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Zepbound vs. Rybelsus

Published on 
February 3, 2025
Virta Team

Zepbound and Rybelsus share a GLP-1 receptor agonist mechanism but have different applications. Zepbound also includes a GIP receptor agonist. Zepbound focuses on chronic weight management, delivering substantial weight loss, while Rybelsus is an oral option for type 2 diabetes, providing moderate weight benefits alongside HbA1c reductions. Both share nausea as a common side effect, with Rybelsus also linked to gastrointestinal discomfort. Zepbound’s cost is $1,125/month, while Rybelsus costs $875/month. Neither drug currently faces shortages.

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

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

Zepbound
Rybelsus

Generic Name

Tirzepatide
Semaglutide

Overview

Dual GIP and GLP-1 receptor agonist for chronic weight 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

2023
2019

Category

Dual GIP and GLP-1
GLP-1

Indicated for

Chronic weight management in adults with obesity or overweight with related conditions
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

$1,125
$875

Availability

No current shortages
No current shortages