Ongoing pharmacovigilance continues to monitor this safety signal
A role for GLP-1 in regulating glycaemia had been noted in 1986, when this, then newly described ( in vitro , while studies in healthy humans revealed that circulating levels of GLP-1 increased after nutrient intake and confirmed GLP-1 to be an incretin hormone in vivo ( in vitro kinetic studies ( Inhibiting DPP-4 as a Therapy for T2DM In order for this approach to be viable, DPP-4 cleavage would need to be the initial and primary route of metabolism of GLP-1

Sources Nature: Two-year effects of semaglutide in adults with overweight or obesity: the STEP 5 trial NIH: Clinical Insight on Semaglutide for Chronic Weight Management in Adults: Patient Selection and Special Considerations Jama : Weight Loss Outcomes Associated With Semaglutide Treatment for Patients With Overweight or Obesity Taylor & Francis Online: Efficacy and safety of semaglutide for weight management: evidence from the STEP program FDA: Concern Over Compounded GLP-1 Drugs Important Medical Information and Disclaimers Medical Disclaimer This information is for educational use only
The approvals come as the original Ozempic patent protection expired on January 4, 2026, opening the door for generic competition
Research: The SCALE trial assessed weight loss outcomes in people with obesity receiving a once-daily injection of liraglutide over 14 months (56 weeks)
At your initial visit, Dr