r/Wegovy: rules, karma requirements and posting culture

Who posts here

Most posts come from people in their first weeks or months asking what is normal: appetite coming back before shot day, a misfired pen, a new side effect, how the pill compares with the injection. Replies are gentle and practical, and serious symptoms get a firm "see a doctor" rather than guesses. There is no question too basic for this room.

• New starters on the injection or the pill asking what to expect.
• People a few months in posting progress photos and non-scale wins.
• Patients switching to Wegovy from another GLP-1 drug, often because of side effects or coverage.
• People losing insurance coverage and working out what to do next.
• Providers and promoters, whose posts tend to stay up but get little engagement.

Karma and account requirements

What it takes to get a post through in r/Wegovy.

What you can post

What happens to a new post

Where the most recent posts ended up. Sample size: 400.

• Stayed up98%
• Removed by Reddit's filters1%
• Deleted by the author<1%

Reddit counts a removal by the subreddit's own AutoModerator rules as a moderator removal, so that share is not all human. Held by AutoModerator means the post is waiting in the mod queue.

The culture

r/Wegovy was started in 2024 and has about 24,000 members. It gets around 15 posts a day, but each one draws only a handful of replies. There is no sidebar, no rules list and no flair. The description calls it a place to share successes, challenges, questions and tips, and that is what it is.

Most posts are short text questions, about 80 words, from someone early on: appetite returning before the next dose, constipation, heart rate, a pen that misfired, whether the pill works as well as the shot. About 68% of posts are text and 23% are links, many of them crossposts of the same question asked in the bigger semaglutide and Ozempic subs. Progress photos get the most upvotes, though at a much smaller scale than in those subs.

With no written rules, the tone is set by the members. They are encouraging about progress, careful about symptoms, and openly frustrated with insurance. Coverage being dropped, appeals and out of pocket costs are a recurring thread.

What lands

• Progress photos with a time frame and a weight change, and a line about what else got better, such as cholesterol or a long-term goal like no longer being classed as obese.
• Posts about unexpected effects, good or bad, like achy knees improving or food tasting saltier. They draw more comments than most.
• First-shot or first-week write-ups that describe what the person felt, which give other new starters something to compare against.
• Relatable everyday questions, like when people gave up and bought smaller clothes.

What gets removed or ignored

• Very little. We saw no moderator removals in the sample and Reddit's filters took about 1% of posts.
• With no published rules, there is no list of banned topics to go by.
• The welcome message asks for respect and kindness, so posts that attack or shame other members are the clearest thing a moderator would act on.

The unwritten rules

• Give your details: dose, weeks on it, the shot or the pill, and what is actually happening. The replies get much better.
• Serious symptoms get told to see a doctor, not diagnosed. Do not post looking for anything else.
• Posts that read like provider ads, including ones framed as questions about compounded versions or provider drama, do stay up here. They get few replies and members ask pointed questions about them.
• Comments are a bit longer than in most health subs, around 32 words, and almost never include a link.
• Crossposting the same question to several GLP-1 subs is common and nobody minds, but the answers here will be fewer.

Self-promotion

There is no self-promotion rule because there are no written rules at all, only a request to be respectful, kind and supportive. In practice disguised provider promotion does stay up, but it draws little engagement and the comments are skeptical. A member who answers questions from their own experience is welcome. Treating a room of patients as a sales channel is not, rule or no rule, and it does not work here anyway.

How people write here

Typical post length

80 words

Typical title length

5 words

Titles phrased as a question

33%

Typical comment length

32 words

Comments that include a link

1%

The regulars

The accounts that showed up most in our sample. Worth reading before you post: they set the tone, and they are usually the first to reply.

Top keywords

The words and phrases that show up far more often here than in other communities, from recent posts in r/Wegovy.

• wegovy 224 posts
• dose 93 posts
• side effects 71 posts
• weight 86 posts
• pill 40 posts
• lost 62 posts
• lbs 48 posts
• wegovy pill 22 posts
• doctor 41 posts
• eat 46 posts
• injection 33 posts
• eating 43 posts
• taking wegovy 14 posts
• appetite 32 posts
• wegovy mg 14 posts
• taking 53 posts
• shot 33 posts
• food 46 posts
• nausea 27 posts
• stomach 30 posts
• weight loss 30 posts
• loss 38 posts
• starting wegovy 10 posts
• pounds 28 posts
• pen 21 posts
• medication 30 posts
• feeling 40 posts
• mg wegovy 11 posts
• food noise 22 posts
• pills 16 posts
• nauseous 16 posts
• starting 44 posts
• injections 15 posts
• normal 36 posts
• mg pill 8 posts
• experienced 27 posts
• glp-1 17 posts
• hungry 15 posts
• exercising 10 posts
• felt 28 posts

Posts that did well

• Finally hit 80 pounds lost!304 upvotes · 18 comments
• FACE TO FACE263 upvotes · 22 comments
• 2 years ago today...181 upvotes · 12 comments
• Wegovy 2.4165 upvotes · 11 comments
• 10lbs til no longer obese…so excited.122 upvotes · 8 comments
• I feel 0 guilt for starting Wegovy.85 upvotes · 23 comments
• It Works!67 upvotes · 8 comments
• GLP-1's are anti-inflammatory?!?66 upvotes · 37 comments

Common questions