Updated · United States & Canada

GLP-1, weight-loss and diabetes medicines — explained clearly

Approvals, label dosing, side effects, costs and the legal ways to get every GLP-1, incretin and insulin medicine in the United States and Canada.

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What is a GLP-1?

A GLP-1 receptor agonist is a medicine that mimics the gut hormone GLP-1: it raises insulin after meals, lowers glucagon, slows stomach emptying and reduces appetite. Semaglutide (Ozempic, Wegovy) and tirzepatide (Mounjaro, Zepbound) are the best known; all are prescription-only in the US and Canada. Read the full answer →

What changed in 2026

  1. Ozempic tablets replace Rybelsus as the name for oral semaglutide in diabetes.
  2. Wegovy HD 7.2 mg approved.
  3. Awiqli, the first once-weekly insulin, approved in the US.
  4. Foundayo (orforglipron) approved — a weight-loss pill with no fasting rule.
  5. Canada became the first G7 country with generic semaglutide.

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