Semaglutide
Also known as Ozempic, Wegovy
The blockbuster GLP-1 that quiets appetite and drives real weight loss.
Clinical evidenceOverview
At a glance
Combining
Stacks well with: Cagrilintide, AOD-9604, 5-Amino-1MQ
Avoid combining with: Tirzepatide, Retatrutide
Safety
Nausea, GI upset; not for personal/family history of medullary thyroid cancer.
Regulatory: FDA-approved (Ozempic/Wegovy).
Not appropriate if: pregnant.
Questions
How is semaglutide taken?⌄
Semaglutide is a once-weekly subcutaneous (under-the-skin) injection. You use it on the same day each week. The dose starts low at 0.25 mg and is increased gradually up to a maximum of 2.4 mg based on how you respond.
How does it actually reduce my appetite?⌄
It mimics the GLP-1 hormone your gut releases after eating. This slows how quickly your stomach empties, signals fullness to your brain, and helps stabilize blood sugar - all of which reduce how hungry you feel between meals.
Who is semaglutide used for?⌄
It is primarily used for fat loss and metabolic health. It suits people who have a hard time maintaining a calorie deficit through diet alone and want a clinically backed tool to support that process.
What side effects should I expect?⌄
Nausea and gastrointestinal upset are the most common, especially early on. The slow dose titration is specifically designed to keep these manageable. Most people find they ease over the first few weeks.
Are there conditions that rule it out?⌄
Yes. Semaglutide is not appropriate during pregnancy or for anyone with a personal or family history of medullary thyroid cancer. Your clinician will screen for these before starting.
Can I combine it with other GLP-1 drugs?⌄
No. Semaglutide should not be combined with tirzepatide, retatrutide, or liraglutide - do not stack two GLP-1 agonists at the same time.
How long does treatment last?⌄
Treatment is ongoing under clinical supervision - it is not a short cycle. Duration is determined at your consult and reassessed regularly depending on your progress and goals.
Related protocols
Want a personalized protocol?
Exact dosing is set with a licensed provider in the PepDepo network. This page is education, not a prescription.
Book a consultEducation only, not medical advice. Peptides discussed are for informational purposes and many are not FDA-approved. Eligibility, prescribing, compounding, and dispensing are handled by appropriately licensed entities. Exact protocols and dosing are set with a licensed provider in the PepDepo network at consult. Content is pending clinical review.