Wegovy & Rybelsus in Delhi — Doses, Cost, Which to Use
Wegovy is weekly injectable semaglutide licensed for obesity, costing about ₹17,000–26,000 a month by dose step. Rybelsus is daily oral semaglutide at about ₹3,000–4,500 a month, with a more modest weight effect and strict empty-stomach dosing. Both are prescription-only and need supervision.
Which form of semaglutide fits you — injectable Wegovy or oral Rybelsus — with honest cost and outcome expectations, from Dr. Sanjay Sachdev (MBBS, MNAMS), consulting physician in South Delhi.
Wegovy and Rybelsus cost — indicative 2026 rates
| Item | Price | Notes |
|---|---|---|
| Wegovy 0.25 / 0.5 mg (4 weeks) | ₹17,000–20,000 | Titration strengths |
| Wegovy 1.0 / 1.7 mg (4 weeks) | ₹20,000–24,000 | Mid-titration |
| Wegovy 2.4 mg (4 weeks) | ₹22,000–26,000 | Full obesity dose |
| Rybelsus 3 mg (1 month) | ₹3,000–3,500 | Initiation dose only, 30 days |
| Rybelsus 7 mg (1 month) | ₹3,300–4,000 | Common maintenance |
| Rybelsus 14 mg (1 month) | ₹3,800–4,500 | Highest oral dose |
| Baseline labs (metabolic panel) | ₹3,500–5,500 | Lab charges; consultation quoted on booking |
Indicative ranges for licensed Indian pharmacies; MRP and stock vary. Medicines are bought from your own pharmacy against a prescription.
Choosing between the tablet and the injection
If your target is 10% or more of body weight, injectable semaglutide or tirzepatide is the realistic route. If you want diabetes control with some weight benefit, dislike injections, or need a lower monthly spend, Rybelsus is a sensible place to start — with the option to escalate later.
Getting Rybelsus dosing right
Empty stomach, first thing, no more than 120 ml plain water, then nothing for 30 minutes — including tea, other tablets and thyroid medicine. Absorption is genuinely fragile. We rearrange your morning medicines around it at the first visit.
Titration and monitoring
Every semaglutide form starts low. Wegovy steps monthly from 0.25 mg towards 2.4 mg only as tolerated; Rybelsus from 3 mg to 7 mg after 30 days. We review tolerance, weight, waist, blood pressure and — at three months — HbA1c, lipids, liver, kidney and thyroid function.
Where thyroid, PCOS and fatty liver fit in
Semaglutide often helps insulin resistance in PCOS and improves liver fat, but untreated hypothyroidism, low protein intake and poor sleep will blunt any result. We treat those alongside rather than after.
Frequently asked
8 answersWhat is the difference between Wegovy and Rybelsus?
What do Wegovy and Rybelsus cost in Delhi?
Is Rybelsus effective for weight loss?
How do I take Rybelsus correctly?
Can I switch from Rybelsus to Wegovy or Mounjaro?
Are the side effects the same as Ozempic?
Who should not take semaglutide in any form?
Where can I consult about Wegovy or Rybelsus in South Delhi?
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Consultations are by appointment at Friends Colony East and Maharani Bagh, South Delhi.