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My Weight Exploration Report

Use this overview to reflect on your past weight-loss efforts and use the next page to partner with your
health care provider to prepare for a discussion about long-term weight management.

What has worked for me in the past What is motivating me now

Changing my eating habits I want to have better eating habits

Being motivated by better managing my weight My weight management

Getting support from a weight-loss program Measuring success by having better eating
or a group habits

What is Saxenda®?
Saxenda® (liraglutide) injection 3 mg is an injectable prescription medicine used for adults with excess weight (BMI ≥27) who
also have weight-related medical problems or obesity (BMI ≥30), and children aged 12-17 years with a body weight above 132
pounds (60 kg) and obesity to help them lose weight and keep the weight off. Saxenda® should be used with a reduced calorie
diet and increased physical activity.
• Saxenda® and Victoza® have the same active ingredient, liraglutide, and should not be used together or with other GLP-1
receptor agonist medicines
• It is not known if Saxenda® is safe and effective when taken with other prescription, over-the-counter medicines, or herbal
weight-loss products
• It is not known if Saxenda® is safe and effective in children under 12 years of age
• It is not known if Saxenda® is safe and effective in children aged 12 to 17 years with type 2 diabetes

Important Safety Information

Do not share your Saxenda® pen with others even if the needle has been changed. You may give other people a serious
infection or get a serious infection from them.
What is the most important information I should know about Saxenda®?
Serious side effects may happen in people who take Saxenda®, including:
Possible thyroid tumors, including cancer. Tell your health care professional if you get a lump or swelling in your neck,
hoarseness, trouble swallowing, or shortness of breath. These may be symptoms of thyroid cancer. In studies with rats and
mice, Saxenda® and medicines that work like Saxenda® caused thyroid tumors, including thyroid cancer. It is not known if
Saxenda® will cause thyroid tumors or a type of thyroid cancer called medullary thyroid carcinoma (MTC) in people.
Do not use Saxenda® if you or any of your family have ever had MTC, or if you have an endocrine system condition called
Multiple Endocrine Neoplasia syndrome type 2 (MEN 2).

Who should not use Saxenda®?

Do not use Saxenda® if:
• you or any of your family have ever had MTC or if you have MEN 2
• you have had a serious allergic reaction to liraglutide or any of the ingredients in Saxenda®. See symptoms of serious
allergic reactions in “What are the possible side effects of Saxenda®?”
• you are pregnant or plan to become pregnant. Saxenda® may harm your unborn baby

Please see additional Important Safety Information, including Boxed Warning, throughout.
Please see Prescribing Information and Medication Guide for Saxenda® available at Saxenda.com.

Saxenda® and Victoza® are registered trademarks of Novo Nordisk A/S.

Novo Nordisk is a registered trademark of Novo Nordisk A/S.

© 2022 Novo Nordisk Printed in the U.S.A. US22SX00213 August 2022

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Information for My Health Care Provider

I am interested in having a discussion about weight management. Below is some information
to help guide our conversation.

About Me

BMI is a measurement that helps health care providers determine whether a person is carrying excess
My body mass index (BMI) is
weight in relation to his or her height. The standard categories of BMI ranges are
Below 18.5 = underweight 25.0 to 29.9 = overweight
35.5 18.5 to 24.9 = healthy weight 30.0 or above = obese

I have had some success with better eating habits I have a good support system

I have tried to lose weight in the past year I am willing to consider injections

Questions for My Health Care Provider

Ask your health care provider if Saxenda® is right for you.

Saxenda® is an FDA-approved injectable prescription medicine used for adults with excess weight (BMI ≥27) who also have weight-related
medical problems or obesity (BMI ≥30), and children aged 12-17 years with a body weight above 132 pounds (60 kg) and obesity, to help
them lose weight and keep the weight off. Saxenda® should be used with a reduced-calorie diet and increased physical activity.

Important Safety Information (cont’d)

Before taking Saxenda®, tell your health care provider about all of your medical conditions,
including if you:
• are taking certain medicines called GLP-1 receptor agonists
• have severe problems with your stomach, such as slowed emptying of your stomach (gastroparesis) or problems with
digesting food
• have or have had problems with your pancreas, kidneys or liver
• have or have had depression or suicidal thoughts, or mental health issues
• are breastfeeding or plan to breastfeed. It is not known if Saxenda® passes into your breast milk. You and your health care
provider should decide if you will use Saxenda® or breastfeed

Please see additional Important Safety Information, including Boxed Warning, throughout.
Please see Prescribing Information and Medication Guide for Saxenda® available at Saxenda.com.
Saxenda® and Victoza® are registered trademarks of Novo Nordisk A/S.
Novo Nordisk is a registered trademark of Novo Nordisk A/S.

© 2022 Novo Nordisk Printed in the U.S.A. US22SX00213 August 2022

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Important Safety Information (cont’d)

Tell your health care provider about all the medicines you take, including prescription, over-the-counter medicines,
vitamins, and herbal supplements. Saxenda® slows stomach emptying and can affect medicines that need to pass through the
stomach quickly. Saxenda® may affect the way some medicines work and some other medicines may affect the way Saxenda®
works. Tell your health care provider if you take diabetes medicines, especially insulin and sulfonylurea medicines.

How should I use Saxenda®?

• Read the Instructions for Use that comes with Saxenda®
• Inject your dose of Saxenda® under the skin (subcutaneously) in your stomach area (abdomen), upper leg (thigh), or upper
arm, as instructed by your health care provider. Do not inject into a vein or muscle
• Change (rotate) your injection site within the area you choose with each injection to reduce your risk of getting lumps under
the skin (cutaneous amyloidosis). Do not use the same site for each injection

What are the possible side effects of Saxenda®?

Saxenda® may cause serious side effects, including:
• inflammation of the pancreas (pancreatitis). Stop using Saxenda® and call your healthcare provider right away if you
have severe pain in your stomach area (abdomen) that will not go away, with or without vomiting. You may feel the pain
from your stomach area (abdomen) to your back
• gallbladder problems. Saxenda® may cause gallbladder problems, including gallstones. Some gallbladder problems need
surgery. Call your health care provider if you have any of the following symptoms: pain in your upper stomach (abdomen),
fever, yellowing of your skin or eyes (jaundice), or clay-colored stools
• increased risk of low blood sugar (hypoglycemia) in adults with type 2 diabetes who also take medicines to treat
type 2 diabetes such as sulfonylureas or insulin
• risk of low blood sugar (hypoglycemia) in children who are 12 years of age and older without type 2 diabetes
• Signs and symptoms of low blood sugar may include: shakiness, sweating, headache, drowsiness, weakness, dizziness,
confusion, irritability, hunger, fast heartbeat, and feeling jittery. You should check your blood sugar before you start taking
Saxenda® and while you take Saxenda®
• increased heart rate. Saxenda® can increase your heart rate while you are at rest. Your health care provider should check
your heart rate while you take Saxenda®. Tell your health care professional if you feel your heart racing or pounding in your
chest and it lasts for several minutes
• kidney problems (kidney failure). Saxenda® may cause nausea, vomiting, or diarrhea leading to loss of fluids (dehydration).
Dehydration may cause kidney failure, which can lead to the need for dialysis. This can happen in people who have never
had kidney problems before. Drinking plenty of fluids may reduce your chance of dehydration. Call your health care provider
right away if you have nausea, vomiting, or diarrhea that does not go away, or if you cannot drink liquids by mouth
• serious allergic reactions. Stop using Saxenda® and get medical help right away if you have any symptoms of a serious
allergic reaction including swelling of your face, lips, tongue, or throat, fainting or feeling dizzy, very rapid heartbeat,
problems breathing or swallowing, or severe rash or itching
• depression or thoughts of suicide. You should pay attention to any mental changes, especially sudden changes, in your
mood, behaviors, thoughts, or feelings. Call your health care provider right away if you have any mental changes that are
new, worse,
or worry you
The most common side effects of Saxenda® in adults include nausea, diarrhea, constipation, vomiting, injection site
reaction, low blood sugar (hypoglycemia), headache, tiredness (fatigue), dizziness, stomach pain, and change in enzyme (lipase)
levels in your blood. Additional common side effects in children are fever and gastroenteritis.
Please see additional Important Safety Information, including Boxed Warning, throughout.
Please see Prescribing Information and Medication Guide for Saxenda® available at Saxenda.com.
Saxenda® is a prescription medication.
You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch, or call 1-800-
FDA-1088.

Saxenda® and Victoza® are registered trademarks of Novo Nordisk A/S.

Novo Nordisk is a registered trademark of Novo Nordisk A/S.

© 2022 Novo Nordisk Printed in the U.S.A. US22SX00213 August 2022