

  • The initial dose for both medications is 0.25 mg injected subcutaneously once weekly for 4 weeks.
  • The dosage for the next month is 0.5 mg once weekly.
  • This subsequent dosage is 1 mg once weekly for the whole month.
  • The maximum recommended dosage of 2 mg once weekly can be prescribed after at least 4 weeks on the 1 mg dosage.

A Semaglutide dosage chart can provide valuable insights into dosing variations. Understanding the appropriate dosage is crucial for effective treatment. Refer to this detailed Semaglutide dosage chart to ensure you are following the correct dosing guidelines for compounded Semaglutide.

Storage

It is of great importance to store Semaglutide properly to ensure maximum efficacy and safety:

  • Unopened Ozempic pens should be stored in the refrigerator (2°- 8°C), while pens in use can be kept for 56 days at room temperature (15°-30°C ) away from excessive heat and sunlight or in a refrigerator.
  • cSemaglutide stored in the refrigerator lasts up to a month, whereas it can retain stability at higher temperatures (40°C) for up to three days. 

Cost

The cost of Ozempic is ~$1000/month while cSemaglutide can cost $200-500/month depending on dosage, vial size, additional ingredients, insurance coverage, manufacturer discount, and pharmacy coupons. When evaluating the cost-effectiveness of different treatments, comparing compounded options can be insightful. Check out our analysis of Zepbound vs compounded Tirzepatide to see which offers better value and results.

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Which One Should You Choose?

The choice between Semaglutide and Ozempic should be made under professional guidelines. If you’re considering alternatives to Ozempic, it’s helpful to compare compounded options. Explore our comparison of compounded Tirzepatide vs Mounjaro to determine which might be more suitable for your needs.

Frequently Asked Questions

Why Should I Combine Compound Semaglutide with B12?

Semaglutide can cause a vitamin B12 deficiency due to its effects on the gastrointestinal tract. Combining Semaglutide with B12 vitamin enhances the drug’s effectiveness and lessens the side effects.

Can Compound Semaglutide Expire?

Yes. Expired Semaglutide can have reduced potency and pose health risks due to bacterial or fungal growth. Unopened Semaglutide vials should be promptly placed in the refrigerator until use and cannot be heated or frozen. Opened Semaglutide should be stored in the fridge and used within 30 days.

Does Compounded Semaglutide Need to Be Refrigerated?

Semaglutide dispensed as a liquid solution for injection is compounded in a sterile laboratory and must be refrigerated to avoid degradation and bacterial growth.

Key Takeaways

Semaglutide, essentially a copy of Ozempic, is recommended when there is a drug shortage or when the commercial medication needs adjusting for a particular patient. Compounded drugs don’t undergo premarket review for safety, quality, or effectiveness and can pose a risk due to too high of a dosage, too many active ingredients, or containing undisclosed/potentially harmful ingredients. Semaglutide should be as effective as Ozempic with the same side effects unless dosages are adjusted and certain ingredients removed/added to minimize the adverse effects. Semaglutide is best kept refrigerated since exposure to direct sunlight or other heat sources affects the medication’s potency and safety.

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