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Mounjaro vs. Rybelsus

Published on 
February 3, 2025
Virta Team

Mounjaro and Rybelsus offer contrasting approaches to treating type 2 diabetes. Mounjaro is a dual GIP and GLP-1 agonist administered via injection, delivering superior HbA1c reductions and moderate weight loss. Rybelsus, an oral GLP-1 agonist, achieves less pronounced glucose control and weight effects. Both are used off-label for weight management. Side effects like nausea are common, though Rybelsus may cause additional gastrointestinal discomfort. Mounjaro’s cost is significantly higher at $1,135/month compared to Rybelsus’s $875/month. Neither drug 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 Rybelsus Works

Slows gastric emptying, reduces appetite, and enhances feelings of fullness, leading to lower calorie intake. It also stimulates insulin release and reduces glucagon secretion, improving blood sugar control.

Common Side Effects

Nausea, diarrhea, vomiting, and abdominal pain.

Serious Potential Side Effects

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

Brand Name

Mounjaro
Rybelsus

Generic Name

Tirzepatide
Semaglutide

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.
GLP-1 receptor agonist available in tablet form, used to manage type 2 diabetes and also shown to aid in weight loss by reducing appetite.

Year Approved

2022
2019

Category

Dual GIP and GLP-1
GLP-1

Indicated for

Type 2 diabetes management
Type 2 diabetes management

Administration type

Injectable
Oral

Also used (but not approved) for

Weight Management
Weight Management

Frequency

Once / week
Once / day

Typical dose range

2.5–15 mg
3–14 mg

Average cost per month

$1,135
$875

Availability

No current shortages
No current shortages