Semaglutide
GLP-1 receptor agonist · Also known as Ozempic, Wegovy, Rybelsus
What is Semaglutide?
A synthetic peptide that mimics GLP-1, a naturally occurring hormone your body produces after eating. It works by telling your brain you're full, slowing digestion, and helping regulate blood sugar levels.
Originally developed for type 2 diabetes (marketed as Ozempic), semaglutide gained widespread attention when clinical trials showed remarkable weight loss results. It's now also available as Wegovy, specifically approved for chronic weight management.
Benefits & evidence
How it works
Think of GLP-1 as your body's natural "I'm full" signal. When you eat, your gut releases GLP-1, which tells your brain to stop eating and signals your pancreas to manage blood sugar. The problem? Natural GLP-1 breaks down in minutes.
Semaglutide is engineered to last much longer. about a week. It binds to the same GLP-1 receptors but resists the enzymes that normally break it down. The result is a steady, sustained signal that helps reduce appetite, slow gastric emptying, and improve insulin sensitivity.
Dosing information
Typical dosing protocol
0.25 mg/week
Weeks 1-41.0-2.4 mg/week
After titration periodDoses are gradually increased over 16-20 weeks to minimize side effects. Always follow your prescriber's instructions.
Side effects
Most side effects tend to improve as your body adjusts.