No items found.

Wegovy vs. Trulicity

Published on 
February 3, 2025
Virta Team

Wegovy and Trulicity both belong to the GLP-1 agonist class but serve different primary purposes: Wegovy is for weight management, while Trulicity is for type 2 diabetes and some cardiovascular conditions. Wegovy achieves greater weight loss (around 15%), while Trulicity provides modest HbA1c reductions (1-1.5%). Trulicity is also used off-label for weight management, like Wegovy. Both share common side effects like nausea, with Trulicity also causing fatigue. Serious risks, including pancreatitis, overlap. Wegovy is significantly pricier, costing $1,375/month versus Trulicity's $875/month. Both are readily available without shortages.

How Wegovy 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, vomiting, diarrhea, constipation, abdominal pain, headache, and fatigue.

Serious Potential Side Effects

Pancreatitis, gallbladder issues, kidney problems, and increased heart rate, thyroid cancer, anaphylaxis (or serious allergic reactions)

How Trulicity 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, fatigue, and decreased appetite.

Serious Potential Side Effects

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

Brand Name

Wegovy
Trulicity

Generic Name

Semaglutide
Dulaglutide

Overview

Used for chronic weight management in adults with obesity or overweight with related conditions and for cardiovascular event risk reduction in patients with type 2 diabetes and established cardiovascular disease. It helps regulate appetite and reduce calorie intake by mimicking a hormone that influences hunger and satiety.
GLP-1 receptor agonist for type 2 diabetes that helps regulate blood sugar levels and may contribute to modest weight loss by slowing digestion and reducing appetite. Also used for cardiovascular event risk reduction in patients with type 2 diabetes and established cardiovascular disease or multiple cardiovascular risk factors.

Year Approved

2021 for weight loss 2024 for cardiovascular risk reduction
2014

Category

GLP-1
GLP-1

Indicated for

Chronic weight management and reducing risk of major cardiovascular events
Type 2 diabetes management; reducing risk of major cardiovascular events in adults with type 2 diabetes, known cardiovascular disease, or multiple cardiovascular risk factors

Administration type

Injectable
Injectable

Also used (but not approved) for

Weight Management

Frequency

Once / week
Once / week

Typical dose range

0.25–2.4 mg
0.75–4.5 mg

Average cost per month

$1,375
$875

Availability

No current shortages
No current shortages