plan b and semaglutide (Ozempic, Wegovy) birth control: What to know Does Ozempic Affect Levonorgestrel Emergency

Medicines regulator approves up to 7.2 mg dose of semaglutide (Wegovy) for patients with obesity only

## What the Research Says About Missed Doses and Breaks ### The STEP 4 Study: What Happens When You Stop The STEP 4 trial, published in *JAMA* (2021), provided the most direct evidence of what happens when semaglutide is discontinued: - Participants took semaglutide for 20 weeks, then were randomized to either continue or switch to placebo - Those who continued lost an additional 7.9% body weight over the next 48 weeks - Those who switched to placebo **regained approximately two-thirds** of their lost weight within one year - Metabolic improvements (blood sugar, cholesterol, blood pressure) also partially reversed **Key takeaway**: Consistent dosing is essential for maintaining results

Ozempic injection: 2.0 mg weekly (type 2 diabetes)

Backup contraceptive is recommended

Step 1: prepare your workspace Clean a flat surface with disinfecting solution