Semaglutide
Described as a modified GLP-1 analog that can last much longer in the body than the natural version.
How it works (high level)
- Delays stomach emptying to promote fullness with smaller meals.
- Slows intestinal motility so you may feel full longer after meals.
- Lowers blood sugar partly by reducing sugar production in the liver.
- Stimulates insulin secretion by the pancreas.
- May help reduce inflammation throughout the body.
Potential benefits (reported)
- Decreased appetite and cravings
- Weight loss
- Improved blood glucose control
- Decreased inflammation
Common side effects (examples)
Commonly reported effects include nausea and constipation, with additional reports such as acid reflux, stomach pain, vomiting, diarrhea, and injection site reactions.
Important warnings
- Risk of thyroid C-cell tumors: avoid if you or family have MEN 2 or medullary thyroid cancer (MTC).
- Do not combine with other GLP-1 medications unless your clinician specifically advises it.
- Can slow stomach emptying—inform providers before anesthesia/sedation procedures.
- Use caution with certain conditions (e.g., history of pancreatitis; consult your provider).