Semaglutide Singapore: How They Work & Side Effects (2025)

Semaglutide in Singapore: Uses, Benefits, and Side Effects

What Is Semaglutide?

Semaglutide is a prescription medication used to manage type 2 diabetes and support weight management in individuals with obesity or overweight conditions.

It belongs to a class of drugs known as GLP-1 receptor agonists (GLP-1 RAs), which mimic the function of the natural hormone glucagon-like peptide-1 (GLP-1) to regulate blood sugar levels and appetite. Other medications in this class include liraglutide and dulaglutide.

Semaglutide is often used as part of a holistic approach, complementing other treatments such as a healthy diet, regular physical activity, and lifestyle modifications tailored to individual health needs.

Semaglutide injection pens with stethoscope, used for diabetes treatment and weight management.

Understanding Digestion and Blood Sugar Regulation

Digestion plays a key role in how the body processes food and regulates blood sugar.

When you eat, carbohydrates break down into glucose, the body's main energy source. This triggers the pancreas to release insulin, which moves glucose into cells for energy. At the same time, the pancreas produces glucagon, a hormone that signals the liver to release stored glucose when blood sugar levels drop.

In type 2 diabetes, this system is impaired, leading to insulin resistance, excess glucose production, and unstable blood sugar levels.

Digestion also affects appetite and weight, as the rate at which food leaves the stomach (gastric emptying) influences hunger and nutrient absorption. Faster digestion can cause blood sugar spikes, while slower digestion helps regulate appetite and glucose levels.

Semaglutide Mechanism of Action

Semaglutide works by regulating blood sugar levels and body weight through the following mechanisms:

  1. Stimulates insulin release when blood sugar levels are high, allowing the body to move glucose from the bloodstream into cells, where it is used for energy. This helps prevent sharp spikes in blood sugar.
  2. Reduces glucagon secretion, which lowers the amount of glucose released by the liver into the bloodstream. This helps maintain stable blood sugar levels and prevents the body from producing excess glucose when it is not needed.
  3. Activates GLP-1 receptors in the brain, which help regulate appetite by reducing hunger signals and food cravings, leading to a decreased desire to eat.
  4. Slows down gastric emptying, meaning food stays in the stomach longer before moving into the small intestine. This delays the movement of nutrients into the bloodstream, helping to regulate blood sugar levels, prolong feelings of fullness, and reduce overall calorie intake.
Bloodstream illustration showing how semaglutide regulates sugar levels, hormones, and appetite.

Additionally, semaglutide has also been shown to help reduce the risk of heart attack, stroke, and death in individuals with obesity and existing cardiovascular conditions.

Types of Semaglutide in Singapore

Semaglutide is available in different brands formulations, each designed for specific medical purposes:

Formulation Uses
Ozempic® A once-weekly injectable formulation primarily prescribed for type 2 diabetes management. It helps regulate blood sugar levels and may also contribute to weight loss.
Wegovy® A higher-dose injectable form of semaglutide approved specifically for weight management in individuals who are obese (BMI ≥30) or overweight (BMI ≥27) with weight-related conditions.
Rybelsus® The oral tablet form of semaglutide, taken once daily for type 2 diabetes management. It provides an alternative for those who prefer a non-injectable option.

Potential Semaglutide Side Effects

As with all medications, semaglutide may cause side effects. Some of the most commonly reported include:

  • Gastrointestinal issues – Nausea, vomiting, diarrhoea, constipation, bloating, or abdominal discomfort.
  • Fatigue – Some individuals report feeling tired or weak.
  • Dizziness – A possible side effect, especially when starting treatment.
  • Injection site reactions – Redness, swelling, or irritation (for injectable forms).
  • Mild increases in heart rate – Some users may experience a slight elevation in resting heart rate.

Most side effects improve as the body adjusts to semaglutide. However, seek medical attention if you experience persistent nausea, severe abdominal pain, significant dehydration, or symptoms of pancreatitis or gallbladder issues.

Always consult your doctor for personalised advice on managing side effects.

Who Is Semaglutide Not Suitable for?

Semaglutide may not be recommended for individuals with:

  • Type 1 diabetes – Semaglutide enhances insulin secretion in response to food, which is ineffective in type 1 diabetes as the body cannot produce insulin.
  • History of medullary thyroid carcinoma or multiple endocrine neoplasia syndrome type 2 – Some studies suggest a potential link between GLP-1 RAs and thyroid tumours, although the evidence is not conclusive. Therefore, avoiding these medications may be recommended as a precautionary measure for those with a personal or family history of these conditions.
  • Severe gastrointestinal conditions – Semaglutide slows digestion and may worsen symptoms in individuals with underlying gastrointestinal issues.
Type 1 diabetes diagnosis form highlighting semaglutide contraindications for certain conditions.

Where Can I Get Semaglutide in Singapore?

Semaglutide is a prescription-only medication in Singapore and cannot be purchased over the counter. It must be prescribed by a licensed healthcare provider after a medical consultation to assess your medical history, potential benefits, and any precautions.

If you are considering semaglutide for type 2 diabetes management or weight loss, consult a doctor to determine your suitability and receive a treatment plan tailored to your health needs. It is also important to regularly follow up to monitor your response to treatment and adjust the dosage if needed.

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Frequently Asked Questions (FAQs)

Liraglutide and semaglutide are GLP-1 receptor agonists for type 2 diabetes and weight management but differ in dosing, duration, and efficacy. Liraglutide is a daily injection, while semaglutide is usually taken once weekly. Studies suggest semaglutide may provide better blood sugar control and weight loss. It is best to consult a doctor to determine the most suitable option for you based on your individual health needs and tolerability.
Semaglutide is not known to directly cause missed periods, but significant weight loss or changes in metabolism may affect menstrual cycles. Rapid weight changes can alter hormone levels, which may lead to irregular or missed periods in some individuals. If you experience persistent menstrual irregularities while taking semaglutide, it is advisable to consult a doctor to rule out other underlying causes.
Semaglutide is the active ingredient in Ozempic®, but they are not interchangeable with all semaglutide-based medications. Ozempic is specifically approved for type 2 diabetes management, while other formulations, such as Wegovy®, are designed for weight management.
Semaglutide is a prescription-only medication and cannot be purchased over the counter in Singapore. It must be prescribed by a licensed healthcare provider after a consultation to assess your medical history, treatment suitability, and any potential risks.
Tirzepatide and semaglutide are both injectable medications for type 2 diabetes and weight management but work differently. Tirzepatide is a dual GIP and GLP-1 receptor agonist, while semaglutide targets only GLP-1 receptors. Consulting a doctor can help determine the most suitable option based on your health profile and individual needs.
Semaglutide can be prescribed for individuals with type 2 diabetes who need better blood sugar control or for those with obesity (BMI ≥30) or overweight (BMI ≥27) with weight-related conditions such as hypertension or high cholesterol. However, it may not be suitable for those with certain medical conditions, including a history of thyroid cancer or severe gastrointestinal disorders. It is best to consult a doctor who can assess your medical history and health status to determine if semaglutide is appropriate for you.
Semaglutide has been shown in clinical studies to support significant weight loss when combined with a healthy diet and regular physical activity. It works by reducing appetite and slowing digestion, helping individuals consume fewer calories. However, effectiveness varies between individuals, and it is not a substitute for lifestyle changes. Consulting a doctor can help determine if semaglutide is a suitable option based on your health goals and medical history.
Semaglutide is approved for weight management in individuals with obesity or overweight conditions, even if they do not have diabetes. However, its use should always be under medical supervision to assess suitability, monitor side effects, and ensure it aligns with your overall health needs. It is advisable to consult a doctor to discuss whether semaglutide is appropriate for you.
Yes, you can ask your general practitioner (GP) about semaglutide. However, its suitability depends on factors such as your medical history, current medications, and health goals. Some GPs may prescribe it, while others may refer you to a specialist for further assessment. A consultation is necessary to determine whether semaglutide is appropriate for your condition and treatment plan.
Semaglutide is not recommended for individuals with type 1 diabetes, a history of medullary thyroid carcinoma or multiple endocrine neoplasia syndrome type 2, or severe gastrointestinal conditions such as gastroparesis. It may also be unsuitable for those with certain medical conditions or taking specific medications. A doctor can evaluate potential risks and determine if semaglutide is appropriate for you.
The cost of semaglutide varies depending on the brand and clinic. It is best to check with your chosen clinic for availability, pricing, and any financing options. As a prescription medication, a doctor's consultation is necessary to assess your suitability for semaglutide and recommend the most appropriate treatment plan based on your health needs and goals.
Weight loss on semaglutide varies by individual, but clinical studies suggest an average loss of around 5% to 6% of body weight within three months, with some individuals achieving higher percentages. Results depend on factors such as dosage, adherence to treatment, and metabolic response. A doctor can provide personalised guidance on expected weight loss outcomes.
Losing 20 pounds (9 kg) in one month is not typical or guaranteed with semaglutide. While some individuals may experience rapid weight loss, clinical studies show that weight reduction with semaglutide is gradual and sustained over several months. It is important to note that semaglutide works best when prescribed alongside other approaches, such as dietary and lifestyle modifications and regular exercise. A doctor can assess your goals and recommend a personalised treatment plan to help you achieve optimal weight loss.
Semaglutide may cause side effects, including nausea, vomiting, diarrhoea, constipation, and abdominal discomfort, especially when starting treatment. Less commonly, it may lead to pancreatitis, gallbladder issues, or kidney problems. There is also a potential risk of thyroid tumours in individuals with a personal or family history of medullary thyroid carcinoma. It is best to consult a doctor to discuss these risks and determine if semaglutide is suitable based on your health needs.
Semaglutide promotes overall body fat reduction, including visceral fat, which accumulates around the abdomen. While it does not specifically target belly fat, weight loss with semaglutide may lead to a gradual reduction in abdominal fat over time. Individual results vary, and combining semaglutide with a healthy diet and regular exercise can enhance fat loss. A doctor can assess your health status and provide guidance on achieving your weight management goals optimally.
Some semaglutide brands, like Ozempic® and Wegovy®, are once-weekly due to their long half-life of about seven days, allowing stable blood sugar and appetite regulation with fewer injections. This may be more convenient for some and can improve adherence compared to daily options like Rybelsus®, an oral form taken daily. A doctor can assess your health needs to determine your suitability for semaglutide and recommend the most appropriate option.
Yes, you can eat sugar while taking semaglutide, but moderation is recommended, especially for individuals managing diabetes or weight loss. Semaglutide helps regulate blood sugar levels, but excessive sugar intake can still cause spikes in blood glucose and hinder weight management goals. A balanced diet with controlled carbohydrate intake is advisable for optimal results.