One of the most consequential changes in 2026 is the loss of exclusivity for semaglutide, beginning in early 2026 across major markets including India, China, Brazil, Turkey and Canada, with semaglutide having lost exclusivity in India on 20th March 2026
This signals fullness to your brain, helping you feel satisfied with less fooda perfect complement to the appetite-suppressing effects of GLP-1 medications

Consider contacting your GP if you experience: Persistent or significant decrease in libido that affects your quality of life or relationships Changes in sexual function accompanied by other concerning symptoms (mood changes, fatigue, pain) Erectile dysfunction or other physical difficulties with sexual activity Relationship difficulties related to changes in intimacy Symptoms suggesting hormonal imbalance (irregular periods, hot flushes, changes in body hair) Seek immediate medical attention if you experience: Severe, persistent abdominal pain, especially if radiating to the back, with or without vomiting (possible pancreatitis) Right upper abdominal pain, jaundice (yellowing of skin/eyes), or fever (possible gallbladder disease) Your healthcare provider can conduct a comprehensive assessment to identify potential contributing factors: Medication review : Evaluating all current medications, as some drugs (antidepressants, blood pressure medications, hormonal contraceptives) are known to affect libido Physical examination : Checking for signs of hormonal imbalance or other medical conditions Blood tests : Assessing hormone levels (testosterone, thyroid function), vitamin deficiencies, or metabolic markers if clinically indicated Mental health evaluation : Screening for depression, anxiety, or stress that may impact sexual function For erectile dysfunction, your GP may assess cardiovascular risk factors and consider referral if symptoms persist or if low testosterone is suspected

Some patients find they need new glasses prescriptions when starting Ozempic, so hold off on updating your prescription until your vision stabilizes
Brief exposure to normal room lighting during administration is acceptable, but the medication should not be left in direct sunlight or under bright artificial lights