GLP-1 Half-Life
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See how much semaglutide or tirzepatide is still active in your system — and when your concentration drops below therapeutic levels.
See how much semaglutide or tirzepatide is still active in your system — and when your concentration drops below therapeutic levels.
Semaglutide (Ozempic, Wegovy) has a half-life of approximately 7 days (168 hours), which is why it is dosed once weekly. This long half-life means the medication builds up in your system over the first 4 to 5 weeks until it reaches steady state. At steady state, you always have roughly 2 times the single-dose concentration in your system.
Tirzepatide (Mounjaro, Zepbound) has a shorter half-life of approximately 5 days (120 hours), also dosed once weekly. Because of this shorter half-life, tirzepatide reaches steady state slightly faster and has slightly larger concentration swings between doses.
What happens when you miss a dose: Because GLP-1 medications have long half-lives, missing one dose does not immediately drop your concentration to zero. After 7 days past a missed semaglutide dose, you still have approximately 50% of your peak concentration remaining.
The long half-life of GLP-1 medications creates flexibility — you can inject on any consistent day of the week. It also means that when stopping treatment, appetite does not return immediately; it gradually increases over several weeks as the drug clears your system. This pharmacokinetic property is why abrupt cessation causes a smoother appetite rebound than many patients expect.