Graded
The US health department published a draft policy under which it would not act against pharmacies that make BPC-157 on a prescription for a named patient, until the FDA decides by rule. It is still not an approved medicine.
PL

Semaglutide

Ozempic · Wegovy · Rybelsus

A medicine that mimics GLP-1, a gut hormone that lowers appetite. Approved in the EU and US for type 2 diabetes and obesity. Approval covers only these medicines.

This site is for information and education only. It does not promote or encourage the use or purchase of the substances described and is not medical advice. Many are not authorised as medicines and their safety has not been established. We sell nothing and have no ties to sellers. For health decisions, consult a doctor.

Type
Mimics appetite hormones
Stage
Approved medicine
Safety
Well known
Doping
Allowed, being watched, WADA 2026
Risk of fakes
High
Checked
Not yet

Doping. Not banned. In 2026 WADA is collecting data on its use in sport.

Safety. Large studies and a US drug label. The label carries its strongest warning, on rare thyroid tumours in rodents, and lists sudden inflammation of the pancreas. This describes the pharmacy medicine. Sources: US drug label, study 1.

Risk of fakes. In tests of products from online sellers, purity was 7.7% to 14.37% against the 99% on the label, and every sample held bacterial toxins. WHO warned about fake Ozempic in 2024. Sources: study 1, WHO.

Is it legal

How much research exists

Scientific papers
5817
Studies with random groups
312
Registered studies in people
793

Scientific papers per year 2015–2025

These are search results. A count shows how much exists, not how good the studies are. 1 Nov 2026.

What studies show

  • AFat loss

    Effect in studies. Weight fell by 14.9% on average, and by 2.4% on placebo, after 68 weeks. Two more large studies agree. The maker paid for the studies, which tested the pharmacy medicine.

Reported side effects

What doctors, patients and companies reported to the US medicines agency (FDA), and single cases described in medical journals. A report says what happened to someone after taking the substance. It does not prove the substance caused it, and it does not say how often it happens. Reports do not change any grade.

Reports to the FDA (USA)

Reports
111,489
Of these, serious
56,231
Most often reportedReports
Nausea15,637
Vomiting10,423
Diarrhoea8,811
Constipation6,484
Less appetite6,109
Weight loss5,525
Tiredness4,809
Slow stomach emptying4,549

Serious means the person went to hospital, their life was in danger, they were left with lasting harm, or they died. One report can list several side effects. Most of these reports come from medical treatment, often of people who are ill, not from use outside medicine.

All cases in PubMed (164)

FDA reports come from openFDA, cases from a PubMed search. The editors have not read these cases yet. Titles stay in the original language. As of 3 Nov 2026.

Videos on YouTube

Creator

Jeff Nippard's Peptide Video: Here's What I Think

Fazlifts · 23 Oct 2026

A coach responds to the Nippard video. According to the chapters in the description, he covers GLP-1 medicines using a client as an example, then BPC-157 and TB-500, the risk of products without quality control, and why to be sceptical of the claims.

The description has ads

Creator

The Best & Worst Peptides (Ranked)

Jeff Nippard · 8 Oct 2026

A short video in which the author rates popular peptides on a scale from S to F. His ratings are an opinion on whether something is worth taking. Our grades from A to E only say how strong the studies are. The comparison below is based on the video description.

Creator

Peptides Are Insane

Jeff Nippard · 28 Sept 2026

A bodybuilder with a biochemistry degree goes through peptides for weight loss, injury healing and longevity: what works, what the risks are and where studies are missing. The description lists his sources, mostly large studies of semaglutide and tirzepatide.

The description has ads

All videos we checked

Studies we have read

StudiesKind of studyWho was studiedPeopleDurationDose as studiedWho paid
Once-Weekly Semaglutide in Adults with Overweight or Obesity.The New England journal of medicine 2021Random groupsAdults with overweight or obesity, without diabetes196168 wk2.4 mg weeklyManufacturer
Effect of Subcutaneous Semaglutide vs Placebo as an Adjunct to Intensive Behavioral Therapy on Body Weight in Adults With Overweight or Obesity: The STEP 3 Randomized Clinical Trial.JAMA 2021Random groupsAdults with overweight or obesity, with intensive behavioural therapy61168 wk2.4 mg weeklyManufacturer
Semaglutide 2·4 mg once a week in adults with overweight or obesity, and type 2 diabetes (STEP 2): a randomised, double-blind, double-dummy, placebo-controlled, phase 3 trial.Lancet (London, England) 2021Random groupsAdults with overweight or obesity and type 2 diabetes–68 wk1.0 or 2.4 mg weeklyManufacturer

More papers we found

StudiesKind of studyYear
Cardiorenal protective effects of glucagon-like peptide-1 receptor agonists in chronic kidney disease: a systematic review and meta-analysis.Ren FailPooled analysis2026
GLP-1 Receptor Agonists in Heart Failure: A Systematic Review and Meta-analysis with Phenotype-Specific Effects and Dual Analytical Frameworks.DrugsPooled analysis2026
Effects of glucagon-like peptide-1 receptor agonists on metabolic outcomes in antipsychotic-treated patients with schizophrenia: A systematic review and meta-analysis.Schizophr ResPooled analysis2026
Efficacy and Safety of SGLT2 Inhibitors and GLP-1 Receptor Agonists on Ventricular Arrhythmias and Cardiovascular Events: A Disease-Stratified Network Meta-Analysis.Diabetes Obes MetabPooled analysis2026
Efficacy and safety of GLP-1 receptor agonists for antipsychotic-related overweight and metabolic dysregulation: a systematic review and meta-analysis.Eur J Clin PharmacolPooled analysis2026
Efficacy and safety of GLP-1 receptor agonists in patients with metabolic dysfunction-associated steatotic liver disease (MASLD) and metabolic dysfunction-associated steatohepatitis (MASH): A systematic review and meta-analysis.Medicine (Baltimore)Pooled analysis2026
CagriSema versus Semaglutide 2.4 mg monotherapy for weight management in adults with overweight or obesity, with or without type 2 diabetes: a systematic review, meta-analysis, and trial sequential analysis.Front Endocrinol (Lausanne)Pooled analysis2026
Adjunctive GLP-1 receptor agonists for cardiometabolic risk in antipsychotic-treated patients: A GRADE-assessed meta-analysis of randomized trials.J PsychopharmacolPooled analysis2026

We found these papers automatically in PubMed. The editors have not read them yet, and they do not affect any grade. Titles stay in the original language.

All papers and studies we found (1843)

Short answers

Does semaglutide work?
A medicine that mimics GLP-1, a gut hormone that lowers appetite. Approved in the EU and US for type 2 diabetes and obesity. Approval covers only these medicines. Fat loss: grade A, effect in studies. Weight fell by 14.9% on average, and by 2.4% on placebo, after 68 weeks. Two more large studies agree. The maker paid for the studies, which tested the pharmacy medicine.
Is Semaglutide legal?
PL: Prescription only. EU-wide approvals, including Ozempic, Wegovy and Rybelsus, cover Poland. The European medicines database (EMA) shows no separate Polish product (9 October 2026). EU: Prescription only. Approved across the EU as Ozempic and Wegovy. This covers that medicine only, not products sold outside pharmacies. US: Prescription only. Prescription medicine (Wegovy).
Is semaglutide banned in sport?
Allowed, being watched, WADA 2026. Not banned. In 2026 WADA is collecting data on its use in sport.
Is Semaglutide safe?
Well known. Large studies and a US drug label. The label carries its strongest warning, on rare thyroid tumours in rodents, and lists sudden inflammation of the pancreas. This describes the pharmacy medicine.

Compare with TirzepatidePlain text for machines