The Enduring Impact of Semaglutide: How Long Does a Dose Last?

Reading time
49 min
Published on
December 8, 2025
Updated on
December 8, 2025
The Enduring Impact of Semaglutide: How Long Does a Dose Last?

Introduction

Imagine a world where managing your weight and metabolic health feels less like an uphill battle and more like a supported journey. For many, the introduction of medications like semaglutide has brought this vision closer to reality, transforming approaches to weight loss and diabetes management. Its unique mechanism offers a sustained impact, but this very quality often leads to crucial questions: how long does a dose of semaglutide last in the body, and what does this mean for your health journey?

Understanding the precise duration of semaglutide’s effects is not just a matter of scientific curiosity; it’s fundamental for anyone considering or currently using this powerful medication. The prolonged action of semaglutide is central to its effectiveness, allowing for once-weekly dosing and consistent benefits, but it also necessitates a clear understanding of its presence in your system and the implications for treatment planning, potential adjustments, or even discontinuation.

In this comprehensive guide, we will demystify the pharmacology of semaglutide, exploring its half-life, the factors that influence its duration in the body, and what happens when you begin or decide to pause your treatment. We believe that sustainable weight loss should be achieved through science, empathy, and a transparent approach, and providing you with this detailed information is part of that commitment. We’ll also highlight how our personalized, medically supervised programs at TrimRx are designed to integrate this scientific understanding into a supportive and results-oriented path for your unique needs. By the end of this post, you’ll have a clear grasp of semaglutide’s enduring impact and how to navigate your health journey with confidence and clarity.

The Science Behind Semaglutide: A Deeper Look

Semaglutide represents a significant advancement in metabolic health management, offering a powerful tool for individuals striving for better health. Its effectiveness stems from a sophisticated understanding of the body’s natural regulatory systems.

What Is Semaglutide and How Does It Work?

Semaglutide is a glucagon-like peptide-1 (GLP-1) receptor agonist, a class of medications that mimics the action of a natural hormone called GLP-1, which is produced in the gut. When we eat, GLP-1 is released, playing several crucial roles in metabolic regulation:

  • Blood Sugar Control: GLP-1 stimulates the pancreas to release insulin in response to high blood sugar levels, helping to lower glucose. It also reduces glucagon secretion, a hormone that raises blood sugar.
  • Appetite Regulation: By acting on receptors in the brain, GLP-1 helps to curb appetite and reduce cravings, leading to a decreased calorie intake. This reduction in “food noise” – the constant thoughts about food – can be particularly transformative for those struggling with weight.
  • Slowing Gastric Emptying: Semaglutide slows down the rate at which food leaves the stomach. This not only contributes to a feeling of fullness for longer but also helps prevent rapid spikes in blood sugar after meals.

These combined actions make semaglutide a remarkably effective medication for managing blood sugar in type 2 diabetes and supporting significant, sustainable weight loss. You might recognize semaglutide as the active ingredient in branded prescription medications such as Ozempic® (primarily for type 2 diabetes, sometimes prescribed off-label for weight loss) and Wegovy® (FDA-approved for chronic weight management). For those seeking personalized options, we also offer access to Compounded Semaglutide and Oral Semaglutide through our network of FDA-registered and inspected pharmacies.

At TrimRx, our journey began with a shared vision to help individuals embrace healthier lifestyles by merging cutting-edge telehealth innovations with effective weight loss solutions. We understand that each person’s metabolic profile is unique, which is why our platform offers a user-friendly and supportive space where individuals receive personalized, medically supervised care, designed to make sustainable weight loss attainable and tailored to the individual.

The Concept of Half-Life: Understanding Semaglutide’s Persistence

To truly understand how long a dose of semaglutide lasts in your system, it’s essential to grasp the concept of “half-life.” In pharmacology, a drug’s half-life is the time it takes for the concentration of that drug in the body to be reduced by half. It’s a key indicator of how long a medication remains active and present.

Semaglutide is specifically engineered in the laboratory to have a remarkably long half-life – approximately 7 days. This extended half-life is the reason it can be administered just once a week, providing consistent therapeutic effects throughout the entire week. Compared to other medications that might require daily or even more frequent dosing, semaglutide’s prolonged action is a significant advantage for patient convenience and adherence.

Because it takes about five half-lives for a drug to be almost completely cleared from the body, semaglutide typically remains in your system for approximately five to seven weeks after your last dose. This gradual elimination is a deliberate design, ensuring that the benefits, such as appetite suppression and blood sugar regulation, diminish slowly rather than abruptly. This sustained presence contributes significantly to the steady and predictable results experienced by individuals on semaglutide, allowing the body to adjust gradually rather than undergoing rapid fluctuations.

How Long Does a Dose of Semaglutide Last in Your System?

The central question, how long does a dose of semaglutide last in your body, has a clear answer rooted in its pharmacology: typically, a dose of semaglutide remains in your system for approximately five to seven weeks after your last administration. This extended duration is not a side effect, but a fundamental design feature that underpins its effectiveness as a once-weekly medication.

This means that even if you miss a dose or decide to stop treatment, the active compound will continue to exert its effects for several weeks as it gradually leaves your system. This prolonged presence is beneficial for several reasons:

  • Consistent Therapeutic Effect: The long duration ensures that you maintain a stable level of the medication in your body, leading to continuous appetite control and blood sugar regulation throughout the week, even between injections. This consistency is crucial for sustained weight management and metabolic health improvements.
  • Flexibility in Dosing Schedule: The ability to adjust your injection day, as long as it has been at least two days since your last dose, is a direct benefit of its prolonged action. This flexibility can better integrate into diverse lifestyles.
  • Gradual Adjustment: If you start or stop the medication, the body has ample time to adjust to the changing levels of semaglutide, potentially mitigating abrupt shifts in appetite or blood sugar.

This enduring impact highlights the importance of working closely with a healthcare provider who understands the nuances of such medications. At TrimRx, our personalized approach considers these pharmacological characteristics when crafting your treatment plan. Through our comprehensive service, which includes doctor consultations, medication provided by FDA-registered and inspected pharmacies, lab work, unlimited support, and shipping with no hidden fees, we ensure that you are fully informed and supported throughout your entire journey. We are dedicated to providing compassionate care that respects every individual’s unique journey, combining advanced medical science with modern technology. Ready to explore a personalized plan tailored for you? Take our free assessment quiz to see if you qualify for our prescription weight loss medications!

Factors Influencing Semaglutide’s Duration in the Body

While the average duration of semaglutide in the body is around five to seven weeks, several individual factors can influence this timeline. Understanding these variables is key to a truly personalized approach to weight management, reflecting our belief in individualized care at TrimRx.

Individual Metabolic Rate

Your body’s metabolism plays a significant role in how quickly it processes and eliminates medications. Metabolism refers to the sum of all chemical processes that occur in your body to maintain life. Individuals with faster metabolic rates might break down and clear semaglutide slightly more rapidly than those with slower metabolisms. This isn’t a dramatic difference that shortens the drug’s half-life significantly, but it can contribute to variations in how quickly its effects diminish once treatment is paused. This variability underscores why a one-size-fits-all approach is rarely the most effective and why our personalized plans at TrimRx are so valuable.

Kidney and Liver Function

The kidneys and liver are the primary organs responsible for filtering and metabolizing medications, including semaglutide, from your bloodstream. If either of these organs is not functioning optimally, the clearance of semaglutide can be delayed. For instance, individuals with impaired kidney or liver function may find that semaglutide remains in their system for a longer period.

This is why a thorough review of your medical history and relevant lab work is a crucial part of our comprehensive service at TrimRx. Before prescribing or adjusting your medication, our affiliated providers assess your overall health to ensure safety and effectiveness, minimizing potential risks and tailoring the approach to your unique physiological profile.

Duration and Dosage of Treatment

The length of time you have been taking semaglutide and the dosage you are on also influence its presence in your body.

  • Accumulation Over Time: When you take a medication regularly, it accumulates in your system until it reaches a “steady state,” where the amount of drug entering the body equals the amount being eliminated. The longer you’ve been on semaglutide, the more consistently it has built up in your system. When you stop, it naturally takes longer for these accumulated levels to fully clear.
  • Higher Doses: Logic dictates that higher doses of semaglutide will take a longer time to be completely eliminated compared to lower doses. This is because there’s simply more of the substance for your body to process. This factor is carefully considered by healthcare providers when planning dosage adjustments or transitions off the medication, to ensure a smooth and safe process.

Potential Drug Interactions

Semaglutide works, in part, by slowing down gastric emptying. This can affect the absorption rate of other orally administered medications. If other drugs are absorbed more slowly, it can potentially alter their effectiveness or the way they interact with semaglutide. Conversely, some medications might impact the liver or kidney function, indirectly affecting how long semaglutide remains in your system.

It is paramount to provide your healthcare provider with a complete list of all prescription and non-prescription medications, vitamins, nutritional supplements, and herbal products you are taking. Our commitment to transparent service means that our affiliated providers will meticulously review your full medication list to identify any potential interactions and make necessary adjustments, ensuring your safety and the optimal processing of semaglutide.

Navigating the Journey: What Happens When You Stop Semaglutide?

Deciding to stop semaglutide, whether due to reaching your weight loss goals, managing side effects, or planning for life events like pregnancy, is a significant step that should always be undertaken with medical guidance. Because how long a dose of semaglutide lasts in your system is several weeks, the effects of stopping will be gradual.

Gradual Diminishment of Effects

When semaglutide begins to leave your system, its therapeutic benefits will slowly diminish. You may observe several changes as your body readjusts:

  • Blood Sugar Levels: For individuals managing type 2 diabetes, blood sugar levels may gradually begin to rise again as the medication’s glucose-regulating effects wear off. This often necessitates alternative diabetes management strategies.
  • Appetite and Satiety: One of the most common observations is an increase in appetite. The powerful signals that previously suppressed hunger and promoted satiety will wane, potentially leading to a return of cravings and increased “food noise.” This can make maintaining previous eating habits more challenging.
  • Potential Weight Regain: Studies indicate that individuals may regain a significant portion of the weight lost after discontinuing semaglutide, particularly if lifestyle habits have not been firmly established. This is why our focus at TrimRx is on sustainable weight loss, integrating medication with comprehensive support for long-term lifestyle changes. Our programs are designed to empower you with the tools and knowledge to continue your health journey effectively.

These changes typically occur gradually over several weeks, mirroring the slow clearance of semaglutide from your body.

Understanding “Withdrawal” and Adjustment Periods

While semaglutide does not have officially recognized “withdrawal symptoms” in the clinical sense, many individuals do experience a noticeable adjustment period as the medication leaves their system. These shifts can feel like withdrawal symptoms due to the significant impact semaglutide has on hunger hormones and digestion. Common experiences can include:

  • Increased appetite and cravings: As the GLP-1 mimicking effect lessens, your natural hunger signals may return to their previous intensity.
  • Digestive changes: While symptoms like nausea or diarrhea should improve as the medication clears, your digestive system will revert to its pre-medication pace, which can also involve an adjustment.
  • Changes in energy levels: Some individuals report feeling a bit “off” or fatigued as their body rebalances.

These experiences highlight the importance of careful planning and support when discontinuing semaglutide. At TrimRx, we believe in supporting you at every stage of your weight loss journey, including safe and managed transitions. Our comprehensive service includes unlimited support, ensuring you have a dedicated team to guide you through any adjustments.

Safe Discontinuation Strategies

Stopping semaglutide should always be a collaborative decision with your healthcare provider. Whether you can stop “cold turkey” or require a gradual tapering depends on several factors, including your dosage, duration of use, and overall medical condition.

  • Gradual Tapering: Often, a gradual reduction in dosage is recommended. This allows your body to adjust more smoothly, potentially mitigating the intensity of increased appetite or other physiological shifts.
  • Immediate Discontinuation: In rare cases of serious side effects, such as pancreatitis or severe allergic reactions, immediate discontinuation may be necessary under strict medical supervision.

Our medically supervised approach at TrimRx emphasizes safety and individualized care. Our affiliated providers will work closely with you to develop a personalized plan for safely stopping or adjusting your semaglutide treatment, ensuring that your health and well-being remain the top priority. To explore how a personalized plan can support your weight loss journey from start to finish, including managing transitions, we encourage you to take our free assessment quiz today!

Managing Side Effects While on Semaglutide

Like any effective medication, semaglutide can cause side effects, particularly when your body is initially adjusting to treatment or during dose escalations. Understanding these potential effects and how to manage them is a crucial part of a supportive and transparent weight loss journey. Our brand is empathetic, innovative, trustworthy, supportive, results-oriented, and personalized, and we aim to prepare you for every aspect of your experience.

The most common side effects associated with semaglutide are typically gastrointestinal in nature and often mild, improving as your body adapts to the medication. These can include:

  • Nausea: This is perhaps the most frequently reported side effect, especially when starting or increasing the dose.
  • Vomiting and Diarrhea or Constipation: Changes in bowel habits are common, as semaglutide directly impacts the digestive system.
  • Fatigue: Some individuals report feeling tired, particularly in the initial weeks.
  • Headache: Mild headaches can also occur.
  • Low Appetite: While a desired effect, a severely diminished appetite might lead to insufficient nutrient intake if not managed properly.

These symptoms often stem from your body adapting to the slowed gastric emptying and the new signals affecting appetite and digestion. If you’ve ever wondered, “Why do I feel so bad on semaglutide?”, it’s likely your body undergoing these significant physiological adjustments. Factors such as starting on too high a dose, inadequate hydration, or a sensitive digestive system can intensify these feelings.

The good news is that most side effects are manageable with the right support and strategies. Our commitment to transparent service means we highlight that our approach remains consistent regardless of dosage changes. Our comprehensive service includes unlimited support, meaning you have access to guidance on:

  • Dosage Adjustments: Your affiliated provider can help adjust your semaglutide dose to find the optimal balance between effectiveness and side effect management.
  • Lifestyle Tweaks: Simple changes like eating smaller, more frequent meals, avoiding fatty foods, staying well hydrated, and incorporating light physical activity can often alleviate discomfort.
  • Timing of Meals: Adjusting when and what you eat can also help.

We are here to help you navigate these initial challenges with confidence. Remember, while compounded medications are not FDA approved, branded medications like Ozempic® and Wegovy® are FDA approved. Regardless of the medication prescribed, our network of FDA-registered and inspected pharmacies ensures safety and quality. Your well-being is our priority, and with our compassionate care, we combine advanced medical science with modern technology to support you.

Critical Considerations and Safety Guidelines

While semaglutide offers transformative benefits, it’s essential to be aware of critical safety considerations and adhere to guidelines for its safe and effective use. Our brand prioritizes your health and safety above all else.

Thyroid Tumor Risk (FDA Warning)

It is crucial to be aware that semaglutide injection may increase the risk of developing thyroid tumors, including a type of thyroid cancer called medullary thyroid carcinoma (MTC). This risk has been observed in animal studies (rats), and it is currently unknown whether this medication increases the risk of such tumors in humans.

You should inform your healthcare provider immediately if you or anyone in your family has a history of thyroid cancer or Multiple Endocrine Neoplasia syndrome type 2 (MEN 2), a genetic condition that causes tumors in more than one gland in the body. If you have such a history, your affiliated provider will likely advise against using semaglutide.

It is vital to monitor for symptoms of a thyroid tumor while on treatment. Call your doctor immediately if you experience any of the following: a lump or swelling in the neck, hoarseness, difficulty swallowing, or shortness of breath. This is part of our commitment to safety by working exclusively with FDA-registered and inspected pharmacies and ensuring you have all necessary information.

Preparing for Surgery or Pregnancy

Life events require careful planning when on medication like semaglutide due to how long a dose of semaglutide lasts in your system.

  • Before Surgery: For patients undergoing anesthesia or heavy sedation, particularly those at risk of pulmonary aspiration, professional medical societies recommend stopping semaglutide at least one week before the procedure. This precaution helps reduce the risk of delayed gastric emptying, which can increase the chances of stomach contents entering the lungs during anesthesia. Your affiliated healthcare provider will provide personalized guidance on when to stop and resume semaglutide around any planned procedure.
  • Before Pregnancy: There is limited data on semaglutide’s safety during human pregnancy, but animal studies have indicated potential risks, including birth defects. Therefore, if you are planning to become pregnant, the product label advises discontinuing semaglutide at least two months before a planned pregnancy. This allows ample time for the medication to be fully cleared from your system, minimizing potential risks to early pregnancy. If you become pregnant while taking semaglutide, it is imperative to discuss the risks and benefits with your healthcare provider immediately. For individuals with diabetes, an alternative treatment plan should be established to maintain blood sugar control and reduce pregnancy-related complications.

Our comprehensive service ensures that you receive medically supervised care and personalized guidance for these critical life moments.

No Quick Fix for Clearance

Despite common desire, there is no proven or safe way to expedite the elimination of semaglutide from your body. Because how long a dose of semaglutide lasts is several weeks, the medication is naturally processed and eliminated through the liver and kidneys over this gradual period. Attempts to “flush” the medication out of your system are ineffective and can be harmful.

While you cannot rush the natural biological process, you can support your overall well-being with healthy habits:

  • Staying Well Hydrated: Adequate fluid intake is always beneficial for bodily functions, including metabolic processes.
  • Eating Whole, Nutrient-Dense Foods: A balanced diet supports overall health and helps your body function efficiently.
  • Getting Regular Movement: Light to moderate physical activity supports metabolism and general wellness.

These habits promote overall health and comfort, though they will not significantly alter the specific timeline for semaglutide clearance. For immediate support for your overall wellness during your weight loss journey, explore our quick-access supplements like GLP-1 Daily Support and Weight Loss Boost, available for immediate purchase without a quiz.

Storage and Handling

Proper storage and handling of semaglutide pens are vital to maintain the medication’s efficacy and ensure safety.

  • Storage: New, unused semaglutide pens should be stored in the refrigerator between 36°F to 46°F (2°C to 8°C). Once in use, the pen can typically be stored at room temperature (59°F to 86°F or 15°C to 30°C) for up to 8 weeks, or it can continue to be refrigerated. Crucially, semaglutide must never be frozen, and if it has been frozen, it should not be used. Always keep the pen cap on to protect it from light and heat.
  • Needle Safety: Always use a new needle for each injection and dispose of it immediately after use in a puncture-resistant container. Never reuse needles, and under no circumstances should you share your semaglutide pen or needles with anyone else, even if the needle has been changed. Sharing needles carries a significant risk of transmitting serious infections.
  • Injection Sites: Injections are subcutaneous (under the skin) and typically administered in the upper arm, thigh, or stomach area. It’s important to rotate injection sites with each dose to prevent skin irritation.

Our comprehensive service includes clear instructions and ongoing support to help you manage your medication safely and effectively.

Your Personalized Path with TrimRx

At TrimRx, our core philosophy is built on the belief that safe, effective, and sustainable weight loss is a deeply personal journey, best navigated with expert guidance and support. Our journey began with a shared vision to help individuals embrace healthier lifestyles by merging cutting-edge telehealth innovations with effective weight loss solutions. We stand by our values of science, empathy, and transparency, ensuring that every step of your path with us is clear, supported, and tailored to you.

We understand the significance of medications like semaglutide in transforming metabolic health, and we integrate this scientific understanding into our patient-centric approach. Our platform is a user-friendly and supportive space where individuals receive personalized, medically supervised care—all designed to make sustainable weight loss attainable and tailored to the individual.

Our comprehensive service is designed to provide everything you need for a successful weight loss journey:

  • Doctor Consultations: Connect with licensed healthcare professionals who understand the nuances of medications like Compounded Semaglutide, Oral Semaglutide, Ozempic®, Compounded Tirzepatide, Oral Tirzepatide, Mounjaro®, Zepbound®, and Wegovy®. They will assess your health, discuss your goals, and determine your eligibility for a personalized treatment plan.
  • Medication: We partner with FDA-registered and inspected pharmacies to ensure that your prescription weight loss medications are shipped directly to you safely and efficiently. It’s important to clarify that while branded medications like Ozempic®, Zepbound®, Mounjaro®, and Wegovy® are FDA-approved, compounded medications are not. Our commitment to safety and compliance means you receive high-quality care.
  • Lab Work: Essential lab tests are included to ensure your treatment plan is safe and optimally effective for your unique physiology.
  • Unlimited Support: Our dedicated team provides ongoing support, answering your questions, helping you manage side effects, and offering guidance throughout your journey. We are here for you, ensuring that our compassionate care truly respects your individual journey.
  • Shipping with No Hidden Fees: We believe in transparent service, so you can expect straightforward pricing without any surprises for your comprehensive care package.

Whether you’re just starting to explore weight loss options or seeking to optimize your current regimen, TrimRx is here to empower you. To discover if a personalized weight loss program with prescription medication is right for you, we encourage you to take our free assessment quiz now!

Additionally, for those looking for immediate support for overall wellness during their weight loss journey, we offer quick-access supplements that do not require a quiz:

At TrimRx, we are results-oriented and dedicated to your success, providing you with the tools, knowledge, and support to achieve sustainable health improvements.

Conclusion

Understanding how long a dose of semaglutide lasts in your system is fundamental to appreciating its efficacy and managing your health journey effectively. With its extended half-life of approximately one week, semaglutide typically remains active in the body for about five to seven weeks after the last dose, offering consistent therapeutic benefits crucial for sustained weight management and metabolic health. This prolonged action is a testament to the advanced medical science behind GLP-1 receptor agonists, allowing for convenient once-weekly dosing and gradual physiological adjustments.

However, this extended presence also underscores the importance of a medically supervised approach to treatment initiation, adjustment, and discontinuation. Factors such as individual metabolism, kidney and liver function, treatment duration, and potential drug interactions all play a role in how semaglutide interacts with your unique body. Our exploration of these details, alongside critical safety considerations like potential thyroid tumor risks and guidelines for surgery or pregnancy, highlights the necessity of informed, personalized care.

At TrimRx, we are committed to empowering you with knowledge and providing a safe, empathetic, and transparent path to achieving your health goals. Our comprehensive programs, offering doctor consultations, medically appropriate prescription medications from FDA-registered and inspected pharmacies, lab work, and unlimited support, are designed to make sustainable weight loss attainable. We combine advanced medical science with modern technology to deliver personalized solutions tailored to your unique needs, with no hidden fees.

Your journey to better health is personal, and you don’t have to navigate it alone. To explore how a personalized plan can transform your weight loss experience, we invite you to take our free assessment quiz and see if you qualify for our prescription weight loss medications. For immediate wellness support, consider our GLP-1 Daily Support or Weight Loss Boost supplements. Let TrimRx be your partner in embracing a healthier, more vibrant life.

Frequently Asked Questions

How long does semaglutide stay in your system after the last injection?

Semaglutide typically remains in your system for approximately five to seven weeks after your last dose. This is due to its long half-life of about one week, meaning it takes several weeks for the medication to be almost completely cleared from the body.

Can I stop semaglutide on my own without consulting a doctor?

No, it is highly recommended to consult your healthcare provider before making any changes to your semaglutide regimen, including stopping the medication. Discontinuing semaglutide without medical guidance can lead to a gradual return of appetite, potential weight regain, or changes in blood sugar levels, which your provider can help you manage safely and effectively.

What happens if I forget a weekly dose of semaglutide?

If you miss a dose of semaglutide, you can inject it as soon as you remember, provided it’s within 5 days of the missed dose. If more than 5 days have passed since the missed dose, you should skip that dose and simply resume your regular dosing schedule the following week. Do not take a double dose to make up for a missed one. Always consult your healthcare provider if you are unsure.

Are there ways to support my body while semaglutide is clearing?

While there’s no way to speed up the natural elimination of semaglutide from your body, you can support your overall well-being during this period. Staying well hydrated, maintaining a balanced diet of nutrient-dense foods, and engaging in light, regular physical activity can help your body function optimally and may alleviate some of the adjustment symptoms. You might also consider quick-access supplements like GLP-1 Daily Support or Weight Loss Boost to complement your wellness journey.

Transforming Lives, One Step at a Time

Patients on TrimRx can maintain the WEIGHT OFF
Start Your Treatment Now!

Keep reading

58 min read

Understanding Low-Dose Semaglutide: A Gentle Start to Your Weight Loss Journey

Curious about what is a low dose of semaglutide for weight loss? Discover its importance for a safe start & how it minimizes side effects. Learn more!

49 min read

Understanding Semaglutide Dosing: What is the Maximum Dose of Semaglutide for Effective Weight Management?

Curious about what is the maximum dose of semaglutide? Discover approved dosages for diabetes & weight loss, titration schedules, and safety. Get your personalized plan today!

57 min read

How Do You Dose Semaglutide? A Comprehensive Guide to Personalized Weight Management

Wondering how do you dose semaglutide for weight loss? Get a comprehensive guide to Semaglutide dosing schedules, administration, and safety for effective results.

Stay on Track

Join our community and receive:
Expert tips on maximizing your GLP-1 treatment.
Exclusive discounts on your next order.
Updates on the latest weight-loss breakthroughs.