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GLP1s
GLP-1s (glucagon-like peptide-1 receptor agonists) are a class of medications mainly used for type 2 diabetes and weight management. They mimic the natural GLP-1 hormone, which helps control blood sugar and appetite.
Here are the main types of GLP-1 receptor agonists, grouped in a way that makes them easy to understand:
1. Short-acting GLP-1s (daily or twice daily)
These work quickly but don’t last long in the body.
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Exenatide (Byetta) – taken twice daily
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Lixisenatide (Adlyxin) – taken once daily
Best for: controlling blood sugar after meals (postprandial glucose)
2. Long-acting GLP-1s (once daily or weekly)
These stay in your system longer and provide steadier effects.
Once daily:
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Liraglutide (Victoza, Saxenda)
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Victoza → diabetes
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Saxenda → weight loss
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Once weekly:
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Dulaglutide (Trulicity)
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Semaglutide (Ozempic, Wegovy)
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Ozempic → diabetes
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Wegovy → weight loss
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Exenatide ER (Bydureon)
Best for: overall glucose control + weight loss
3. Oral GLP-1 (unique option)
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Semaglutide (Rybelsus) – taken as a daily pill
Only GLP-1 that isn’t injected
4. Dual incretin (GLP-1 + GIP)
These go beyond traditional GLP-1 drugs.
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Tirzepatide (Mounjaro, Zepbound)
Acts on GLP-1 + GIP receptors
Often produces greater weight loss and glucose lowering
Key differences at a glance
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Frequency: twice daily → once weekly → oral daily
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Effect strength: newer drugs (semaglutide, tirzepatide) tend to be more potent
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Weight loss: strongest with semaglutide and tirzepatide
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Convenience: weekly injections or daily pill