Semaglutide

No summary available for this substance.

Semaglutide

Semaglutide is a medication used for the treatment of type 2 diabetes. It is a long-acting glucagon-like peptide-1 (GLP-1) receptor agonist that mimics the function of GLP-1, a hormone that regulates appetite and food intake. It is administered via injection and works by stimulating the pancreas to release insulin, reducing the amount of glucose produced by the liver, and slowing gastric emptying.

Category
Pharmaceutical
Molecular Formula
C187H291N45O59
Mechanism of Action
GLP-1 receptor agonist, stimulates insulin secretion and reduces glucagon secretion
Evidence Grade
A

Other Names

  • Ozempic
  • Rybelsus

Primary Benefits

  • Improves blood sugar control
  • Reduces risk of cardiovascular events
  • Promotes weight loss

Recommended Dosage

Initial 0.25 mg once weekly
Maintenance 0.5 mg to 1 mg once weekly

Side Effects

  • Nausea
  • Diarrhea
  • Vomiting
  • Constipation
  • Abdominal pain

Precautions

  • Hypoglycemia in combination with insulin or sulfonylurea
  • Diabetic retinopathy complications
  • Pancreatitis
  • Hypersensitivity reactions

Interactions

  • Insulin
  • Sulfonylureas
  • Oral contraceptives

Key References

  • Marso SP, Bain SC, Consoli A, et al. Semaglutide and Cardiovascular Outcomes in Patients with Type 2 Diabetes. N Engl J Med. 2016;375(19):1834-1844.
  • Pratley R, Amod A, Hoff ST, et al. Oral semaglutide versus subcutaneous liraglutide and placebo in type 2 diabetes (PIONEER 4): a randomised, double-blind, phase 3a trial. Lancet. 2019;394(10192):39-50.
Peptide & Hormone Therapies for Health, Performance & Longevity | Dr. Craig Koniver
Exploring Peptides, Hormones, and Therapies for Health and Wellness 10:20 0
“Semaglutide was approved longer than that for four type 2 diabetics helping with glucose control and helping with glucose utilization.”

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Peptide & Hormone Therapies for Health, Performance & Longevity | Dr. Craig Koniver
Exploring Peptides, Hormones, and Therapies for Health and Wellness 11:51 0
“using primarily tepati which is like semi glutide version 2.0 mostly for the past two years have learned a tremendous amount and my opinion's actually changed from working with people”

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Peptide & Hormone Therapies for Health, Performance & Longevity | Dr. Craig Koniver
Exploring Peptides, Hormones, and Therapies for Health and Wellness 13:55 0
“if I can help people lose weight first literally by using something like tepati semaglutide and I've seen this they're now excited”

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What Is A Compounding Pharmacy? The Secret to Beating Illness & Hormone Imbalances | Shaun Noorian
Understanding Hormone Imbalances and Medication Applications for Optimal Health 39:36 0
“compounding pharmacies can start to make them and it's one of the things you do make which is semaglutide which is a s of generic version of OIC”

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Dr. Robert Lustig: How Sugar & Processed Foods Impact Your Health
Understanding the Complex Relationship Between Nutrition and Metabolic Health 2:47:44 0
“comes in who's obese or slightly overweight right it's like I don't know what to do I'm trying to eat better exercise or a person comes in and says hey i' I've had a really hard time getting that last 20 9 PBS off for so many years will you prescribing those zic so the short answer is number one I'm retired so I'm not prescribing anything but let's let's let's go with there the data show that gp1 analoges like um semaglutide and now tepati which is uh Lily's version uh Manjaro is the diabetes version Z bound is the Obesity version the same way that OIC is the diabetes version for um uh novonordisk and woi is the Obesity version so they're all glp1 they're all G gp1 analog they synthesized in a lab it looks like glp1 smells like glp1 acts like G1 when injected tepati the uh Lily one actually has a dual function it uh binds to the Gip receptor so it might have double duty and the data show that it's actually even slightly more effective at Weight Loss than the Nova Nordisk version so we'll be seeing a shift in terms of uh…”

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212 – The Neuroscience of Obesity | Peter Attia, M.D. & Stephan Guyenet, Ph.D.
Evolution of Obesity: Historical Trends, Genetic Factors, Health Impacts 2:09:02 0
“the tools that we have now are just way better than what they used to be.”

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212 – The Neuroscience of Obesity | Peter Attia, M.D. & Stephan Guyenet, Ph.D.
Evolution of Obesity: Historical Trends, Genetic Factors, Health Impacts 2:20:51 0
“we have a drug, ouigo v aka semaglutide, that is safe and effective and was developed for this purpose based on mechanism from the bottom up.”

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Dr. Peter Attia: Exercise, Nutrition, Hormones for Vitality & Longevity
Optimizing Health and Longevity Through Nutrition, Hormones, and Exercise 2:43:01 0
“It takes a while to get people up to dose. So if you're looking at semaglutide, the dose that was studied, so did a one-year trial, or maybe it was a little over that, maybe 60 weeks. But it took about 16 weeks to get the patients comfortably up to 2.4 milligrams weekly, which was the dose that they ultimately stayed on.”

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Dr. Peter Attia: Exercise, Nutrition, Hormones for Vitality & Longevity
Optimizing Health and Longevity Through Nutrition, Hormones, and Exercise 2:43:30 0
“We've definitely had our share of patients who can't tolerate it due to the nausea.”

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Dr. Peter Attia: Exercise, Nutrition, Hormones for Vitality & Longevity
Optimizing Health and Longevity Through Nutrition, Hormones, and Exercise 2:45:07 0
“You can drink a lot of calories, and sort of get around the drug.”

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