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Comparison · Updated October 16, 2026

Semaglutide vs Tirzepatide

Semaglutide vs Tirzepatide: side-by-side comparison covering FDA status, mechanism, dosing, pricing, head-to-head trial data.

Side-by-sideTrial-citedUpdated October 16, 2026
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Editorial team
Dr. Sam Saberian · Lead Medical Researcher
Medical review by Alen A. Schwartz, MD · Edited by Julliana Edwards · Last updated October 16, 2026

Comparison: Semaglutide vs Tirzepatide

Both items are reviewed at GLP1 One Rx against the v3.0 transparency rubric and published clinical evidence.

Key differentiators

Other comparisons

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Questions readers ask

Which causes more weight loss, semaglutide or tirzepatide?

In separate obesity trials, STEP 1 showed −14.9% with semaglutide 2.4 mg at 68 weeks and SURMOUNT-1 showed −20.9% with tirzepatide 15 mg at 72 weeks. In SURPASS-2, tirzepatide 15 mg produced −11.2 kg versus −5.7 kg on semaglutide 1 mg.

Does semaglutide have any advantage over tirzepatide?

Semaglutide has outcomes data that this page credits it with exclusively: SELECT showed a 20% MACE reduction and FLOW showed a 24% reduction in major kidney and cardiovascular events in type 2 diabetes with chronic kidney disease.

How much do compounded semaglutide and tirzepatide cost at NexLife?

Read October 14, 2026: semaglutide is $119 and tirzepatide $139 a month on a 12-month plan charged monthly, or $139 and $169 month to month. That is the lowest 12-month price we track, but not the lowest month-to-month price.

Primary sources

  1. FDA: Concerns with unapproved GLP-1 drugs used for weight loss (current as of October 1, 2026)
  2. FDA: Policies for compounders as GLP-1 supply stabilizes (updated April 1, 2026)
  3. FDA: Compounding and the FDA — questions and answers
  4. FDA: Registered outsourcing facilities (503B)
  5. Wilding JPH et al. Once-weekly semaglutide in adults with overweight or obesity (STEP 1). N Engl J Med 2021
  6. Wegovy (semaglutide) prescribing information, Novo Nordisk