Comparison: Semaglutide vs Tirzepatide
Both items are reviewed at GLP1 One Rx against the v3.0 transparency rubric and published clinical evidence.
Key differentiators
- Mechanism: semaglutide is GLP-1-only; tirzepatide is dual GLP-1/GIP.
- Weight loss: tirzepatide produced more weight loss than semaglutide 1 mg (−11.2 kg vs −5.7 kg at the 15 mg dose) in SURPASS-2 head-to-head.
- CV outcomes: semaglutide has SELECT (20% MACE reduction); tirzepatide’s cardiovascular outcomes trial (SURPASS-CVOT, reported 2025) showed non-inferiority to dulaglutide, and Zepbound has no cardiovascular-risk indication.
- Kidney outcomes: semaglutide has FLOW; tirzepatide doesn't.