Weight Loss Drug Comparison Index
Drug comparisons grouped by treatment.
Choose a comparison by drug name or the decision you are trying to make. Separate-trial figures need context; they are not head-to-head evidence.
Choose the right comparison
| Your question | Start here | What it compares |
|---|---|---|
| Which weight-management brand? | Zepbound vs Wegovy | Branded products, administration and access |
| How do the molecules differ? | Tirzepatide vs semaglutide | Mechanisms and evidence across indications |
| What does retatrutide add? | Retatrutide vs tirzepatide | Investigational triple agonism versus dual agonism |
| What about mazdutide? | Mazdutide vs retatrutide | Trial populations and country-specific availability |
| Pill or injection? | Orforglipron / Foundayo | The oral drug’s evidence and practical questions |
Read the evidence before ranking the drugs
- Match the indication and population. Diabetes and obesity trials answer different questions.
- Check the comparison. A randomized head-to-head study compares treatments directly; results from separate trials do not.
- Keep the endpoint and duration together. A weight-loss figure needs its dose, follow-up time and analysis method.
- Check practical constraints. Formulation, approved indication, eligibility and access belong in the conversation with your clinician.
For a personal-priorities framework, read which GLP-1 might fit your situation. For generic names, brands and development status, use the drug directory.
Browse compare
22 articles
Cagrilintide and Tirzepatide: Stacking Amylin With a Dual Agonist
Evidence for this specific combination is preclinical. CagriSema and eloralintide trials cannot establish a cagrilintide–tirzepatide dosing plan.
Updated September 8, 2026
CagriSema vs Tirzepatide (Zepbound): REDEFINE 4 Head-to-Head Results
REDEFINE 4 reported 23.0% versus 25.5% weight loss under the efficacy estimand and did not meet its non-inferiority endpoint.
Updated September 8, 2026
Mazdutide vs Retatrutide: Dual vs Triple Agonist Data 2026
How the triple agonist retatrutide compares to the dual agonist mazdutide on weight loss, diabetes, and liver fat data.
Updated September 8, 2026
Mazdutide vs Survodutide: Two GLP-1/Glucagon Dual Agonists Compared
GLORY and SYNCHRONIZE results, liver endpoints and availability. Neither separate trials nor low discontinuation prove a tolerability advantage.
Updated September 8, 2026
Mazdutide vs Tirzepatide: GLP-1/Glucagon vs GLP-1/GIP Compared
Different dual-agonist mechanisms, trial populations and approvals. Separate GLORY and SURMOUNT results do not establish a head-to-head winner.
Updated September 8, 2026
Mounjaro vs Ozempic: Which Is Better for Weight Loss and Diabetes?
Mounjaro outperformed injected Ozempic 1 mg in SURPASS-2. Compare the actual trial doses, current formulations, organ-risk indications and coverage.
Updated September 8, 2026
Orforglipron vs Rybelsus (Oral Semaglutide): Two Oral GLP-1 Pills Compared
Foundayo is approved for adult weight management; Rybelsus has diabetes-related uses. Compare fasting rules and the limits of ACHIEVE-3.
Updated September 8, 2026
Orforglipron vs Tirzepatide (Zepbound): Oral Pill vs Weekly Injection
Daily Foundayo and weekly tirzepatide have different labeled uses. Separate trials do not prove that one is twice as effective.
Updated September 8, 2026
Orforglipron vs Zepbound (Tirzepatide): Daily Pill vs Weekly Injection
Foundayo and Zepbound are approved weight-management options. Compare current offers, coverage, trial results and possible regain after switching.
Updated September 8, 2026
Ozempic vs Wegovy: Same Drug, Different Purpose
Same active ingredient, different product labels: Ozempic and Wegovy injections and tablets, including Wegovy HD.
Updated September 8, 2026
Peptides for Weight Loss vs GLP-1 Drugs: What the Evidence Says
Peptide chemistry does not establish efficacy. What trials show for semaglutide, tirzepatide, retatrutide and other marketed peptides.
Updated September 8, 2026
Retatrutide vs AOD-9604: Triple Agonist vs Growth Hormone Fragment
Retatrutide has positive obesity trials; AOD-9604 failed to establish benefit in its largest study. Neither is an FDA-approved weight-loss treatment.
Updated October 8, 2026
Retatrutide vs CagriSema (Cagrilintide + Semaglutide): Triple Agonist vs Amylin + GLP-1 Combo
Compare retatrutide with the cagrilintide–semaglutide combination, including REDEFINE 4 and why separate trial results do not establish superiority.
Updated September 8, 2026
Retatrutide vs Mounjaro vs Ozempic
Mounjaro and Ozempic are diabetes brands; Zepbound and Wegovy have weight-management indications. Compare their evidence with investigational retatrutide.
Updated September 8, 2026
Retatrutide vs Orforglipron: Injectable Triple Agonist vs Oral GLP-1
Foundayo (orforglipron) is FDA-approved; retatrutide is investigational. Compare their routes, trial evidence, and safety limits.
Updated September 8, 2026
Retatrutide vs Survodutide
Two next-generation obesity drugs that both include glucagon agonism — how the triple and dual agonist approaches compare.
Updated September 8, 2026
Retatrutide vs Tirzepatide (Zepbound): Triple Agonist vs Dual Agonist
How retatrutide and tirzepatide differ in receptor activity, trial evidence, safety, and approval status. Direct TRIUMPH-5 results are pending.
Updated September 8, 2026
Retatrutide vs Wegovy: Triple Agonist vs GLP-1
Wegovy is approved in oral and injectable forms, including Wegovy HD. Retatrutide remains investigational with no completed direct comparison.
Updated September 8, 2026
Retatrutide vs Zepbound: What's the Difference?
Zepbound is an approved tirzepatide treatment. Retatrutide remains investigational; separate trial results do not prove a treatment advantage.
Updated September 8, 2026
Survodutide vs Tirzepatide (Zepbound): Glucagon vs GIP as the Second Target
Compare Phase 3 results without mixing estimands or mistaking MASH improvement for resolution.
Updated September 8, 2026
Tirzepatide vs Semaglutide: Complete Comparison (2026 Data)
Tirzepatide vs semaglutide with SURMOUNT-5 head-to-head data: -20.2% vs -13.7% weight loss. Full comparison of efficacy, side effects, and access.
Updated September 8, 2026
Zepbound vs Wegovy: Which One Actually Works Better in 2026?
Zepbound produced -20.2% vs Wegovy's -13.7% weight loss in the SURMOUNT-5 head-to-head trial. Full comparison of cost, side effects, and CV data.
Updated September 8, 2026