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Tirzepatide

The dual-action molecule behind Mounjaro and Zepbound.

Tirzepatide is a dual GIP and GLP-1 receptor agonist — it targets two gut hormones instead of one, which is thought to drive its especially strong appetite and metabolic effects.

Brands that contain tirzepatide

  • Mounjaro — weekly injection for type 2 diabetes (up to 15 mg)
  • Zepbound — weekly injection for weight management and obstructive sleep apnea in obesity (up to 15 mg)

Weight-loss results

In SURMOUNT-1, tirzepatide produced up to about 20–22% average body-weight loss at the highest dose. In the head-to-head SURMOUNT-5 trial (2025), it beat semaglutide (~20.2% vs ~13.7%). It currently leads the category on average weight loss.

Side effects

Similar to other GLP-1s: mostly GI symptoms (nausea, diarrhea, constipation, vomiting) that ease over time, a boxed thyroid C-cell tumor warning, and cautions for pancreatitis, gallbladder disease, and hypoglycemia with certain diabetes drugs.

Cost

Brand-name tirzepatide is costly without insurance; compounded tirzepatide is cheaper but not FDA-approved and more restricted in 2026. See brand vs compounded.

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RN

Reviewed by a Registered Nurse

Written and reviewed by a licensed RN as general education, not personal medical advice. Always talk with your own provider before starting or changing a medication. About us →

This page is general education only, not medical advice, and does not create a nurse-patient relationship. GLP-1 medications are prescription drugs with real risks and a boxed warning for thyroid C-cell tumors; they are not right for everyone. Compounded medications are not FDA-approved. Consult a licensed provider. See our medical disclaimer.

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