What is it about?

Semaglutide is a medication used to treat type 2 diabetes. It was developed by Novo Nordisk and gained approval from the US FDA in 2017. This drug, available under brand names like Ozempic, Rybelsus, and Wegovy, belongs to a class of medications known as GLP-1 receptor agonists. Semaglutide is unique due to its 94% structural similarity to a natural human hormone called GLP-1, but it has three specific modifications that enhance its effectiveness. One modification involves changing certain amino acids, and another attaches a fatty acid chain to the drug molecule. These modifications give Semaglutide a longer-lasting effect, reducing the need for frequent dosing. Its mechanism of action is similar to GLP-1, as it stimulates insulin release, slows down stomach emptying, and decreases glucagon secretion, all in response to glucose levels in the body. Semaglutide is available in both injectable and oral forms. It has proven effective in controlling blood sugar levels, promoting weight loss, and reducing cardiovascular risk in patients with type 2 diabetes. The medication has been well-received for its extended pharmacokinetic profile, allowing for weekly or even daily administration.

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Why is it important?

Semaglutide represents a significant advancement in the treatment of type 2 diabetes. Its approval by the US FDA and global availability under various brand names has provided patients and healthcare providers with effective options to manage this chronic condition. One of the key advantages of Semaglutide is its extended duration of action. Patients can benefit from once-weekly or even daily dosing, reducing the burden of frequent injections or medication schedules. This convenience can lead to better adherence to treatment plans and improved glycemic control. Furthermore, Semaglutide's impact on weight loss is particularly valuable for individuals with type 2 diabetes, as obesity is a common comorbidity. This medication not only helps control blood sugar but also promotes weight reduction, potentially leading to improved overall health outcomes. The development of oral formulations of Semaglutide, such as Rybelsus, has expanded treatment options. This is especially important for patients who may have reservations about injectable medications. In addition to its diabetes management benefits, Semaglutide has gained approval for weight loss in individuals with specific medical conditions related to obesity. This underscores its versatility and potential to address multiple health concerns. However, it's essential to note that Semaglutide, like any medication, comes with potential side effects and drug interactions. Therefore, its use should be carefully monitored by healthcare professionals. KEY TAKEAWAY: Semaglutide, a GLP-1 receptor agonist, is a groundbreaking medication for type 2 diabetes, offering extended action, weight loss benefits, and both injectable and oral formulations. Its versatility and effectiveness make it a valuable tool in managing diabetes and related conditions, but it should be used under medical supervision due to potential side effects and interactions.

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This page is a summary of: Semaglutide, RCSB Protein Data Bank, August 2023, Protein Data Bank, Rutgers University,
DOI: 10.2210/rcsb_pdb/gh/dm/drugs/in/semaglutide.
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