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Ozempic Pharmacokinetics (ADME): Absorption, Distribution, Metabolism, and Elimination of Semaglutide Ozempic Pharmacokinetics (ADME): How Semaglutide Moves Through Your Body At a glance Drug / Brand / Dose forms / Semaglutide (Ozempic) 0.5 mg, 1.0 mg, or 2.0 mg subcutaneous injection Tmax / 1 to 3 days post-injection Steady-state / Reached after 4 to 5 weekly doses Protein binding / More than 99%, primarily to albumin Half-life / Approximately 1 week (roughly 165 hours) Bioavailability (subcutaneous) / 89% Volume of distribution / Approximately 12.5 L Metabolism / Proteolytic cleavage of the peptide backbone and fatty acid side chain Primary elimination / Urine and feces (roughly equal split) Dose-proportional exposure / Yes, across the 0.25 to 2.0 mg range How Semaglutide Works: Mechanism of Action Semaglutide is a glucagon-like peptide-1 (GLP-1) receptor agonist that shares 94% amino acid homology with native human GLP-1 but has been engineered to resist enzymatic degradation