GLP-1 glossary

Plain-language definitions of the GLP-1 terms you'll see on your treatment journey — from titration to steady state.

GLP-1 (glucagon-like peptide-1)
A hormone the gut releases after eating that stimulates insulin, slows stomach emptying, and reduces appetite. GLP-1 receptor agonist medications mimic this hormone to improve blood sugar and support weight loss. Track any GLP-1 medication.
Semaglutide
A GLP-1 receptor agonist sold as Ozempic and Rybelsus (type 2 diabetes) and Wegovy (weight management). It is dosed once weekly by injection (or daily as an oral tablet for Rybelsus). Semaglutide tracker.
Tirzepatide
A dual GIP and GLP-1 receptor agonist sold as Mounjaro (type 2 diabetes) and Zepbound (weight management). It is dosed once weekly by injection. Tirzepatide tracker.
GIP (glucose-dependent insulinotropic polypeptide)
A second gut hormone involved in insulin release and fat metabolism. Tirzepatide acts on both GIP and GLP-1 receptors, which is why it is called a dual agonist.
Titration
A prescribed, product-specific dosage increase. Timing, decision points, and maintenance choices differ by medication, indication, population, response, and tolerability. See a titration schedule.
Maintenance dose
A dosage used for ongoing treatment under a product label and prescription. Some products have multiple maintenance choices that differ by indication or population.
Subcutaneous injection
An injection into the fatty layer just under the skin (abdomen, thigh, or upper arm) rather than into muscle. GLP-1 injections are subcutaneous. Injection site rotation.
Injection site rotation
Following the product instructions to use a different injection site with each dose. Consult the instructions for the exact medication presentation for approved sites and administration details. Rotate sites with a body map.
Lipohypertrophy
A thickening of fatty tissue associated with repeated injections at the same site. Ask a clinician about a lump or persistent injection-site change and follow the product's site-rotation instructions. Injection sites guide.
Half-life
The time it takes for the amount of medication in your body to fall by half. Semaglutide has a long half-life (about 7 days), which is why it is dosed weekly.
Steady state
The point — usually after several weeks of consistent dosing — where the medication level in your body stabilizes between doses. OffGrid Dose's estimated-levels chart helps you visualize when you reach it. Weight-loss timeline.
Compounded medication
A version of a drug prepared by a compounding pharmacy rather than the brand manufacturer. Compounded semaglutide and tirzepatide are not FDA-approved and can vary in concentration — always follow your prescriber's instructions. Compounded semaglutide tracker.
Off-label use
Prescribing an approved medication for a condition it is not specifically FDA-approved for — for example, using Ozempic (approved for diabetes) for weight management.
Bioavailability
The fraction of a dose that actually reaches your bloodstream. It influences how injected and oral GLP-1 medications are dosed.