Tirzepatide vs Semaglutide

Both medicines influence appetite and help the body manage glucose. Each option has a slightly different effect on hunger and metabolism, and that difference often guides a clinician’s recommendation.

How Each Medicine Works

Semaglutide focuses on one hormone pathway. Tirzepatide acts on two, which may produce stronger appetite control for some people.

Differences in Effectiveness

Studies often show greater weight reduction with tirzepatide at higher doses. Semaglutide still provides strong results and has been used longer, which gives doctors more experience with it.

Side Effects

Both medicines can cause nausea, reduced appetite, stomach discomfort, or fatigue. Tirzepatide may cause these more quickly because of its broader activity. Doctors usually start at the lowest dose and rise slowly.

How Doctors Choose Between Them

Clinicians consider:

  • Your medical history
  • How much weight you need to lose
  • Insurance coverage
  • Your tolerance for side effects

Either option can be useful, but one may suit your goals better than the other.