Dulaglutide
Also known as: Trulicity
Popular For
Blood sugar control, weight management, diabetes
Key Facts: Dulaglutide
- Category
- Weight Loss
- FDA Status
- FDA Approved
- Clinical Status
- FDA Approved - Type 2 diabetes
- Administration
- Subcutaneous injection weekly
- Typical Dose
- 1.5-4.5 mg weekly
- Frequency
- Once weekly
- Evidence Level
- FDA Approved
- Duration
- Long-term / chronic use
Mechanism of Action
Dulaglutide consists of two GLP-1 analogs linked to a modified human IgG4 Fc fragment. This structure extends half-life to about 5 days, allowing weekly dosing. Works through standard GLP-1 receptor activation.
Research Summary
AWARD program showed significant A1C reduction and weight loss. REWIND trial demonstrated cardiovascular benefits in broader diabetic population. Generally shows 3-5% weight loss in trials.
Dosing Information
Typical Dosingⓘ
Community experience
1.5-4.5 mg weekly
0.75-4.5 mg weekly
Once weekly
FDA-approved as Trulicity. Titrate from 0.75 mg. Convenient once-weekly dosing.
Research Dosingⓘ
Scientific studies
FDA-approved dosing
Doses from Studies
0.75mg weekly (starting)
1.5mg weekly
3.0mg, 4.5mg weekly (higher doses)
Duration
Long-term / chronic use
Administration
Subcutaneous injection weekly
Timing & Administration
Best Time to Take
Before bed or morning (fasted)
Follow specific peptide protocol
Food Recommendation
Take on empty stomach
Why This Timing?
GH-related peptides work best on an empty stomach to maximize growth hormone release.
Possible Side Effects
Not everyone experiences these effects. Individual responses vary based on dosage, duration, and personal factors.
- ●Nausea
- ●Diarrhea
- ●Vomiting
- ●Abdominal pain
- ●Injection site reactions
- ●Hypoglycemia (with insulin/sulfonylureas)
- ●Pancreatitis
- ●Gallbladder problems
- ●BOXED WARNING: Thyroid C-cell tumors
- ●FDA approved (Trulicity)
References
Related Peptides
Peptides commonly compared with Dulaglutide or used in similar applications.
Semaglutide
FDAA GLP-1 receptor agonist with multiple FDA approvals including weight loss, T2D, CV risk reduction, and kidney protection. Wegovy pill approved Dec 2025 as first oral GLP-1 for weight loss.
Weight LossTirzepatide
FDAA dual GIP/GLP-1 receptor agonist representing the next generation of incretin-based therapies. Shows superior weight loss compared to semaglutide in head-to-head trials. First medication approved for obstructive sleep apnea.
Weight LossLiraglutide
FDAAn FDA-approved GLP-1 receptor agonist for type 2 diabetes and chronic weight management. The predecessor to semaglutide with daily dosing.
Weight LossExenatide
FDAThe first GLP-1 receptor agonist approved for diabetes. Derived from Gila monster saliva. Available in twice-daily and weekly formulations.
Weight LossRetatrutide
Clinical TrialsA triple agonist targeting GLP-1, GIP, and glucagon receptors. Phase 3 trials show up to 28.7% weight loss (71 lbs average), the highest of any obesity drug. Expected FDA approval late 2026 to early 2027.
Weight LossOrforglipron
Clinical TrialsAn oral non-peptide GLP-1 receptor agonist. NDA under FDA review with decision expected April 10, 2026. If approved, will compete directly with oral Wegovy.
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