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Key Pharmacokinetic Differences# The critical difference lies in their albumin binding and metabolic stability: Semaglutide's longer half-life results from three structural modifications: an aminoisobutyric acid (Aib) substitution at position 2 that confers DPP-4 resistance, a C18 fatty diacid (vs C16 in liraglutide) that strengthens albumin binding, and a hydrophilic linker that optimizes the fatty acid orientation

While allergic reactions can occur at any time during treatment, they often develop after prior sensitisation, so vigilance should be maintained even after multiple uneventful doses

It is a tripeptide with gamma peptide linkage between the carboxyl group of the glutamate side-chain and the amine group of cysteine, and the carboxyl group of cysteine is attached by a normal peptide linkage to a glycine