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Liraglutide vs semaglutide

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What the research says about each, side by side. Every row comes from the studies and drug labels in the last row. More on each: Liraglutide and Semaglutide.

LiraglutideSemaglutide
CategoryGLP-1 and metabolicGLP-1 and metabolic
EvidenceExtensive clinical researchExtensive clinical research
FDA statusFDA-approved as Victoza (2010, type 2 diabetes) and Saxenda (2014, weight management; teens 12+ since 2020).FDA-approved as Ozempic (2017), Rybelsus (2019) and Wegovy (2021). Wegovy was also approved for lowering heart attack and stroke risk in 2024. Compounded copies aren't FDA-approved.
How it worksLike other GLP-1 medicines, it boosts insulin when blood sugar is high, slows the stomach and reduces appetite. It's shorter-acting than semaglutide, so it's taken every day.It switches on GLP-1 receptors in the pancreas, gut and brain. That helps the pancreas release insulin when blood sugar is high, slows how fast the stomach empties, and quiets hunger signals in the brain, so people feel full sooner and think about food less.
Half-lifeAbout 13 hours. Levels peak 8–12 hours after a shot, which is why it's a daily medicine.About 7 days, so weekly shots build to a steady level after 4–5 weeks. Levels peak 1–3 days after a shot. The daily pill peaks about an hour after taking it.
Studied for
  • Type 2 diabetes
  • Weight management in adults and teens
  • Heart outcomes in type 2 diabetes
  • Type 2 diabetes blood sugar control
  • Weight management
  • Heart attack and stroke risk
  • Kidney disease in type 2 diabetes
  • Fatty liver disease (MASH)
Reported side effects
  • Nausea, diarrhea, constipation, vomiting, headache
  • Faster resting heart rate
  • Gallbladder problems and pancreatitis (rare)
  • Boxed warning: thyroid C-cell tumors seen in rodents. Not for people with a personal or family history of medullary thyroid cancer or MEN 2.
  • Nausea, vomiting, diarrhea or constipation, mostly when the dose goes up
  • Gallbladder problems
  • Pancreatitis (rare)
  • Low blood sugar when combined with insulin or sulfonylureas
  • Boxed warning: thyroid C-cell tumors seen in rodents. Not for people with a personal or family history of medullary thyroid cancer or MEN 2.
Sources
  1. A Randomized, Controlled Trial of Liraglutide in Weight Management (SCALE). N Engl J Med, 2015 PubMed
  2. Liraglutide and Cardiovascular Outcomes in Type 2 Diabetes (LEADER). N Engl J Med, 2016 PubMed
  3. Saxenda (liraglutide) prescribing information. DailyMed DailyMed
  1. Once-Weekly Semaglutide in Adults with Overweight or Obesity (STEP 1). N Engl J Med, 2021 PubMed
  2. Semaglutide and Cardiovascular Outcomes in Obesity without Diabetes (SELECT). N Engl J Med, 2023 PubMed
  3. Oral semaglutide in adults with overweight or obesity (OASIS 1). Lancet, 2023 PubMed
  4. Wegovy (semaglutide) prescribing information. DailyMed DailyMed
  5. Ozempic (semaglutide) prescribing information. DailyMed DailyMed

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