Peptide Reference

Exenatide

Exenatide

The first GLP-1 receptor agonist approved (Byetta), derived from Gila monster venom. Available as twice-daily or once-weekly (Bydureon) formulation.

Status

approved

Category

weight loss

Typical cost

$600-900/month (brand)

Mechanism

Activates GLP-1 receptors from exendin-4, a peptide found in Gila monster venom. Stimulates insulin secretion, suppresses glucagon, reduces appetite.

Potential benefits

  • Established safety profile
  • Moderate weight loss 3-5%
  • Good glycemic control
  • Twice daily or weekly options

Reported side effects

  • Nausea
  • Vomiting
  • Injection site reactions
  • Less weight loss than newer GLP-1s

Common dosing references

subcutaneous

5-10mcg · 2x daily

Ongoing

subcutaneous (Bydureon)

2mg · Weekly

Ongoing

Research notes

Exenatide diabetes and weight

2005

Demonstrated glycemic improvements and modest weight loss in type 2 diabetes

Regulatory and sourcing notes

FDA-approved (Byetta twice daily, Bydureon weekly). Older GLP-1 with extensive safety data.

Prescription required. Older GLP-1 with longest safety history. Less potent for weight than semaglutide.

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