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Semaglutide vs Tirzepatide

Both Semaglutide and Tirzepatide are used for weight-loss and metabolic. Here's how their evidence, dosing, and regulatory status actually compare.

Semaglutide

Evidence A+

Semaglutide (Ozempic / Wegovy)

A GLP-1 receptor agonist and the gold standard for evidence-based weight loss peptide therapy. Demonstrated 14.9–16.9% mean body weight reduction in the landmark STEP trials.

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Tirzepatide

Evidence A+

Tirzepatide (Mounjaro / Zepbound)

A dual GIP/GLP-1 receptor agonist that achieved up to 22.5% mean weight loss in the SURMOUNT-1 trial — the highest of any FDA-approved weight loss medication.

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Side-by-Side

AttributeSemaglutideTirzepatide
Evidence GradeA+A+
FDA StatusFDA-approved for weight management and type 2 diabetesFDA-approved for weight management and type 2 diabetes
Typical Dose0.25–2.4 mg weekly (subcutaneous injection)2.5–15 mg weekly (subcutaneous injection)
Clinics Indexed2,2851,850
Categoriesweight-loss, metabolicweight-loss, metabolic

Key reported benefits — Semaglutide

  • Significant weight loss
  • Appetite suppression
  • Blood sugar control
  • Cardiovascular benefit

Key reported benefits — Tirzepatide

  • Superior weight loss
  • Dual hormone targeting
  • Blood sugar control
  • Reduced cardiovascular risk

Educational use only

This comparison is for educational purposes and not medical advice. Peptide selection should be made with a licensed medical professional based on your individual goals, health history, and current evidence quality.

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