In Canada, and especially across Ontario, Ozempic vs Wegovy has become a common comparison for those exploring medical weight loss options. Both medications are built around the same ingredient — semaglutide — yet they serve different purposes, dosages, and patient needs.
At Modest Medix, we hear the same questions often:
Which one works better? What’s the difference? Do I qualify for either?
This guide will walk you through everything you need to know — clearly, simply, and with your health goals in mind.
What Is Semaglutide and Why Is It in Both?
Both Ozempic and Wegovy contain semaglutide, a GLP-1 receptor agonist. In simple terms, this medication works with your body to help regulate appetite, slow digestion, improve blood sugar levels, and reduce hunger signals.
It’s not a “quick fix, but when used correctly, semaglutide can make sustainable weight loss easier to achieve and maintain. That’s what makes it so valuable in today’s evidence-based, physician-led weight loss approaches.
Ozempic: Originally Designed for Type 2 Diabetes
Ozempic was approved by Health Canada as a treatment for type 2 diabetes, not weight loss. It helps patients manage blood sugar levels and reduce the risk of complications. However, because of its appetite-suppressing effects, many doctors — including our team at Modest Medix — may prescribe Ozempic off-label to support weight loss.
Typical doses range from 0.25 mg to 1.0 mg weekly, depending on tolerance and response.
While this method can be effective, it requires medical supervision to ensure safety and to manage side effects appropriately. Off-label use is legal and common, but it must be done carefully.
Wegovy: Specifically Created for Weight Loss
Wegovy is also a semaglutide medication, but it was developed specifically for chronic weight management. The difference lies in the dosage and approval: Wegovy uses a higher dose (up to 2.4 mg per week) and has been approved for people with:
A BMI of 30 or higher, or
A BMI of 27+ with a related health condition (such as high blood pressure or type 2 diabetes)
Because of its targeted purpose, Wegovy is often the better option for patients focused solely on weight loss in Ontario — especially when paired with nutritional and behavioural support.
How Much Weight Can You Expect to Lose?
Results can vary, but the data is promising.
Ozempic: Studies show an average loss of 5–7% of body weight
Wegovy: Clinical trials show up to 15% or more, especially when paired with diet and therapy
At Modest Medix, we’ve seen both medications work — but no two patients respond the same way. Some people do well with a lower dose, others need more structure or a custom behavioural plan. That’s why we always look at the full picture: medical history, lifestyle, metabolism, and more.
Side Effects of Ozempic and Wegovy: What to Expect
As your dose increases, common side effects include:
- Nausea
- Constipation or diarrhoea
- Acid reflux or bloating
These symptoms usually improve over time with hydration and gradual dosage increases. Less commonly, patients may experience issues with the gallbladder or pancreas — which is why medical supervision is non-negotiable.
At Modest Medix, we monitor each patient closely to make sure the treatment remains safe and effective throughout the journey.
Cost and Coverage of Ozempic and Wegovy in Ontario
Here’s the reality: neither medication is cheap.
Ozempic may be covered by insurance — but only when prescribed for diabetes
Wegovy is newer and not always covered under traditional plans
Out-of-pocket, you can expect to pay around $300–400 per month, depending on the dose and provider. At our clinic, we help patients explore coverage options, manufacturer programs, and phased treatment strategies to make care more accessible.
How to Decide What’s Best: A Medical Approach
Choosing between Ozempic and Wegovy isn’t just about weight — it’s about your biology, health history, and long-term goals.
That’s why we don’t offer one-size-fits-all plans. Dr. Saima Khan and the team at Modest Medix take time to understand your full profile before recommending medication.
We consider:
- Lab results and medical history
- Metabolism and hormone function
- Your lifestyle, stress levels, and eating habits
- Your past experience with weight loss
Only then do we build a plan that supports not just weight loss, but your overall health.
What Makes Modest Medix Different?
We’re not just here to prescribe — we’re here to partner with you.
Our comprehensive, physician-led program includes:
- Supervised use of Ozempic or Wegovy, or alternatives
- Customised nutrition support that works with your life
- ACT-based behavioural therapy for emotional eating and habit change
- Metabolic and genetic testing, when needed
- Ongoing coaching and follow-up, so you’re never left guessing
Whether you’re just starting or restarting your weight loss journey, we’ll help you move forward with clarity, confidence, and support.
Ready to Take the Next Step?
If you’re exploring Ozempic vs Wegovy in Canada and want a trusted team to guide your journey, we’re here to help.
Book a consultation with Modest Medix to find out which treatment is right for you — and discover how science-backed, compassionate care can change the way you lose weight for good.
Written by the Modest Medix Clinic Team | Reviewed by Dr. Saima Khan (Dr. Eskay)
