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. 2022 Jan 7;23(3):521–539. doi: 10.1007/s11154-021-09699-1

Table 1.

Pharmacokinetics of semaglutide [3336]

Characteristics Semaglutide (s.c. injection) Semaglutide (oral)
Absorption
  Absolute bioavailability 89% 0.4–1%
  Steady state plasma conc 65 ng/ml (0.5 mg weekly once) 6.7 nmol/L (7 mg once daily)
123 ng/ml (1 mg weekly once) 14.6 nmol/L (14 mg once daily)
  Time to achieve steady state conc 4–5 weeks 4–5 weeks
  Time to achieve maximum conc 1–3 days 01 h
Distribution
  Volume of distribution 12.5 Litres 8 Litres
  Protein binding  > 99%  > 99%
Metabolic pathway Proteolytic degradation followed by fatty acid oxidation Proteolytic degradation followed by fatty acid oxidation
Elimination profile
  Elimination t1/2 01 week 01 week
  Rate of clearance 0.05 Litres/Hr 0.04 L/Hr