Arsenault, Benoit J., et al
Iron overload disorders may cause hemochromatosis because it enhances iron absorption
Sharing a 94% structural homology with native human GLP-1, Semaglutide is distinguished by three modifications: 1) amino-acid substitutions at position 8 (alanine to -aminoisobutyric acid or Aib) and position 34 (lysine to arginine), and acylation of the lysine in position 26 with a spacer consisting of two 8-amino-3,6-dioxaoctanoic acid (ADO) moieties, a glutamic acid moiety, and a C-18 fatty di-acid side chain (Lau et al., 2015)
Key Insight: The contribution to total spend on GLP-1s for members with obesity without a diabetes diagnosis has grown significantly, now constituting almost 16.5% of spend on these drugs compared to 11% in 2022 and just 4% in 2020
The most significant improvements were seen in adults 40 to 64, among whom prescriptions for these drugs have also spiked the most
Effects include: Lethargy/Fatigue: If the dosage is too high or administered at an inappropriate time, it may cause excessive fatigue or lethargy upon waking