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Mounjaro vs. Orlistat

Published on 
February 3, 2025
Virta Team

Mounjaro and Orlistat differ widely in purpose and efficacy. Mounjaro is a dual GIP and GLP-1 agonist for type 2 diabetes, offering significant HbA1c reductions and moderate weight loss. Orlistat, a lipase inhibitor, blocks fat absorption for modest weight loss but provides no glucose-related benefits. Side effects vary: Mounjaro causes nausea, while Orlistat is associated with gastrointestinal issues like oily stools. Mounjaro costs $1,135/month, far exceeding Orlistat’s $100/month. Neither drug currently faces shortages.

How Mounjaro Works

Enhances the effects of both incretin hormones. GIP improves insulin sensitivity and enhances fat metabolism, while GLP-1 reduces appetite, delays gastric emptying, and promotes insulin secretion, making it effective for blood sugar control and weight loss.

Common Side Effects

Nausea, vomiting, diarrhea, decreased appetite, and indigestion

Serious Potential Side Effects

Pancreatitis, thyroid tumors (potential risk), gallbladder issues, kidney problems, and serious allergic reactions

How Orlistat Works

Blocks the breakdown and absorption of dietary fat in the intestines. Unabsorbed fat is excreted in the stool, reducing calorie intake and promoting weight loss.

Common Side Effects

Oily or fatty stools, frequent bowel movements, flatulence with discharge, and abdominal discomfort.

Serious Potential Side Effects

Rare liver damage and malabsorption of fat-soluble vitamins (A, D, E, K), kidney problems, and severe allergic reactions

Brand Name

Mounjaro
Orlistat

Generic Name

Tirzepatide
Orlistat

Overview

Dual GIP and GLP-1 receptor agonist for type 2 diabetes management, showing promise in significant weight loss through appetite regulation and enhanced insulin sensitivity.
Blocks fat absorption in the intestine, helping with weight loss and weight maintenance by reducing the calories absorbed from dietary fat.

Year Approved

2022
1999

Category

Dual GIP and GLP-1
Other

Indicated for

Type 2 diabetes management
Weight loss in overweight or obese adults; weight maintenance to prevent regain after weight loss

Administration type

Injectable
Oral

Also used (but not approved) for

Weight Management

Frequency

Once / week
Up to 3x / day

Typical dose range

2.5–15 mg
120 mg 3x day

Average cost per month

$1,135
$60–$100

Availability

No current shortages
No current shortages