Table of Contents
Overview
Each GLP-1 receptor agonist is based on a different molecule, with slight variations in structure, duration, and indication. Some are daily, others weekly. Some target diabetes only, while others are approved for weight loss.
Exenatide
- Brands: Byetta® (twice daily), Bydureon BCise® (once weekly)
- Indications: Type 2 diabetes
- Notes: The first GLP-1 agonist approved; derived from Gila monster saliva; short-acting compared to newer agents
For more information about Exenatide – Click here.
Liraglutide
- Brands: Victoza® (diabetes), Saxenda® (weight loss)
- Indications: Type 2 diabetes, chronic weight management
- Dosing: Once daily injection
- Notes: Approved for both diabetes and obesity; effective for moderate weight loss; may cause nausea at initiation
For more information about Liraglutide – Click here.
Dulaglutide
- Brand: Trulicity®
- Indications: Type 2 diabetes; cardiovascular risk reduction
- Dosing: Once weekly injection
- Notes: Easy-to-use auto-injector; limited weight loss effect compared to semaglutide
For more information about Dulaglutide – Click here.
Semaglutide
- Brands: Ozempic® (diabetes), Wegovy® (weight loss), Rybelsus® (oral)
- Indications: Type 2 diabetes, chronic weight management
- Dosing: Weekly injection (Ozempic/Wegovy), daily oral tablet (Rybelsus)
- Notes: Highly effective for weight loss; strong GLP-1 receptor affinity; best studied in STEP clinical trials
For more information about Semaglutide – Click here.
Lixisenatide
- Brand: Adlyxin®
- Indications: Type 2 diabetes
- Dosing: Once daily injection
- Notes: Less commonly prescribed; may be used in fixed-dose combination with insulin glargine (Soliqua®)
For more information about Lixisenatide – Click here.
Tirzepatide
- Brand: Mounjaro®, Zepbound®
- Type: Dual GLP-1/GIP receptor agonist
- Indications: Type 2 diabetes; pending approval for obesity in some regions
- Dosing: Once weekly injection
- Notes: Shows superior weight loss outcomes vs. semaglutide in trials; represents next-generation incretin therapy
For more information about Tirzepatide – Click here.
Scientific References
- American Diabetes Association. “Pharmacologic Approaches to Glycemic Treatment.” Diabetes Care. 2024;47(Suppl 1):S125–S143.
- Drucker DJ. “GLP-1–based therapeutics: mechanisms and opportunities.” Cell Metab. 2018;27(4):740–756.
- Wilding JPH et al. “Once-Weekly Semaglutide in Adults with Overweight or Obesity.” New England Journal of Medicine. 2021;384:989–1002.
- Jastreboff AM et al. “Tirzepatide Once Weekly for the Treatment of Obesity.” NEJM. 2022;387:205–216.
This article is part of the GLP-1 Basics series by the American Center for GLP-1 Nutritional Guidance (ACGNG). All information is for educational purposes and not intended as medical advice.