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Canadian Med Center

Why Some Patients Are Switching from Ozempic to Rybelsus for Weight Loss

Friday 6 June 2025
Rybelsus
5 minute(s) read

Table of Contents


I. Understanding GLP-1 Treatments

II. Why Some Users Prefer Pills Over Injections 

III. How to Switch from Ozempic to Rybelsus

IV. Does Oral Semaglutide Work for Weight Loss? 

V. Final Takeaways from Rybelsus Weight Loss Stories


Many people familiar with GLP-1 therapies have heard of Ozempic, the weekly injection that’s helped manage diabetes and shed pounds. [1] But lately, there’s a growing buzz around Rybelsus, the once-daily pill form of semaglutide. [2]

In this article, we’ll walk through why some patients are choosing to switch from Ozempic to Rybelsus for weight loss, what patients can expect from Rybelsus oral semaglutide, and Rybelsus weight loss stories from clinical trials.

Understanding GLP-1 Treatments 

GLP-1 (glucagon-like peptide-1) receptor agonists work by mimicking the natural GLP-1 hormone our bodies release after eating. In fact, GLP-1 receptor agonists are 94% similar to the natural GLP-1 hormone. [1]

GLP-1s work in the following ways:

  • Slows gastric emptying so you feel full longer.
  • Boosts insulin release when blood sugar is high.
  • Suppresses glucagon (which would otherwise raise blood sugar). [2]

Injectable semaglutide (Ozempic) has been around for a while, originally approved to help control blood sugar in type 2 diabetes. Over time, it became clear that weight loss is a big bonus, and many patients lost significant body fat after starting Ozempic. This led to Ozempic gaining FDA approval for weight loss in addition to blood sugar control. [1]

Then Rybelsus arrived. It’s essentially the same active drug (semaglutide) but in an oral formulation. The pill is co-formulated with an absorption enhancer called SNAC, which helps semaglutide get absorbed through the stomach lining. Because of that, bioavailability is low (around 0.4 to 1%), so doses look different than injection doses, but the mechanism (slowing stomach emptying, increasing satiety, and promoting weight loss) remains the same. [2]

Why Some Users Prefer Pills Over Injections 

Pills and an injection on a blue background

Injectable medication can be a real barrier for many. Some common reasons people prefer to switch from Ozempic to Rybelsus include:

  • Needle aversion: Even if it’s just one injection a week, some of us simply hate needles. Swapping to a daily pill means no more pokes—just taking a tablet with a sip of water first thing in the morning. 
  • Lifestyle and convenience: Weekly injections demand planning: keeping a refrigerated pen, making sure you have it on vacation, having a sharps disposal on hand, and remembering your dosing day. With Rybelsus, if you have a glass of water in the morning, you can take your medication.
  • Stigma and discretion: For those worried about others seeing them inject, a daily pill is discreet. You can take it with water and go; no one needs to know you’re on semaglutide. [2]

How to Switch from Ozempic to Rybelsus

If you are considering a switch from Ozempic to Rybelsus, you need to understand how to time the switch, transition the dosage between Ozempic and Rybelsus, and the differences in medication administration. Here’s all of this in a nutshell:

  • Timing the switch from Ozempic to Rybelsus: Once you stop Ozempic, you wait a full week before starting Rybelsus. This avoids overlapping the same active drug too closely. For example, if your last Ozempic shot was on a Sunday, you’d start Rybelsus the following Sunday. [3]
  • Transitioning your dosage: Most patients coming from Ozempic 0.5 mg start either Rybelsus 7 mg or 14 mg. There’s no direct Rybelsus equivalent for Ozempic 1 mg or 2 mg. In these cases, your healthcare provider will assess your situation and plan your Rybelsus dosage when you switch from Ozempic to Rybelsus. [3]
  • How to take Rybelsus: Rybelsus must be taken on an empty stomach with no more than 4 oz of plain water. Then, you wait at least 30 minutes before eating, drinking, or taking any other medication. If you don’t wait, Rybelsus absorption drops, and the medication becomes less effective. [2]

Does Oral Semaglutide Work for Weight Loss? 

A man measuring his waist with a measuring tape

When patients switch from Ozempic to Rybelsus, they often want to know if Rybelsus oral semaglutide can deliver similar weight-loss benefits.

PIONEER 4 is a clinical trial that compares injectable and oral GLP-1s. [4] Below is a breakdown of what the trial found:

This 26-week trial enrolled adults with type 2 diabetes and randomized them into three groups: Rybelsus (oral GLP-1), liraglutide (injectable GLP-1), or a placebo. The weight loss results of the study were promising. [4] At the end of 26 weeks, here is what weight loss looked like in the different groups:

  • Rybelsus 14 mg: Average weight change of 9.7 lbs.
  • Liraglutide 1.8 mg: Average weight change of 6.8 lbs.
  • Placebo: Average weight change of 1.1 lbs. [4]

For patients who are looking to switch from injectable to oral GLP-1, PIONEER 4 suggests that Rybelsus 14 mg not only rivals but actually exceeds liraglutide 1.8 mg injections in weight reduction over six months. In other words, many Rybelsus weight loss stories you hear in real life are backed by data from the PIONEER 4 clinical trial. This highlights that Rybelsus oral semaglutide can deliver meaningful weight benefits even when compared to popular injectable therapies. [4]

Final Takeaways from Rybelsus Weight Loss Stories

Patients who decide to switch from Ozempic to Rybelsus often cite wanting to trade a once-weekly injection for a daily pill. When people first switch from Ozempic to Rybelsus, they’re usually already familiar with semaglutide’s mechanism—slowing gastric emptying, increasing satiety, and promoting weight loss. [2] By taking Rybelsus oral semaglutide, they can avoid needles and still tap into semaglutide’s proven benefits.

If your goal is to switch from Ozempic to Rybelsus, looking through real Rybelsus weight loss stories and clinical trials can give you a practical sense of how patients tolerate and benefit from Rybelsus oral semaglutide. The consistent theme is that people who switch from Ozempic to Rybelsus value the convenience, carry-on-friendly format, and nearly equivalent effectiveness.

The information provided is for informational purposes only. We do not offer medical advice. Please consult with your physician or qualified healthcare professional for guidance on drugs, medical conditions, or treatments. Our content is not a replacement for professional medical recommendations.