Glossary · Treatments and drug classes

GLP-1 receptor agonist

Also called GLP-1 agonist, GLP-1 RA, incretin mimetic

A GLP-1 receptor agonist is a medicine that mimics glucagon-like peptide-1 (GLP-1), a hormone the gut releases after eating. Drugs in this class help the pancreas release insulin when blood sugar is high, hold back glucagon, slow the emptying of the stomach and can reduce appetite. They are also called incretin mimetics.

FDA-approved examples include semaglutide (sold as Ozempic and Wegovy, and as Rybelsus tablets), liraglutide (Victoza), dulaglutide (Trulicity) and exenatide (Byetta). The class was first approved for type 2 diabetes; some members are also approved for chronic weight management. Compounded semaglutide is a different thing: the FDA states that compounded drugs are not FDA-approved and are not reviewed for safety, effectiveness or quality before they are marketed.

Why it matters after 45

Type 2 diabetes becomes more likely with age and with carrying extra weight, so midlife is when many people first hear about this class, either for blood sugar or for weight. It is also when other medicines, such as hormone therapy or thyroid treatment, may already be in the picture, which is why the class is usually discussed alongside a full medication list.

References

  1. MedlinePlus. Semaglutide Injection. U.S. National Library of Medicine. https://medlineplus.gov/druginfo/meds/a618008.html
  2. Cleveland Clinic. GLP-1 Agonists. https://my.clevelandclinic.org/health/treatments/13901-glp-1-agonists
  3. U.S. Food and Drug Administration. FDA's Concerns with Unapproved GLP-1 Drugs Used for Weight Loss. https://www.fda.gov/drugs/postmarket-drug-safety-information-patients-and-providers/fdas-concerns-unapproved-glp-1-drugs-used-weight-loss
  4. National Institute of Diabetes and Digestive and Kidney Diseases. Risk Factors for Type 2 Diabetes. https://www.niddk.nih.gov/health-information/diabetes/overview/risk-factors-type-2-diabetes

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