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Liraglutide (Liraglutide (GLP-1 Receptor Agonist / Saxenda))

Category: Weight Management. Status: FDA Approved.

The first GLP-1 receptor agonist approved for chronic weight management (as Saxenda at 3.0mg). A 97% homolog of native GLP-1 with fatty acid modification for once-daily dosing.

How it works

Binds and activates the GLP-1 receptor, enhancing glucose-dependent insulin secretion, suppressing glucagon, slowing gastric emptying, and reducing appetite through hypothalamic signaling.

Key facts

  • Molecular weight: 3,751 Da
  • Half-life: 13 hours
  • Bioavailability: ~55% (subcutaneous)
  • Storage: Refrigerated 2-8°C. In-use: room temperature up to 30 days.

Dosing overview

  • Typical dose: 0.6-3.0 mg
  • Frequency: Once daily
  • Duration: Ongoing
  • Route: Subcutaneous

Reported benefits

  • Proven weight loss (5-10%)
  • Long safety track record
  • Cardiovascular benefit
  • Improved glycemic control
  • Reduced food intake

Possible side effects

  • Nausea
  • Vomiting
  • Diarrhea
  • Constipation
  • Headache
  • Pancreatitis (rare)

Research

  • SCALE Obesity: Liraglutide 3.0mg for weight management (2015): Liraglutide 3.0mg produced 8.0% weight loss vs 2.6% placebo with 63% achieving 5%+ loss at 56 weeks.
  • LEADER cardiovascular outcomes trial (2016): Liraglutide reduced major cardiovascular events by 13% and cardiovascular death by 22% in T2DM patients.

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Research and educational reference only. Not medical advice.