Semaglutide (Ozempic/Wegovy)
GLP-1 receptor agonist approved for type 2 diabetes (Ozempic) and chronic weight management (Wegovy). Binds albumin for extended half-life of ~168 hours (7 days), enabling once-weekly dosing. Reduces appetite, slows gastric emptying, and enhances glucose-dependent insulin secretion.
Projected serum levels — 0.50 mg, weekly
Maintenance schedule: 0.50 mg weekly (subcutaneous).
Loading schedule: 0.99 mg on day 1, then 0.50 mg weekly — reaching therapeutic levels sooner.
Modeled steady state after ~21 days: peak ≈ 0.21 mg, trough ≈ 0.12 mg body load. Population-based estimate over 56 days for a 0.50 mg dose at a 70 kg reference body mass — the interactive app scales curves to your doses, timing, and body mass.
Key facts
- Category
- Peptide
- Route modeled
- Subcutaneous
- Model confidence
- inferred
- Half-life
- 7 days
- Common dose
- 0.50 mg
- Suggested maximum
- 2.4 mg/day
- Reference dose range
- 0.25–2.4 mg (single dose)
- Suggested cadence
- weekly
- Validated against
- 0.50 mg sc — Cmax 0.015 mg/L at 24 h
Documented interactions
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Dulaglutide (Trulicity) + Semaglutide (Ozempic/Wegovy)
Dulaglutide (Trulicity) and Semaglutide (Ozempic/Wegovy) both push the glp1 receptor in the same direction.
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Liraglutide (Victoza/Saxenda) + Semaglutide (Ozempic/Wegovy)
Liraglutide (Victoza/Saxenda) and Semaglutide (Ozempic/Wegovy) both push the glp1 receptor in the same direction.
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Retatrutide (Reta) + Semaglutide (Ozempic/Wegovy)
Retatrutide (Reta) and Semaglutide (Ozempic/Wegovy) both push the glp1 receptor in the same direction.
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Sitagliptin (Januvia) + Semaglutide (Ozempic/Wegovy)
Semaglutide (Ozempic/Wegovy) and Sitagliptin (Januvia) both push the glp1 receptor in the same direction.
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Tirzepatide (Mounjaro/Zepbound) + Semaglutide (Ozempic/Wegovy)
Semaglutide (Ozempic/Wegovy) and Tirzepatide (Mounjaro/Zepbound) both push the glp1 receptor in the same direction.
Serum checks 5 modeled interaction pairings for semaglutide (ozempic/wegovy) across your whole stack — absorption conflicts, enzyme inhibition, and nutrient depletion included.
Research behind this entry
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Once-Weekly Semaglutide in Adults with Overweight or Obesity (STEP 1)
Landmark phase 3 trial showing 2.4 mg weekly semaglutide produced 14.9% mean body weight loss vs 2.4% with placebo over 68 weeks in adults with obesity.
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Pharmacokinetics and Clinical Implications of Semaglutide: A New GLP-1 Receptor Agonist
Comprehensive pharmacokinetic review establishing semaglutide half-life of ~1 week (145-168 h), high albumin binding (>99%), and dose-proportional exposure supporting once-weekly administration.
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Semaglutide and Cardiovascular Outcomes in Patients with Type 2 Diabetes (SUSTAIN-6)
Pivotal cardiovascular outcomes trial demonstrating semaglutide significantly reduced major adverse cardiovascular events by 26% compared to placebo in type 2 diabetes patients at high CV risk.
3 published studies referenced in the app, each with a plain-language summary.