Liraglutide
Daily GLP-1 receptor agonist (Saxenda/Victoza). FDA-approved for chronic weight management and type 2 diabetes. Older sibling of semaglutide with smaller weight-loss effect size.
Educational only — not medical advice. SmartPeptide does not prescribe, diagnose, or treat. Always consult a licensed healthcare provider before using any peptide, supplement, medication, or protocol.
What the research shows
SCALE Obesity (n=3,731, 56 weeks) showed ~8% body-weight reduction on 3mg/day vs ~2.6% placebo. LEADER (n=9,340, type 2 diabetics) demonstrated cardiovascular benefit. FDA-approved 2014 (weight management) and 2010 (T2D).
What's still experimental
Use in adolescents (newer indication, smaller dataset). Combinations with SGLT2 inhibitors for additive weight effect. Long-term durability beyond ~3 years of continuous use.
Anecdotal / community reports
Off-label microdosing, cycling on/off, and direct comparisons with semaglutide are widely discussed in patient communities but lack head-to-head RCT data.
Anecdotal reports are NOT scientific evidence. They reflect personal experience and may not generalize.
FDA approval status
Source: openFDA + DailyMed (NIH/NLM)- Full label on DailyMedLiraglutide(LIRAGLUTIDE) · Lupin Pharmaceuticals, Inc.Indications & usage
1 INDICATIONS AND USAGE Liraglutide injection is indicated: as an adjunct to diet and exercise to improve glycemic control in adults and pediatric patients aged 10 years and older with type 2 diabetes mellitus Limitations of Use: Liraglutide injection contains liraglutide. Coadministration with other liraglutide-containing products is not recommended. Liraglutide injection is a glucagon-like peptide-1 (GLP-1) receptor agonist indicated: as an adjunct to diet and exercise to improve glycemic control in adults and pediatric patients aged 10 years and older with type 2 diabetes mellitus ( 1 ). Limitations of Use : Coadministration with other liraglutide-containing products is not recommended.
Dosage & administration2 DOSAGE AND ADMINISTRATION Adult Patients: Initiate at 0.6 mg injected subcutaneously once daily for one week then increase to 1.2 mg daily. If additional glycemic control is required, increase the dose to 1.8 mg daily after one week of treatment with the 1.2 mg daily dose. ( 2.1 ) Pediatric Patients: Initiate at 0.6 mg injected subcutaneously once daily for at least one week. If additional glycemic control is required increase the dose to 1.2 mg daily and if additional glycemic control is still required, increase the dose to 1.8 mg daily after at least one week of treatment with the 1.2 mg daily dose. ( 2.1 ) Inspect visually prior to each injection. Only use if solution is clear, colorless, and contains no particles. ( 2.3 ) Inject liraglutide injection subcutaneously once-daily at any…
Warnings5 WARNINGS AND PRECAUTIONS Acute Pancreatitis : Has been observed in patients treated with GLP-1 receptor agonists, including liraglutide injection. Discontinue if pancreatitis is suspected. ( 5.2 ) Never Share a liraglutide injection Pen Between Patients, even if the needle is changed. ( 5.3 ) Hypoglycemia : Adult patients taking an insulin secretagogue or insulin may have an increased risk of hypoglycemia, including severe hypoglycemia. In pediatric patients 10 years of age and older, the risk of hypoglycemia was higher with liraglutide injection regardless of insulin and/or metformin use. Reduction in the dose of insulin secretagogues or insulin may be necessary. ( 5.4 ) A cute Kidney Injury Due to Volume Depletion : Monitor renal function in patients reporting adverse reactions that co…
- Full label on DailyMedLiraglutide(LIRAGLUTIDE) · Biocon Pharma Inc.Indications & usage
1 INDICATIONS AND USAGE Liraglutide injection is indicated in combination with a reduced calorie diet and increased physical activity to reduce excess body weight and maintain weight reduction long term in: Adults and pediatric patients aged 12 years and older with body weight greater than 60 kg and obesity. Adults with overweight in the presence of at least one weight-related comorbid condition. Limitations of Use Liraglutide injection contains liraglutide. Coadministration with other liraglutide-containing products or with any other glucagon-like peptide-1 (GLP-1) receptor agonist is not recommended. The safety and effectiveness of liraglutide injection in pediatric patients with type 2 diabetes have not been established. Liraglutide injection is a glucagon like peptide 1 (GLP-1) recepto…
Dosage & administration2 DOSAGE AND ADMINISTRATION Inject liraglutide injection subcutaneously in the abdomen, thigh, or upper arm once daily at any time of day, without regard to the timing of meals. ( 2.1 ) The recommended dose of liraglutide injection is 3 mg daily. ( 2.2 ) Initiate at 0.6 mg per day for one week. In weekly intervals, increase the dose until a dose of 3 mg is reached. ( 2.2 ) If pediatric patients do not tolerate an increased dose during dose escalation, the dose may also be lowered to the previous level. Dose escalation for pediatric patients may take up to 8 weeks. ( 2.2 ) Pediatric patients who do not tolerate 3 mg daily may have their dose reduced to 2.4 mg daily. ( 2.2 ) Adult patients with type 2 diabetes should monitor blood glucose prior to starting liraglutide injection and during li…
Warnings5 WARNINGS AND PRECAUTIONS Acute Pancreatitis: Has been observed in patients treated with GLP-1 receptor agonists, including liraglutide injection. Discontinue if pancreatitis is suspected. ( 5.2 ) Acute Gallbladder Disease: If cholelithiasis or cholecystitis are suspected, gallbladder studies are indicated. ( 5.3 ) Hypoglycemia: Can occur in adults when liraglutide injection is used with an insulin secretagogue (e.g. a sulfonylurea) or insulin. The risk may be lowered by a reduction in the dose of concomitantly administered insulin secretagogues or insulin. In the pediatric clinical trial, patients did not have type 2 diabetes. Hypoglycemia occurred in liraglutide injection-treated pediatric patients. Inform all patients of the risk of hypoglycemia and educate them on the signs and sympto…
- Full label on DailyMedLiraglutide(LIRAGLUTIDE) · A-S Medication SolutionsIndications & usage
1 INDICATIONS AND USAGE Liraglutide is indicated: • as an adjunct to diet and exercise to improve glycemic control in adults and pediatric patients aged 10 years and older with type 2 diabetes mellitus, • to reduce the risk of major adverse cardiovascular events (cardiovascular death, non-fatal myocardial infarction, or non-fatal stroke) in adults with type 2 diabetes mellitus and established cardiovascular disease. Limitations of Use : Liraglutide should not be used in patients with type 1 diabetes mellitus. Liraglutide contains liraglutide and should not be coadministered with other liraglutide-containing products. Liraglutide is a glucagon-like peptide-1 (GLP-1) receptor agonist indicated: • as an adjunct to diet and exercise to improve glycemic control in adults and pediatric patients…
Dosage & administration2 DOSAGE AND ADMINISTRATION • Adult Patients : Initiate at 0.6 mg injected subcutaneously once daily for one week then increase to 1.2 mg daily. If additional glycemic control is required, increase the dose to 1.8 mg daily after one week of treatment with the 1.2 mg daily dose (2.1) . • Pediatric Patients : Initiate at 0.6 mg injected subcutaneously once daily for at least one week. If additional glycemic control is required increase the dose to 1.2 mg daily and if additional glycemic control is still required, increase the dose to 1.8 mg daily after at least one week of treatment with the 1.2 mg daily dose (2.1) . • Inspect visually prior to each injection. Only use if solution is clear, colorless, and contains no particles (2.3) . • Inject liraglutide subcutaneously once-daily at any tim…
Warnings5 WARNINGS AND PRECAUTIONS • Pancreatitis : Postmarketing reports, including fatal and non-fatal hemorrhagic or necrotizing pancreatitis. Discontinue promptly if pancreatitis is suspected. Do not restart if pancreatitis is confirmed (5.2) . • Never share a liraglutide pen between patients, even if the needle is changed (5.3) . • Hypoglycemia: Adult patients taking an insulin secretagogue or insulin may have an increased risk of hypoglycemia, including severe hypoglycemia. In pediatric patients 10 years of age and older, the risk of hypoglycemia was higher with liraglutide regardless of insulin and/or metformin use. Reduction in the dose of insulin secretagogues or insulin may be necessary (5.4) . • Acute Kidney Injury : Postmarketing, usually in association with nausea, vomiting, diarrhea,…
All current FDA labels (DailyMed)
- LIRAGLUTIDE INJECTION, SOLUTION [CIPLA USA INC.]· Jul 14, 2026
- LIRAGLUTIDE INJECTION [NORTHSTAR RX LLC]· Jun 26, 2026
- SAXENDA (LIRAGLUTIDE) INJECTION, SOLUTION [NOVO NORDISK PHARMACEUTICAL INDUSTRIES, LP]· Jun 15, 2026
- LIRAGLUTIDE INJECTION [HIKMA PHARMACEUTICALS USA INC.]· Jun 11, 2026
- LIRAGLUTIDE INJECTION, SOLUTION [TEVA PHARMACEUTICALS, INC.]· May 06, 2026
- LIRAGLUTIDE INJECTION [BIOCON PHARMA INC.]· Apr 27, 2026
Doses studied in research
Source: FDA-approved labelWhat published trials tested or FDA-approved labels specify. Reporting research facts — not a SmartPeptide recommendation.
Notes from the source: Daily injection, not weekly. Titration: 0.6 → 1.2 → 1.8 → 2.4 → 3.0 mg, weekly increases.
FDA enforcement & recalls
Live · openFDA Drug Enforcement API- Class IIOngoing· Voluntary: Firm initiatedFDA record
Liraglutide Injection, 18 mg/3 mL (6 mg/mL), Rx only, Manufactured for: Lupin Pharmaceuticals, Inc., Naples, FL 34108, Manufactured by: Lupin Limited, Nagpur 441108, INDIA, a) 2 Pens- NDC 70748-346-02…
Reason: Presence of particulate matter: a white thread-like structure in the cartridge
Apr 24, 2026·Lupin Pharmaceuticals Inc. - Class IITerminated· Voluntary: Firm initiatedFDA record
Saxenda (liraglutide) Injection, 18 mg/3 mL (6 mg/mL), 1 x 3 mL Prefilled Pen, Sample. Not for Resale., Rx only, Novo Nordisk Inc., Plainsboro, NJ 08536, Manufactured by: Novo Nordisk A/S, Bagsvaerd,…
Reason: Temperature Abuse: product samples were stored at temperatures below 32* F which is not in accordance with storage requirements that could cause a lack of efficacy and damage to the cartridge and pen-injectors.
Mar 22, 2021·Novo Nordisk Inc - Class IITerminated· Voluntary: Firm initiatedFDA record
ViCTOZA (liraglutide) injection, 18 mg/3 mL (6 mg/mL), contains: 1 Victoza Pen, Sample Not for Resale, Rx only, Manufactured by: Novo Nordisk A/S, Bagesvaerd, Denmark NDC 0169-4060-90 (Pen), 0169-406…
Reason: Temperature Abuse: product samples were stored at temperatures below 32* F which is not in accordance with storage requirements that could cause a lack of efficacy and damage to the cartridge and pen-injectors.
Mar 22, 2021·Novo Nordisk Inc - Class ITerminated· Voluntary: Firm initiatedFDA record
Xultophy 100/3.6 (insulin degludec and liraglutide injection), 100 units/mL and 3.6 mg/mL, 3 mL Prefilled Pen, SAMPLE, Rx only, Manufactured by: Novo Nordisk A/S, Bagsvaerd, Denmark, Distributed by: N…
Reason: Temperature Abuse: product samples were stored at temperatures below 32* F which is not in accordance with storage requirements that could cause a lack of efficacy and damage to the cartridge and pen-injectors.
Mar 22, 2021·Novo Nordisk Inc
Mechanism & targets
ChEMBL · UniProt · Open TargetsMolecule (ChEMBL)
View on ChEMBL- CHEMBL1784agonistGlucagon-like peptide 1 receptor agonist
Protein targets (UniProt)
- NeprilysinP08473gene: MMEHomo sapiens· 750 aaReviewed
Thermolysin-like specificity, but is almost confined on acting on polypeptides of up to 30 amino acids (PubMed:15283675, PubMed:6208535, PubMed:6349683, PubMed:8168535). Biologically important in the destruction of opioid peptides such as Met- and Leu-enkephalins by cleavage of a Gly-Phe bond (PubMed:17101991, PubMed:6349683). Catalyzes cleavage of bradykinin, substance P and neurotensin peptides (PubMed:6208535). Able to cleave angiotensin-1, angiotensin-2 and angiotensin 1-9 (PubMed:15283675,…
- Glucagon-like peptide 1 receptorP43220gene: GLP1RHomo sapiens· 463 aaReviewed
G protein-coupled receptor for glucagon-like peptide 1 (GLP-1) (PubMed:19861722, PubMed:26308095, PubMed:27196125, PubMed:28514449, PubMed:7517895, PubMed:8216285, PubMed:8405712). Ligand binding triggers activation of a signaling cascade that leads to the activation of adenylyl cyclase and increased intracellular cAMP levels (PubMed:19861722, PubMed:26308095, PubMed:27196125, PubMed:28514449, PubMed:7517895, PubMed:8216285, PubMed:8405712). Plays a role in regulating insulin secretion in respon…
- AlbuminP02768gene: ALBHomo sapiens· 609 aaReviewed
Binds water, Ca(2+), Na(+), K(+), fatty acids, hormones, bilirubin and drugs (Probable). Its main function is the regulation of the colloidal osmotic pressure of blood (Probable). Major zinc transporter in plasma, typically binds about 80% of all plasma zinc (PubMed:19021548). Major calcium and magnesium transporter in plasma, binds approximately 45% of circulating calcium and magnesium in plasma (By similarity). Potentially has more than two calcium-binding sites and might additionally bind cal…
Live research
PubMed · ClinicalTrials.gov · Europe PMC · OpenAlexClinical trials (ClinicalTrials.gov)
- Liraglutide Efficacy on Glucocorticoid Induced Hyperglycemia in Patients High Risk for DiabetesUNKNOWNNCT02016846 · PHASE3 · n=36 · 2014-01
- A Trial to Assess the Effect of Liraglutide on Gastric Emptying in Healthy Obese VolunteersCOMPLETEDNCT00978393 · PHASE1 · n=49 · 2009-09-16
- Efficacy and Safety of Liraglutide Versus Sulphonylurea Both in Combination With Metformin During Ramadan in Subjects With Type 2 DiabetesCOMPLETEDNCT01917656 · PHASE4 · n=343 · 2014-01-09
- Liraglutide as Additional Treatment in Patients With Type 1 Diabetes MellitusCOMPLETEDNCT01299012 · N/A · n=30 · 2010-10
- Liraglutide Effectiveness in Preoperative Weight-loss for Bariatric-metabolic SurgeryCOMPLETEDNCT06201819 · PHASE4 · n=37 · 2022-12-18
Europe PMC — 20,892 additional records
Includes EU/UK studies and PubMed Central full-text articles. Often surfaces research weeks before PubMed indexes it.
- m6A methylation of circKPNA2 promotes colorectal carcinogenesis by activating the RIN1-Ras pathwayTian J, Jiang Z, Huang Q, et al. · 2026Open access
- Multiomics insights into the effects of prebiotics on physical function and metabolism in adults with obesity and knee osteoarthritisWang W, Fortuna R, Mayengbam S, et al. · 2026Open access
- A novel bile salt hydrolase-producing <i>Ligilactobacillus salivarius</i> prevents diet-induced obesity via regulation of bile acid metabolism and glucagon-like peptide 1 restorationLv J, Zhou L, Dai X, et al. · 2026Open access
- Diabetic cerebral microvascular disorder: from key pathologies to targeted interventionsZhang Q, Liu J, Ji X., et al. · 2026Open access
Research volume (OpenAlex topic graph)
Human clinical evidence
Semantic Scholar · AI TLDRs · influence-rankedMost influential human studies
- Liraglutide and Cardiovascular Outcomes in Type 2 DiabetesJournal articleOpen access341 influential / 6049 citedS. Marso, Gilbert H. Daniels, K. Brown-Frandsen · New England Journal of Medicine · 2016
TLDR In the time-to-event analysis, the rate of the first occurrence of death from cardiovascular causes, nonfatal myocardial infarction, or nonfatal stroke among patients with type 2 diabetes mellitus was lower with liraglutide than with placebo.
- A Randomized, Controlled Trial of 3.0 mg of Liraglutide in Weight Management.Journal articleOpen access163 influential / 2130 citedX. Pi-Sunyer, A. Astrup, K. Fujioka · New England Journal of Medicine · 2015
TLDR 3.0 mg of liraglutide, as an adjunct to diet and exercise, was associated with reduced body weight and improved metabolic control in patients with type 2 diabetes and prediabetes.
- Liraglutide safety and efficacy in patients with non-alcoholic steatohepatitis (LEAN): a multicentre, double-blind, randomised, placebo-controlled phase 2 study.Clinical trialOpen access88 influential / 1866 citedM. Armstrong, P. Gaunt, G. Aithal · The Lancet · 2016
TLDR Liraglutide was safe, well tolerated, and led to histological resolution of non-alcoholic steatohepatitis, warranting extensive, longer-term studies.
- Effect of Weekly Subcutaneous Semaglutide vs Daily Liraglutide on Body Weight in Adults With Overweight or Obesity Without Diabetes: The STEP 8 Randomized Clinical Trial.Journal articleOpen access46 influential / 785 citedD. Rubino, F. Greenway, U. Khalid · Journal of the American Medical Association (JAMA) · 2022
TLDR A large, open-label, 68-week, phase 3b trial to compare the efficacy and adverse event profiles of once-weekly subcutaneous semaglutide vs once-daily sub cutaneous liraglUTide, both with diet and physical activity in people with overweight or obesity.
- A Randomized, Controlled Trial of Liraglutide for Adolescents with Obesity.Journal articleOpen access49 influential / 529 citedA. Kelly, Pernille Auerbach, M. Barrientos-Pérez · New England Journal of Medicine · 2020
TLDR In adolescents with obesity, the use of liraglutide (3.0 mg) plus lifestyle therapy led to a significantly greater reduction in the BMI standard-deviation score than placeboplus lifestyle therapy.
Research funding & verification
NIH RePORTER · CrossRef DOI registryNIH-funded research
U.S. National Institutes of Health- 5U01DK098246-07$30.9MContinuation of the Glycemia Reduction Approaches in Diabetes: A Comparative Effectiveness (GRADE) StudyJOHN M LACHIN · GEORGE WASHINGTON UNIVERSITY · FY2018
- 2U01DK098246-06$30.5MContinuation of the Glycemia Reduction Approaches in Diabetes: A Comparative Effectiveness (GRADE) StudyJOHN M LACHIN · GEORGE WASHINGTON UNIVERSITY · FY2017
- 4U01DK098246-05$30.0MGlycemia Reduction Approaches in Diabetes: A comparative effectiveness studyJOHN M LACHIN · GEORGE WASHINGTON UNIVERSITY · FY2016
- 5U01DK098246-04$28.9MGlycemia Reduction Approaches in Diabetes: A comparative effectiveness studyJOHN M LACHIN · GEORGE WASHINGTON UNIVERSITY · FY2015
Publication landscape
CrossRef · DOI registry- Novo Nordisk210 works
- National Natural Science Foundation of China119 works
- National Institutes of Health21 works
- Eli Lilly and Company21 works
- Novo Nordisk A/S18 works
- Boehringer Ingelheim18 works
Funder diversity is a credibility signal. Research concentrated in a single drug company's funding warrants more scrutiny than research funded across NIH, charities, and academic grants.
Preprints — cutting edge
bioRxiv · medRxiv · via Europe PMCPreprints have NOT been peer-reviewed. They are early research shared by authors before formal validation. Treat findings as preliminary.
- PreprintRisk of Allodynia with GLP-1 AgonistsFrey C, Sodhi M, Kezouh A, et al. · 2026-01-08
- PreprintCLINICAL CHARACTERISTICS OF USERS OF WEIGHT LOSS DRUGS: POPULATION-BASED CASE-CONTROL STUDYBakken IJ, Lopez-Doriga Ruiz P, Furu K, et al. · 2026-02-04
- PreprintComparative Cardiovascular Effectiveness of Glucagon-Like Peptide 1 Receptor Agonists and Sodium-Glucose Cotransporter-2 Inhibitors in Diabetes MellitusBu F, Wu R, Ostropolets A, et al. · 2026-02-24
- PreprintA systematic review and meta-analysis of the efficacy and safety of pharmacological treatments for obesity in adults: 2026 UpdateCiudin A, Baker JL, Belančić A, et al. · 2026-04-24
- PreprintThe association between pre-pregnancy use of obesity medications and gestational weight gain: a retrospective cohort studyPiccinini-Vallis H, Green J, Reeves K, et al. · 2026-07-01
Known risks
Pancreatitis (rare), gallbladder events, thyroid C-cell tumor signal in rodents (warning in label), hypoglycemia when combined with insulin or sulfonylureas. Not recommended in personal/family history of medullary thyroid carcinoma or MEN-2.
Reported side effects
Nausea, vomiting, diarrhea, constipation, injection-site reactions. GI effects usually peak in first weeks then taper.
FDA adverse event reports (FAERS)
Updated quarterly by FDA- US28,120
- FR1,474
- CA1,286
- GB1,115
Most-reported reactions
- Nausea7,710
- Blood Glucose Increased4,349
- Vomiting3,716
- Diarrhoea3,622
- Pancreatitis2,510
- Decreased Appetite2,309
- Weight Decreased2,222
- Headache2,147
- Off Label Use1,857
- Fatigue1,734
Counts from FDA Adverse Event Reporting System (FAERS). Voluntary reports — they show what was reported, not whether the drug caused the event. Many reports lack confirmation. FAERS docs
What requires medical supervision
Prescription medication. Requires baseline labs and ongoing monitoring for pancreatitis, thyroid concerns, and glycemic management.
Questions for your clinician
- Why liraglutide vs semaglutide for my situation?
- What baseline + follow-up labs do you recommend?
- How do we handle GI side effects during titration?