Why semaglutide and tirzepatide have weekly dosing
Semaglutide (Wegovy, Ozempic) has an exceptionally long half-life of ~7 days (168 hours), achieved through fatty acid modification that enables albumin binding — this slows renal filtration and enzymatic degradation. At a 7-day half-life, once-weekly dosing maintains relatively stable plasma concentrations. Tirzepatide (Zepbound, Mounjaro) has a half-life of ~5 days (120 hours), similarly supporting weekly dosing.
Liraglutide (Saxenda) has a much shorter half-life of ~13 hours, requiring daily injections. Despite similar mechanisms, the structural differences between GLP-1 receptor agonists produce markedly different PK profiles.