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GLP-1 Side Effects comparison: do they work the same or differ?

GLP-1 Side Effects comparison: do they work the same or differ?
Dr. Constance Odom, MD
Dr. Constance Odom, MD
3 months ago / 8 min read

LP-1 receptor agonists have become popular for managing weight and type 2 diabetes, but like any medication, they may come with potential side effects. Understanding these side effects and how they differ across various GLP-1 medications can help you make an informed decision about which option may be right for you.

What are GLP-1 medications for weight loss?

GLP-1 weight loss medications are well known for their ability to improve blood sugar control and promote weight loss, making them an attractive option for both managing type 2 diabetes and supporting weight management.

These medications work by mimicking the effects of the natural hormone GLP-1, which increases insulin secretion, slows down digestion, and helps reduce appetite. However, the effectiveness and side effects can vary among different GLP-1 medications, so it’s essential to understand how each one might impact your health.

Among these GLP-1 medications, some popular options include Semaglutide, Tirzepatide, and Dulaglutide. The side effects may vary between them. However, it is important to consult with your doctor.

Here are the most common side effects for the GLP-1 medications:

Semaglutide side effects:

Semaglutide is a GLP-1 receptor agonist commonly used to manage type 2 diabetes and support weight loss. It is available in both injectable forms, such as Ozempic and Wegovy, and oral forms like Rybelsus. 

Nausea is one of the most frequently reported side effects of Semaglutide, especially during the initial stages of treatment. A study published in JAMA highlighted that nausea is particularly common when patients first start using the medication, although it often subsides over time (Hirsch, 2019). 

Alongside nausea, patients may also experience vomiting, especially at higher doses, and diarrhea as the body adjusts to the treatment. Another side effect that some users report is constipation, which is more likely to occur in the initial weeks of treatment. On ther other hand, abdominal pain is also relatively common, with some patients reporting discomfort in the stomach area during their course of treatment.

In addition to these more common side effects, there are a few less frequent but significant risks associated with Semaglutide. For instance, although rare, there have been reports of pancreatitis in some users. This potential risk was emphasized in a review published in Diabetes, Obesity and Metabolism, which underscored the importance of careful monitoring for symptoms of pancreatitis (Aroda, 2018). There is also an increased risk of gallbladder issues, including the development of gallstones, which should be considered when prescribing this medication. Additionally, some studies have discussed the potential, though rare, risk of developing thyroid tumors. 

Despite these side effects, it’s important to note that not all patients will experience them, and the incidence and severity can vary greatly from person to person. 

In comparison to other GLP-1 medications, Semaglutide is often praised for its effectiveness in promoting weight loss but tends to have a higher incidence of gastrointestinal side effects. This balance between efficacy and side effects was highlighted in a study that compared various GLP-1 receptor agonists, which found that while Semaglutide may cause more digestive issues, its benefits in weight management are substantial for many patients (McFarthing et al., 2020).

Liraglutide side effects

Liraglutide is a widely used GLP-1 receptor agonist, available under brand names such as Saxenda and Victoza. It is commonly prescribed for managing type 2 diabetes and aiding in weight loss. 

When it comes to Liraglutide side effects we found that Nausea, similar to Semaglutide, is one of the most frequently reported side effects, particularly at the beginning of treatment. 

Less common side effects include pancreatitis, a risk discussed in a comprehensive review of GLP-1 receptor agonists (Nauck et al., 2021). Kidney issues have also been documented, particularly in users with pre-existing conditions, and some individuals may experience injection site reactions such as redness or irritation.

When  comparing Liraglutide to other GLP-1 medications, it shares similar gastrointestinal side effects with Semaglutide but may have a lower risk of thyroid-related issues, making it a potentially safer option for some patients 

Dulaglutide Side Effects

Dulaglutide, known by the brand name Trulicity, is often chosen for its once-weekly dosing convenience. Nausea and vomiting are common side effects, although they often diminish over time as the body becomes accustomed to the medication. This trend was highlighted in a study published in Frontiers in Endocrinology (Gilbert & Pratley, 2020). Diarrhea is also frequently reported during the initial treatment phase. Additionally, some patients may experience fatigue, particularly in the early weeks of therapy.

Less common but important side effects include cardiovascular concerns. While Dulaglutide has demonstrated potential cardiovascular benefits, close monitoring of any heart-related symptoms is advised. Kidney problems may also occur, particularly in patients with pre-existing kidney conditions, so it’s important to consult a healthcare provider before starting treatment. (McFarthing et al., 2020).

Tirzepatide side effects

Tirzepatide is a newer GLP-1 receptor agonist, mostly marketed as Mounjaro, that has shown promising results in weight loss. However, like other medications in its class, it has potential side effects. Gastrointestinal issues such as nausea, vomiting, and diarrhea are frequently reported, as detailed in a review published in Diabetes Therapy (Min & Bain, 2021). 

Decreased appetite is another common side effect, which, while beneficial for weight loss, requires careful monitoring to prevent nutritional deficiencies. Some users may also experience injection site reactions, such as mild discomfort.

Which GLP-1 Medication is right for you?

Choosing the right GLP-1 medication involves weighing the benefits against the potential side effects. While Semaglutide may offer robust weight loss results, its gastrointestinal side effects could be a drawback for some users. Liraglutide and Dulaglutide provide similar benefits with potentially fewer risks, making them suitable for individuals concerned about thyroid or gallbladder issues. Tirzepatide, with its promising new approach, might be worth considering for those seeking enhanced weight loss results.

Conclusion

When choosing the ideal medication for weight loss, it's crucial to weigh the benefits, consult with a healthcare provider, and recognize that, while side effects may not always be severe, there is always a possibility of experiencing them. GLP-1 medications, like any other treatment, can cause side effects that may vary based on factors such as body size, other medications you may be taking, dosage, and potential allergic reactions.

GLP-1 medications for weight loss must be taken under the guidance of a specialist. If you’re interested in learning more or obtaining a prescription for a GLP-1 medication like Semaglutide, we encourage you to visit Nu Image Medical.

For a detailed guide on starting your weight loss journey with GLP-1 medications, check out this resource: Why are online GLP-1 programs good for Weight Loss


This article is for informational purposes only and does not constitute medical advice. The information contained herein is not a substitute for and should never be relied upon for professional medical advice. Always talk to your physician about the risks and benefits of any treatment. Nu Image Medical may not offer the medications or services mentioned in this article.

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