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METABOLIC / FDA APPROVED

P21 (Peptide)

Subcutaneous injection (weekly), Oral (daily - Rybelsus)

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Written by

Peptide Association Editorial Team

Medically reviewed by

Ian Justl Ellis, MD, CPT

Last reviewed

August 3, 2026

Overview

A glucagon-like peptide-1 receptor agonist (GLP-1 RA) with 94% amino acid homology to native GLP-1. Semaglutide enhances glucose-dependent insulin secretion, suppresses glucagon, delays gastric emptying, and acts on hypothalamic GLP-1 receptors to reduce appetite.

Mechanism of Action

Its fatty acid side chain enables albumin binding, extending its half-life to approximately 7 days.

​Research Summary & Key Findings

STEP trials demonstrated ~15% mean body weight reduction. SELECT trial (2023) showed 20% reduction in major adverse cardiovascular events in overweight/obese adults without diabetes. FDA-approved for type 2 diabetes (Ozempic) and chronic weight management (Wegovy).

Clinical Status

FDA APPROVED

Semaglutide (Ozempic/Wegovy) has received FDA approval and is available for clinical use under appropriate medical supervision. Consult a qualified healthcare provider for prescribing information.

Administration Routes

Subcutaneous injection (weekly)

Oral (daily - Rybelsus)

References

PRIMARY LITERATURE

PRIMARY LITERATUREPeer-reviewed literature indexed by the National Library of Medicine.

Registered interventional and observational studies, including status and phase.

Chemical structure, molecular properties, and bioactivity data.

Study-level citations for this compound are being verified against the primary sources before publication. The database queries above return the current indexed literature in the meantime.

Administration Routes

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Disclaimer: This information is provided for educational and research purposes only. It is not intended as medical advice, diagnosis, or treatment. Always consult a qualified healthcare provider before starting any peptide therapy. The Peptide Association does not endorse or recommend any specific treatment protocol. See our editorial policy for how this content is produced and reviewed.

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