Semaglutide
An approved GLP-1 receptor agonist with a fatty-acid modification for once-weekly dosing in type 2 diabetes and chronic weight management.
Overview
Semaglutide is a synthetic analog of the incretin hormone glucagon-like peptide-1 (GLP-1), approved in multiple countries for type 2 diabetes and, at a higher dose, for chronic weight management. A fatty-acid side chain that binds albumin extends its half-life, supporting once-weekly subcutaneous (and once-daily oral) dosing. It is among the most extensively studied peptides in metabolic medicine.
Mechanism
Semaglutide is a potent and selective agonist of the GLP-1 receptor. Receptor activation enhances glucose-dependent insulin secretion, suppresses glucagon release, slows gastric emptying, and reduces appetite through central pathways, together producing glycemic control and weight loss.
Dosing
Approved use is by subcutaneous injection once weekly, with an oral formulation also available; doses are titrated over several weeks to limit gastrointestinal side effects. Research-peptide contexts mirror GLP-1 pharmacology but are not clinically validated.
- Weekly subcutaneous injection is the approved injectable schedule
- Gradual dose escalation over weeks is standard in approved regimens
- The oral form requires specific administration conditions per its label
Expected Effects
- Reductions in HbA1c in type 2 diabetes trials
- Dose-dependent weight loss, forming the basis of the obesity indication
- Reduced major adverse cardiovascular events reported in a cardiovascular outcomes trial in high-risk type 2 diabetes
Side Effects & Tolerability
Gastrointestinal effects such as nausea, vomiting, diarrhea, and constipation are common and dose-dependent. Labels include warnings for pancreatitis, gallbladder disease, hypoglycemia when combined with insulin or sulfonylureas, and thyroid C-cell tumors observed in rodents. Long-term clinical experience continues to accumulate.
Storage
Approved products are stored refrigerated before first use. For lyophilized research peptide, store cold and desiccated, protected from light, and follow the supplier certificate of analysis.