PlainPill

Semaglutide vs Tirzepatide for weight loss

Short answer: For weight loss, more users report improvement with Tirzepatide — 93% of 195 reports, versus 84% of 129 for Semaglutide.

Semaglutide has 421 meta-analyses and 307 randomized trials on PubMed; Tirzepatide has 214 and 132.

Based on 314 reports about Semaglutide and 408 about Tirzepatide. Not medical advice.

Semaglutide
Medication
Tirzepatide
Medication
User score6468
Verdict
Mostly positive
Mostly positive
Positive
of reports that state an outcome
64%76%
Reports314408
ResearchAResearch: StrongAResearch: Strong
Meta-analyses / RCTs421 / 307214 / 132
Mainly used for
Weight loss
% reporting improvement
84% (129)93% (195)
Appetite
% reporting improvement
83% (64)86% (71)
Focus
% reporting improvement
60% (5)67% (3)
Energy
% reporting improvement
39% (23)45% (31)
Sleep
% reporting improvement
50% (4)56% (9)
Mood
% reporting improvement
27% (11)68% (25)
Performance
% reporting improvement
83% (6)83% (12)
Recovery
% reporting improvement
100% (2)—
Pain & inflammation
% reporting improvement
80% (5)86% (7)
Digestion
% reporting improvement
43% (7)20% (5)
Libido
% reporting improvement
0% (3)33% (6)
Hormones
% reporting improvement
100% (2)50% (2)
Blood sugar
% reporting improvement
88% (8)80% (10)
Heart & lipids
% reporting improvement
100% (3)88% (8)
Skin & hair
% reporting improvement
33% (3)0% (2)
Common side effectsnausea, fatigue, stomach issues, constipationfatigue, nausea, constipation, stomach issues
Typical dose reported2.4 mg / once weekly7.5 mg
Semaglutide
Latest review conclusion

This study shows that new anti-diabetic drugs, particularly GLP1-RA and Tirzepatide, are the most effective in inducing weight loss in patients with type 2 diabetes. Interestingly, exenatide appears to be the only GLP1-RA that induces a mild weight loss.

Pharmacol Res, 2021 ↗
What a user said
“I've lost 35lbs since then and now I'm in the Healthy range on BMI. My IBSD has virtually disappeared.”
Full Semaglutide profile →
Tirzepatide
Latest review conclusion

This study shows that new anti-diabetic drugs, particularly GLP1-RA and Tirzepatide, are the most effective in inducing weight loss in patients with type 2 diabetes. Interestingly, exenatide appears to be the only GLP1-RA that induces a mild weight loss.

Pharmacol Res, 2021 ↗
What a user said
“Tirzepatide works so well! Do some research in the r/peptides subreddit and the r/tirzepatide subreddit. It's the most effective thing I've ever seen for appetite suppressant.”
Full Tirzepatide profile →

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Percentages come from first-hand user reports and are not clinical outcomes. Talk to a doctor before starting, stopping or combining anything. How we rate