GLP-1 Evidence

Not medical advice. A record of published research and our assessments of it. The limits

Side effects of lower dose compounded semaglutide paired with a behavioral management program: A real-world retrospective study

Design
Retrospective cohort · Unknown outcome
Match to healthy normal-weight adults aged 55–75
Population unclear[Auto] Population characteristics not extractable from abstract (age/BMI not reported in abstract). Needs manual review.
Could weight loss explain it?
Unknown[Auto] Not addressed in abstract.
Study tier
Preliminary[Auto] Not peer reviewed (preprint, abstract or registration). Early-warning only.
Assessment
Version 1 · automatic, not yet reviewed by a person · Sep 20, 2026

Study facts come from the paper. Population match, weight-loss explanation and study tier are our judgments, made against the reference group of healthy normal-weight adults aged 55–75. This item has not been peer reviewed.

[Auto, unreviewed; last sentences of abstract] Results of the second cohort demonstrated 38% lower odds of any side effect by week 16 among NMGP users (n=958 per group, p=0.019). ConclusionsLower doses of compounded semaglutide alongside a behavioral companion are associated with fewer side effects in the first 16 weeks compared to a higher dose program.

01Findings

What the study reported

Drugs
Semaglutide
Dose
0.6mg/week
Primary outcome
Not extracted
Effect
Not extracted
95% confidence interval
Not extracted
Follow-up
16 weeks
Adverse events
Not extracted
Limitations
Auto-classified from abstract only; effect estimates, adverse events and limitations not extracted. Requires manual review.

Who was studied

Study quality details

Study design
Retrospective cohort
Sample size
not extracted
Randomization
no
Blinding
not stated
Comparator
not stated
Follow up duration
16 weeks
Outcome type
unknown
Replication
not assessed (auto)
Consistency with other evidence
not assessed (auto)
Population applicability
UNKNOWN
Statistical precision
not extracted
Risk of bias
not assessed (auto)
Funding conflicts
unclear
Peer review status
no
02Funding

Funding and conflicts

Funding
not reported in abstract
Industry funded
Unclear
Manufacturer
None identified
Sponsor role
not reported in abstract
Author conflicts
not available in metadata
Independent replication
unknown

Funding is shown on every study and never used to score it.

04Source

The source, as retrieved

Abstract

ObjectiveEvaluate differences in side effects between a low and standard dose compounded semaglutide paired with a behavioral companion in the first 16 weeks of treatment using a real-world, retrospective cohort. MethodsSide effects were compared between the low dose protocol (Noom Microdose GLP-1 Rx Program; NMGP, up to 0.6mg/weekly compounded semaglutide) and Nooms standard dose of compounded semaglutide (Noom GLP-1 Rx Program; NGP, up to 1.2mg/weekly). Users were propensity score matched on side effect rate in the first 8 weeks when dosing protocols were identical, and longitudinal side effect trajectories were compared via logistic regression. Analyses were conducted on a second cohort with additional matched baseline characteristics. ResultsThe full sample included 7,682 NGP and 2,877 NMGP users. NMGP users had 34% lower and 29% lower relative odds of reporting GI side effects (p=0.001) and any side effects (p=0.001) by week 16, respectively (n=2,481 per group). Results of the second cohort demonstrated 38% lower odds of any side effect by week 16 among NMGP users (n=958 per group, p=0.019). ConclusionsLower doses of compounded semaglutide alongside a behavioral companion are associated with fewer side effects in the first 16 weeks compared to a higher dose program.

Where this record came from

SourceRetrievedIdentifier
medrxiv:medrxivSep 20, 202610.64898/2026.09.08.26362532
first ingestion