Research

Hormonal

Discontinuation of second-generation OMMs leads to significant weight regain, highlighting the chronic nature of obesity and the need for long-term management or intensive lifestyle support upon discontinuation.

Stopping OMMs typically leads to significant weight regain. If you choose to discontinue, work with your healthcare provider to intensify lifestyle interventions, including dietary strategies and physical activity, to help maintain your weight loss.

StrongSupportsHIGH confidence
In the STEP 4 trial, after the semaglutide lead-in those who continued on semaglutide lost an additional − 7.9% while those on placebo gained + 6.9% [77].
Alexandra Peary et al. · Current Atherosclerosis Reports · 2026

Why this rating

Based on multiple randomized withdrawal trials (STEP 4, SURMOUNT-4).

Source

To Reenvision and Redefine: Considering the Role of Lifestyle Interventions in the New Era of Second-Generation Obesity Management Medications

Alexandra Peary et al. · Current Atherosclerosis Reports · 2026

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