Dulaglutide

FDA Approved

Also known as: Trulicity

GLP-1 Agonist

Last reviewed: April 28, 2026

A once-weekly GLP-1 receptor agonist FDA-approved for type 2 diabetes and cardiovascular risk reduction. Developed by Eli Lilly as a predecessor to tirzepatide. One of the most prescribed GLP-1 agonists globally.

Mechanism of Action

A GLP-1 analog fused to a modified IgG4 Fc fragment, extending its half-life to approximately 5 days. Activates GLP-1 receptors to stimulate insulin secretion, suppress glucagon, slow gastric emptying, and reduce appetite.

Common Uses

  • Type 2 diabetes
  • Cardiovascular risk reduction
  • Moderate weight loss
  • Blood sugar regulation

Known Risks

  • GI side effects (nausea, diarrhea, vomiting)
  • Pancreatitis (rare)
  • Thyroid C-cell tumors (animal studies)
  • Injection site reactions
  • Hypoglycemia when combined with insulin

Regulatory Status

FDA Approved

FDA-approved as Trulicity (2014) for type 2 diabetes and cardiovascular risk reduction (REWIND trial). Once-weekly injection via single-dose pen. One of the top-selling GLP-1 drugs globally.

Common Protocols

Protocol information is for educational reference only. Dosing varies significantly by individual, condition, and physician guidance. Always work with a licensed healthcare provider.

Subcutaneous injection

Typical Dose

0.75 mg → 4.5 mg (titrated)

Frequency

Once weekly

Cycle Length

Ongoing

Pre-filled single-dose pen. Inject in abdomen, thigh, or upper arm. No reconstitution needed. Titrate from 0.75 mg every 4 weeks as tolerated.

Related Compounds

Research References

This information is for educational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional before starting any peptide therapy. Data is compiled from published research and regulatory sources and may not reflect the most recent developments.