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Using GLP-1s

Liraglutide (Victoza and Saxenda): how the daily GLP-1 differs

Liraglutide (Victoza for diabetes, Saxenda for weight) was the first GLP-1 approved for weight management. It's a daily injection with a half-life of about 13 hours and generally more modest weight loss than the weekly drugs. What makes it different, and why some people still choose it.

By the glp1.how editorial teamReviewed 3 min read

Evidence-backed

Most GLP-1 conversations now revolve around the weekly injections, semaglutide and tirzepatide. Liraglutide came before them, and it works differently in a way that shapes daily life on it: you inject it every day instead of once a week. That affects everything from how quickly it clears your system to what happens when you miss a dose.

The first GLP-1 approved for weight

Saxenda was the first GLP-1 approved specifically for chronic weight management. Liraglutide is sold under two brand names. Victoza is approved for type 2 diabetes and Saxenda for chronic weight management. It's the same molecule with different approved uses and different maximum doses: Victoza tops out at 1.8 mg daily for blood-sugar control, while Saxenda titrates up to 3.0 mg daily for weight. (Our guide on switching between the diabetes and weight-management versions covers what that split means in practice.)

Why daily instead of weekly

The main difference is how often you take it. Semaglutide and tirzepatide are engineered to stay in the body for about a week, so one injection covers seven days. Liraglutide has a half-life of about 13 hours, according to both labels. That's long enough for once-daily dosing but nowhere near a week, so it's a daily injection and its whole rhythm feels different. (Our piece on how each drug's dose ladder is built has the titration details.)

How its results compare

Liraglutide generally produces less weight loss than the newer weekly options. In the SCALE trial, the 56-week study behind Saxenda's approval, people without diabetes taking 3.0 mg daily lost about 8.4 kg on average, compared with 2.8 kg on placebo, and roughly a third lost more than 10% of their body weight.

A later trial compared the two drugs directly. STEP 8 put weekly semaglutide 2.4 mg against daily liraglutide 3.0 mg for 68 weeks: semaglutide produced an average 15.8% weight reduction, liraglutide 6.4%. That gap is the main reason liraglutide is no longer most people's first choice.

Why someone might still choose it

Liraglutide still has a place, for a few practical reasons.

Cost and coverage can favor it. Generic versions are now sold in the U.S. Teva launched an authorized generic of Victoza in June 2024, Hikma's generic of Victoza was approved and launched in December 2024, and Teva launched a generic of Saxenda in August 2025. Formularies differ, and liraglutide may be covered when the newer drugs aren't, but prices and coverage change, so check what applies to you. Supply hasn't always been easier, though. Liraglutide was itself on the FDA's drug shortage list while semaglutide and tirzepatide were, and it was still listed as in shortage in February 2025, after the semaglutide shortage had been declared over. As of September 2026, the FDA's drug shortage database still lists liraglutide injection as in shortage.

Some people find the shorter-acting daily profile easier to live with. Because each dose clears faster, a rough day's side effects may settle sooner than with a weekly drug.

It also gives more room to time a pause. A drug that clears in about a day instead of a week gives you more control if you need to stop for a planned reason. For example, some people planning a pregnancy discuss stopping GLP-1s with their prescriber, and a shorter half-life means a shorter washout.

Which drug fits is a conversation for you and your prescriber.

What the short half-life means day to day

The 13-hour half-life explains most of liraglutide's quirks. Because the drug clears fairly fast, a missed day matters more than a late weekly shot, and blood levels drop off noticeably. It also changes the missed-dose rules. Neither label gives a catch-up window: if you miss a daily dose, skip it and take the next one at the usual time, and never double up. If more than 3 days have passed since your last dose, both the Saxenda and Victoza labels say to restart at 0.6 mg. (Our missed-dose guide covers the general framework.)

The daily rhythm also shapes titration. Liraglutide's dose goes up weekly, while the weekly drugs step up about once a month, so the climb to a maintenance dose can feel faster. Some people find a daily shot a chore. Others like it for the shorter-acting profile.

This article is for general education and is not medical advice. Which GLP-1 and dose fit you is a conversation for your prescriber.

Trial evidence in this guide comes from the SCALE trial (NEJM, 2015) and STEP 8 (JAMA, 2022); see the sources below for DOIs.

liraglutidevictozasaxendadosingdailyhalf-lifetreatment

Common questions

Questions people often ask about this topic.

  • What's the difference between Victoza and Saxenda?

    They're the same molecule, liraglutide, under two brand names with different approved uses and maximum doses. Victoza is approved for type 2 diabetes and tops out at 1.8 mg daily. Saxenda is approved for chronic weight management and titrates up to 3.0 mg daily.

  • Why is liraglutide a daily injection when semaglutide and tirzepatide are weekly?

    It comes down to how long the drug stays in the body. Liraglutide has a half-life of about 13 hours, long enough for once-daily dosing but nowhere near a week. Semaglutide and tirzepatide are engineered to stay in the body for about a week, so one injection covers seven days.

  • How does liraglutide's weight loss compare to semaglutide's?

    Liraglutide generally produces less weight loss. In the STEP 8 trial, which compared them directly over 68 weeks, weekly semaglutide 2.4 mg produced an average 15.8% weight reduction versus 6.4% for daily liraglutide 3.0 mg. In the SCALE trial behind Saxenda's approval, people lost about 8.4 kg on average versus 2.8 kg on placebo.

  • Why would anyone still choose liraglutide over the newer weekly drugs?

    A few practical reasons. Generic versions now exist (Teva launched an authorized generic of Victoza in June 2024, Hikma launched a generic Victoza in December 2024, and Teva launched generic Saxenda in August 2025), so insurance may cover it when newer drugs aren't. Some people find the shorter-acting daily profile easier to tolerate, since side effects from a dose may settle sooner than with a weekly drug. And its shorter half-life gives more room to time a planned pause. Supply isn't always easier: as of September 2026, the FDA still lists liraglutide injection as in shortage. Which drug fits is a conversation for you and your prescriber.

  • What happens if I miss a dose of liraglutide?

    Because liraglutide clears fairly fast, blood levels drop off noticeably after a missed day. The labels don't offer a catch-up window: skip the missed dose and take the next one at your usual time, and never double up. If more than 3 days have passed since your last dose, the Saxenda and Victoza labels both say to restart at the 0.6 mg starting dose. Confirm the specifics for your medication with your prescriber.

Evidence

The sources behind this article, labeled by type and strength.

Supporting7

Mixed findings2

Revision history

Updated 6 times since Sep 2, 2026 · show changes
  1. v7

    Evidence sources 7 → 9

  2. v6

    Common questions revised

  3. v5

    Body revised

  4. v4

    Evidence sources 2 → 7

  5. v3

    Common questions revised

  6. v2

    Summary rewritten; Body revised

  7. v1

    Change tracking began

Related guides

  • Restarting a GLP-1 after a missed stretch: what each drug's label says about re-titration · Missed a few weeks of Wegovy, Zepbound, Ozempic, Trulicity, Saxenda, or a GLP-1 pill? Only four labels spell out when to restart at a lower dose: Wegovy injection after 2 missed weekly doses, Saxenda and Victoza after more than 3 days, and Foundayo after 7 missed daily doses. The rest are silent on long gaps. This by-drug reference separates what each label says from what's left to your prescriber, and explains why going straight back to your old dose is risky.
  • Safe sharps disposal for GLP-1 injectors · Every GLP-1 injection ends with a needle you have to put somewhere. This guide walks through the FDA's two-step system: a proper sharps container (or an acceptable heavy-duty household stand-in), the short list of things never to do with a used needle, how to find your community's disposal rules, and what changes when you travel.
  • Shot day routines: how the GLP-1 community builds a weekly injection ritual · Once-weekly dosing turns "shot day" into a small ritual. People build routines around it: picking the right day, warming the pen to reduce sting, rotating sites, eating lighter, logging everything, and heading off side effects before they start. This is a tour of the common routines GLP-1 users swear by, and the reasons behind the ones worth copying.
  • GLP-1 microdosing: what it means, why people do it, and what the evidence actually says · "Microdosing" GLP-1s is all over social media: using much smaller doses than the label calls for, for weight maintenance, side-effect avoidance, cost, or vague wellness claims. What the term means, the real medicine it borrows from, why no clinical trial has tested it, the specific risks of the DIY version, and how to have a lower-dose conversation with your prescriber instead.
  • Understanding your specific drug's dose ladder · Semaglutide, tirzepatide, dulaglutide, liraglutide and orforglipron each have their own titration ladder, with different starting doses, step sizes and timing. A side-by-side table of the injections and pills, and why you should confirm your own schedule with your prescriber.
  • Switching from a GLP-1 injection to a pill to keep the weight off: what the first trial found · If you've lost weight on Zepbound or Wegovy and want off the weekly injection, can a daily pill hold your results? One randomized trial has now tested exactly that, and Wegovy users also have an on-label switch to Wegovy tablets. This guide covers what the trial found, how much weight people kept, what the switch felt like, and the big question the trial didn't answer.

Related terms

  • Tirzepatide · A once-weekly dual GIP and GLP-1 receptor agonist made by Eli Lilly, marketed as Mounjaro for type 2 diabetes and Zepbound for weight management and obstructive sleep apnea.
  • Semaglutide · A GLP-1 receptor agonist medication made by Novo Nordisk, sold under the brand names Ozempic (type 2 diabetes) and Wegovy (weight management), each as an injection or a pill.
  • GLP-1 · A gut hormone (glucagon-like peptide-1) that stimulates insulin release, slows digestion, and reduces appetite; the target of drugs like semaglutide and liraglutide.
  • Liraglutide · A first-generation GLP-1 receptor agonist taken as a daily injection, sold as Victoza for type 2 diabetes and Saxenda for weight management, and now also as a US generic.
  • Saxenda · A brand of liraglutide, a daily-injection GLP-1 receptor agonist approved for chronic weight management and made by Novo Nordisk.
  • Victoza · A brand of liraglutide, a daily-injection GLP-1 receptor agonist approved for type 2 diabetes and made by Novo Nordisk.
  • Half-life · The time it takes for half of a drug dose to be cleared from the body — determines how often a medication needs to be taken.
  • Titration · The gradual, step-by-step increase of a medication dose over time, used to reduce side effects.

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