A signal your gut sends when you eat.
It helps release insulin when blood sugar is high, and it helps you feel full. Most medicines on this page copy it. Semaglutide, in Ozempic and Wegovy, is the best known.
Peplexicon guide · GLP-1 medicines
Ozempic, Wegovy, Mounjaro, and Zepbound all copy signals your gut sends after a meal. Newer ones, sometimes called “GLP-3s,” copy more than one. Here is what each one does, what the big studies found, and what nobody knows yet.
The essentials in plain language. Your reading level. The same underlying facts.
This page explains research. It is not medical advice, and it can’t tell you which medicine fits you. We last checked whether each medicine is approved on September 24, 2026.
The best-known one. It is in Ozempic and Wegovy shots, taken once a week, and in daily pills. It is used for type 2 diabetes and weight. In big studies it also lowered heart and kidney problems.
Ozempic was approved in December 2017, Rybelsus in 2019, Wegovy in 2021, Wegovy tablets in December 2025, and a higher-dose Wegovy injection in March 2026.
01The names, decoded
Online, people number these medicines by how many body signals they copy. It’s a handy shortcut. But it borrows real hormone names and gets them wrong. Here is what each name really means.
It helps release insulin when blood sugar is high, and it helps you feel full. Most medicines on this page copy it. Semaglutide, in Ozempic and Wegovy, is the best known.
Tirzepatide, in Mounjaro and Zepbound, copies two signals: GLP-1 and GIP. The real GLP-2 is a different gut hormone that helps the gut lining grow. Its medicine copy treats a rare gut problem, not weight.
Retatrutide copies GLP-1, GIP, and glucagon. It is still being tested and is not approved. Its maker calls “GLP-3” a wrong label. Sellers online use the name anyway, and the FDA has warned them.
Rybelsus and the Wegovy pill hold semaglutide, the same medicine as Ozempic. A helper gets a little of it through the stomach, so it must be taken on an empty stomach. Foundayo is different. It is a small chemical, not a peptide, and can be taken with food.
02Where the signals come from
After a meal, your gut and pancreas send out small signals. They tell your body to handle sugar and tell your brain you’ve had enough. The medicines on this page copy one or more of these four.
Body signal
Body signal
Body signal
Body signal
Your body makes one long chain, then cuts it into pieces. The gut and the pancreas cut it in different places. That’s why GLP-1 and glucagon are cousins, and why GLP-1 got its name: “glucagon-like.”
03The whole family
Tap any row to learn more. The coloured dots show which body signals each medicine copies. Some are approved. Some are still being tested. A few were stopped.
| Medicine | GLP-1 | GIP | Glucagon | Amylin | How it’s taken | Status | First approved |
|---|---|---|---|---|---|---|---|
| Copies | Doesn’t copy | Doesn’t copy | Doesn’t copy | Injection Twice daily | FDA-approved | 2005 | |
| Doesn’t copy | Doesn’t copy | Doesn’t copy | Copies | Injection Before major meals | FDA-approved | 2005 | |
| Copies | Doesn’t copy | Doesn’t copy | Doesn’t copy | Injection Once daily | FDA-approved | 2010 | |
| Copies | Doesn’t copy | Doesn’t copy | Doesn’t copy | Injection Once weekly | FDA-approved | 2014 | |
| Copies | Doesn’t copy | Doesn’t copy | Doesn’t copy | Injection Once daily | FDA-approved | 2016 | |
| Copies | Doesn’t copy | Doesn’t copy | Doesn’t copy | Injection or pill Weekly or daily | FDA-approved | 2017 | |
GLP-1 In plain wordsThe best-known one. It is in Ozempic and Wegovy shots, taken once a week, and in daily pills. It is used for type 2 diabetes and weight. In big studies it also lowered heart and kidney problems. Ozempic was approved in December 2017, Rybelsus in 2019, Wegovy in 2021, Wegovy tablets in December 2025, and a higher-dose Wegovy injection in March 2026. Brand names
Where this comes from
| |||||||
| Copies | Copies | Doesn’t copy | Doesn’t copy | Injection Once weekly | FDA-approved | 2022 | |
| Copies | Doesn’t copy | Doesn’t copy | Doesn’t copy | Pill Once daily | FDA-approved | 2026 | |
| Copies | Doesn’t copy | Doesn’t copy | Copies | Injection Once weekly | Waiting for FDA decision | — | |
| Copies | Doesn’t copy | Copies | Doesn’t copy | Injection Once weekly | Approved outside the U.S. | — | |
| Copies | Copies | Copies | Doesn’t copy | Injection Once weekly | Still being tested | — | |
| Copies | Doesn’t copy | Copies | Doesn’t copy | Injection Once weekly | Still being tested | — | |
| Copies | Blocks | Doesn’t copy | Doesn’t copy | Injection Monthly or less often | Still being tested | — | |
| Copies | Doesn’t copy | Doesn’t copy | Copies | Injection or pill Weekly or daily (in trials) | Still being tested | — | |
| Doesn’t copy | Doesn’t copy | Doesn’t copy | Copies | Injection Once weekly | Still being tested | — | |
| Copies | Doesn’t copy | Copies | Doesn’t copy | Injection Once weekly | Still being tested | — | |
| Copies | Doesn’t copy | Doesn’t copy | Doesn’t copy | Injection Once weekly | Stopped | 2014 | |
| Copies | Doesn’t copy | Doesn’t copy | Doesn’t copy | Pill Once or twice daily | Stopped | — | |
04What they do in the body
These signals don’t act in just one spot. Pick a medicine to see which parts of the body it reaches. Some effects come from basic science. Others were shown in large studies of people.
| Part of the body | GLP-1 | GIP | Glucagon | Amylin |
|---|---|---|---|---|
| Brain | Makes you feel full and less hungry. It can also cause queasiness. Body science | Found in hunger areas too. Animal studies hint it may ease queasiness. Body science | — | Makes you feel full sooner. Body science |
| Stomach | Slows how fast food leaves the stomach. Body science | — | — | Also slows the stomach. Body science |
| Pancreas | Releases more insulin, but only when blood sugar is high. Keeps glucagon low. Body science | Also releases insulin when blood sugar is high. Body science | — | Keeps glucagon from rising after meals. Body science |
| Liver | Less fat in the liver, mostly from weight loss. One big study showed liver healing. Shown in studies | — | Tells the liver to release sugar and burn more fat. Body science | — |
| Body fat and energy | — | Talks to fat cells about storing fat. How this helps weight loss is still argued about. Body science | Makes the body burn a little more energy. Body science | — |
| Heart | Fewer heart attacks and strokes in some big studies. Heart rate goes up a little. Shown in studies | — | Can make the heart beat faster. Body science | — |
| Kidneys | Kidney damage got worse more slowly in one big study. Shown in studies | — | — | — |
“Body science” means it comes from how the signal works. “Shown in studies” means large studies of people measured it. A dash means no clear role there.
05How long they last
Your body’s own GLP-1 is gone in about two minutes. That is why it can’t work as a medicine. Chemists changed it so it lasts hours, days, or a whole week. That is why some are daily shots and others are weekly.
Each bar shows how long it takes for half of a dose to be cleared. Longer lasting means fewer shots.
06What the big studies found
These are the main studies people ask about. Each one tested a medicine against a dummy shot or pill. Numbers show the average. Many people lost more, and some lost less.
SCALE Big study · 56 weeks
Liraglutide, daily shot
Adults without diabetes
STEP 1 Big study · 68 weeks
Semaglutide, weekly shot
Adults without diabetes
SURMOUNT-1 Big study · 72 weeks
Tirzepatide, weekly shot
Adults without diabetes
Retatrutide phase 2 Early study · 48 weeks
Retatrutide, weekly shot
Adults without diabetes
ATTAIN-1 Big study · 72 weeks
Orforglipron, daily pill
Adults without diabetes
GLORY-1 Big study · 48 weeks
Mazdutide, weekly shot
Adults in China
MariTide phase 2 Early study · 52 weeks
MariTide, monthly shot
Adults without diabetes
OASIS 4 Big study · 64 weeks
Semaglutide, daily pill
Adults without diabetes
REDEFINE 1 Big study · 68 weeks
CagriSema, weekly shot
Adults without diabetes
SURMOUNT-5 Big study · 72 weeks
Tirzepatide vs semaglutide
Adults without diabetes
SYNCHRONIZE-1 Big study · 76 weeks
Survodutide, weekly shot
Adults without diabetes
TRIUMPH-1 Big study · 80 weeks · early results
Retatrutide, weekly shot
Adults without diabetes
A “dummy” (placebo) looks like the medicine but has none in it. Everyone in these studies also got advice on eating and exercise.
Who was studied: 9,340 adults with type 2 diabetes and high heart risk.
The risk of a heart attack, stroke, or heart death was 13% lower than with a dummy shot.
Marso SP et al. Liraglutide and cardiovascular outcomes in type 2 diabetes (LEADER). N Engl J Med. 2016 ↗Who was studied: 3,297 adults with type 2 diabetes, most with heart or kidney disease.
Heart problems were 26% less likely. But diabetes eye problems were more common.
Marso SP et al. Semaglutide and cardiovascular outcomes in patients with type 2 diabetes (SUSTAIN-6). N Engl J Med. 2016 ↗Who was studied: 9,901 adults with type 2 diabetes, most without known heart disease.
Heart problems were 12% less likely than with a dummy shot.
Gerstein HC et al. Dulaglutide and cardiovascular outcomes in type 2 diabetes (REWIND). Lancet. 2019 ↗Who was studied: 17,604 adults with heart disease and extra weight, but no diabetes.
The risk of a heart attack, stroke, or heart death was 20% lower. It was the first weight medicine to show this.
Lincoff AM et al. Semaglutide and cardiovascular outcomes in obesity without diabetes (SELECT). N Engl J Med. 2023 ↗Who was studied: 3,533 adults with type 2 diabetes and kidney disease.
Kidney damage getting worse, kidney failure, or death from kidney or heart causes was 24% less likely.
Perkovic V et al. Effects of semaglutide on chronic kidney disease in patients with type 2 diabetes (FLOW). N Engl J Med. 2024 ↗Who was studied: 9,650 adults with type 2 diabetes and heart or kidney disease.
The daily pill lowered the risk of heart problems by 14%.
McGuire DK et al. Oral semaglutide and cardiovascular outcomes in high-risk type 2 diabetes (SOUL). N Engl J Med. 2025 ↗Who was studied: 13,165 adults with type 2 diabetes and heart disease.
Heart problems were about as common as with dulaglutide, an older medicine already shown to help.
Nicholls SJ et al. Cardiovascular outcomes with tirzepatide versus dulaglutide in type 2 diabetes (SURPASS-CVOT). N Engl J Med. 2025 ↗Who was studied: Adults with extra weight and a stiff-heart type of heart failure.
People had fewer symptoms and could walk farther in six minutes.
Kosiborod MN et al. Semaglutide in heart failure with preserved ejection fraction and obesity (STEP-HFpEF). N Engl J Med. 2023 ↗Who was studied: 731 adults with extra weight and a stiff-heart type of heart failure.
Heart death or worsening heart failure was 38% less likely.
Packer M et al. Tirzepatide for heart failure with preserved ejection fraction and obesity (SUMMIT). N Engl J Med. 2025 ↗Who was studied: 800 adults with a serious kind of fatty liver disease.
Liver inflammation cleared up in 63% of people on the medicine, versus 34% on a dummy shot.
Sanyal AJ et al. Phase 3 trial of semaglutide in metabolic dysfunction–associated steatohepatitis (ESSENCE). N Engl J Med. 2025 ↗Who was studied: Adults with extra weight and moderate or severe sleep apnea.
Pauses in breathing during sleep fell by about 25 to 29 an hour, versus about 5 on a dummy shot.
Malhotra A et al. Tirzepatide for the treatment of obstructive sleep apnea and obesity (SURMOUNT-OSA). N Engl J Med. 2024 ↗07Side effects and safety
Most side effects are in the stomach and gut, and they often ease with time. A few problems are rare but serious. Where a medicine comes from matters just as much.
This is not medical advice. This page explains research. Only a clinician who knows your health can say whether one of these medicines is right for you, and at what dose. How we decide what to publish →
08What we still don’t know
These medicines are well studied. But some big questions don’t have answers yet. Here are the ones researchers are still working on.
09Go deeper
Each page lists what is known about one medicine, with links to where each fact came from.
Numbers come straight from the lexicon and update as new research is checked.
Where to go next
Each medicine has its own page, with its own labels, studies, and side effects. Start with semaglutide, the most studied. Or see how any peptide medicine is made and tested in the Peptide Lab.
What this page can’t do