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Tirzepatide vs Cagrilintide

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

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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Cagrilintide

Evidence A

Cagrilintide (long-acting amylin analog)

A once-weekly amylin analog that reduces appetite via the area postrema. Combined with semaglutide ('CagriSema') it has produced ~22% weight loss in trial data.

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Side-by-Side

AttributeTirzepatideCagrilintide
Evidence GradeA+A
FDA StatusFDA-approved for weight management and type 2 diabetesNot FDA-approved — combined with semaglutide as CagriSema; Phase 3 in progress
Typical Dose2.5–15 mg weekly (subcutaneous injection)Trial range: 0.16–4.5 mg weekly (subcutaneous)
Clinics Indexed1,8508
Categoriesweight-loss, metabolicweight-loss, metabolic

Key reported benefits — Tirzepatide

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

Key reported benefits — Cagrilintide

  • Amylin pathway weight loss
  • Synergy with GLP-1
  • Lower-dose tolerability

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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