For years, glucagon-like peptide-1 receptor agonists were only available as injectables such as semaglutide and dulaglutide
Eating small, manageable meals helps more
They are not standardized medical guidelines
[21] [22] Some more serious side effects include: [12] Ongoing pain that begins in the upper left or middle of the stomach but may spread to the back Vomiting Hives, rash, itching Difficulty breathing or swallowing Swelling of lips, tongue, face, or throat Vision changes Fast heartbeat Dizziness or fainting Pain in the upper stomach, fever, yellowing of skin or eyes, or clay-colored stools Other reported adverse effects of dulaglutide include a small mean increase in heart rate, small decrease in systolic blood pressure and increases in pancreatic enzymes
Liraglutide injection technically remains on the FDA shortage list as of mid-2026, so 503B compounding of liraglutide is still permitted at the time of writing
telemedicine platforms undercut this dramatically by using compounded semaglutide: Mochi Health charges $99/month for compounded injectable semaglutide
