Liraglutide
Liraglutide is a GLP-1 receptor agonist with 97% amino acid sequence homology to endogenous human GLP-1(7-37). A C16 palmitoyl fatty acid chain attached via a glutamic acid spacer at Lys26 enables non-covalent albumin binding, extending its half-life from ~2 minutes (native GLP-1) to ~13 hours, permitting once-daily dosing. It is one of the most extensively studied peptide drugs in history, with over 5,500 PubMed publications. FDA-approved as Victoza for type 2 diabetes (2010) and as Saxenda for chronic weight management (2014). Largely succeeded by longer-acting semaglutide and tirzepatide in market share, but remains widely prescribed and has the longest real-world
This content is for educational and research purposes only. VialBase does not provide medical advice. Consult a healthcare professional before using any peptide.
Mechanism
GLP-1 receptor agonist with 97% homology to native GLP-1; C16 palmitoyl fatty acid side chain enables albumin binding, extending half-life. Activates GLP-1R in pancreas (insulin secretion), brain (appetite suppression), and GI tract (gastric emptying delay).
Dosing
Victoza: titrate 0.6 mg x1 week -> 1.2 mg -> 1.8 mg. Saxenda: titrate 0.6 mg weekly increments to 3.0 mg. Inject any time of day, with or without food.
Research summary
| Study | Type | Year | Key Finding |
|---|---|---|---|
| Real-World Effectiveness and Safety of Tirzepatide, Semaglutide, and Liraglutide in Adults with Overweight or Obesity without Diabetes: A Comparative Study | Retrospective observational study | 2026 | All three GLP-1 RAs produced significant weight loss and waist circumference reduction at 36 weeks |
| Impact of GLP-1RA Use on Perioperative Clinical Outcomes of Posterior Cervical Spinal Fusion | Retrospective cohort (TriNetX database) | 2026 | 737 GLP-1RA patients vs 18,882 controls undergoing posterior cervical fusion |
| Incretin Therapies in Binge Eating Disorder: A Systematic Review | Systematic review | 2026 | 12 studies met inclusion criteria evaluating GLP-1 RAs in BED |
Stacking & interactions
Preserve lean mass during GLP-1-induced weight loss
GI protective effects during GLP-1 therapy
Metabolic and mitochondrial optimization
What bloodwork do I need?
Reference ranges are general guidelines. Consult your physician for interpretation.
- CMP
- CBC
- Lipid Panel
- Fasting Glucose
- HbA1c
- Fasting Insulin
- Amylase
- Lipase
- Fasting Glucose
- HbA1c
- Amylase
- Lipase
- CMP
- Lipid Panel
- Fasting Glucose
- HbA1c
Safety & Regulatory Status
Regulatory status for Liraglutide may change. Verify current status with your jurisdiction before use. This is not legal or medical advice.
References
- Cetiner S. Real-World Effectiveness and Safety of Tirzepatide, Semaglutide, and Liraglutide in Adults with Overweight or Obesity without Diabetes: A Comparative Study. Diabetes, Metabolic Syndrome and Obesity (2026). PMID: 41938643
- Multiple authors. Impact of GLP-1RA Use on Perioperative Clinical Outcomes of Posterior Cervical Spinal Fusion. North American Spine Society Journal (2026). PMID: 41938705
- Multiple authors. Incretin Therapies in Binge Eating Disorder: A Systematic Review. Various (systematic review) (2026). PMID: 41947645