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Wegovy vs. Zepbound

Published on 
February 3, 2025
Virta Team

Wegovy and Zepbound target different needs within weight management. Wegovy is a GLP-1 receptor agonist offering substantial weight loss (15% of bodyweight), while Zepbound is a dual GIP and GLP-1 agonist. The GIP agonist component enhances the effect of both incretin hormones and also improves insulin sensitivity and fat metabolism. Zepbound offers average weight loss of up to 21% of bodyweight, while Wegovy offers average weight loss of 15% of bodyweight. Both drugs are approved for chronic weight management and do not have notable off-label uses. Side effects like nausea and vomiting are consistent between them, as are serious risks such as pancreatitis. Wegovy's cost averages $1,375/month, while Zepbound's cost is unavailable in the data. Neither drug currently faces 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 Zepbound 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

Brand Name

Wegovy
Zepbound

Generic Name

Semaglutide
Tirzepatide

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.
Dual GIP and GLP-1 receptor agonist for chronic weight management, showing promise in significant weight loss through appetite regulation and enhanced insulin sensitivity.

Year Approved

2021 for weight loss 2024 for cardiovascular risk reduction
2023

Category

GLP-1
Dual GIP and GLP-1

Indicated for

Chronic weight management and reducing risk of major cardiovascular events
Chronic weight management in adults with obesity or overweight with related conditions

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
2.5–15 mg

Average cost per month

$1,375
$1,125

Availability

No current shortages
No current shortages