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Semaglutide

What is Semaglutide?

Semaglutide is a medication in a class called GLP-1 receptor agonists. It mimics a natural gut hormone (GLP-1) that the body releases after eating, which helps regulate blood sugar and appetite. At RxSpan MD, semaglutide is offered as a compounded medication in both an injectable and an oral (capsule) form.

How does it work?

Semaglutide acts like the body's own GLP-1 hormone. It helps the pancreas release insulin when blood sugar is elevated, slows how quickly the stomach empties, and acts on areas of the brain that regulate appetite — which can increase feelings of fullness and reduce hunger.

How is it taken?

Injectable form: a small injection under the skin (subcutaneous), typically once weekly.

Oral (capsule) form: taken by mouth, typically once daily as directed.

Your provider will determine the right form, dose, and schedule for you, and dosing is usually started low and increased gradually.

Possible side effects

The most common side effects are digestive and tend to occur early or when the dose is increased: nausea, vomiting, diarrhea, constipation, and abdominal pain. Less common but more serious risks reported with this class include inflammation of the pancreas (pancreatitis), gallbladder problems, kidney problems (often related to dehydration from vomiting/diarrhea), low blood sugar (especially if combined with insulin or certain diabetes medicines), and allergic reactions. This is not a complete list — review full prescribing information with your provider.

Important safety information — possible thyroid tumors

In animal studies, this class of medication caused thyroid C-cell tumors. It is not known whether it causes thyroid tumors, including medullary thyroid carcinoma (MTC), in people. Do not use this medication if you or a family member has a history of MTC or Multiple Endocrine Neoplasia syndrome type 2 (MEN 2). Tell your provider about all your medical conditions before starting.

About compounded medications

About compounded medications. Compounded semaglutide is not FDA-approved. The FDA does not review compounded medications for safety, effectiveness, or quality. Compounded medications are prepared by a state-licensed pharmacy based on an individual prescription, and are provided only when a licensed provider determines they are appropriate for you.

This information is provided for general educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. It is not complete prescribing information. Whether any medication is appropriate for you is determined by a licensed provider based on your individual health history. Always talk to your RxSpan MD provider about the risks, benefits, and full prescribing information before starting or changing any treatment.