Weight Loss Peptides

Independent, evidence-based guides to the GLP-1 and related peptides that have transformed obesity treatment. No hype — just what the clinical data actually shows.

Semaglutide

FDA Approved

GLP-1 receptor agonist

~15%

avg. weight loss

Semaglutide was the first GLP-1 drug to demonstrate weight loss approaching that of bariatric surgery. FDA-approved for chronic weight management since 2021 (Wegovy). Now also available in an oral formulation approved for weight loss (January 2026) and a higher-dose 7.2 mg formulation — Wegovy HD — approved March 2026.

Key trial: STEP 1: 14.9% avg. weight loss over 68 weeks (N=1,961)
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Brand names: Wegovy · Ozempic · Rybelsus

Tirzepatide

FDA Approved

GLP-1 + GIP dual agonist

~22.5%

avg. weight loss

Tirzepatide targets both GLP-1 and GIP receptors, delivering substantially greater weight loss than semaglutide alone. FDA-approved for weight management (Zepbound) in 2023. The SURMOUNT-1 trial showed nearly one-quarter of body weight lost on average.

Key trial: SURMOUNT-1: 22.5% avg. weight loss over 72 weeks (N=2,539)
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Brand names: Zepbound · Mounjaro

Retatrutide

Phase 3 Trials

GLP-1 + GIP + Glucagon triple agonist

~28.7%

avg. weight loss

Retatrutide is Eli Lilly's triple agonist in Phase 3 development. By activating three hormone receptors, it has shown the highest weight loss of any peptide in trials to date — potentially approaching outcomes seen with bariatric surgery. Not yet FDA-approved.

Key trial: TRIUMPH-4: 28.7% avg. weight loss at 68 weeks (12 mg dose, Phase 3)
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Brand names: Investigational (no brand name yet)

Orforglipron

FDA Approved

GLP-1 receptor agonist (small molecule, oral)

~15%

avg. weight loss

Orforglipron (Foundayo) is the first oral small-molecule GLP-1 receptor agonist approved for weight loss, marking a breakthrough in how GLP-1 therapy is delivered. FDA-approved April 1, 2026 — no injections, no fasting requirements, just a daily pill. Weight loss is comparable to injectable semaglutide (~15%).

Key trial: ATTAIN-1: ~15% avg. weight loss at 72 weeks (Phase 3)
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Brand names: Foundayo (Eli Lilly)

Medical Disclaimer: This content is for educational purposes only. Average weight loss figures are from clinical trials and individual results vary. Consult a qualified healthcare provider before starting any medication.