A mouse study found that semaglutide reduces voluntary exercise and motivation to run by altering dopamine signaling in the brain's reward center, independent of its appetite-suppressing effects.
Motivation reduced independent of eatingSemaglutide-treated mice showed decreased effort to access exercise even when controlling for reduced food intake, pointing to a direct effect on reward circuitry
What the researchers found
Semaglutide suppressed voluntary wheel running in both lean and obese mice — and this wasn't just because the mice were eating less. In a progressive ratio task (where mice had to work harder and harder to access the running wheel), semaglutide-treated mice showed reduced motivation to exert effort for exercise.
Real-time dopamine measurements using fiber photometry revealed that semaglutide amplified dopamine dynamics in the nucleus accumbens (the brain's reward center) at the start and end of running bouts. This suggests semaglutide doesn't just suppress appetite — it alters the brain's reward circuitry in ways that reduce motivation for non-food activities like exercise.
Why it matters
One of the biggest concerns about GLP-1 weight loss drugs is whether they cause muscle loss, and exercise is the primary tool patients use to counteract this. If semaglutide directly reduces exercise motivation through dopamine pathways — independent of its appetite effects — that's a clinically important finding. It could help explain why some patients on these drugs report reduced drive to exercise and has implications for how weight loss is maintained.
How the study worked
Animal study using lean and diet-induced obese mice. Voluntary wheel running was measured to assess activity levels. Motivation was tested using a progressive ratio task where mice pressed a lever with increasing effort requirements to access a running wheel. Real-time dopamine dynamics in the nucleus accumbens were measured using fiber photometry during running bouts.
Who was studied
Lean and diet-induced obese mice
What this study cannot tell us
Mouse study — dopamine dynamics and exercise motivation may not directly translate to human behavior. The study used a preprint server (bioRxiv), meaning it hasn't completed peer review. Wheel running is an innate rodent behavior that may not perfectly model human exercise motivation. The doses and pharmacokinetics of semaglutide in mice differ from human use.
How to read the evidence
This is a preliminary-grade animal study published as a preprint (bioRxiv), meaning it has not yet been peer-reviewed. While the experimental methods (fiber photometry, progressive ratio tasks) are rigorous, the findings are in mice and cannot be directly applied to humans.
When this study was published
Published in 2025 as a bioRxiv preprint, this represents cutting-edge research that has not yet completed peer review. The findings should be considered preliminary until published in a peer-reviewed journal.
The bigger picture
This study adds to a growing body of research suggesting GLP-1 drugs affect the brain's reward system beyond just food. Other studies have found reduced alcohol consumption, gambling urges, and compulsive behaviors in GLP-1 drug users. The dopamine mechanism identified here could be the common thread — and it raises important questions about whether these broad motivational effects are beneficial (reducing addictions) or harmful (reducing healthy exercise motivation).
Questions still open
- Do humans on semaglutide show measurably reduced exercise motivation, and if so, can targeted interventions counteract this?
- Is the dopamine-mediated reduction in motivation specific to certain activities or does it broadly dampen drive across all rewarding behaviors?
- Could lower doses of semaglutide preserve appetite suppression while minimizing effects on exercise motivation?
Common questions
Does Ozempic reduce your motivation to exercise?
How does semaglutide affect dopamine in the brain?
Read the original research
The GLP-1R Agonist Semaglutide Reduces Motivated Running and Alters Dopamine Dynamics in the Nucleus Accumbens.
bioRxiv : the preprint server for biology
Citation
Foscue, Ethan P; Trinko, Joseph R; Jiménez, Jaysen Lara; Kong, Edward; Thompson, Summer L; Stankewich, Kiera; Corstens, Anouk M; Serlie, Mireille J; Taylor, Jane R; DiLeone, Ralph J. (2025). The GLP-1R Agonist Semaglutide Reduces Motivated Running and Alters Dopamine Dynamics in the Nucleus Accumbens.. bioRxiv : the preprint server for biology. https://doi.org/10.1101/2025.10.08.681212