Semaglutide
Semaglutide (GLP-1 agonist)
Semaglutide is a long-acting GLP-1 receptor agonist approved by the FDA for type 2 diabetes (Ozempic) and chronic weight management (Wegovy). It works by enhancing glucose-dependent insulin secretion, suppressing glucagon, delaying gastric emptying, and reducing appetite through central GLP-1 receptor activation. Research and compounded protocols typically titrate from 0.25mg to 2.4mg weekly over 12+ weeks. HbA1c, fasting glucose, insulin, a full lipid panel, and liver enzymes are the standard biomarkers researchers track, with CRP sometimes added to monitor inflammatory changes.
Typical dose
0.25-2.4mg
Cycle
12+ weeks (ongoing)