This is education, not a recommendation
Which of these fits you — if any — depends on your health history, your insurance, and your prescriber's judgment. Trial percentages are averages from different trials with different lengths and populations, so treat them as a rough map, not a ranking. Bring this page to your appointment if it helps the conversation; do not use it in place of one.
Sources
- Wegovy (semaglutide) Prescribing Information. Novo Nordisk. Current label at DailyMed and the FDA label for Wegovy tablets. Indications including cardiovascular risk reduction and MASH, and the oral tablet approval.
- Zepbound (tirzepatide) Prescribing Information. Eli Lilly. FDA label. The weight-management and obstructive sleep apnea indications.
- Ozempic (semaglutide) Prescribing Information. Novo Nordisk. Current label. The type 2 diabetes, cardiovascular, and chronic kidney disease indications.
- Wilding JPH, et al. Once-weekly semaglutide in adults with overweight or obesity (STEP 1). New England Journal of Medicine. 2021;384(11):989–1002. doi:10.1056/NEJMoa2032183. The ~15% figure for semaglutide 2.4 mg.
- Jastreboff AM, et al. Tirzepatide once weekly for the treatment of obesity (SURMOUNT-1). New England Journal of Medicine. 2022;387(3):205–216. doi:10.1056/NEJMoa2206038. The up-to-21% figure for tirzepatide 15 mg.
- Pi-Sunyer X, et al. A randomized, controlled trial of 3.0 mg of liraglutide in weight management (SCALE). New England Journal of Medicine. 2015;373(1):11–22. doi:10.1056/NEJMoa1411892. The ~8% figure for liraglutide 3.0 mg.
- Eli Lilly. Orforglipron ATTAIN-1 phase 3 results, published in the New England Journal of Medicine. Company announcement. The ~12% (27 lb) average at the highest dose over 72 weeks.
- American Diabetes Association / Novo Nordisk. CagriSema REDEFINE-1 phase 3 results. ADA announcement. The ~20% average (about 23% with full adherence) at 68 weeks.
- Jastreboff AM, et al. Triple-hormone-receptor agonist retatrutide for obesity — a phase 2 trial. New England Journal of Medicine. 2023;389(6):514–526. doi:10.1056/NEJMoa2301972. The up-to-24% figure at 48 weeks.
- ASHP Drug Shortages Database: Exenatide. ashp.org. Documentation of the Byetta and Bydureon discontinuations.