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Semaglutide (GLP-1 receptor agonist)
For educational and research purposes only. Not medical advice.
Semaglutide is the most extensively studied GLP-1 RA with 150+ trials. The STEP program demonstrated 15-17% weight loss, and SELECT trial proved 20% cardiovascular risk reduction. Available as Ozempic (diabetes), Wegovy (obesity), and Rybelsus (oral).
Best Time
Any time, same day each week
Method
subcutaneous
Frequency
Once weekly
Half-life
~7 days
Cycle Length
Ongoing (per prescription)
Storage
Refrigerate pen at 2-8°C before first use.
Published Dosing Ranges
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Contraindications
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Do NOT combine GLP-1 agonists. Overlapping receptor activation increases risk of severe GI side effects (nausea, vomiting, pancreatitis) with no additional benefit.
documentedSurvodutide is a GLP-1/glucagon dual agonist. Combining with semaglutide (pure GLP-1 agonist) doubles GLP-1 receptor activation. High risk of severe nausea, vomiting, and pancreatitis.
documentedBoth activate GLP-1 receptors. Retatrutide already provides GLP-1 + GIP + glucagon agonism. Adding semaglutide causes GLP-1 receptor overstimulation with dangerous GI and pancreatic risks.
documentedJournal of diabetes 17 (4) :e70082 · 2025-04-01
Cell 189 (9) :2533-2555.e31 · 2026-04-30
Diabetes, obesity & metabolism 28 (6) :5043-5057 · 2026-06-01
Frontiers in cardiovascular medicine 12 :1731127 · 2025-01-01
Obesity (Silver Spring, Md.) · 2026-04-05
Mechanism of Action
Selective GLP-1 receptor agonist that mimics the incretin hormone GLP-1. Reduces appetite, slows gastric emptying, enhances insulin secretion, and has cardioprotective effects.
Reported by the community. These may not be supported by clinical evidence and are not medical recommendations.