Choose A when
Semaglutide
Longer history, larger published literature base, lower cycle cost. Established standard.
See full profileComparison
Semaglutide (Ozempic, Wegovy) and Tirzepatide (Mounjaro, Zepbound) are the two FDA-approved GLP-1 peptides that have dominated metabolic research since 2021. The key difference is mechanism — Semaglutide activates only GLP-1, while Tirzepatide is a dual GIP/GLP-1 agonist.
| Spec | A Semaglutide | B Tirzepatide |
|---|---|---|
| Mechanism | GLP-1 mono agonist | GIP + GLP-1 dual agonist |
| Manufacturer | Novo Nordisk | Eli Lilly |
| Weight loss (clinical) | 14.9% / 68 weeks (STEP 1) | 22.5% / 72 weeks (SURMOUNT-1) |
| Half-life | ~7 days | ~5 days |
| Dosing | 1× weekly s.c. | 1× weekly s.c. |
| FDA status | Approved 2017 (diabetes), 2021 (obesity) | Approved 2022 (diabetes), 2023 (obesity) |
| Open literature | STEP 1-8, SUSTAIN series | SURMOUNT 1-5, SURPASS 1-5 |
Choose A when
Longer history, larger published literature base, lower cycle cost. Established standard.
See full profileChoose B when
Stronger SURMOUNT-1 numbers, added GIP component for thermogenesis and lipid metabolism. Premium option.
See full profileVerdict
Tirzepatide wins on absolute weight loss; Semaglutide remains more studied and cheaper. Choice depends on which literature you follow and your cycle budget.
Frequently asked
In SURPASS-2, Tirzepatide outperformed Semaglutide on HbA1c and weight — −2.46% vs −1.86%. SURMOUNT-1 saw 22.5% weight loss vs Semaglutide's 14.9% (STEP 1). The two regimens aren't directly equivalent in clinical comparison but at matched doses Tirzepatide leads on absolute numbers.
No. Both activate GLP-1R with heavy overlap — stacking offers no extra benefit but cumulative GI side effects (nausea) are likely. Pick one.
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